There is one thing you can be sure – after completing the Seminar or Seminar+Labs you will be one tof the best professionals in terms of lower limb! The course consists of full fledge Seminar (lecture and case studies) and Labs (working with patients, demo-patient, practical excercises under Beverly supervision).  Do not wait too long – this course is very popular and we are running out of free places.

DATE:  Seminar: September 7-9th, 2019, Labs: September 9-11th, 2019



FOR WHOM? Rehabilitation team members, including orthotists, physical therapists, occupational therapists, physical medicine and rehabilitation physicians, and pediatric orthopedists.

PRICE: Semiar: PLN 2.000 




Seminar: The content covered in this program includes the following topics:

  • Foot and ankle anatomy, biomechanics, development, and pathomechanics in relation to body weight orientation over the base of support and to designing orthotic modifications to optimize foot development and function.
  • Characteristics of and factors contributing to healthy foot development.
  • Elements of postural control acquisition and gait development that relate to and support foot
  • The kinesiology and pathokinesiology related to – and in support of – the safe and effective use of belowknee casts and orthotic interventions designed to improve postural alignment and control in children with cerebral palsy.
  • Principles and orthotic options to reduce developmental, flexible foot and ankle deformities that commonly occur hypotonia and ligament laxity in childhood.
  • The discussion of orthotic options includes Elaine Owen’s Tuned AFO/Footwear Combinations, heel lifting and weight-line training, and orthotic posting and foot packaging principles and strategies.


Instructor identifies and describes common developmental foot deformities in terms of plane-based anatomical components. She reviews musculoskeletal assessment procedures and explains the connection between the findings and orthotic design selection with considerations of the following:

  • Desired load-bearing foot and limb joint alignment
  • The magnitude of segment enclosure
  • Degrees of freedom provided or restrained
  • And posting options.

Soft-tissue extensibility findings are also used as evidence of the effects of orthotic intervention and postural management strategies on routine muscle recruitment.

Labs: Labs feature closely-supervised trials of several ankle and foot assessment procedures, with findings applied to orthotic posting and design. Assessment tools and posting materials are provided for undertaking posting trials to preview effects of proposed orthotic modifications. The lab session ends with a case presentation featuring an ankle and foot assessment and orthotic posting trials if indicated.



Participants completing the seminar portion of this course are expected to be able to:

  • Explain the influence of calcaneal alignment and motion on weight-bearing foot alignment and function.
  • Describe first ray components, function, and operating mechanisms in the load-bearing foot
  • Discuss the developmental changes in weight distribution through the foot in standing position.
  • Discuss the role of postural control in foot development.
  • Describe the stance phase rockers.
  • Define gait kinematics and kinetics.
  • Discuss the variance in tibial and femoral inclination rates during the stance phase of gait.
  • Explain the contributions of the triceps surae muscles to gait kinematics and kinetics.
  • Describe normal developmental changes in ankle DF ROM as measured in prone with foot joints congruent.
  • Discuss the physiology and functional significance of normal and pathologic R1 (first-catch), R1A (second catch) and the modulus of stiffness to R2 (maximum) end ranges of passive ankle DFROM.
  • Explain the physiologic and structural changes that are known to occur in chronically over-recruited muscle and surrounding tissues following a history of recruitment for maintenance of verticality.
  • Define relative hypermobility and give 3 examples in equinus deformity.
  • Define muscle dominance vs. muscle strength in the presence of a muscle force couple imbalance.
  • Discuss the proposed reordering of common interventions for equinus deformity according to SA Sahrmann’s approach to Movement Systems Analysis.
  • Explain the clinical rationale for evaluating soft tissue extensibility, joint mobility, and structural alignment in the ankle and foot.
  • Describe these features of foot joint alignment: subtalar varus, forefoot varus, forefoot valgus, metatarsus adductus, forefoot adductus, forefoot equinus.
  • Describe orthotic posting in sagittal and frontal planes and discuss posting objectives.
  • Discuss the purposes of weight line training in foot and ankle deformity management re proprioception and muscle recruitment strategies used for postural control.
  • Identify the deformities of the foot and ankle that occur most commonly in children with CNS dysfunction, and describe the components of illustrated deformities at each joint in plane-based terms.
  • Determine whether a deformity meets the criteria for intervention with foot orthosis (FO), ankle-foot orthosis (AFO), tuned AFO-footwear combination (AFOFC), or serial casting.


Participants completing the lab sessions of this course are expected to be able to:

  • Demonstrate novice skill level in musculoskeletal assessment procedures of the ankle and foot in the open and closed chains.
  • Bring the principles of orthotic posting to the findings obtained in assessment lab and formulate an orthotic design plan.
  • Demonstrate novice skill in undertaking an informed, targeted, temporary and exploratory posting trial.
  • Execute at least one assessment procedure with a child volunteer during the case presentation and explain the clinical relevance of the finding.



Day 1

8:00 Arrive, sign in, settle in 00
8:30 Review of Functional Anatomy & Closed-Chain Function of the Subtalar & Midtarsal Joints Using Plane-Based Terminology
9:45 Standing Lab
10:00 Break.
10:30 Contributions of Functioning Alignment to Foot Development and Function
11:30 Ideal Ankle & Foot Function in Gait with Orthotic Tuning Implications
12:30 Lunch
1:30 Review of Planar Motions and Deviations in the Foot
1:45 Contributions of Functioning Malalignment to Equinus Deformity Development
2:45 Short Break
3:00 Name That Foot Deformity!
4:00 Short Break – 15 min
4:15 Muscle Tonus, Hypertonus, and Related Assessments
5:15 Questions & Discussion
5:30 Adjourn Day 1




Day 2

8:00 Arrive, sign in, settle in
8:25 Review of Planar Motions and Deviations in the Foot
8:30 Development and Assessment of Ankle DFROM
9:30 Sagittal Plane Orthotic Posting: Principles & Strategies
10:00 Break
10:30 Sagittal Plane Orthotic Posting: Principles & Strategies, continued
11:30 Below-Knee Serial Casting Principles
12:15 Lunch
1:15 Workshop: Neuromotor Training Goal-Based Review of Orthotic Options
2:15 Short Break
2:30 Bringing Movement Systems Analysis to Pediatric Foot Deformity Management
3:15 Limb Length Assessment and Posting Strategies
4:00 Short Break
5:00 Case Study
5:15 Questions & Discussion


Day 3


8:00 Arrive, sign in, settle in
8:25 Review of Planar Motions and Structural Deviations in the Foot
8:30 Foot Assessments Overview – Open Chain
9:15 Foot Assessment Procedures – Closed Chain
9:45 Break
10:15 Assessment to Management: Foot Pathomechanics and Posting Strategies
11:15 Case study
11:45 Questions and Discussion
12:00 Wrap up




Instytut Dzielny Miś


1972 – BS in PT from Bouve College at Northeastern University (Boston) in 1972, summa cum laude.
1988 – MS in Clinical and College Teaching for Allied Health Professionals – University of Kentucky in Lexington.

1 year – PT staff at (now) Spaulding Rehabilitation Center, Boston, MA
3 years – PT staff and Director for UCP Center, Lawrence, MA
9 years – PT staff at Children’s Rehab. Center (now, Kluge Center), Charlottesville, VA.
3 years – PT Education faculty, College of Health Related Professions at MUSC, Charleston, SC, and Director of PT Services
for the Div. Of Developmental Disabilities at MUSC.
1 year, consultant, Cardinal Hill Hospital’s Head Trauma & Pediatrics teams – Lexington, KY.
4 years, assisting in the PT Department at Children’s Hospital at Stanford, Palo Alto, CA.
1988 to present: In private practice in California and Colorado.

Help Patients Manage Equinus Deformity. O&P Business News, 2011; April: 74-77.
Orthotic Management of Low-Toned Children: The Earlier the Better. (Co-author). O&P Edge. 2011; April: 24-29.
Serial Casting and Other Equinus Deformity Management Strategies for Children and Adults with CNS Dysfunction (2010) by Beverly Cusick, published by PG. (out of print)
Foot Talk (2009), a 2-hour lecture on functional foot anatomy and closed chain biomechanics, accompanied by a set of
Power Point handouts of the same lecture.
Legs & Feet: A Review of Musculoskeletal Assessments (1997, revised 2005 and 2015), an instructional videotape.
Lower Extremity Developmental Features (2000), a home study monograph for the APTA’s Orthopedic Section.
Progressive Casting and Splinting for Lower Extremity Deformity in Children with Neuromotor Dysfunction (1990), a fulllength text.
Serial Casts: Their Use in the Management of Spasticity-Induced Foot Deformity (1990), an illustrated manual published by Therapy Skill Builders. (out of print)
Several textbook chapters, articles for journals, conference proceedings, and professional newsletters, including a series
(2006 and 2007) on Pediatric Orthopedics for the NDTA Network.

Guest lecturer for annual conferences of the APTA, the NDTA, and the American Academy of CP and Developmental Medicine in the US and Canada; at the ISPO Consensus Conference for Orthotics in CP; the British Association of Prosthetists and Orthotists; and the American Academy of Orthotics and Prosthetics and the American Orthotics and Prosthetics Association.
Instructor of more than 450 courses and guest presentations by invitation only in 18 countries.
Associate Professor (on call) for the Rocky Mountain University of Health Professions – Pediatrics Program – Provo, Utah (2006-present).
Since 1993 Ms. Cusick has been consulting and practicing privately in Telluride, Colorado where she devotes most of her
professional effort to generating literature and educational materials, to teaching, and to developing therapeutic products, including her invention, TheraTogs™ orthotic systems.




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