7 Session Pediatric Gait Analysis and Orthotic Management: An Optimal Segment Kinematics and Alignment Approach to Rehabilitation (OSKAR) Course + Advanced Day Option
PEDIATRIC GAIT ANALYSIS
LIVE DATES: October 21, October 28, November 4, November 11, November 18, December 2, and December 9, 2022. There will be opportunities to view recordings of each of these sessions if you are unable to attend a live date or wish to review the content.
This live, online course takes a fresh approach to the observation and analysis of typical and atypical patterns of standing, stepping and walking with full gait cycles, OSKAR. The course will span 8 weeks with 7 half-days of lectures and interactive discussions, including extensive video vector gait laboratory case studies. The alignments, kinematics and kinetics of standing and walking, and the atypical patterns of disabling conditions will be reviewed with particular reference to orthotic management and rehabilitation programs. Patient cases will focus on cerebral palsy, neural tube defects and other childhood-onset disabling conditions, but are applicable to adults with a childhood-onset disability or acquired neurological conditions.
Participants will review the short- and long-term goals of orthotic management, in all areas of the ICF, and how to achieve them through: the biomechanics of ankle-foot orthoses, the influence of footwear and “AFO footwear combinations”, the use of clinical algorithms to design, align and tune “AFO footwear combinations” in order to optimize standing and walking for the variety of gait patterns, and also the OSKAR rehabilitation programs that may accompany orthotic provision including functional gait training and motor learning programs with orthoses and footwear. A new Pictorial Tool to facilitate collaborative decision-making between clinicians and families, about goals, optimum orthosis design, and dosage, will be presented.
Video Vector gait laboratory case examples will help participants refine their clinical decision-making skills in gait analysis, orthosis and footwear design, and alignment of the ankle foot-orthosis and the AFO Footwear Combination. Participation from the audience, by polling, will occur extensively during the case examples.
Upon completion of the course, participants will be able to apply the principles directly to their working practice. A comprehensive manual accompanies the course.
This course is presented by Elaine Owen, MBE, MSc, SRP, MCSP , who has developed the OSKAR approach to rehabilitation. She is ESMAC trained in Clinical Gait Analysis. For over 30 years she has used a video vector gait laboratory for gait analysis, and orthotic and physical therapy management of children and adults, at Bangor, UK and other locations, during which time OSKAR was developed.
Orthotists, Pediatric Physical Therapists, Physical Therapists working with acquired or childhood-onset disability in adulthood, Orthotic Assistants, Physical Therapist Assistants, Orthotic Technicians, Orthotic Fitters, Pedorthists, Physicians, and Surgeons (not offering CME). Other professionals working in pediatrics have also found the content relevant and valuable.
Upon completion of this course, participants will be able to:
- Describe and Discuss the essential concepts of the Optimal Segmental Kinematics and Alignment approach to Rehabilitation (OSKAR)
- Describe and Discuss the potential short- and long-term goals, across the ICF, for children who use AFOs
- Describe optimum segment alignment, proportion and kinetics of stable standing
- Describe kinematic analysis of the divisions of the gait cycle with equal emphasis on movements of the joints and movements of the segments relative to the vertical and horizontal
- Review kinetic analysis of the divisions of the gait cycle and the interaction of kinematics with kinetics
- Describe the kinematics, kinetics and muscle actions of typical walking
- Differentiate between stepping walking and full gait cycle walking
- Discuss the intersegmental coordination of maturing gait patterns
- Describe and Discuss the kinematics and kinetics of atypical gait patterns, deviations at segments and joints and categorization by segment deviation
- Demonstrate use of digital video to perform sagittal and coronal gait analysis
- Demonstrate essential lower limb clinical assessments for gait analysis
- Distinguish and Discuss the biomechanics of a variety of AFO and footwear designs and the alignment, refinement and tuning of these designs to optimize standing and walking
- Discuss the relevance of segment proportion to orthotic prescriptions
- Demonstrate use of a clinical algorithm for designing, aligning and tuning AFO Footwear Combinations to determine optimum prescriptions for each gait pattern
- Demonstrate use of a clinical algorithm for determining whether a dorsiflexion free AFO design is appropriate
- Distinguish the assessments required to determine the optimum alignment of the sagittal angle of the ankle in an AFO and demonstrate use of a clinical algorithm
- Demonstrate use of a clinical algorithm for determining MTPJ free or MTPJ fixed AFO design
- Integrate alignment and tuning concepts with patient case examples
- Demonstrate static and dynamic alignment of AFO Footwear Combinations
- Describe OSKAR functional gait training and motor learning programs for standing and walking with AFO’s and Footwear
- Describe other OSKAR therapy interventions
Participants will complete 6 hours of self-study activities in advance of the course and 2 hours during the course, in addition to 25.5 contact hours = 33.5 hours. The self-study activities for the course will consist of readings, a 60-minute on-demand webinar on Maturation of Gait, an on-demand viewing of Clinical Assessment Pre-Work, and an exercise to better understand terminology and definitions necessary to the fundamentals of the course. Participants will fill out an assessment of this material prior to the live course.
During the course, participants must sign in and complete an online evaluation. If you are unable to attend a live session, the program will be recorded and can be watched on-demand. A weekly 60-minute live discussion session with Elaine will be provided for on-demand participants. The course requirements must be completed by December 19th in order to receive credit. Participants will have extended access to view materials through March 12, 2023 for review purposes only.
LIVE OFFICE HOUR OPTIONS FOR ON-DEMAND PARTICIPANTS
October 28, 2022 - Q&A for Session 1 - 3:00 to 4:00 pm CST
November 4, 2022 - Q&A Session 2 - 3:00 to 4:00 pm CST
November 11, 2022 - Q&A Session 3 - 3:00 to 4:00 pm CST
November 18, 2022 - Q&A Session 4 - 3:00 to 4:00 pm CST
December 2, 2022 - Q&A Session 5 - 3:00 to 4:00 pm CST
December 9, 2022 - Q&A Session 6 - 3:00 to 4:00 pm CST
December 13, 2022 - Q&A Session 7 - 3:00 to 4:00 pm CST
LIVE DATE: February 10, 2023
The Advanced Pediatric Gait online, live course is intended primarily for pediatric physical therapists and orthotists with a working knowledge of pediatric gait assessment. This online course will provide an in-depth analysis of short- and long-term goal setting across the ICF, and the AFO footwear combination design, alignments, and dosage to optimize gait and other outcomes. Participants will have an opportunity to work through video case studies and the surrounding clinical decision-making skills involved in gait analysis and orthotic design. Elaine’s algorithms will be extensively reviewed through the video examples and opinion polling. Upon completion of the course, participants will be able to apply the principles directly into their working practice.
During the online portion of the course, participants must sign in and complete an online evaluation.
This course may be taken live or on-demand. In order to receive credit, all course requirements must be completed by February 17th. You will have access to review course materials through May 11, 2023.
(Please download brochure above, for the Advanced Pediatric Gait learning objectives.)
CONTINUING EDUCATION CREDIT
The Illinois Early Intervention Training Program has been approved for this event for EI credential credit in the area of 2.0 – Assessment, 3.0 - Atypical Development, 27.0 – Intervention, 1.5 - Typical Development
The Illinois Early Intervention Training Program has been approved for the Advanced course for EI credential credit in the area of 3.0 - Assessment, 1.0 - Atypical Development, 2.0 – Intervention, 1.0 - Typical Development.
This program has applied for up to 33.5 credits through the American Board for Certification in O&P (ABC) for Orthotists, Orthotic Assistants, Orthotic Technicians, and Orthotic Fitters and Pedorthists. Full participation in this program is required to be eligible for the full amount of credits.
Advanced course applied for 6.5 credits.
This course has been approved by the Illinois Physical Therapy Board for 33.5 Contact Hours (8.0 Hours Self-Study 25.5 Live). Approval #216-000069
Advanced course has been approved for an additional 6.5 contact hours.
The Shirley Ryan AbilityLab 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. This three-day course has been approved for 33.5 Contact Hours (8.0 Hours Self-Study, 25.5Live).
Advanced course has been approved for an additional 6.5 contact hours.
The following states require continuing education units with no state-specific approval: CT, IA, and WA