In treating both children and adults in orthotics, it is essential to have a firm understanding of typical and atypical gait patterns. But how is gait developed? What are the major characteristics of a developing gait pattern?
Children learn to walk as they gain triplanar postural stability from head to toe. Through postural control development and gross motor skill attainment, children develop improved integration of their sensory systems, muscle balance and both dynamic and reactive balance.
This lecture describes the necessary development to achieve a mature, energy efficient gait pattern. Orthotic intervention should lead to gait progression, not just the alleviation of a particular gait deviation. Understanding typical gait development and how children adapt their movement patterns early in their development and then use these same "go-to strategies for stability" later in walking will help pediatric orthotists to design their orthotic treatment plan and then to assess the effectiveness of their orthotic intervention.

Anne Pare, CO, LO
Clinical Researcher & Educator
Surestep
Anne W Paré, Certified Orthotist is currently employed by Surestep, an international manufacturer of orthotic devices as a Clinical Researcher & Educator. She was the founder of Hope Orthotics, a pediatric orthotic clinical practice in the Houston area which later became Transcend O&P and is now a part of Hanger Clinics. Anne graduated from University of Texas Southwestern Allied Health Sciences School in 1993; she completed a pediatric internship at Texas Scottish Rite Hospital in Dallas in 1994. She worked as a staff orthotist at The Institute for Rehabilitation and Research (TIRR) in Houston, Texas before opening Hope Orthotics. For over 30 years, Anne has specialized in pediatrics, spinal cord, and brain injury, working closely with many therapists and healthcare professionals to provide superior service and quality care to the Greater Houston area. Anne has been active in Texas, National and International Conferences in Orthotics and Prosthetics and Pediatric Rehabilitation and has spoken about the orthotic management of the pediatric patient on many occasions. Anne’s current clinical focus is tracking outcomes in children using Surestep products, the development of new products and creating and presenting educational courses for physical and occupational therapists and orthotists for Surestep.
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Bryan Malas, MHPE, CO
Director, Dept Orthotics/Prosthetics; Associate Professor
Lurie Childrens; Northwestern University
Bryan Malas, MHPE, CO is the current director of the Department of Orthotics/Prosthetics Department and Moria Tobin Wickes Orthotics Program at Ann and Robert H. Lurie Children’s Hospital of Chicago and Associate Professor at Northwestern University’s Feinberg School of Medicine.
He received his orthotics training at Northwestern University and his Master’s in Health Profession Education from the University of Illinois Chicago. Prior to his current position, he was Director of Orthotic Education at Northwestern University’s Feinberg School of Medicine. While serving in that capacity, he practiced clinically at Ballert Orthopedic and later at the Rehabilitation Institute of Chicago (now Shirley Ryan Abilities Lab). Bryan is past president of the American Academy of Orthotists and Prosthetists (AAOP) Midwest Chapter, former chair of the National Commission on Orthotic and Prosthetic Education (NCOPE) as well as former chair of the ISPO Education Committee and CPD Committee. He recently served on the Executive Board of ISPO and is the current task officer for ISPO.
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10 Questions | 3 attempts | 80/100 points to pass
10 Questions | 3 attempts | 80/100 points to pass
CE Credits
1.75 S credits | No certificate available
1.75 S credits | No certificate available
Credits as approved by American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) and Board of Certification/Accreditation (BOC). CE Credit reports are sent to ABC & BOC on a monthly basis. AOPA is an education sponsor. We do not award CE Credits as the education provider.
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