Summary
This course features an overview of somatosensory function and development, the role of postural control in movement acquisition and physiologic adaptation, skeletal modeling mechanisms and influences, and ideal and pathomechanical features of orthopedic development of the trunk and selected aspects of the extremities.
Instructor describes selected musculoskeletal assessments and the clinical implications of their findings and brings them to therapeutic and orthotic management planning designed to optimize bone and joint development via building postural control and movement skills. The relevance of the findings obtained in the musculoskeletal assessment to target selected interventions is made evident in videotaped cases.
Objectives
- Describe these features of normal, postnatal immaturity of skeletal structure and alignment: thoracolumbar kyphosis, hip flexion contracture, increased femoral anteversion, increased femoral antetorsion, coxavalga, genu varum, and leg and foot rotation
- Distinguish between strain and load and apply this distinction to the skeletal modeling process and to modeling potential in an aging child
- Relate movement-based loading history to bone growth rate in children
- Explain the significance of the innate drive for verticality
- Explain the presence of symmetry in supine and prone positions at age four months as evidence of fundamental postural control
- Describe how the normal neonatal hip flexion contracture influences the early modeling of the lumbar spine in the sagittal plane
- Relate ideal, full-term neonatal lower limb joint alignment to the acquisition of skilled transitions between quadruped and sitting positions
- Relate the achievement of competent weight shifting in the frontal plane to emerging limb use
- Relate the ideal early lower limb alignment to early foot development
- Relate early movement history to changes in shape of the pelvis and proximal femur in the frontal plane
- Explain the apparent relationship between frontal-plane weight shift skill, the swing limb torque generator in gait, and long bone torsion reduction in the lower extremities
- Relate segmental foot loading history to the development of the medial longitudinal arch
- Relate foot alignment – pronation and supination – to body weight (COM) projection onto the feet
- Name the five body segments included in examining relative limb lengths in the prone position
- Name four LE musculoskeletal assessments that can identify the source of the foot progression angle in gait
- Differentiate between femoral anteversion and femoral antetorsion and explain the relevance of the distinction to the safe use of orthotic interventions
- Explain why measurements of “hip” medial and lateral rotation range of motion (ROM) do not represent hip joint motions
- Describe the anatomical components of the thigh-foot angle and its typical developmental progression
- Explain the apparent impact of direction-specific postural responses on the development of common contractures in ambulatory children with diplegic cerebral palsy and idiopathic toe walking
- Name four features of hypertonic lower-limb muscle tissue that appear to contribute to a loss of strength
- Explain the potential somatosensory and therapeutic benefits of optimizing functioning joint alignments in daily life
Course Content
Chapter 1: Skeletal Modeling and Kinesiology of Movement Acquisition
Module 1: Overview of Developmental Orthopedic Events
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Module 2 : Skeletal Growth & Modeling
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Module 3 : Postural Control Acquisition & Orthopedic Development
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Module 4 : Developmental Biomechanics in Early Balance & Movement Skills Acquisition
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Module 5 : Examples of Movement – Related Skeletal Modeling Opportunities
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Chapter 2 • Postural Control and Lower Limb Muscle Tone – Typical and Pathologic
Module 6 : Limb Length Difference Detection & Management Principles
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Module 7: Developmental Features Clinical Assessment & Implications
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Module 8 : Lower – Extremity Soft Tissue Extensibility
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Module 9 : Postural Control Deficits & Hypertonus in the Limb Muscles of Children with CP
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Chapter 3 • Identifying and Managing Features of Hip and Femur Development in The Transverse Plane
Module 11 : Nomenclature Lab
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Module 12 : The Trunk, Hip & Femur Develop in the Transverse Plane
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Module 13 : Hip Rotation ROM & Femoral Torsion Assessment Procedures
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Module 14 : Clinical Implications of Findings Hip Mobility & Femoral Torsion in the Transverse Plane
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Chapter 4 • Identifying and Managing Featur es of Knee, Leg, and Foot Development
Module 15 : Intro & Developmental Changes in the Knee, Leg, & Foot in the Transverse Plane
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Module 16 : Clinical Implications of Transverse-Plane Knee & Leg Findings
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Module 17 : The Foot in Orthopedic Development
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Module 18 : Ideas for Researchers
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Target professionals
Content is not intended for use outside the scope of the learner’s license or regulation. Continuing education courses should not be taken by people who are not licensed or regulated.This does not apply when they are part of a specific plan of care. By participating in this course, the participant agrees to respect his/her professional scope of practice.
