Welcome to Progressive GaitWays…

“…the current demand for ‘evidence’ as a justification for intervening overlooks the shortfall of evidence and discourages the emergence of clinical evaluation, skill building, and science-based innovation.”

The Tyranny of Evidence…

Beverly Cusick, PT, MS, NDT, COF/BOC pushes back on the current culture of dependence on single-focus, short-term clinical studies that ignore the complex morbidities of cerebral palsy – and the sciences that address them.

Read more…

The Cusick Center for Learning (CCL) has opened its doors!

The first program in the series The Golden Rule of Managing Pediatric Orthopedic and Motor Development is now available for your professional development – at your convenience, in a pre-recorded webinar!

Program 1: Early Postural Control Acquisition

In this hour-long webinar, Beverly (Billi) Cusick reviews key biomechanical and sensory-motor aspects of early postural control acquisition – the essential foundation for building competent limb use and movement skills. She then demonstrates her “golden rule” concept with two clinical cases, and provides a detailed Q&A segment based on the discussions from the original live webinar.

In conclusion, Ms. Cusick traces the timeline, mentors, and influences that led her to the development of the Golden Rule – a valuable review that ‘connects the dots’ between the contributions of numerous well-known pioneers in physical rehabilitation.

Register Now | Download the course description

Kudos for Program 1:

I took a course from Billi over 20 years ago (Biomechanics) and it transformed my practice.  Love how she integrated  all the  approaches (NDT, Sahrmann, Tschnarter etc..). Excellent information with clear application, and the science behind the art of postural control facilitation. It was concise, easy to follow, and packed full of golden nuggets. I actually bought Kathleen Porters book and will be sharing it with coworkers at the clinic including office staff!

Enjoyed the historical approach with references to the scientific basis behind the techniques. Good reminder of finding the balance between stability and mobility in order to enhance function.

Program 2: Expanding Postural Control into Movement

In Program 2, Ms. Cusick discusses the biomechanical and somatosensory aspects of the developing infant’s progress after stabilizing the body center of mass in prone and supine positions. In this next phase of early movement acquisition, lying leads to rolling and body weight is displaced in the frontal plane and elevated off the surface into quadruped position. The instructor’s golden rule is applied in suggested biomechanical and somatosensory strategies for remediating deficits.

Program 1 is a prerequisite for Program 2. | Download Program 2 course description

Attendees gave Program 2 a ‘thumbs up’:

It’s very difficult to get clear, concise information regarding infant motor development and I really appreciate the quality of information as well as the convenience of the presentation type.

Billi is a wealth of knowledge which she shares in a clear, concise and clinically applicable way… The webinar allows learning in 1 hours chunks of time, with the opportunity to watch again for the week that follows. The handout follows the slides exactly and can be downloaded ahead of time to maximize learning.

An Open Letter to Caretakers and Therapists for Children with Diplegic CP

BCusick_OutsideProgressive GaitWays president and founder Beverly (Billi) Cusick writes:

“I’ve seen hundreds of families of children with diplegia, in consultation sessions in which I routinely undertake an orthopedic assessment and evaluate postural control, movement strategies, and existing orthoses. Common denominators have emerged that appear to operate to contribute to common problems of contracture development and recurrence, and to diminishing movement skills so often seen with advancing age in children with diplegia.

“I’ve composed the attached letter for caretakers and therapists of children with diplegia to bring them together in their understanding of the sources of many common musculoskeletal problems, and of the fundamental skills and strategies that are needed for effective remediation.”

Clinicians are welcome to download and share this letter with their colleagues, clients, and prescribing physicians.
BilliSig_75

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¡Ahora disponible en español! (Translated by Ursula Ivancic, Kinesióloga Fisiatra Neurorehabilitación Pediátrica Buenos Aires, Argentina

Calendar of Events

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Or, download the PGW Order Form to place your order offline.

Dec
1
Thu
New Paradigms in Foot & Ankle Deformity Management @ Nicklaus Children's West Kendall Outpatient Center
Dec 1 – Dec 2 all-day
New Paradigms in Foot & Ankle Deformity Management @ Nicklaus Children's West Kendall Outpatient Center | Miami | Florida | United States

This course is designed for the practitioner who has experience in working with children or adults with CNS neuromotor dysfunction, including physical therapists, orthotists, pediatric orthopedists, and physical medicine and rehabilitation physicians. We believe that team education fosters more effective teamwork. The didactic content can be adapted for an audience that is concerned with an adult population, substituting live case presentations for videotaped cases.

Course Brochure and Registration Info

The content covered in this program includes the following topics:

  • Foot and ankle anatomy, biomechanics, development, and pathomechanics in relation to body weight orientation over the base of support and to designing orthotic modifications to optimize foot development and function.
  • Characteristics of and factors contributing to healthy foot development.
  • Elements of gait development that relate to and support foot development.
  • The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of below-knee casts and orthotic interventions designed to improve postural alignment and control and to reduce developmental, flexible foot and ankle deformities that commonly occur in the presence of central nervous system dysfunction, hypotonia, and ligament laxity in childhood. Discussion of orthotic options includes Elaine Owen’s Tuned AFO/Footwear Combinations, heel lifting and weight-line training, and orthotic posting and foot packaging principles and strategies.

Common developmental foot deformities are identified and described in terms of plane-based anatomical components. Musculoskeletal assessment procedures are reviewed as the findings lead the clinician to a systematic clinical decision-making process regarding orthotic design in terms of desired load-bearing foot and limb joint alignment, magnitude of segment enclosure, degrees of freedom provided or restrained, and posting options. Soft-tissue extensibility findings are also used in the documentation of the effects of assorted orthotic intervention strategies.

May
20
Sun
Pediatric In-toeing & Out-Toeing Management for Neuromotor Training (CTF 2) @ Four Points by Sheraton Pleasanton
May 20 all-day

Course Summary

This program builds upon the foundation laid in the Posture & Torso Alignment (CTF Level I) workshop. It features a brief review of pediatric orthopedic lower-extremity (LE) skeletal and joint development as it occurs in the transverse plane – i.e. medial and lateral joint rotation and medial and lateral long bone torsion – and in relation to deviations in foot progression angle (FPA) – i.e. in-toeing and out-toeing.

Lecture content includes these topics:

  • Transverse-plane (TP) LE skeletal and joint modeling events with rotation strapping precautions
  • A review of elements of postural control acquisition and maintenance that pertain to TP LE bone and joint development and alignment
  • An implementation of SA Sahrmann’s muscle balance theory in the context of the kinesiology of LE rotation strapping applications
  • A review of three musculoskeletal assessment procedures used to identify sources of deviations in FPA and to document changes in a replicable manner.

Mar
2
Sat
Wearable Therapy: TheraTogs™ Systems, Uses, & Scientific Foundations
Mar 2 – Mar 5 all-day

Wearable Therapy: TheraTogs™ Systems, Uses, & Scientific Foundations

A 3.5-Day Didactic Program

Facilitator: Beverly Cusick, PT, MS, NDT, COF/BOC

Day 1 of this program features an overview of sciences of neuromotor and orthopedic development including established principles of kinesiology and biomechanics, physiologic adaptation of body tissues to routine use, new developments in motor learning, and the role of the somatosensory system in this process. The instructor demonstrates the implementation of the sciences in an introduction to TheraTogs Orthotic Garment and Strapping Systems as a modality for expanding successes in therapy sessions into daily life to optimize functioning alignment and stability, and reviews published research.

Day 2 of this program expands upon the introductory content presented on Day 1 with a discussion of skeletal modeling mechanisms and the achievement of postural control as a foundation for movement acquisition. She explores the nature of muscle tone and the relationship of muscle tone to routine use, both typical and pathologic. The program ends with suggestions for using TheraTogs in early intervention to optimize resting postures and the acquisition of essential ingredients for postural control.

Day 3 of this program applies the content from Days 1 and 2 and delves into functioning alignment issues related to the spine, the ankles, and unequal limb length. After demonstrating the Dragonfly TLSO and the molding and fitting process, the instructor reviews the assessment of ankle dorsiflexion range of motion as an important component of optimizing the support base with orthotics. She brings ankle ROM to discussions of postural control deficits and functioning malalignment as they occur in children with idiopathic toe walking, equinus deformity, hemiplegic cerebral palsy, and scissor gait. The program ends with a discussion of the typical development of the hip joint and femur in the transverse plane with a lab session devoted to distinguishing between femoral anteversion and antetorsion.

Day 4 is a half-day program that applies the content from Days 1-3 and is devoted to the biomechanical and developmental factors inherent in intoed and out-toed gait. Instructor reviews the related – and refined – musculoskeletal assessment procedures of hip rotation ROM, modified Ryder’s Test for femoral torsion, and the Thigh-Foot Angle and applies the findings to the safe use of TheraTogs strapping applications. The didactic program ends with suggestions for further research.

Apr
7
Sun
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]
Apr 7 all-day
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw] | Manchester | New Hampshire | United States

This course is designed for the practitioner who has experience in working with children or adults with CNS neuromotor dysfunction, including physical therapists, orthotists, pediatric orthopedists, and physical medicine and rehabilitation physicians. The content covered in this program includes the following topics:

  • Foot and ankle anatomy, biomechanics, development, and pathomechanics in relation to body weight orientation over the base of support and to designing orthotic modifications to optimize foot development and function.
  • Characteristics of and factors contributing to healthy foot development.
  • Elements of gait development that relate to and support foot development.
  • The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of below-knee casts and orthotic interventions designed to improve postural alignment and control and to reduce developmental, flexible foot and ankle deformities that commonly occur in the presence of central nervous system dysfunction, hypotonia, and ligament laxity in childhood. Discussion of orthotic options includes Elaine Owen’s Tuned AFO/Footwear Combinations, heel lifting and weight-line training, and orthotic posting and foot packaging principles and strategies.

Common developmental foot deformities are identified and described in terms of plane-based anatomical components. Musculoskeletal assessment procedures are reviewed as the findings lead the clinician to a systematic clinical decision-making process regarding orthotic design in terms of desired load-bearing foot and limb joint alignment, magnitude of segment enclosure, degrees of freedom provided or restrained, and posting options. Soft-tissue extensibility findings are also used in the documentation of the effects of assorted orthotic intervention strategies.

Full Course Description

Apr
10
Wed
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw]
Apr 10 all-day
New Paradigms in Foot & Ankle Deformity Management @ Instytut Terapii Funkcjonalnej Dzielny Mis sp. z.o.o. [Warsaw] | Manchester | New Hampshire | United States

This course is designed for the practitioner who has experience in working with children or adults with CNS neuromotor dysfunction, including physical therapists, orthotists, pediatric orthopedists, and physical medicine and rehabilitation physicians. The content covered in this program includes the following topics:

  • Foot and ankle anatomy, biomechanics, development, and pathomechanics in relation to body weight orientation over the base of support and to designing orthotic modifications to optimize foot development and function.
  • Characteristics of and factors contributing to healthy foot development.
  • Elements of gait development that relate to and support foot development.
  • The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of below-knee casts and orthotic interventions designed to improve postural alignment and control and to reduce developmental, flexible foot and ankle deformities that commonly occur in the presence of central nervous system dysfunction, hypotonia, and ligament laxity in childhood. Discussion of orthotic options includes Elaine Owen’s Tuned AFO/Footwear Combinations, heel lifting and weight-line training, and orthotic posting and foot packaging principles and strategies.

Common developmental foot deformities are identified and described in terms of plane-based anatomical components. Musculoskeletal assessment procedures are reviewed as the findings lead the clinician to a systematic clinical decision-making process regarding orthotic design in terms of desired load-bearing foot and limb joint alignment, magnitude of segment enclosure, degrees of freedom provided or restrained, and posting options. Soft-tissue extensibility findings are also used in the documentation of the effects of assorted orthotic intervention strategies.

Full Course Description

Oct
21
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club
Oct 21 – Oct 26 all-day
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club | Telluride | Colorado | United States

SOLD OUT  • October 21 – 26, 2019

Instructor: Beverly Cusick, PT, MS, NDT, COF/BOC

A PRIVATE TUTORIAL FOR SIX IN SENSATIONAL TELLURIDE, COLORADO

Who Should Attend: Physical therapists, certified orthotists, physicians in physical medicine & rehabilitation, and pediatric orthopedists. (Sorry, no PTAs or ortho techs.)

Six days, six colleagues, world-renowned instructor, practice-changing content, hands-on labs… and a killer location at off-season rates. How could you miss it?

In a collegial living-room setting, Beverly (Billi) Cusick relates the role of postural alignment and control to developing foot alignment and function, equinus deformity development, and management strategies using tuned AFOs and casts. In lab sessions, participants assess the ankle and foot, optimize postural alignment and function from the foot up, and fabricate below-knee casts that support neuromotor training.

Go home with a solid introduction to pediatric foot & ankle development, normal and pathomechanical foot function, and novice-level skills in: a) assessing the foot and ankle; b) posting orthoses to optimize postural control and foot function; and c) fabricating 3 types of below-knee cast used progressively.

Bonus: You receive two training DVD’s, fully-referenced handout materials, and an assessment tool kit.

Double-Bonus: Get trained for TheraTogs Fitter Certification Level-I, Posture and Torso Alignment, at no additional cost (optional).

 Interested? Read More…

 

Oct
28
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club
Oct 28 – Nov 2 all-day
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting @ The River Club | Telluride | Colorado | United States

October 28 – November 2, 2019

Instructor: Beverly Cusick, PT, MS, NDT, COF/BOC

A PRIVATE TUTORIAL FOR SIX IN SENSATIONAL TELLURIDE, COLORADO

Who Should Attend: Physical therapists, certified orthotists, physicians in physical medicine & rehabilitation, and pediatric orthopedists. (Sorry, no PTAs or ortho techs.)

Six days, six colleagues, world-renowned instructor, practice-changing content, hands-on labs… and a killer location at off-season rates. How could you miss it?

In a collegial living-room setting, Beverly (Billi) Cusick relates the role of postural alignment and control to developing foot alignment and function, equinus deformity development, and management strategies using tuned AFOs and casts. In lab sessions, participants assess the ankle and foot, optimize postural alignment and function from the foot up, and fabricate below-knee casts that support neuromotor training.

Go home with a solid introduction to pediatric foot & ankle development, normal and pathomechanical foot function, and novice-level skills in: a) assessing the foot and ankle; b) posting orthoses to optimize postural control and foot function; and c) fabricating 3 types of below-knee cast used progressively.

Bonus: You receive two training DVD’s, fully-referenced handout materials, and an assessment tool kit.

Double-Bonus: Get trained for TheraTogs Fitter Certification Level-I, Posture and Torso Alignment, at no additional cost (optional).

 Interested? Read More…

 

Feb
23
Sun
Pediatric In-toeing & Out-Toeing Management for Neuromotor Training (CTF 2) @ NAPA Center
Feb 23 all-day

Sponsored by:

Course Summary

This program builds upon the foundation laid in the Posture & Torso Alignment (CTF Level I) workshop. It features a brief review of pediatric orthopedic lower-extremity (LE) skeletal and joint development as it occurs in the transverse plane – i.e. medial and lateral joint rotation and medial and lateral long bone torsion – and in relation to deviations in foot progression angle (FPA) – i.e. in-toeing and out-toeing.

Lecture content includes these topics:

  • Transverse-plane (TP) LE skeletal and joint modeling events with rotation strapping precautions
  • A review of elements of postural control acquisition and maintenance that pertain to TP LE bone and joint development and alignment
  • An implementation of SA Sahrmann’s muscle balance theory in the context of the kinesiology of LE rotation strapping applications
  • A review of three musculoskeletal assessment procedures used to identify sources of deviations in FPA and to document changes in a replicable manner.

Instructor: Deborah Stack, PT, DPT, PCS

Full Course Description…

Apr
20
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride, CO) @ The River Club
Apr 20 – Apr 25 all-day
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride, CO) @ The River Club | Telluride | Colorado | United States

April 20 – 25, 2020

Instructor: Beverly Cusick, PT, MS, NDT, COF/BOC

A PRIVATE TUTORIAL FOR SIX IN SENSATIONAL TELLURIDE, COLORADO

Who Should Attend: Physical therapists, certified orthotists, physicians in physical medicine & rehabilitation, and pediatric orthopedists. (Sorry, no PTAs or ortho techs.)

Six days, six colleagues, world-renowned instructor, practice-changing content, hands-on labs… and a killer location at off-season rates. How could you miss it?

In a collegial living-room setting, Beverly (Billi) Cusick relates the role of postural alignment and control to developing foot alignment and function, equinus deformity development, and management strategies using tuned AFOs and casts. In lab sessions, participants assess the ankle and foot, optimize postural alignment and function from the foot up, and fabricate below-knee casts that support neuromotor training.

Go home with a solid introduction to pediatric foot & ankle development, normal and pathomechanical foot function, and novice-level skills in: a) assessing the foot and ankle; b) posting orthoses to optimize postural control and foot function; and c) fabricating 3 types of below-knee cast used progressively.

Bonus: You receive access to two pre-course webinars, a set of fully-referenced handout materials, and an assessment tool kit.

Double-Bonus: Get trained for TheraTogs Fitter Certification Level-I, Posture and Torso Alignment, at no additional cost (optional).

 Interested? Read More…

 

Apr
27
Mon
3 SEATS LEFT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club
Apr 27 – May 2 all-day
3 SEATS LEFT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club | Telluride | Colorado | United States

April 27 – May 2, 2020

Instructor: Beverly Cusick, PT, MS, NDT, COF/BOC

A PRIVATE TUTORIAL FOR SIX IN SENSATIONAL TELLURIDE, COLORADO

Who Should Attend: Physical therapists, certified orthotists, physicians in physical medicine & rehabilitation, and pediatric orthopedists. (Sorry, no PTAs or ortho techs.)

Six days, six colleagues, world-renowned instructor, practice-changing content, hands-on labs… and a killer location at off-season rates. How could you miss it?

In a collegial living-room setting, Beverly (Billi) Cusick relates the role of postural alignment and control to developing foot alignment and function, equinus deformity development, and management strategies using tuned AFOs and casts. In lab sessions, participants assess the ankle and foot, optimize postural alignment and function from the foot up, and fabricate below-knee casts that support neuromotor training.

Go home with a solid introduction to pediatric foot & ankle development, normal and pathomechanical foot function, and novice-level skills in: a) assessing the foot and ankle; b) posting orthoses to optimize postural control and foot function; and c) fabricating 3 types of below-knee cast used progressively.

Bonus: You receive access to two pre-course webinars, a set of fully-referenced handout materials, and an assessment tool kit.

Double-Bonus: Get trained for TheraTogs Fitter Certification Level-I, Posture and Torso Alignment, at no additional cost (optional).

 Interested? Read More…

 

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