Pediatric Gait Analysis and Orthotic Management: A Segmented Kinematics and...

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NYU Langone Health

550 1st Avenue

New York, NY 10016

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NYU Langone Health (Smilow Ground Floor)
550 First Avenue
New York, NY 10016

COURSE DESCRIPTION

“Pediatric Gait Analysis and Orthotic Management: A Segment Kinematics and Alignment Approach to Rehabilitation” by Elaine Owen MBE MSc SRP MCSP

This 2.5 day course is intended primarily for pediatric physical therapists, orthotists and other professionals working in the field of pediatric gait rehabilitation. It is also highly relevant to physical therapists, orthotists and others working in the fields of adult neurology. The course explores a fresh approach to the observation and analysis of normal walking and standing, and the classification and management of gait disorders. The biomechanics of normal walking and standing, and the pathological gaits of disabling conditions will be extensively reviewed, with particular reference to orthotic management. Pre-gait analysis and orthotic management assessment will be demonstrated. The emphasis of patient cases will focus on cerebral palsy, myelomeningocoele, and other neurological conditions. Participants will gain knowledge of the aims of orthotic management and how to achieve them through: the biomechanics of ankle-foot orthoses, the influence of footwear, varieties of AFO Footwear Combination design, tuning AFO Footwear Combinations to optimize gait and extensive video examples. In addition live patient demonstrations will help participants refine their clinical decision making skills involved in gait analysis and orthotic design.

EDUCATIONAL OBJECTIVES

At the end of the course participants should be able to:

  • Describe kinematic analysis of standing, stepping and the divisions of the normal gait cycle, with equal emphasis on movements of the joints and movements of segments relative to the vertical.

  • Describe kinetic analysis of standing, stepping and the divisions of the normal gait cycle and the interaction of kinematics with kinetics

  • Describe and discuss the kinematics and kinetics of pathological standing and gaits, gait deviations at segments and joints and categorisation of pathological gaits by segment deviation.

  • Demonstrate clinical assessment prior to gait analysis and orthotic provision; including joint ranges, bony torsions, muscle lengths, strengths and tone.

  • Distinguish the assessments required to decide on the optimum sagittal angle of the ankle in an AFO and demonstrate the use of a clinical algorithm.

  • Distinguish the assessments required to determine suitability for a dorsiflexion free AFO and demonstrate the use of a clinical algorithm.

  • Distinguish and discuss the biomechanics of a wide variety of AFO and footwear design.

  • Use a clinical algorithm, based on categorisation of pathological gait by segment deviation in order to facilitate decision making for optimal design of ‘AFO footwear combinations’ for a variety of gait disorders.

  • Discuss kinematic and kinetic principles of designing, aligning and tuning ‘AFO footwear combinations’ through gait analysis, in order to optimize their effect at segments and joints in each of the divisions of the gait cycle.

  • Perform kinematic and kinetic tuning of ‘AFO footwear combinations’ using slow motion video analysis or combined kinematic and kinetic gait analysis.

TARGET AUDIENCE

This course is intended primarily for pediatric physical therapists, orthotists, orthopedic consultants and pediatricians. It is also useful to those working with adults.

REGISTRATION INFORMATION

Registration Link: https://pediatricgait.eventbrite.com

Course Fee:

Early Bird (No Fee Included): $500 (Must register by 8/1/2019)

Full Price (Plus Eventbrite Fee): $533.81

*Onsite registration is not available. We cannot accept telephone or email registration. Registration is non-transferable.

PROGRAM AGENDA

Saturday, September 21, 2019

Registration starts 7:30 am (breakfast provided)

Morning Sessions: 8:00 am – 12:30 pm

SESSION 1: Normal standing and walking
Defining the alignments and movements of segments and joints in three planes
Defining standing, stepping and walking with full gait cycles
Phases, subdivisions and temporal events of the gait cycle
Kinematics of segments and joints in standing, stepping and each division of the gait cycle

Break: 15 min

SESSION 2: Normal standing and walking
Kinetics; forces, moments and powers
Kinetics of the divisions of the gait cycle, stepping and standing
Interaction of segment kinematics, joint kinematics and kinetics

Lunch: 12:30 pm – 1:30 pm (On Your Own)

Afternoon Sessions: 1:30 pm – 5:00 pm

SESSION 3: Normal standing and walking
Muscle actions in the divisions of the gait cycle
Review of clinical assessments for gait analysis and orthotic management

Break: 15 min

SESSION 4:
Clinical assessments for determining the sagittal angle of the ankle in the AFO
Clinical algorithm for dorsiflexion free Ankle-Foot Orthosis Footwear Combinations (AFOFCs)
Clinical algorithm to determine optimum ankle angle alignment in an AFO

Sunday, September 22, 2019

Registration starts 7:30 am (breakfast provided)

Morning Sessions: 8:00-12:30

SESSION 1 & 2 (includes 15 min break):
Muscle length, strength, stiffness and plasticity
Orthotic management with AFOFCs
Aims of orthotic management, an ICF approach
Influence of segment proportion in AFOFC design
Biomechanics of ankle-foot orthosis designs
Biomechanics of footwear designs worn with AFOs
Biomechanics of a variety of AFOFC designs and their applications
Kinematics and kinetics of gait disorders
Categorization of gait disorders by segment deviation, emphasis on Cerebral Palsy, Myelomeningocoele and neurological conditions
Clinical algorithm for dorsiflexion free AFOFCs
Clinical algorithm for designing, aligning and tuning AFOFCs for each category of gait
Clinical algorithm to determine optimum ankle angle alignment in an AFO
Clinical algorithm for flexible or fixed MTPJs
Tuning AFOFCs to optimize their performance in standing, stepping and gait
Guidelines for optimal alignments, proportions and profiles

Lunch: 12:30 pm – 1:30 pm (On Your Own)

Afternoon Sessions: 1:30 pm – 5:00 pm

SESSION 3 & 4 (includes 15 min break):
Video demonstrations of a variety of gait disorders, orthotic management and tuning by video vector generator gait laboratory, including group work to determine optimal prescriptions.

Monday, September 21, 2019 (half day)

Registration starts 7:30 am (breakfast provided)

Morning Session (Lab): 8:00 am – 12:00 pm

PROGRAM FACULTY

Elaine Owen, MBE, MSc, SRP, MCSP. She is ESMAC trained in Clinical Gait Analysis. For over 20 years she has used a video vector gait laboratory at Bangor Child Development Centre, UK for gait analysis, and orthotic and physical therapy management of children and adults.

ACCREDATION & CREDIT DESIGNATION

Physical Therapy
NYU Langone Health is a New York State Education Department approved provider for physical therapy and physical therapy assistant continuing education. This course is approved for a maximum of 19 contact hours (1.9 CEUs) physical therapy/physical therapist assistant contact hours. The following states require continuing education units with no state-specific approval: CT, IA, ID, MO, ND, and WA.

Orthotists, Orthotic Assistants, & Orthotic Technicians
This Program has been approved for up to 19 credits for Orthotists, Orthotic Assistants, & Orthotic Technicians through the American Board for Certification (ABC). Full participation in this program is required to be eligible for the full amount of credits.

REFUND POLICY

Submit your request for a refund of course fees more than $75 no later than 14 days before the course start date. No refunds will be issued for cancellations or no-shows after that time. To request a refund, email Krystal.Pearce@nyulangone.org. A $75 administrative fee will be deducted. Registration is nontransferable.

COURSE CANCELLATION POLICY

In the unusual circumstance that this course is cancelled, two week's notice will be given and registration fees will be refunded in full. Rusk Rehabilitation at NYU Langone Health is not responsible for any airfare, hotel or other non-cancellable costs incurred by the registrant.

CONTACT INFORMATION

Krystal Pearce
Senior Program Coordinator
Department of Rehabilitation Medicine

Phone: 646.501.7721
Email: Krystal.Pearce@nyulangone.org

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550 1st Avenue

New York, NY 10016

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