Pediatric Gait Analysis and Orthotic Management: A Segmental Kinematic Approach to Rehabilitation

Seattle, Washington
Friday, March 23, 2018
Pediatric Gait Analysis and Orthotic Management: A Segmental Kinematic Approach to Rehabilitation
Friday, March 23, 2018 7:30 AM -
Sunday, March 25, 2018 3:30 PM (Pacific Time)

Seattle Children's Hospital
(206) 987-0214
4800 Sand Point Way Northeast
Wright Auditorium
Seattle, Washington 98105
United States

Map and Directions

Course Description

The course is intended primarily for pediatric physiotherapists, orthotists and other professionals working in the field of pediatric gait rehabilitation. It is also highly relevant to physiotherapists, orthotists and others working in the fields of adult neurology and adult learning disability. 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.

Each delegate will receive an illustrated course manual, which includes extensive reference lists and directions for further reading, and a CD containing additional information and proformas.

Who Should Attend
Physical Therapists/Physical Therapy Assistants

Occupational Therapists/Certified Occupational Therapy Assistants
Orthotists/Orthotic Assistants

Accreditation
OT/COTA/PT/PTA CE...................... 22 hours
Orthotics & prosthetics professional category One CEUs (Approved through the American Board for Certification) ...... 22 Hours

Conference Fee
Early Registration: $500 before January 31st, 2018
Standard Registration: $600 after January 31st, 2018
Late Registration: $675 after March the, 2018

Cancelation policy 

Cancellations received by March 9th, 2018 will be issued a full refund minus an administrative fee of $25.00. No refunds will be issued after March 9th, 2018. Seattle Children’s Hospital is not responsible for the refund of travel or hotel expenses under any circumstance.

Course Pre-work

There will be a reading assignment and quiz to test your understanding of the material prior to the course. This will be provided to you in an email after you have completed your registration.


Conference Agenda
 Friday, March 23rd, 2018
 7:30 - 8:00am
 Registration & Continental Breakfast
 8:00 - 10:00am
 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
 10:00-10:15am  Break
10:15am-12:15pm  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
 12:15-1:pm  Lunch
 1:00-2:45pm  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
 2:45-3:pm  Break
 3:00-5:pm  Session 4
  • Clinical assessments for determining the sagittal Angle of the Ankle in the AFO
  • Clinical algorithm for dorsiflexion free AFOFCs
  • Clinical algorithm to determine optimum Ankle Angle alignment in an AFO

 Saturday, March 24th, 2018
 7:30 - 8:00am
 Check in & Continental Breakfast
 8:00 - 10:00am
 Session 1
  • Muscle length, strength, stiffness and plasticity
  • Orthotic management with Ankle-Foot Orthosis Footwear Combinations (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
10 - 10:15am   Break
10:15am-12:15pm  Session 2
  • 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
 12:15-1:pm  Lunch
 1:00-2:45pm  Session 3
  • 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.
 2:45-3:pm  Break
 3:00-5:pm  Session 4
  • Continuation of 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.

                           

 Sunday, March 25th, 2018
 8:00-8:30am 
 Check in & Continental Breakfast
 8:30 - 10:30am
Patient 1 demonstrations using video vector gait laboratory or video camera
 10:30am-12:30pm  Patient 2 demonstrations using video vector gait laboratory or video camera
 12:30-1:00pm  Lunch
 1:00-2:30pm Patient 3 demonstrations using video vector gait laboratory or video camera
 2:30-3:30pm Patient 4 demonstrations using video vector gait laboratory or video camera


Conference Objectives:
After this conference, participants will 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 categorization of pathological gaits by segment deviation.
  • Demonstrate clinical assessment prior to gait analysis and orthotic provision; including joint ranges, bony torsion, 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 categorization 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.


Speaker



Elaine Owen MBE, MSc, SRP, MCSP

Elaine has been practicing since 1974. She has won a number of awards for her work, including an MBE in the Queens New Years Honours list 2013, for Services to Children with Disability, following nomination by colleagues and parents. She has postgraduate qualifications in Lower Limb Orthotic Biomechanics and Clinical Gait Analysis, from the University of Strathclyde and an MSc in Rehabilitation Studies, which included a thesis about orthotic management of neurological conditions, normal gait and standing. She has undertaken the basic and advanced Gait Analysis Instructional Course of the European Society of Movement Analysis of Adults and Children (ESMAC); adult and paediatric Bobath (NDT) training and she has also trained at The Institute for Conductive Education in Budapest. She takes an eclectic view of the management of neurological disabilities but with an emphasis on a biomechanical approach to rehabilitation. From 1983 until 2015, as well as practising clinically, she was also Head of Paediatric Physiotherapy for North West Wales, but now concentrates solely on clinical work and lecturing.

For nearly 20 years Elaine has used a video vector gait laboratory for gait analysis, and orthotic and physiotherapy management of children and adults. She is regularly invited to teach her course and lecture in both the UK and internationally. The course, intended for physiotherapists, orthotists, doctors and other rehabilitation professionals, explores a fresh approach to the observation and analysis of normal standing, stepping and walking with full gait cycles and the management of gait disorders. It introduces a segmental kinematic approach to rehabilitation and gait analysis, as well as a logical and comprehensive system for designing, aligning and tuning orthoses and footwear. While these principles have been developed from mainly paediatric experience they are equally applicable to working with adults.


Elaine has presented at many conferences including Instructional Courses at the American Academy for Cerebral Palsy and Developmental Medicine 2010, 2011, 2012, 2013, 2015; Symposia at The International Society for Prosthetics and Orthotics Triennial World Congress 2004, 2007, 2010, 2013 and 2015. She has also presented at the European Society for Movement Analysis in Adults and Children Annual Meetings 2002, 2004, 2005, 2009, 2014 and the American Academy of Orthotists Prosthetists 2014, 2015, 2016.


She has recently contributed two chapters to the recent publication ‘Physical Therapy for Children with Cerebral Palsy; An Evidence Based Approach’ and co-authored a chapter for the American Academy of Orthopaedic Surgeons, Atlas of Orthotics and Assistive Devices 4th Edition, 2008. A chapter on orthoses for children with Spina Bifida has also been completed.


As well as the award in 2013 of an MBE, in 2011 she received a Welsh Government Recognizing Achievement Award and in 2008 the ISPO UK George Murdoch Prize for her submission ‘The importance of being earnest about shank and thigh kinematics especially when using AFOs’.


Lodging

There are three hotels close to Seattle Children’s Hospital that offer corporate rates to our visitors: Watertown Hotel, University Inn and Silver Cloud Inn - University. All of the hotels have private shuttle service that you can use to get to the hospital main campus.  Below are the hotel websites, contact information and rates.  The corporate rates are available based on the current occupancy of the hotel so I would recommend reserving your room as soon as possible.  In order to receive the corporate rate you will have to call in to make your reservation.

The University Inn website has a great page on getting to their hotel from the airport.  These directions will be accurate for both the University Inn and the Watertown.  If you choose to stay at the Silver Cloud here are public transit directions from the airport Google Map .


Watertown Hotel - Unfortunately Watertown Hotel has met the maximum allowed reservations of cooperate rate, but is still a convenient location (rate will vary based on type of room)
Reservations:
1-866-866-7977
206-826-4242
http://www.watertownseattle.com/

University Inn - $110 (rate will vary based on type of room)

1-866-866-7977
206-632-5055
http://www.universityinnseattle.com/

Silver Cloud Inn - $170 (rate will vary based on type of room)

Reservations:
800.205.6940
206.526.5200
http://www.silvercloud.com/university/

Transportation

Free visitor parking is available but limited in the River and Lot 1 parking lots - - we encourage carpooling. The conference will take place in the Wright Auditorium located near the River 3 entrance at Seattle Children’s Hospital.  Additional transportation resources and campus maps are provided below.

Driving Directions to the Hospital

Exterior Main Campus Hospital Map

Hospital Level 3 Map

Accommodations
We want to provide the best learning experience for everyone. In compliance of the ADA , should you require any accommodation to fully participate in this training, please email me at IPRehabProgramAdmin@seattlechildrens.org

 

Contact Information

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