Pediatric Gait: When, Why & How To Intervene


Audience: Pediatric  PT, PTA, OT, COTA
Course Level: Intermediate
Date: November 15, 2014
Check in time: 7:30-8 am
Course time:8-4 pm
Location: Fairview Southdale Hospital. International Rooms A and B
6401 France Ave. S. Edina, MN 55435

Course Fee: $215

Contact Hours: 6.5

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Liesa M. Persaud, PT, DPT, PCS, CKTP
is a licensed physical therapist with 22 years experience in the field of adult and pediatric therapy. Ms. Persaud is the lead physical therapist at Tulsa Sunshine Center in Oklahoma, where she provides Animal Assisted Therapy with her Border Collie, Serendipity. Additionally, Liesa is owner of Know to Change, PLLC in Skiatook, Oklahoma, and has educated health care professionals, both nationally and internationally, in advanced treatment techniques, specialized practical training and consultative services. She has worked in a variety of settings, including private pediatric and adult clinics, schools, private homes, hospitals and long-term care facilities. Ms. Persaud is a Credentialed Clinical Instructor and also teaches human anatomy, physiology and nutrition at Tulsa Community College. She received her Associate’s Degree in 1993 from Tulsa Junior College and worked as a physical therapist assistant while completing her Bachelor of Science Degree in Organizational Leadership from Southern Nazarene University in Tulsa, Oklahoma. Ms. Persaud earned her Master’s Degree in Physical Therapy from the University of Findlay in Findlay, Oklahoma in 2003 and continued to expand her expertise in the field. She received her post-graduate Doctorate from Rocky Mountain University of Health Professions and is a Board Certified Specialist in Pediatric Physical Therapy. In 2007, Ms. Persaud served as Treasurer for the Oklahoma Physical Therapy Association and has been a member of the Oklahoma Foundation for Physical Therapy since 2004.
Ms. Persaud’s passion for helping others extends into her private life. She volunteers as a Call Rape Advocate, Salvation Army Volunteer, and is a member of the Fraternal Order of Police Auxiliary.
Her wide range of clinical experience, organizational leadership, and proficient teaching skills make her an exciting and compelling instructor.

Course description
Often, parents and therapists are told that children with delayed gross motor development will “outgrow” it, or “walk when they are ready.” This course addresses the flaws of such a “wait and see” approach, while supporting proactive & preventive intervention, with proposed methods for enjoyable, realistic & effective home programs. Delayed achievement of independent ambulation, in both the typical and special needs populations, often results in difficulties with peer interaction and social development. In addition, the risk is greater for decreased participation in activities, impaired quality of life, increased clumsiness and frequency of injuries, and limits opportunities for cognitive development. The increased prevalence of developmental delay is considered. Proposed etiologies, and the future affects of this diagnosis on postural control, language, cognition, creative thinking, alignment, and orthopedic consequences are discussed. This course emphasizes the value of deliberate intervention for pediatric gait. Content highlights gait and its relationship to body systems (gastrointestinal, cardiopulmonary, visual, balance, muscular, skeletal).
Neuroplasticity, and the opportunities for therapists, is presented regarding qualities of ideal mobility. Additionally, the relationship between sensory experiences, the somatosensory system, movement and activity. Orthopedic development is presented as it concerns appropriate development of an adequate base of support, assessment of the pediatric lower quarter, and common conditions of the pediatric foot and lower extremities. Specific conditions and their symptoms are considered, such as hemiplegia, diplegia, ataxia, low tone, Down Syndrome, prematurity, weakness, postural instability, toe walking and immature balance skills. Appropriate intervention techniques are identified and explained.

At the end of the course, the participant will be able to:

  • Describe the benefits of proactive & preventive intervention.
  • Prescribe effective home programs.
  • Determine the potential for difficulties with peer interaction, impaired social & cognitive development, the risk for decreased participation in activities.
  • Discuss factors for the increased prevalence of developmental delay.
  • Identify the effects of delayed ambulation on postural control, language, cognition,
       creative thinking, & skeletal alignment.
  •  Understand the relationship of gait to body system(s) function & performance.
  • Explain the relationship between sensory experiences, the somatosensory system, movement and activity.
  • Apply the principles of orthopedic development in terms of an adequate base of support, assessment of the pediatric lower quarter, & common conditions of the pediatric foot and lower extremities.

7:30-8 am                   Registration/Continental Breakfast
8-9:30 am                   SEMINAR BEGINS 
                                      • Peer interaction
                                      • Social development 
                                      • Cognitive development
                                      • Activity participation
9:30-9:45 am              BREAK
9:45-11:30 am             • Developmental delay
                                       • Postural control
                                       • Language
                                       • Cognition 
                                       • Creative thinking
                                       • Skeletal alignment
                                       • Body systems
11:30-12:30 pm          LUNCH

12:30-2:00 pm            • Sensory experiences & somatosensory systems
2:00-2:15 pm              BREAK
2:15-4 pm                   • Development of orthopedic base of support 
                                      • Assessment of the pediatric lower quarter
                                      • Common conditions of the pediatric foot and lower extremities
                                       Questions & conclusion

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