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Developmental Orthopedics of the Trunk & Lower- Extremity: A Review of Operating Processes with Implications for Management – Multiple Locations

Beverly Cusick, PT, MS, C/NDT, COF

March 11, 2019 * New York City * Monday – 8:30 am – 5:30 pm

OR

March 12, 2019 * Long Island * Tuesday – 8:30 am – 5:30 pm

OR

March 13, 2019 * Staten Island * Wednesday – 8:30 am – 5:30 pm

This intermediate-level program features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and lower extremity. The content pertains primarily to the torso and lower limb segments proximal to the foot.

Normal developmental events are related to:
· The operations of the somatosensory system
· Postural control acquisition and body weight management
· Biomechanical influences of full-term gestation
· Functioning postural and limb joint alignment
· Elements of Sahrmann’s approach to analysis of the Movement System

The process of physiologic adaptation of bone, soft tissues, and the Sensorimotor Cortex Deformity development is discussed in relation to:
· Spasticity
· Ligament laxity
· Premature birth
· Movement strategies in the presence of inadequate postural control and innate righting reactions
· Use history in postural malalignment
· Skeletal modeling errors

Management strategies are related to:
· Body weight distribution onto the functioning base of support
· Functioning joint alignment and related muscle lengths
· Weakness
· Skeletal modeling potential
· Musculoskeletal assessment findings.

Selected musculoskeletal assessments are described and the implications of their findings are brought to therapeutic and orthotic management planning with the goal of optimizing functioning postural alignment and control in order to optimize musculoskeletal and sensorimotor use history.
Proposed management strategies include tuned ankle-foot orthoses and TheraTogs™ Orthotic Undergarment and Strapping Systems. The relevance of the findings obtained in the musculoskeletal assessment to target selected interventions is made evident in videotaped cases.

NYC – March 11, 2019

Cost: $300.00 Early | $325.00 Regular
 (Early registrations must be postmarked or received on-line 21 days before the course.)

Group Discounts
Early   |  Regular

3 to 4 registrants – Early – $283.92| Regular – $307.58 (use code group3)
5 to 6 registrants – Early – $267.87 | Regular – $290.19 (use code group5)
7 or more registrants – Early – $257.13 | Regular – $278.58 (use code group7)

Long Island – March 12, 2019 & Staten Island – March 13, 2019

Cost: $280.00 Early  |$305.00 Regular
(Early registrations must be postmarked or received on-line 21 days before the course.)

Group Discounts
Early   |  Regular
3 to 4 registrants – Early – $264.99 | Regular – $288.65 (use code group3)
5 to 6 registrants – Early – $250.01 | Regular – $272.33 (use code group5)
7 or more registrants – Early – $239.99 | Regular – $261.42 (use code group7)

*Please note Long Island course will not offer refreshments

In order to qualify for the group discounted rates, registrations MUST all be received within 24 hours if registering on-line and in the same envelope if registering by mail.  PLEASE NOTE: Registrations received after a group has been processed will not be eligible for the discount.

To ensure that all group members receive the appropriate discount, choose a group name and be sure that each person registering adds the name in the “other notes” section at checkout.

 

$305.00$325.00

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Product Description

Faculty:
Since 1993 Ms. Cusick has been consulting and practicing privately in Telluride, Colorado. There, she devotes most of her professional effort to generating literature and educational materials, to teaching, and to developing therapeutic products, including her invention, TheraTogs orthotic systems. She is also a guest lecturer for annual conferences of the APTA, the NDTA, and the American Academy of CP and Developmental Medicine, in the US and Canada; the British Association of Prosthetists and Orthotists; and the American Academy of Orthotics and Prosthetics. Instructor of more than 450 courses, by invitation only, in 18 countries, and Associate Professor for the Rocky Mountain University of Health Professions – Pediatrics Program – Provo, Utah, 2006 to present.

Learning Objectives:
Participants completing this course are expected to be able to:

· Describe these features of normal, postnatal immaturity of skeletal structure and  alignment: thoracolumbar kyphosis, hip flexion contracture, increased femoral  anteversion, increased femoral antetorsion, coxa valga, genu varum, and medial thigh-foot angle.
· Distinguish between strain and load, and apply this distinction to the skeletal  modeling process and to modeling potential in an aging child.
· Discuss the sources and the significance of the achievement of bilateral,  symmetrical, antigravity neck and trunk extension by age 4 months.
· Explain the presence of symmetry in supine and prone positions at age 4 months  as evidence of fundamental postural control.
· Describe how the normal neonatal hip flexion contracture influences the early  modeling of the spine in the sagittal plane.
· Relate ideal, full-term neonatal posture and lower limb joint alignment to  postural control acquisition in prone, supine, sitting, and standing positions.
· Relate ideal, full-term neonatal posture and lower limb joint alignment to the  acquisition of skilled transitions between quadruped and sitting positions.
· Describe the typical progression from postural control acquisition to movement  acquisition in sequential play postures, and relate this progression to neuromotor     re-education.
· Relate the achievement of competent weight shifting in the frontal plane to  emerging limb use.
· Describe the apparent relationship between postural control status and limb  muscle extensibility.
· Give an example of normal massed practice.
· Explain the relationship between frontal-plane weight shift skill, the swing limb  torque generator in gait, and long bone torsion reduction in the lower extremities.
· Explain the potential impact of Level 1 (basic) direction-specific postural    responses on the development of common contractures in ambulatory children  with cerebral palsy and “Idiopathic” toe walking.
· Referring to the active and passive muscle length-tension relationships, describe a  muscle imbalance, and differentiate between muscle dominance and muscle  strength.
· Differentiate between femoral anteversion and femoral antetorsion, and explain  the relevance of the distinction to the safe use of orthotic interventions.
· Explain why measurements of “hip” medial and lateral rotation range of motion  (ROM) do not represent hip joint motions.
· Describe the anatomical components of the thigh-foot angle and its typical  developmental progression.
· Discuss the rationale and effectiveness of passive manual muscle stretching in  terms of Sahrmann’s approach to contracture management.
· Explain the potential somatosensory and therapeutic benefits of optimizing the  postural base of support and functioning joint alignments in daily life.

NYC – March 11, 2019

Cost: $300.00 Early | $325.00 Regular
 (Early registrations must be postmarked or received on-line 21 days before the course.)

Group Discounts
Early   |  Regular

3 to 4 registrants – Early – $283.92| Regular – $307.58 (use code group3)
5 to 6 registrants – Early – $267.87 | Regular – $290.19 (use code group5)
7 or more registrants – Early – $257.13 | Regular – $278.58 (use code group7)

Long Island – March 12, 2019 & Staten Island – March 13, 2019

Cost: $280.00 Early  |$305.00 Regular
(Early registrations must be postmarked or received on-line 21 days before the course.)

Group Discounts
Early   |  Regular
3 to 4 registrants – Early – $264.99 | Regular – $288.65 (use code group3)
5 to 6 registrants – Early – $250.01 | Regular – $272.33 (use code group5)
7 or more registrants – Early – $239.99 | Regular – $261.42 (use code group7)

*Please note Long Island course will not offer refreshments

In order to qualify for the group discounted rates, registrations MUST all be received within 24 hours if registering on-line and in the same envelope if registering by mail.  PLEASE NOTE: Registrations received after a group has been processed will not be eligible for the discount.

To ensure that all group members receive the appropriate discount, choose a group name and be sure that each person registering adds the name in the “other notes” section at checkout.

Location:
NYC:
Hotel Pennsylvania
401 Seventh Avenue
New York, NY
(Across from Penn Station)

——–
Long Island:
The Long Island Marriott
101 James Doolittle Blvd.
Uniondale, NY

———-
Staten Island:
The Hilton Garden Inn New York
1100 South Avenue
Staten Island, NY

 

8:30 am – 5:30 pm

8:30 – An Overview of Developmental Changes in the Spine and Lower Extremities .25

8:45 – Elements of Sahrmann’s Movement System Analysis in OrthopedicDevelopment .50

9:15 – Strain and Load: Shaping Bones and Joints with Skeletal Modeling Mechanisms .50

9:45 – Short Break – 15 minutes

10:00 – Proximal Before Distal: The Contributions of Postural Control Acquisition & Maintenance to Orthopedic Development .50

10:30 – Biomechanical Advantages of Full Term Gestation in Orthopedic Development .75

11:15 – Weight Shifting & Moving as Skeletal Modeling Mechanisms .25

11:30 – Clinical Evidence of Heathy Postural Control & Movement Acquisition: Typical Measurements of Lower Limb Muscle & Soft-Tissue Extensibility .50

12:00 – Lunch (on your own)

1:00 – Lower Limb Contractures: Evidence of Spasticity or of Postural Control Deficit? .75

1:45 – Key Elements of Sahrmann’s Approach to Managing Muscle Imbalances & Movement-Related Modeling Errors .50

2:15 – Short Break – 15 minutes

2:30 – Assessing Postural Alignment – Clinical Implications 1.00

3:30 – Clinical Evidence of Femoral Modeling: “Hip” Rotation ROM & the Modified Ryder’s Test for Torsion – Clinical Implications .25

3:45 – Clinical Evidence of Modeling of the Knee, Leg, & Foot in the Transverse Plane – Clinical Implications .75

4:30 – Videotaped Cases .75

5:15 – Questions & Discussion .25

5:30 – Adjourn

Target Audience:
Rehabilitation team members, including orthotists, physical therapists, occupational therapists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

Course Level:
Intermediate.  P
re-course readings are assigned.  Attendees are expected to arrive prepared.

Educational Credits:
7.5 contact hours. Certificates will be awarded.

Application has been made to NJ Board of PT Examiners for CE credits approval.

Recognized by the NY State Education Department’s State Board for Physical Therapy as an approved provider of physical therapy and physical therapy assistant continuing education.   Approved for 7.5 contact hours.

color web&ppt TSI is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Approved by AOTA for .75 CEUs.  7.5 contact hours, Intermediate Level, Domain of OT: Performance Skills.

NYC – March 11. 2019

Cost: $300.00 Early | $325.00 Regular
 (Early registrations must be postmarked or received on-line 21 days before the course.)

Group Discounts
3 to 4 registrants – Early – $283.92| Regular – $307.58 (use code group3)
5 to 6 registrants – Early – $267.87 | Regular – $290.19 (use code group5)
7 or more registrants – Early – $257.13 | Regular – $278.58 (use code group7)

Long Island – March 12, 2019 & Staten Island – March 13, 2019

Cost: $280.00 Early  |$305.00 Regular
(Early registrations must be postmarked or received on-line 21 days before the course.)

Group Discounts
Early   |  Regular
3 to 4 registrants – Early – $264.99 | Regular – $288.65 (use code group3)
5 to 6 registrants – Early – $250.01 | Regular – $272.33 (use code group5)
7 or more registrants – Early – $239.99 | Regular – $261.42 (use code group7)

*Please note Long Island course will not offer refreshments

In order to qualify for the group discounted rates, registrations MUST all be received within 24 hours if registering on-line and in the same envelope if registering by mail.  PLEASE NOTE: Registrations received after a group has been processed will not be eligible for the discount.

To ensure that all group members receive the appropriate discount, choose a group name and be sure that each person registering adds the name in the “other notes” section at checkout.

 

Here’s what some of our satisfied participants are saying about the course:

“Good speaker, experienced therapist, and great at presenting complex material.”

“This information gave me a new perspective.”

“The information presented is quite necessary to understand and subsequently treat children.”

“The videos were very helpful, and the explanations made by the instructor were good.”