Welcome to Progressive GaitWays…

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.

Coming Next – Session 2: Expanding Postural Control into Movement

In Session 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.

… Attendees gave the live webinar 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 feels intimate and allows interaction at the end through questions and comments in real time. 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.

Registration coming soon… | Download course description

Want to Order Tools, Supplies, or Videos?

Jump right to the
Progressive GaitWays online store!

 

 

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

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

spanish_flag

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

Calendar of Events

May
21
Sat
Introduction to New Paradigms in Pediatric Equinus Deformity Management @ Easter Seals DuPage
May 21 @ 8:00 am – 5:30 pm
Introduction to New Paradigms in Pediatric Equinus Deformity Management @ Easter Seals DuPage | Villa Park | Illinois | United States

A One-Day Review of Sciences & Strategies for Optimizing AFO’s

The landscape of considerations of ankle function in balance and gait, and of strategies for managing ankle plantarflexion contracture – i.e., equinus deformity – is changing to embrace the roles of the somatosensory system and postural control both as causative factors and intervention strategies. Instructor Beverly Cusick, PT, MS, COF, C/NDT reviews the relevance of ankle function in postural control, and discusses the physiology of muscle transformation and the role of spasticity in contracture formation.

The content features challenges to the rationale and effectiveness of common equinus deformity intervention paradigms including stretching, blocking ankle plantarflexion at 0° with orthoses, injecting the gastrocnemius muscle with toxin, and surgically lengthening any aspect of the triceps surae muscle-tendon unit. The course presents new orthotic and training strategies, based upon the work of Shirley Sahrmann, Mary Weck, and Elaine Owen, with emphasis on children with pyramidal-types of cerebral palsy.

A full Course Description is available for download.

7.5 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate

Jun
26
Sun
Introduction to New Paradigms in Pediatric Equinus Deformity Management @ Vanderbilt Children's Hospital - Pediatric Rehab
Jun 26 @ 8:00 am – 5:30 pm
Introduction to New Paradigms in Pediatric Equinus Deformity Management @ Vanderbilt Children's Hospital - Pediatric Rehab | Nashville | Tennessee | United States

A One-Day Review of Sciences & Strategies for Optimizing AFO’s

The landscape of considerations of ankle function in balance and gait, and of strategies for managing ankle plantarflexion contracture – i.e., equinus deformity – is changing to embrace the roles of the somatosensory system and postural control both as causative factors and intervention strategies. Instructor Beverly Cusick, PT, MS, COF, C/NDT reviews the relevance of ankle function in postural control, and discusses the physiology of muscle transformation and the role of spasticity in contracture formation.

The content features challenges to the rationale and effectiveness of common equinus deformity intervention paradigms including stretching, blocking ankle plantarflexion at 0° with orthoses, injecting the gastrocnemius muscle with toxin, and surgically lengthening any aspect of the triceps surae muscle-tendon unit. The course presents new orthotic and training strategies, based upon the work of Shirley Sahrmann, Mary Weck, and Elaine Owen, with emphasis on children with pyramidal-types of cerebral palsy.

A full Course Description is available for download.

7.5 contact hours
CEUs for PT’s & Orthotists
LEVEL: Intermediate

Aug
24
Wed
Pediatric Trunk Posture – The Significance of Extension @ Crowne Plaza Hotel – Bucks County
Aug 24 @ 5:00 pm – 9:30 pm

Sponsored by:

RegBanner_4_trans

Register Online • OR • Download Registration Form

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

This FREE after-hours program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”

Presenter Beverly Cusick (PT, MS, NDT, COF) describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She explores a number of management strategies that include positioning and orthotic aids.

Finally, Ms. Cusick introduces the new , code-verified, TherAlign DragonFly™  TLSO System as an example of a modality that can effectively address postural management issues.

A light dinner is provided, starting at 5:00 pm; the lecture runs from 5:30 – 9:30. 4.0 contact hours; CEU credits approved for NJ physical therapists; CEU credits for PA physical therapists are pending.

Target Audience: Rehabilitation team members, including physical therapists, occupational therapists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

Read more…

Continuing professional education programs offered by Progressive GaitWays, LLC are available to all qualified physical therapists on a nondiscriminatory basis. Information provided should be used within scope of practice.

Aug
25
Thu
Pediatric Trunk Posture – The Significance of Extension @ The Mansion on Main Street
Aug 25 @ 5:00 pm – 9:30 pm

Sponsored by:

RegBanner_4_trans

Register Online • OR • Download Registration Form

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

This FREE after-hours program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”

Presenter Beverly Cusick (PT, MS, NDT, COF) describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She explores a number of management strategies that include positioning and orthotic aids.

Finally, Ms. Cusick introduces the new , code-verified, TherAlign DragonFly™  TLSO System as an example of a modality that can effectively address postural management issues.

A light dinner is provided, starting at 5:00 pm; the lecture runs from 5:30 – 9:30. 4.0 contact hours; CEU credits for NJ physical therapists are approved; CEU credits for PA physical therapists are pending.

Target Audience: Rehabilitation team members, including physical therapists, occupational therapists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

Read more…

Continuing professional education programs offered by Progressive GaitWays, LLC are available to all qualified physical therapists on a nondiscriminatory basis. Information provided should be used within scope of practice.

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
6
Sat
Pediatric Trunk Posture – The Significance of Extension @ Franklin Pierce University - PT Department
May 6 @ 6:00 pm – 8:00 pm

Sponsored by:

Course Info • OR • Registration

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

This FREE after-hours program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”

Presenter Beverly Cusick (PT, MS, NDT, COF) describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She explores a number of management strategies that include positioning and orthotic aids.

Finally, Ms. Cusick introduces the new , code-verified, TherAlign DragonFly™  TLSO System as an example of a modality that can effectively address postural management issues.

A light dinner is provided, starting at 5:30 pm; the lecture runs from 6:00 – 8:00 pm. 2.0 contact hours; CEU credits for NH physical therapists are pending.

Target Audience: Rehabilitation team members, including physical therapists, occupational therapists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

Read more…

Continuing professional education programs offered by Progressive GaitWays, LLC are available to all qualified physical therapists on a nondiscriminatory basis. Information provided should be used within scope of practice.

May
17
Thu
Pediatric Trunk Posture – The Significance of Extension @ Winding Walk Clubhouse
May 17 @ 6:00 pm – 8:00 pm

Hosted by:

Course Description (PDF) • OR • Registration

REGISTRATION CLOSES ON MAY 10th

Instructor: Deborah Stack, PT, DPT, PCS

This FREE after-hours program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”

Presenter Deborah Stack describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She explores a number of management strategies that include positioning and orthotic aids.

Finally, Ms. Stack introduces the new, code-verified, TherAlign DragonFly™  TLSO System as an example of a modality that can effectively address postural management issues.

A light dinner is provided, starting at 5:30 pm; the lecture runs from 6:00 – 8:00 pm. 2.0 contact hours; CEU credits for orthotists and NC physical therapists are pending.

Target Audience: Rehabilitation team members, including physical therapists, occupational therapists, orthotists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

Read more…

Continuing professional education programs offered by TheraTogs, Inc. are available to all qualified physical therapists on a nondiscriminatory basis. Information provided should be used within scope of practice.

 

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

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