Phone: 866-782-6258

Are We Underserving the Pediatric Ankle? Supporting Development Through a Multi-System Approach

Course: #3832Level: Intermediate 2 Hours 2509 Reviews
Recorded Webinar

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.

Preview Exam
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On Demand

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

Learning Outcomes

  • checkmarkParticipants 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.
  • checkmarkParticipants will be able to identify at least three treatment techniques to address relative stiffness and flexibility in foot and ankle mobility and function.
  • checkmarkParticipants 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.
  • checkmarkParticipants will be able to list at least two important elements of orthotic prescription and design with team members to create a plan of care.

Course created on September 23, 2020


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


2509 Reviews

Presented By

Presenter Disclosure: Financial: Amanda Hall has received an honorarium for presenting this course. Non-financial: Amanda Hall has no relevant non-financial relationships to disclose.

Sponsor Disclosure: This Course is presented by, a Continued site.

Content Disclosure: This learning event does not focus exclusively on any specific product or service.

Course participation information

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Full attendance is required, and the times you log in and out will be recorded and documented. If you log in to a live webinar late or if you log out early, you may not be able to earn CEU.

Passing an online exam and completing a course evaluation will be required to earn continuing education credit.

Live Webinars allow presenter and participant interaction. The exam and course evaluation for these courses must be completed within 7 days of the event.

On-demand courses include texts, video and audio recordings of live webinars, and multimedia formats. The exam and course evaluation for on-demand courses must be completed within 30 days of course registration.

To participate in the course, complete the exam and course evaluation, and earn continuing education credit, you must be a member. Participants must complete the entire course; partial credit is not allowed. is committed to ensuring accessibility to the widest possible audience. We are continually improving the user experience for everyone. If you have questions, requests, or would like to report an accessibility-related issue, please email We will review your request and respond in a timely manner.

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California is a recognized continuing competency approval agency for the Physical Therapy Board of California. This course is offered for 2.0 hours of continuing competency.

CE Broker

CE Broker is approved to report to CE Broker for PTs and PTAs licensed in the states of AR, FL, GA, KS, MI, MS, OK, SC and TN, CE Provider #: 50-14089. If you are a PT/PTA in one of these states, CE Broker may be of interest to you.

Washington D.C.

The District of Columbia Board of Physical Therapy (Board) has established that is an approved continuing education provider for DC physical therapists and physical therapist assistants. Licensees must adhere to all other continuing education regulations of the Board, including those related to online courses and content.

International Association for Continuing Education and Training

International Association for Continuing Education and Training

continued, LLC, DBA, is accredited by the International Association for Continuing Education and Training (IACET). continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, continued is authorized to issue the IACET CEU. continued, LLC, is authorized by IACET to offer 0.2 CEUs for this program.

IL Physical Therapy Continuing Education Sponsor is approved by the Illinois Department of Professional Regulation as a sponsor of continuing education for PTs/PTAs (Sponsor License #216000252). This course is offered for 2.0 hours (Intermediate level).


This course is offered for 2.0 hours (Intermediate level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2024-APTAKY).


This course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.2 CEUs.

New York is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.

Oklahoma is an Approved Provider by the Oklahoma State Board of Medical Licensure & Supervision for Physical Therapists, PT CE Provider BAP202310006. This course is offered for 2.0 hours of continuing education for Oklahoma PTs/PTAs.

Texas Physical Therapy Association

This course is offered for 2.0 hours (Intermediate level) by the Texas Physical Therapy Association. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. The Texas Physical Therapy Association (TPTA) administers the CCAP on behalf of the Texas Board of Physical Therapy Examiners (Provider #2406033TX).

We recognize that state CE requirements are constantly changing. If you have any questions regarding our courses and your state requirements, please contact us at 866-782-6258 or contact Customer Service.

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