This event is hosted by Royal Orthotics of Concord, NC – “Where family matters.”
REGISTRATION CLOSES ON MAY 10th
This two-hour program details the scientific and clinical evidence which supports the well-known pediatric management principle: “proximal stability precedes distal mobility.”
Course instructor Deborah Stack, PT, DPT, PCS describes the ideal sequence of neuromotor acquisition and resting postures, and documents the relationship of faulty trunk control to limb muscle contracture in children with diplegic CP. She discusses sensory, biomechanical, kinesiological, and neuromotor aspects of both normal and compromised development of trunk alignment and control. She describes the influence of postural alignment and control on movement acquisition and skills, and offers suggestions for science-based orthotic intervention.
Finally, Ms. Stack introduces the new code-verified TherAlign DragonFly™ TLSO System as an example of a modality that can effectively address postural management issues.
This program builds upon the foundation of the PTA CTF Level I Course. It features a brief review of pediatric orthopedic lower-extremity (LE) skeletal and joint development as it occurs in the transverse plane i.e. medial and lateral joint rotation and medial and lateral long bone torsion – and in relation to deviations in foot progression angle (FPA) i.e. in-toeing and out-toeing.
Lecture content includes these topics:
- Transverse-plane (TP) LE skeletal and joint modeling events with rotation strapping precautions
- A review of elements of postural control acquisition and maintenance that pertain to TP LE bone and joint development and alignment
- An implementation of SA Sahrmann’s muscle balance theory in the context of the kinesiology of LE rotation strapping applications
- A review of three musculoskeletal assessment procedures used to identify sources of deviations in FPA and to document changes in a replicable manner.
Wearable Therapy: TheraTogs™ Systems, Uses, & Scientific Foundations
A 3.5-Day Didactic Program
Facilitator: Beverly Cusick, PT, MS, NDT, COF/BOC
Day 1 of this program features an overview of sciences of neuromotor and orthopedic development including established principles of kinesiology and biomechanics, physiologic adaptation of body tissues to routine use, new developments in motor learning, and the role of the somatosensory system in this process. The instructor demonstrates the implementation of the sciences in an introduction to TheraTogs Orthotic Garment and Strapping Systems as a modality for expanding successes in therapy sessions into daily life to optimize functioning alignment and stability, and reviews published research.
Day 2 of this program expands upon the introductory content presented on Day 1 with a discussion of skeletal modeling mechanisms and the achievement of postural control as a foundation for movement acquisition. She explores the nature of muscle tone and the relationship of muscle tone to routine use, both typical and pathologic. The program ends with suggestions for using TheraTogs in early intervention to optimize resting postures and the acquisition of essential ingredients for postural control.
Day 3 of this program applies the content from Days 1 and 2 and delves into functioning alignment issues related to the spine, the ankles, and unequal limb length. After demonstrating the Dragonfly TLSO and the molding and fitting process, the instructor reviews the assessment of ankle dorsiflexion range of motion as an important component of optimizing the support base with orthotics. She brings ankle ROM to discussions of postural control deficits and functioning malalignment as they occur in children with idiopathic toe walking, equinus deformity, hemiplegic cerebral palsy, and scissor gait. The program ends with a discussion of the typical development of the hip joint and femur in the transverse plane with a lab session devoted to distinguishing between femoral anteversion and antetorsion.
Day 4 is a half-day program that applies the content from Days 1-3 and is devoted to the biomechanical and developmental factors inherent in intoed and out-toed gait. Instructor reviews the related – and refined – musculoskeletal assessment procedures of hip rotation ROM, modified Ryder’s Test for femoral torsion, and the Thigh-Foot Angle and applies the findings to the safe use of TheraTogs strapping applications. The didactic program ends with suggestions for further research.
TheraTogs’ U.S. operations will be closed September 20th in support of the global climate strike, and to provide its employees the opportunity to participate in the company’s first-ever Community Service Day. “Togs Team” members across the country will spend that day providing volunteer help to non-profits and community service organizations of their choice.