This course will instruct on examination and treatment of foot and ankle involvement for patients with pediatric health conditions including cerebral palsy, muscular dystrophies, and toe walking. Evidence-based interventions will be covered, including joint and soft tissue mobilizations to promote adaptive relative flexibility; improving intrinsic stability through progressive strengthening of the "foot core"; interventions to positively impact neuroplastic changes; and design of orthoses to support function and optimal development. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
Course created on September 23, 2020
Course Type: Recorded Webinar
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DC/2.0; DE/2.0; FL/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; MD/0.2; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NY/2.0; OK/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0
- Participants will be able to list at lest two impacts of altered foot and ankle function during development on the structural outcome of the movement system.
- Participants will be able to identify at least three treatment techniques to address relative stiffness and flexibility in foot and ankle mobility and function.
- Participants will be able to design a progressive strengthening program with at least three exercises to improve the intrinsic stability of the foot and ankle for children with neuromuscular health conditions.
- Participants will be able to list at least two important elements of orthotic prescription and design with team members to create a plan of care.
|0-15 Minutes||Review of learning outcomes, Terminology, Requisites for developmentally therapeutic gait|
|15-30 Minutes||Why might these conditions not be met? Influence of pediatric health conditions on foot and ankle function: cerebral palsy, muscular dystrophies, spinal muscular atrophy, Down Syndrome, chronic instability, idiopathic toe walking, and hypermobility syndromes|
|30-45 Minutes||Do we need to intervene? Review of the evidence: Impacts of limited dorsiflexion, impacts of excessively pronated hindfoot alignment, impacts of excessively supinated hindfoot alignment. Goals and the ICF Model, Developmental Kinesiopathological Model|
|45-60 Minutes||Intervention: Improving mobility of joints and soft tissues (with a review of the evidence)|
|60-75 Minutes||Intervention: Improving intrinsic stability through progressive strengthening (with a review of the evidence)|
|75-90 Minutes||Intervention: Interventions to address neuroplastic changes (with a review of the evidence)|
|90-105 Minutes||Intervention: Targeted use of external supports to guide adaptive tissue-specific stresses (with review of the evidence).|
|105-115 Minutes||Case studies: Discussion of patient examples to translate concepts to clinical application|
|115-120 Minutes||Summary, Q&A|
Amanda Hall received her MPT from the University of Washington in 2001. She was certified as a Pediatric Clinical Specialist in 2011, and as an Assistive Technology Professional in 2017. She has developed a framework for foot and ankle intervention including therapeutic casting and orthotic design based on developmental kinesiopathology, differential diagnosis, manual therapy, and alignment for therapeutic gait. Amanda's clinical practice is at the HSC Pediatric Center in Washington, DC, where she provides therapeutic casting, orthotic evaluations, and foot and ankle intervention, as well as clinical consultation and private practice for adult casting, orthotics, and foot/ankle management. Amanda has presented her work nationally, including at APTA's Combined Sections Meetings (CSM), American Academy of Pediatric PT's Annual Conference (APPTAC), and at the National Institutes of Health (NIH).
Sponsor Disclosure: This Course is presented by PhysicalTherapy.com, a Continued site.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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