THERAPEUTIC EVALUATION & TREATMENT OF PEDIATRIC EQUINUS GAIT FROM A PT & OT PERSPECTIVE January 29-30, 2015 8:00 am to 5:30 pm Course Description Session #5678.16464 Cost: $240 TPTA CEUs: 16 hours Pending Approval This new workshop covers therapeutic evaluation and treatment of pediatric equinus gait ("toe walking”). It is common for the practitioner to feel lost when a child presents with a toe walking gait pattern. Both evaluation and treatment of these children are often frustrating for all involved and frequently results in inaccurate evaluation with ineffective intervention ESC-Region 19 and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a reoccurrence of the Head Start problem. However, establishing a specific approach to treating this type 11670 Chito Samaniego of patient can be made less frustrating and more rewarding by asking the right questions and forming a deliberate approach. This course is El Paso, Texas 79936 excellent for alleviating a chaotic approach to the treatment of pediatric toe walking. Through an organized evaluation procedure, specific data will be used to direct the clinician to potential etiologies. Course Objectives Causes and appropriate intervention strategies are identified in order to utilize a sys• IDENTIFY specific pathologies relevant to pediatric equinus tematic approach to developing an effective gait. treatment plan. Presenter: Dr. Liesa M. Persaud, PT, DPT,PCS, CKTP • DEVELOP an organized evaluation approach and use the data to determine various etiologies of pediatric equinus gait. • DISCUSS etiology-specific and age-appropriate assessment and management strategies for this population. • APPLY effective examination, evaluation, intervention and treatment strategies to toe walking in the pediatric population. • DESIGN an effective and individualized treatment plan for the pediatric patient. • EXPLAIN the future consequences of incorrect intervention. • GAIN confidence with the evaluation and treatment of pediatric toe walking. Our Presenter: Dr. Persaud has 21 years clinical experience and is a Board Certified Specialist in Pediatric Physical Therapy. Known for her successful approach to pediatric Toe Walking, she has educated health care professionals, both nationally and internationally, in advanced treatment techniques, specialized practical training and consultative services. Her wide range of clinical experiences, organizational leadership, and proficient teaching skills making her an exciting and compelling instructor. www.KnowToChange.com Agenda Day 1 Agenda Day 2 7:15 am: Registration 7:15 am: Registration 8:00 am: SEMINAR BEGINS IDEAL GAIT and EQUINUS GAIT Definition of Idiopathic Toe Walking Problems and concerns regarding an equinus gait pattern Reasons why current interventions are often ineffective 8.00 am: SEMINAR BEGINS KINESIOLOGY Physiology, Passive stretching Manual therapy, Myofascial release Muscle lengthening strategies Muscle strength: soleus, eccentric exercise, NMES, Kinesiotape® 10:00-10:15 am: BREAK IDEAL GAIT and EQUINUS GAIT (cont’d.) Components of normal gait & gait development Characteristics of equinus gait BIOMECHANICS Necessity of a stable base, the influence of an anterior center of mass Muscle Balance Theory 10:00-10.15 am: BREAK SENSORY PROCESSING Consideration of the sensory systems: tactile, vestibular, visual, proprioceptive, emotional SENSORY PROCESSING DISORDER Anatomy, Diagnosis, Incidence Documentation: Sensory Modulation Disorder, Sensory Overresponsivity and Underresponsivity, Sensory Seeking/Craving, Sensory Based Motor Disorder (Dyspraxia and Postural Disorder), Sensory Discrimination Disorder Assessment Relationship to Toe Walking 12:00-1:00 pm: LUNCH ON YOUR OWN BIOMECHANICS (cont’d.) Dynamic Response Ankle Foot Orthosis Serial casting Orthoses 2:30-2:45 pm: BROWNIE BREAK BIOMECHANICS (cont’d.) Transverse plane movement & ankle strategies Biomechanical training aids 2:45-5:30 pm: PRACTICAL LAB Posting wedges and calcaneal eversion Forefoot wedges Passive ankle DFROM measurement technique: R1 and R2 DRAFO principles Orthoses and shoes (sample various styles and shoe modifications) Serial cast principles to modify for use in schools TheraTogs and SPIO For additional information contact: Lou Ann Rosario, M.Ed [email protected] or Grace Aguirre [email protected] Phone: (915) 780-5348 Serving the Educational Communities of El Paso & Hudspeth Counties 12.00 pm-1.00 pm: LUNCH ON YOUR OWN MOTOR LEARNING Learning to move, Development of postural responses ASSESSMENT CRITERIA Birth history, Developmental history Vision, Differential diagnoses 2:30-2:45 pm: COOKIE BREAK ASSESSMENT RESULTS & SUBSEQUENT TREATMENT PLANS Clinical picture, Objective measurements Problem list Treatment strategies 2:45-5:00 pm: PRACTICAL LAB Muscle lengthening technique: an alternative to stretching NMES technique Kinesiotape®: DF assist, Gastroc inhibition, transverse abdominus and oblique facilitation Post rotary nystagmus Prone extension and supine flexion: performance and assessment Reflex integration: performance and assessment 5:00-5:30 pm: Review and synthesis of course information 5:30 pm: SEMINAR ENDS EDUCATION SERVICE CENTER-REGION 19 . 6611 Boeing Drive . El Paso, Texas 79925 . Tel (915) 780-1919 Fax (915) 780-6537