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
6
Sat
New Paradigms in Foot & Ankle Deformity Management @ Franklin Pierce University - Physical Therapy
May 6 @ 8:00 am – 5:30 pm
New Paradigms in Foot & Ankle Deformity Management @ Franklin Pierce University - Physical Therapy | 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.

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.

Jan
21
Sun
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ Hotel Pennsylvania
Jan 21 @ 8:30 am – 5:30 pm
Sparking Change in the Treatment of Children with Diplegic Cerebral Palsy @ Hotel Pennsylvania | 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).

Read more…

Jan
22
Mon
Lab: Functional Electrical Stimulation for the Child with Cerebral Palsy (Hastings) @ Touro College
Jan 22 @ 8:30 am – 5:30 pm
Lab: Functional Electrical Stimulation for the Child with Cerebral Palsy (Hastings) @ Touro College | New York | New York | United States

Functional E-Stim Lab by Susan Hastings, PT, DPT, PCS

With the goal of simplifying electrical stimulation as a treatment modality and helping participants to gain confidence in its use, participants will use the Empi Continuum unit (provided) in teams of two. They will learn to set the unit parameters at different therapeutic levels and apply stimulation to their partner. Each participant will see and feel the differences between different settings, and between letting the unit cycle on and off (NMES) and using a hand switch to augment functional movement (FES).

Registration is limited to 20 participants who have taken the Sparking Change pre-requisite course. 

Feb
14
Wed
Reconsidering Spasticity as a Management Target in Children with Diplegic Cerebral Palsy @ Hyatt Regency New Orleans
Feb 14 – Feb 17 all-day
Reconsidering Spasticity as a Management Target in Children with Diplegic Cerebral Palsy @ Hyatt Regency New Orleans | New Orleans | Louisiana | United States

44th Academy Annual Meeting & Scientific Symposium – AAOP

Beverly Cusick, PT, MS, NDT, COF will be presenting her latest practice-changing bombshell: spasticity isn’t what you think it is.

Lecture details and schedule to be updated soon – stay tuned!

 

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.

 

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).

Jul
28
Sat
Developmental Orthopedics of the Trunk & Lower Extremity (New City, NY) @ Pediatric Physical & Occupational Therapy PLLC
Jul 28 all-day

This introductory program features an overview of the processes and principles that contribute to pediatric orthopedic development. These principles are applied to pathomechanics commonly observed in children with hypotonia, cerebral palsy, excessive foot pronation, and intoed gait. The content presented in this program is considered fundamental to any (future) discussion of the specific features of orthopedic trunk and lower extremity development.

Download PPOT Developmental Orthopedics Brochure for further registration information.

7.5 contact hours
LEVEL: Intermediate

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.

Mar
11
Mon
Developmental Orthopedics of the Trunk & Lower Extremity @ Hotel Pennsylvania
Mar 11 @ 8:00 am – 5:30 pm
Developmental Orthopedics of the Trunk & Lower Extremity @ Hotel Pennsylvania | New York | New York | United States

This introductory program features an overview of the processes and principles that contribute to pediatric orthopedic development. These principles are applied to pathomechanics commonly observed in children with hypotonia, cerebral palsy, excessive foot pronation, and intoed gait. The content presented in this program is considered fundamental to any (future) discussion of the specific features of orthopedic trunk and lower extremity development.

Download a full Course Description for reference.

NOTE: Attendees who complete this course are eligible for the one-day Certified TheraTogs Fitter labs which are now being scheduled March 14-18. Contact us for more information!

7.5 contact hours
LEVEL: Intermediate

Comments are closed.