Toe Walking

August 27, 2022 - August 28, 2022
Regular rate $695.00


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This course addresses therapeutic evaluation & treatment of pediatric equinus gait (“toe walking”). It is common for the practitioner to feel lost when a child presents with a toe walking gait patern. Both evaluation and treatment of these children are often frustrating for all involved and frequently
result in inaccurate evaluation with ineffective intervention and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a reoccurrence of
the problem. However, establishing a specific approach to treating this type of patient can be made less frustrating and more rewarding by asking the right questions and forming a deliberate approach.

This course is excellent for alleviating a chaotic approach to the treatment of pediatric toe walking. Liesa teaches practitioners to assess toe walking through a holistic view of the child, including biomechanics & sensory processing, to develop a systematic approach and devise an effective treatment plan. Through organized assessment, specific data will be used to direct the clinician to potential etiologies. You will learn to develop interventions based on etiologies to produce successful long-term outcomes.

This course challenges the clinician to ask the correct questions in order to form a systematic approach to treating the child who “toe walks.”  This course will change how you think about and treat children with equinus gait.


  1. Identify specific etiologies relevant to pediatric equinus gait
  2. Discuss etiology-specific & age-appropriate assessment & management strategies for this population
  3. Apply effective examination, evaluation, intervention and treatment strategies to toe walking in the pediatric population
  4. Design an effective & individualized treatment plan for the pediatric patient
  5. Explain the future consequences of incorrect intervention


Day 1 : 8h30 to 17h15
Part 1 : Ideal gait & equines gait
  • Definition of Idiopathic Toe Walking
  • Problems & concerns regarding an equinus gait pattern
  • Components of normal gait & gait development
  • Characteristics of equinus gait
Part 2 : Biomechanics
  • Necessity of a stable base
  • The influence of an anterior center of mass
  • Muscle Balance Theory
  • LAB 1: Passive ankle DFROM measurement technique: R1 & R2
Part 3: Orthoses and shoes
  • Orthoses: Changes to tradition
  • Shoe Modifications
  • LAB 2: Posting wedges & calcaneal eversion
Day 2 : 8h00 a to 16h45
Part 4 : Kinesiology
  • Physiology
  • LAB 3: Manual therapy & Muscle lengthening techniques: an alternative to stretching
  • Muscle lengthening & strengthening strategies
  • LAB 4: Therapeutic Taping
  • Consideration of the senses: tactile, vestibular, visual, proprioceptive
  • Anatomy, Diagnosis & Incidence
  • Assessment with regards to Toe Walking
  • Birth & Developmental history
  • Vision
  • Classifications of Toe Walking etiologies

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