Developmental Oorthopaedics of the Trunk & Lower Extremity in Cerebral Palsy A Review of Operating Processes with Implications for Management

Third Party Event

Venue Ardboyne Hotel
City Navan
County Meath
Contact Hours 21
Event Type Course/Workshop
Specialities Neurology, Pediatrics
Presenter Details About the InstructorBeverly (Billi) Cusick, PT, MS, COF/BOC is an internationally-known pediatric physical therapist whose specialty is the management of lower extremity deformity, particularly in children with cerebral palsy and other CNS deficits.Ms. Cusick received her BS in PT from Bouve College at Northeastern University (Boston), and her MS in Clinical and College Teaching for Allied Health Professionals from the University of Kentucky in Lexington. She is an Associate Professor for the Rocky Mountain University of Health Professions – PediatricsProgram – Provo, Utah (2006-present) and is NDT basic- and baby-trained.Since 1978 she has written or co-authored over a dozen publications.
WORK EXPERIENCE:• 1 year – PT staff at (now) Spaulding Rehabilitation Center, Boston, MA• 3 years – PT staff and Director for UCP Center, Lawrence, MA• 9 years ‐ PT staff at Children's Rehab. Center (now, Kluge Center), Charlottesville, VA.• 3 years ‐ PT Education faculty, College of Health‐Related Professions at Medical university of• South Carolina (MUSC), Charleston, SC, and Director of PT Services for the Division of• Developmental Disabilities at MUSC.• 1 year, consultant, Cardinal Hill Hospital's Head Trauma & Pediatrics teams – Lexington, KY.• 4 years, assisting in the PT Department at Children’s Hospital at Stanford, Palo Alto, CA.• 31 years in private practice.
PUBLICATIONS:• Help Patients Manage Equinus Deformity. O&P Business News, 2011; April: 74‐77.• Orthotic Management of Low‐Toned Children: The Earlier the Better. (Co‐author). O&P Edge. 2011; Apr: pp. 24‐ 29.• Serial Casting and Other Equinus Deformity Management Strategies for Children and Adults with CNS Dysfunction. 2010. Published by Progressive GaitWays.• Foot Talk. 2009. A DVD of a 2‐hour lecture on functional foot anatomy and closed chain biomechanics, accompanie
Refreshments Included Yes
Free Event No
How to Book Receipt of a completed Registration Form and then payment will secure a booking.
Contact Person Ragu Rajaram
Contact Email
Pre Course Requirement Yes
Date 15 Sep 2021 08:30 - 17 Sep 2021 18:00

The didactic program features an overview of the processes that contribute to pediatric orthopaedic development and deformities, and pertains particularly to children with cerebral palsy, hypotonia, and lower limb alignment issues. The facilitator illuminates the significance of postural control and the somatosensory system as factors in deformity prevention, development, and management and offers management strategies. The course will include quality lectures, videos and analysis. Participants will be provided course hand-outs and 2 piece femur bone pen to use as a
learning tool.

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 ante version, 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.
· 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 apparent relationship between postural control status and limb muscle extensibility.
· 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 ante version 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.
· 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.


Cost for this course:  2 days €280 / 3 days €420 


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