Early Bird

LIVE Webinar: Toe Walking: In Depth Clinical Applications Using an Etiological Approach – Level II


Liesa M. Ritchie, PT, DPT, PCS

November 20, 2023
7:45 am – 3:15 pm EST 

Early $235.00* | Regular $260.00

*Early registration must be received 14 days prior to webinar. GROUP DISCOUNT ALSO AVAILABLE!

“Evaluation and Management of Toe Walking” challenged the clinician to ask the right questions and form a systematic approach to the child who “toe walks.” Chaos was replaced with clarity through an organized evaluation procedure that results in appropriate intervention. “In-Depth Clinical Applications” continues with additional detail on assessment and intervention. Updated in 2023, Dr. Ritchie’s comprehensive Toe Walking specific Evaluation provides complementary information regarding rationale and an appropriate plan of care for each contributing factor to the toe walking gait. Previously introduced, The Act! (Assessment Criteria for Toe walking), is further utilized in a guided, evidence-based, detailed, decision-making process. Clinical application skills are enhanced via supplemental provided case studies. Participants will apply information, from both The Act! and the Evaluation, to identify specific problems for each individual child. Both tools are then used to make decisions in order to implement appropriate & feasible interventions. Finally, Liesa guides the treating clinician towards an etiology-based problem list, suitable interventions & a relevant plan of care.

PLEASE NOTE: It is required that participants have taken the two day course: Therapeutic Evaluations and Treatment of Toe Walking (Pediatric Equinus Gait). Please send proof of attendance to TSI@therapeuticservices.org. 

We will need to cancel the registration for any participant that does not provide proof of attendance to Toe Walking course.

Print Brochure


Learning Objectives
Participants completing this course will be able to:

1.Utilize “The ACT” to focus treatments for improved floor mobility, walking, running, and/or playing in the child who toe walks.

2. Determine the primary and secondary contributing factors (musculoskeletal, neuromotor or sensory) to Pediatric Toe Walking.

3. Examine the research findings relative to gait, toe walking, atypical movement and sensory processing.

4. Determine the appropriate use and implementation of “The Act!” and the “Toe Walking Evaluation.”

5. Apply appropriate interventions based on the etiological category of toe walking.

6. Choose an individualized treatment plan using “The Act!” and “Toe Walking Evaluation.”

7. Analyze Case Studies in each etiological category to determine a specific Plan of Care.

8. Select an appropriate shoe modification for a child who toe walks to facilitate improved standing tolerance for ADLs, walking, running, skipping, jumping, and/or playing.

9. Identify four benefits of utilizing a multi-factorial, comprehensive approach for the management 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.


7:45 am – 3:15 pm EST


7:45 am – 10:45 am – Significance, Interpretation and Utilization of Publications relevant  to The Assessment of Toe Walking:

Substance Exposure In Utero

  • Substance Exposure in Utero
  • Birth Characteristics
  • Family History
  • Developmental History
  • Reflexes
  • Vestibular

Additional Information relevant to Assessment:

  • Calf Presentation
  • Physical Assessment
  • Movement Quality
  • Balance
  • Gait
  • Neurological
  • Vision
  • Proprioception

Applicable Information for Determination of the Contributing

Factors to Toe Walking:

  • Gestational Age
  • C Section Delivery
  • NICU Stay
  • Reflux and/or GI Issues
  • In Utero Medications and Substances
  • Floor Mobility and Onset of Walking
  • Commercial Positioning Toys
  • Reflexes
  • Vision
  • Family History



10:55 – 11:00 – Break

11:00 – 12: 00 pm – Characteristics of Ideal Gait and Toe Walking:

Description and Explanation
Shoe and Orthotic Modifications:
External Wedges
Internal Wedges
Custom and Pre-Fabricated AFOs

12:20 – 12:45 – LUNCH

12:45 – 3:15 – Case Studies (Videos of Evaluation, Interpretation and


  • Musculoskeletal Etiology
  • Neuromotor Etiology
  • Sensory Etiology


Educational Credits

7 contact hours

Approved for 7 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 7 contact or .7 CEU’s, Intermediate level, Domain of OT: OT Service Delivery. AOTA does not endorse specific course content, products, or clinical procedures. 


Group Discount

Early $235.00* | Regular $260.00

*Early registration must be received 14 days prior to seminar VALID UNTIL Nov. 6, 2023

3 or more registrants – Early – $222.40| Regular – $240.10 (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.