Development and Conservative Management of Pediatric Equinus Deformity with Serial Casting Course

Self paced online 11.5 hours lecture must be completed prior to coming to the in-person labs!!!
Upon registration for the labs, a $30 discount code for online course, will be provided.

LINK TO ONLINE PREREQUISITE

Course Description

2 Options: Take Days 1-2 only or All 3 Days

DAYS 1 & 2 – FOOT ASSESSMENTS AND POSTING STRATEGIES

Day 1 & 2 lab sessions feature supervised assessment procedures of the foot and ankle in the open and closed kinematic chains. Findings are applied in a workshop setting to the design and fabrication of insole modifications undertaken to optimize standing and walking foot alignment.

DAY 3 – BELOW-KNEE CAST FABRICATION

Day 3: Fabricate & biomechanically optimize a below-knee cast made with plasterand SoftCast; and remove it without a motorized cutter; and experience standing and walking in a specialized cast boot.

Dates and Location

May 27-29 2025

Touro University
3 Times Square
New York, NY

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Learning Objectives

Upon completion of Labs Day 1 & 2 the participants will be able to:

1. Correctly demonstrate 10 ankle and foot motions
2. Execute an evaluation of limb length discrepancy that includes thetalus and calcaneus
3. Demonstrate competent and reliable landmarking of the calcaneus and leg for open-chain foot evaluation
4. Align the foot joints in congruity and measure the hindfoot angle
5. Correctly identify forefoot deviations in the frontal plane in acongruent foot
6. Reliably measure subtalar joint eversion ROM in the open chain
7. Assess the forefoot for evidence of a Morton foot type
8. Explain the clinical relevance of a Morton foot type
9. Assess the frontal-plane deviations of the calcaneus and leg in the closed chain as they approximate midstance conditions
10. Reliably landmark and execute evaluations of passive ankle dorsiflexion range of motion (PADFROM) with the knee extended and flexed
11. Distinguish limitations on PADFROM: R1 end range, R2 end range, and R1A end range
12. Explain the clinical relevance of R1A end range obtained with the knee extended
13. Explain posting as an optimization strategy
14. Bring open and closed chain assessment findings to the planning and execution of modifications of an insole undertaken to optimize functioning foot alignment, and experience the effects
15. Describe the biomechanical influence of foot pronation reduction on postural alignment & weight line
16. Explain the anatomical consideration for limiting the magnitude of heel varus posting outside of an AFO

Upon completion of Lab Day 3 the participants will be able to:

1. Position the child to be casted in prone, optimizing con fort.
2. Demonstrate novice-level skill in aligning the ankle without stretching the triceps surae muscles past R1 end range with knee flexed
3. Demonstrate novice-level skill in previewing the foot alignment goal for cast fabrication
4. Train a helper to stabilize the leg and foot effectively to optimize plaster application
5. Demonstrate novice-level skill in the effective use of plaster, semi-rigid and rigid fiberglass cast tapes
6. Demonstrate novice-level skill in the safe fabrication & posting of a plaster and softcast combination cast, made with customized toe support and reinforced with fiberglass for immediate wear
7. Demonstrate novice-level skill in the assessment & posting of the cast to optimize alignment in the sagittal and frontal planes on both sides in standing & walking
8. Experience the effects of imposed limb length discrepancy while wearing a cast, followed by the effect of lifting to level the pelvis
9. Experience standing, walking, and stairwalking in a posted, specialized cast boot
10. Successfully remove a combination cast without a motorized cutter