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The majority of the presentation is a multimedia, Power Point presentation with photos and video. There are several areas of the presentation which lend themselves to good open discussion. Several sample orthoses including traditional braces as well as SureStep are used to demonstrate and show the sharp contrasts in orthotic theory and concept.
Children with Hypotonia can function well. This SureStep presentation begins with an in-depth discussion of pronation, beginning with some common prevalent misconceptions regarding the biomechanical components and the nature of pronation, distinguishing the differences in the pathology of pronation of the hypotonic foot and the hypertonic foot. This course teaches the mechanical, residual and developmental effects of pronation on children and their development. Current bracing options and techniques are identified and explained and the SureStep system is introduced.
In addition to discussing the hypertonic foot, this presentation will transition into an in-depth conversation regarding the developmental effects of poor postural trunk alignment and stabilization caused by weakness or a neuromuscular deficit. This course will teach the definition and causes of neuromuscular scoliosis including details on upper motor neuron, lower motor neuron and myopathic causes. A detailed description regarding the genesis and development of neuromuscular deformity as well as the role of pelvic obliquity in neuromuscular scoliosis will be taught. The presenter will introduce the role of bracing and present a novel TLSO strategy for controlling a neuromuscular curve.
This course will also identify orthotic solutions that effectively treat head ptosis (head drop). A new dynamic cervical orthosis that effectively treats head-drop and improves postural trunk alignment is identified and demonstrated. During this portion of the workshop, attendees will be taught how various orthotic solutions can help to maintain stability while increasing function and improving postural alignment. Case studies proving that using a compressive, flexible design orthoses will increase patient compliance and improve curve correction will be shown.
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