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) is now offering online training – as only we can!

Now Available!

The W-Sitting Controversy: Evidence and Science

A growing number of physicians and orthopedists are advising parents to let their children W-sit because it is comfortable for them. In this 90-minute pre-recorded webinar, Beverly Cusick investigates the evidence and the science supporting both this and the more common practice of discouraging habitual w-sitting.

Introductory Pricing: $45 thru August 31st!

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

spanish_flag

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

Calendar of Events

Want to Order Tools or Supplies?

Jump right to the
Progressive GaitWays online store!

 

 

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

May
19
Sat
Posture & Torso Alignment for Pediatric Neuromotor Training (CTF 1) @ Four Points by Sheraton Pleasanton
May 19 all-day

Sponsored by

Course Summary

This introductory program features a review of relevant pediatric orthopedic issues and sciences pursuant to neuromotor re-education for posture and torso alignment, including:

  • Skeletal modeling mechanisms and influences
  • The role of the somatosensory system in postural control acquisition and movement
  • Fundamentals of S.A. Sahrmann’s muscle balance theory
  • Practice-related skills acquisition

Attendees will validate their understanding of these principles and issues in the afternoon lab session, using the TheraTogs Posture & Torso Alignment system. Grouped in teams of three, attendees will be guided through a series of donning and strapping applications that demonstrate the biomechanical principles and management techniques reviewed in the morning session.

ProCert has awarded certification to Certified TheraTogs Fitter Level 1 (CTF 1).

Approval pending through FSBPT for Certified TheraTogs Fitter Level 2 (CTF 2).

Jun
14
Fri
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ CCS Santa Clara County
Jun 14 – Jun 18 all-day
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ CCS Santa Clara County | New York | New York | United States

New Course from Beverly Cusick PT, MS, C/NDT, COF & Susan Hastings PT, DPT, PCS!

In children born premature and those with diplegic cerebral palsy (CP), findings obtained with diffusion tensor imaging (DTI) have brought significant challenges to the common definition of CP as “a motor disorder caused by a static lesion to the upper motor neurons resulting in spasticity”.

Beverly Cusick, PT, MS, NDT, COF, discusses findings by researchers that question the definition and challenge the common notion that spasticity is present and that it causes contracture formation and gait pathology in children with diplegia. She discusses the confusion over the difference between increased tone and hyperreflexia and introduces some new thinking regarding EMG activity in tissues under stretch. She concludes by proposing an alternative to “spasticity reducing” interventions by addressing postural control deficits and remediation.

Susan Hastings, PT, DPT, PCS, discusses requirements for motor learning to occur, and introduces functional electrical stimulation (FES) and whole body vibration (WBV) as treatment-augmenting interventions along with supporting research.

This one-day course is a pre-requisite for either of the two follow-up lab sessions:

  • Functional Electrical Stimulation for the Child with Cerebral Palsy (Hastings)
  • Bringing Orthopedic Assessment Findings to Management Planning (Cusick)

Flyer & Registration

Read more…

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
21
Fri
Pediatric Trunk Posture – The Significance of Extension @ NAPA Center
Feb 21 @ 6:30 pm – 8:30 pm

Sponsored by:

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

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

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

The lecture runs from 6:30 – 8:30 pm. 2.0 contact hours; CEU credits are pending.

Instructor: Deborah Stack, PT DPT PCS

Course Description & Registration

Feb
22
Sat
Posture & Torso Alignment for Pediatric Neuromotor Training (CTF 1) @ NAPA Center
Feb 22 all-day

Sponsored by:

NAPA Center logo

Course Summary

This introductory program features a review of relevant pediatric orthopedic issues and sciences pursuant to neuromotor re-education for posture and torso alignment, including:

  • Skeletal modeling mechanisms and influences
  • The role of the somatosensory system in postural control acquisition and movement
  • Fundamentals of S.A. Sahrmann’s muscle balance theory
  • Practice-related skills acquisition

Attendees will validate their understanding of these principles and issues in the afternoon lab session, using the TheraTogs Posture & Torso Alignment system. Grouped in teams of three, attendees will be guided through a series of donning and strapping applications that demonstrate the biomechanical principles and management techniques reviewed in the morning session.

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…

 

Oct
26
Mon
SOLD OUT • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club
Oct 26 – Oct 31 all-day

BACK ON THE SCHEDULE: October 25-31, 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 beautiful 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).

COVID-19 • PANDEMIC CONSIDERATIONS

Here are the factors we’re working with:

When the April 2020 courses had to be cancelled, we selected course dates in late October and early November – Telluride’s off-season – to keep your housing costs low. Off season is a time of peacefulness in Telluride – no summer crowds, no ski crowds… no crowds, period. All of which reduces the risk of COVID exposure from the community, or from the lower numbers of visitors from out of town.

We reserve 2 spacious condos – each with 3 bedrooms, and each bedroom with its own bathroom. Due to the off-season scheduling, the River Club facility is typically nearly vacant during our courses; we’re told that it will be at no more than 50% capacity this fall.

We hold the course in the largest condo in the facility, and can arrange seating to keep attendees apart. We know we cannot separate you during foot assessment and casting labs, but we will provide face masks and gloves, keep the space well-ventilated, and practice careful vigilance and cleaning protocols.

Telluride is located in San Miguel County – 8,000 residents spread over a 1,289 square miles region. The county’s public health team does an excellent job of reporting on COVID-19 test results, cases, and trends, and has been on top of things since February. The state, as well as the town of Telluride itself, is strict about wearing face masks, and even with the resumption of limited tourism our incidence of positive test results has dropped to zero in 2 of the last 3 weeks. Today’s status, for example, is “Cautious Normal”:

Please do have a look at the 2 links on this government website: https://covid-19-sanmiguelco.hub.arcgis.com/ – the meter and the dashboard – so you can assess your risks regarding attending the course this fall.

To state the obvious, we honor all directives regarding protection, social distancing, and meeting practices.

Note: Given the current circumstances, we STRONGLY recommend that you purchase refundable/changeable airfare, once your course registration is confirmed. We are not responsible for travel expenses if the course is cancelled or postponed.

 Interested? Read More…

 

Nov
2
Mon
CANCELLED • Pediatric Foot & Ankle Deformity Management with Serial Casting (Telluride CO) @ The River Club
Nov 2 – Nov 7 all-day

EVENT CANCELLED • See you next Spring!

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 beautiful 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).

COVID-19 • PANDEMIC CONSIDERATIONS

Here are the factors we’re working with:

When the April 2020 courses had to be cancelled, we selected course dates in late October and early November – Telluride’s off-season – to keep your housing costs low. Off season is a time of peacefulness in Telluride – no summer crowds, no ski crowds… no crowds, period. All of which reduces the risk of COVID exposure from the community, or from the lower numbers of visitors from out of town.

We reserve 2 spacious condos – each with 3 bedrooms, and each bedroom with its own bathroom. Due to the off-season scheduling, the River Club facility is typically nearly vacant during our courses; we’re told that it will be at no more than 50% capacity this fall.

We hold the course in the largest condo in the facility, and can arrange seating to keep attendees apart. We know we cannot separate you during foot assessment and casting labs, but we will provide face masks and gloves, keep the space well-ventilated, and practice careful vigilance and cleaning protocols.

Telluride is located in San Miguel County – 8,000 residents spread over a 1,289 square miles region. The county’s public health team does an excellent job of reporting on COVID-19 test results, cases, and trends, and has been on top of things since February. The state, as well as the town of Telluride itself, is strict about wearing face masks, and even with the resumption of limited tourism our incidence of positive test results has dropped to zero in 2 of the last 3 weeks. Today’s status, for example, is “Cautious Normal”:

Please do have a look at the 2 links on this government website: https://covid-19-sanmiguelco.hub.arcgis.com/ – the meter and the dashboard – so you can assess your risks regarding attending the course this fall.

To state the obvious, we honor all directives regarding protection, social distancing, and meeting practices.

Note: We require a minimum of four attendees per session; your registration in the November course will be pending – and we will not process payments – until we confirm the course.

Given the current circumstances, we STRONGLY recommend that you purchase refundable/changeable airfare, once your course registration is confirmed. We are not responsible for travel expenses in the event the course is cancelled or postponed.

 Interested? Read More…

 

Comments are closed.