THERAPEUTIC EVALUATION & TREATMENT OF PEDIATRIC Session #5678.16464 Cost: $240

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 lrosario@esc19.net
or
Grace Aguirre gaguirre@esc19.net
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