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Effective Evaluation, Assessment & Treatment of Pediatric Equinus Gait (Toe Walking): From PT & OT Perspectives – November 26 & 27, 2018 – NYC and November 28 & 29, 2018 – L.I., NY

Liesa Persaud, PT, DPT, PCS, CKTP
November 26 & 27, 2018 – NYC – Monday & Tuesday
November 28 & 29, 2018 – Hempstead, NY – Wednesday & Thursday

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 plans.
This course addresses the impairment caused by Idiopathic Toe Walking specifically those related to barriers in the child’s environment that originate from weakness and limited mobility. This would include school, home and recreational environments.
Simple interventions that can be applied in a school-based, home or clinic environment will be described.

This is a comprehensive seminar that provides valuable tools for evidence-based evaluation, assessment and treatment of pediatric toe-walking with a descriptive, organized approach for health care professionals.  You will gain comfort with the evaluation and treatment of pediatric toe walking.



$495.00$515.00 $470.00$490.00

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Product Description

Liesa M. Persaud, PT, DPT, PCS, CKTP, is a licensed physical therapist with 26 years experience in the field of adult and pediatric therapy. Ms. Persaud is a Credentialed Clinical Instructor and also teaches human anatomy, physiology and nutrition at Tulsa Community College. She received her post-graduate Doctorate from Rocky Mountain University of Health Professions and is a Board Certified Specialist in Pediatric Science. She is sought after as a lecturer on a national and international level. Ms. Persaud’s passion for travel has drawn her to teach and treat overseas. Her wide range of clinical experience, organizational leadership, and proficient teaching skills make her an exciting and compelling instructor.Learning Objectives:
Participants who complete the workshop are expected to 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 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.

New York, NY – November 26 & 27, 2018
Hotel Pennslyvania
401 Seventh Avenue
Cost: $515.00; Early Registration $490.00 (must be received 21 days prior to the course)


Uniondale, NY – November 28 & 29, 2018
Hofstra University
Hempstead, NY

(Please note Long Island course will not offer refreshments)

Cost: $495.00; Early Registration $470.00 (must be received 21 days prior to the course)


8:00-10:00 – IDEAL GAIT & EQUINUS GAIT  

Definition Problems & concerns of Idiopathic Toe Walking

Normal gait & gait development

Characteristics of equinus gait

10:00 – 10:15 –  Break

10:15-12:00 – BIOMECHANICS 

Stable base

Anterior center of mass

Muscle Balance Theory

Serial casting


Transverse plane

12:00 – 1:00 – Lunch (on your own)


Posting wedges & calcaneal eversion

Forefoot wedges

Passive ankle DFROM measurement technique: R1 & R2

Orthoses & shoes styles modifications

Garment therapy

2:00-3:45 – KINESIOLOGY 


Muscle lengthening

Muscle strength

3:45 – 4:00 – Break

4:00-5:30 – KINESIOLOGY LAB 

Muscle lengthening





Consideration of the sensory systems: tactile, vestibular, visual, proprioceptive, emotional







Relationship to Toe Walking

10:00-10:15 – Break


Post rotary nystagmus

Prone extension & supine flexion

Reflex integration

12:00 – 1:00 – Lunch (on your own)

1:00-2:00 – MOTOR LEARNING 

Postural responses


Birth history

Developmental history


Differential diagnoses


Clinical picture

Objective measurements

Problem list

Treatment strategies

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

Target Audience:
PT’s & OT’s

Course Level:

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

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 16 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 1.6 CEUs. 16 contact hours, Intermediate Level, Domain of OT: Performance Skills.


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

“This was by far the best course I have taken in all my years as a pediatric PT. Liesa is an excellent lecturer who is energetic, knowledgeable, and ensures your understanding of content! I would definitely recommend this course.”

“The lecturer was dynamic, and presented the content in a clear manner. I also enjoyed the interactive nature of the lecture.” 

“Liesa is an amazing speaker who presents information in an engaging, understandable manner.”