Early Bird

LIVE Webinar: Therapeutic Evaluation and Treatment of Toe Walking – Level I


Liesa M. Ritchie, PT, DPT, PCS

Monday & Tuesday
October 23 & 24, 2023
8:00 am – 3:00 pm EST both days

Early $350.00* | Regular $375.00

*Early registration must be received 14 days prior to webinar (Nov. 1, 2022). GROUP DISCOUNT ALSO AVAILABLE!

This webinar addresses 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 result 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. Liesa teaches practitioners to assess toe walking through a holistic view of the child, including biomechanics and sensory processing, to develop a systematic approach and devise an effective treatment plan.
Through organized assessment, 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.
This webinar will change how you think about and treat children with equinus gait!

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Learning Objectives
Participants completing this course will be able to:

  1. IDENTIFY specific etiologies relevant to pediatric equinus gait.
  2. DEVELOP an organized assessment approach and use the data to determine etiology specific interventions for pediatric equinus gait.
  3. DISCUSS etiology-specific and age-appropriate assessment and management strategies for this population.
  4. APPLY effective examination, evaluation, intervention, and treatment strategies to toe walking in the pediatric population.
  5. DESIGN an effective and individualized treatment plan for the pediatric patient.
  6. EXPLAIN the future consequences of incorrect intervention.
  7. GAIN confidence with the evaluation and treatment of pediatric toe walking.

Target Audience: 

 PT, OT’s and Assistants 

Course Level 



Liesa M. Ritchie, PT, DPT, PCS, CKTP

Liesa M. Ritchie, PT, DPT, PCS, CKTP is a licensed physical therapist with 30 years experience in the field of pediatric therapy. She is owner of Know to Change, which was created for the purpose of educating health care professionals, both nationally and internationally, in advanced treatment techniques, specialized practical training and consultative services.

Her wide range of clinical experience, organizational leadership, and proficient teaching skills make her an exciting and compelling instructor!

Liesa receives a speaking fee for the presentation. Liesa has no relevant non-financial relationships to disclose.


8:00 am – 3:00 pm EST | Both days

Day 1

8:00 – 9:45 am – IDEAL GAIT and EQUINUS GAIT

  • Definition of Idiopathic Toe Walking
  • Problems and concerns regarding an equinus gait pattern
  • Components of normal gait and gait development
  • Characteristics of equinus gait

9:45 – 10:00 am – Break

10:00 – 12:00 pm – BIOMECHANICS

  • Necessity of a stable base
  • The influence of an anterior center of mass
  • Muscle Balance Theory
  • Passive ankle DFROM measurement technique: R1 and R2
  • Orthoses: Changes to tradition
  • Shoe Modifications

12:00 – 12: 45 – Lunch

12:45 – 2:45 – BIOMECHANICS CONT.

  • Necessity of a stable base
  • The influence of an anterior center of mass
  • Muscle Balance Theory
  • Passive ankle DFROM measurement technique: R1 and R2
  • Orthoses: Changes to tradition
  • Shoe Modifications

2:45 – 3:00 – Q & A

Day 2

8:00 – 10:00 am – KINESIOLOGY

  • Physiology
  • Manual therapy
  • Muscle lengthening and strengthening strategies
  • Therapeutic Taping

10:00 – 10:15 – Break


  • Consideration of the senses: tactile, vestibular, visual, proprioceptive
  • Anatomy, Diagnosis & Incidence
  • Assessment with regards to Toe Walking

12:15 – 1:00 – Lunch


  • Birth and Developmental history
  • Vision
  • Classifications of Toe Walking etiologies
  • Assimilation of material

2:45 – 3:00 – Q & A



Educational Credits

12 contact hours

Approved for 12 contact hours by NYSED’s State Board for PT.

Application has been made to NJBPTE for CE credit approval.

AOTA-Approved Provider Program

TSI is an AOTA Approved Provider of Professional Development. PD activity approval ID#Pending. This Live PD is offered at 12 contact or 1.2 CEU’s, Intermediate level, Domain of OT: OT Service Delivery. AOTA does not endorse specific course content, products, or clinical procedures. 


Group Discount

Early $350.00* | Regular $375.00

*Early registration must be received 14 days prior to seminar VALID UNTIL Nov. 1, 2022

3 or more registrants – Early –  $331.24 | Regular – $354.90  (use code group3)

In order to qualify for the group discounted rate, registrations MUST all be received within 24 hours (of the first registration) 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 “Additional Information” section at checkout.