Therapeutic Evaluation & Treatment of Toe Walking (Pediatric Equinus Gait) from a PT & OT Perspective
Therapeutic Evaluation & Treatment of Toe Walking (Pediatric Equinus Gait) from a PT & OT Perspective Dates: March 24-25, 2017 Instructor: Liesa M. Persaud, PT, DPT, PCS, CKTP Who Should Attend:Occupational Therapists, Occupational Therapists Assistants, Physical Therapists, Physical Therapist Assistants. Course Description:Gain comfort with the evaluation and treatment of pediatric 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 and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a reoccurrence of the problem. However, establishing a specific approach to treating this type of patient can be made less frustrating and more rewarding by asking the right questions and forming a deliberate approach. This course is 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. Causes and appropriate intervention strategies are identified in order to utilize a systematic approach to developing an effective treatment plan. Course Level: Intermediate Method of Instruction: Lecture, Video Case Studies, PowerPoint, Group Work, Lab & Demonstration CEUs/State Approvals: 15.0 hours/1.5 CEUs Applications have been submitted to the following state boards: Occupational TherapyMaryland – approved by the Maryland Board of Occupational Therapy Practice #2017:0030Delaware – Pending Approval Physical TherapyMaryland – Pending ApprovalPennsylvania – Pending ApprovalNew Jersey – Pending ApprovalWest Virginia – approval #EPIC-F17-04 The Pennsylvania OT Board, Virginia PT and OT Board, and the Delaware PT Board accept board approval from any other state. Course Objectives:Participants will be able to:- Identify specific pathologies relevant to pediatric equinus gait.- Develop an organized evaluation approach and use the data to determine various etiologies of pediatric equinus gait.- Discuss etiology-specific & age-appropriate assessment & management strategies for this population.- Apply effective examination, evaluation, intervention and treatment strategies to toe walking in the pediatric population.- Design an effective & 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. Timed Agenda: Day OneTwo fifteen minute breaks will be provided. 7:30 – 8:00 Registration/Continental Breakfast8:00 – 12:00 Ideal Gait & Equinus Gait- Definition of Idiopathic Toe Walking- Problems & concerns regarding an equinus gait pattern- Components of normal gait & gait development- Characteristics of equinus gaitBiomechanics- Necessity of a stable base- The influence of an anterior center of mass- Muscle Balance Theory12:00 - 1:00 Lunch (on your own)1:00 – 5:00 Lab- Posting wedges & calcaneal eversion- Passive ankle DFROM measurement technique: R1 & R2Biomechanics (cont’d.)- Dynamic Response Ankle Foot Orthosis- Orthoses- Transverse plane movement & ankle strategies- Biomechanical training aidsLab- TheraTogs, DMO, SPIO- Orthoses: modify for use in schools Day Two Two fifteen minute breaks will be provided. 7:30 – 8:00 Registration/Continental Breakfast8.00 – 12:00 Kinesiology- Physiology- Passive stretching, manual therapy* & myofascial release*- Muscle lengthening strategies- Muscle strengthening: soleus, eccentric exercise, NMES, therapeutic tapingLab- Muscle lengthening technique: an alternative to stretching- NMES technique- Therapeutic Taping12:00 - 1:00 Lunch (on your own)1:00 – 5:00 Sensory Processing- Consideration of the sensory systems: tactile, vestibular, visual, proprioceptive,emotionalSensory Processing Disorder- Anatomy- Diagnosis- Incidence- Assessment & Relationship to Toe Walking- InterventionAssessment Criteria- Evaluation Components: The ACT!Assessment Results & Subsequent Treatment Plans- Etiological Categories & Intervention Plans- Case Example About the Instructor: Liesa M. Persaud, PT, DPT, PCS, CKTP is a licensed physical therapist with 24 years’ experience in the field of adult and pediatric therapy. Ms. Persaud is a practicing physical therapist at Tulsa Sunshine Center in Oklahoma, where she provides Animal Assisted Therapy with her Border Collie, Serendipity. Additionally, Liesa is owner of Know to Change, PLLC in Skiatook, Oklahoma, and has educated health care professionals, both nationally and internationally, in advanced treatment techniques, specialized practical training and consultative services. She has worked in a variety of settings, including private pediatric and adult clinics, schools, private homes, hospitals and long-term care facilities. Ms. Persaud is a Credentialed Clinical Instructor and also teaches human anatomy, physiology and nutrition at Tulsa Community College. She received her Associate’s Degree in 1993 from Tulsa Junior College and worked as a physical therapist assistant while completing her Bachelor of Science Degree in Organizational Leadership from Southern Nazarene University in Tulsa, Oklahoma. Ms. Persaud earned her Master’s Degree in Physical Therapy from the University of Findlay in Findlay, Oklahoma in 2003 and continued to expand her expertise in the field. She received her postgraduate Doctorate from Rocky Mountain University of Health Professions and is a Board Certified Specialist in Pediatric Physical Therapy. In 2007, Ms. Persaud served as Treasurer for the Oklahoma Physical Therapy Association and has been a member of the Oklahoma Foundation for Physical Therapy since 2004.Ms. Persaud’s passion for helping others extends into her private life. She volunteers as a Call Rape Advocate, Salvation Army Volunteer, and is a member of the Fraternal Order of Police Auxiliary. Her wide range of clinical experience, organizational leadership, and proficient teaching skills make her an exciting and compelling instructor. What Therapists Say About The Course/Instructor: - "Thank you! What a rich, full class. This course can have application on Monday, as well as with a variety of patients. The ideas discussed could be applied to many more patients than just those with toe walking. Enough complexity to engage those with many years of experience, yet simple and easy to follow for those who are new to pediatrics. Liesa is open to questions, direct and honest in what she shares, and if it is her opinion, her experience, and/or confirmed by research. This course came highly recommended by a colleague, and I will be recommending this course to others." - "Outstanding course! Changed how I think about and treat this population. Very clinically relevant and useful." - "Liesa was engaging all three days and provided a high amount of useful info that could be immediately implemented in the clinic." - "Excellent, practical and realistic approach to treatment of a wide variety of toe walkers. Liesa is a dynamic speaker who has the ability to captivate attention and promote active learning through lecture and lab. Thank you for putting the pieces of the puzzle together." What to Bring/Wear: Participants should wear clothing that allows access below the knee; and bring one roll of 2” wide kinesiology tape (NOT pre-cut), a goniometer and a towel and/or yoga mat for comfort when laying on the floor. Meals: Continental breakfast will be provided; lunch is on your own. Location/Parking Information: Epic Developmental Services Conference Center; Free parking in the back of the building. Enter through the Conference Center doors. Call 410.583.1515 for last minute directions. Travel/Lodging:Please check with Epic Developmental Services before making airline reservations. Epic Developmental Services cannot be responsible for non-course fee charges incurred by participants due to course cancellation or for those on the waitlist. Sheraton Baltimore North Hotel903 Dulaney Valley Road, Towson, MD 21204, 410.321.7400Just 1.5 miles from the Care Resources Conference Center; across the street from the Towson Town Center with an over-street walkway to the Mall. Ask for the Epic Developmental Services rate of $127.00. Click here to reserve a room. Best Western Plus – Towson Baltimore North Hotel & Suites 1100 Cromwell Bridge Road, Towson, MD 21286, 410.823.4410One block (walking distance) from the Care Resources Conference Center. Ask for the Epic Developmental Services rate of $89.00 (if available at time of booking). FAQs Questions about this course or your registration?Please call us at 1.888.613.2275 or email us at CE@epicdevelopmentalservices.com. Can I update my registration information?Yes, you can update your registration information in Account Settings. What if I have dietary restrictions or special needs?If you require special accommodations, please call us at 1.888.613.2275 or email CE@epicdevelopmentalservices.com. What is the cancellation policy?To cancel your registration, please send a written request via email or fax to CE@epicdevelopmentalservices.com or 410.583.9670, at least 21 days prior to a one/two-day course and 14 days prior to an hourly course. If you cancel after this date, and prior to the start of the course, you may receive a rain check (less the administrative fee) for a future Epic Developmental Services program. Refunds and rain checks will be issued within 15 business days. No refunds are possible after this time. If you are registered for a course and do not attend, you are still responsible for the course fee and no refunds or credits will be issued. Please review the refund policy below for applicable administrative fees based on course type. Epic Developmental Services reserves the right to cancel a course for limited registration or inclement weather, etc. Cancellation of the course by Epic Developmental Services will result in a full tuition refund. What is the refund policy?• One-day and Two-day CoursesTuition, less a $50 administrative fee, is refundable with a written request and must be received at least 21 days prior to the start of the course. No refund is possible less than 21 days prior to a course. • Hourly Courses (less than 7-hours)Tuition, minus a $20 administrative fee, is refundable with a written request received at least 14 days prior to the start of the course. No refund is possible less than 14 days prior to a course. Satisfaction GuaranteedWe are confident that our courses provide high quality, outcome based techniques and concepts for you to incorporate in your practice. If you are not completely satisfied with your continuing education experience, please call us at 1.888.613.2275 or email CE@epicdevelopmentalservices.com to discuss your concerns.