Serial Casting for the Pediatric Foot & Ankle


SOLD OUT. Session 1: October 31 – November 5, 2021
SOLD OUT. Session 2: November 7-12, 2021 
Telluride, CO

Typical Course Tuition fee:
Early Registration $1850 USD
Regular Registration $2100 USD

Shared Housing (separate bedroom & bath per attendee):
$500 for Course classroom condo • $600 for Residence-only condo

Course Description…

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In this practice-changing course – limited to six attendees, and held in off-season Telluride, Colorado – 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.

Lab sessions feature closely-supervised trials of several ankle and foot assessment procedures, with findings applied to orthotic posting and design. Materials will be provided for an introductory practice lab on undertaking on-site posting trials to preview effects of proposed orthotic modifications, and for a day of training in fabrication of 3 types of below-knee cast: plaster and SoftCast combination, FlexCast, and a removable footboard-Flexcast combination.

Note: We require a minimum of four attendees per Session. Your reservation for the Session of your choice will be pending – and we will not process your deposit payments – until we have four reservations for your Session. 


Here are the factors we’re working with:

Per our normal practice, we select course dates in late October and early November – Telluride’s fall 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 anticipate it will be at no more than 50% capacity this fall.

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

Telluride is located in San Miguel County – 8,000 residents spread over a 1,289 square miles region – which was recently tagged as the 6th healthiest county in the country. 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 the pandemic started.

Please do have a look at the 2 links on this government website: – the meter and the dashboard – if you would like further or updated information.

Given that circumstances can always change, we STRONGLY recommend that you purchase refundable/changeable airfare, once your course registration is confirmed. Progressive GaitWays is not responsible for your travel expenses if you cancel your reservation, or if we cancel or postpone your course session.

The content covered in this program includes the following topics:

  • The emerging sciences of postural control acquisition and maintenance, including the role of the somatosensory system as it is currently understood in relation to load-bearing alignment of the torso, lower limbs, and feet.
  • Foot and ankle functional 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.
  • Postural control deficits and body weight distribution on the foot in standing and walking as causative factors in contracture formation.
  • Muscle and soft-tissue adaptation to chronic use of compensatory postural control mechanisms.
  • An update on the role of spasticity in equinus deformity development.
  • A review of conservative strategies for contracture reduction and management.

The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of below-knee casts and a variety of orthotic interventions designed to improve postural alignment and control and to reduce developmental, flexible foot and ankle deformities that commonly develop 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, orthotic posting and foot packaging principles and strategies, positioning, resting splints, stretching, and serial casting.

BONUS: Tutorial attendees are welcome to undergo Certified TheraTogs Fitter training and credentialing, after hours at no additional cost. This training is optional.

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