Course Info


Mary Dollard Weck PT – Mary is a clinical specialist at the Ann and Robert H. Lurie Children's hospital of Chicago . She has lectured to physical therapists and orthopedists on normal and pathological motor development, combining surgical and therapeutic approaches to cerebral palsy, and the development of pediatric gait. She has lectured on pediatric development in physical therapy education programs at various universities. She received her NDT training in 1972. 

Julie Hannan Perfect, PT, DPT, PCS- Julie is currently in private practice in the San Francisco Bay area working in early intervention, schools based, and outpatient settings. She is an adjunct instructor in the DPT program at University of the Pacific in Stockton CA. She earned her DPT in the Pediatric Sciences program at Rocky Mountain University of Health Sciences. She is NDT certified. She has lectured on the post-operative management of clients with cerebral palsy and the development of pediatric gait. 

Location: TBD

Dates: November 4-6

Course Fee: $700

Target Audience: Pediatric Physical Therapists & Physical Therapy Assistants

CEU’s: 21


Course Description

This is a 3-day course designed for physical therapists treating pediatric clients with standing and gait disorders. The course emphasizes a knowledge base of normal adult gait and the developmental stages of normal pediatric gait as a basis for treatment. The last day includes opportunities for ‘hands on’ practice to integrate the principles learned in the course.

The course examines body alignment, joint motion and muscle activation in adult gait. The same parameters are analyzed in the developmental progression from early weight bearing through cruising, early ambulation and the toddler gait. Observational and hands-on labs are included.

How commonly seen deviations in this progression affect the pattern and efficiency of gait will be discussed. The continuum of pathological gait development will be analyzed. Practical application to treatment techniques will be included in demonstration labs and short treatment sessions with pediatric clients.

The course utilizes a combination of lecture/discussion, observation, facilitation labs and treatment sessions.


At the completion of this course, the participant will be able to:

· Identify the interaction of motion and muscle activity of the trunk and lower extremities at each phase of the adult gait cycle.

· Discuss the details of alignment and motions along the pediatric gait continuum.

· Describe the interactive elements of each continuum stage and how they relate to each other.

· Identify the continuum of pathological weight bearing.

· Discuss how the standing and gait continuum is affected by incorrect center of mass alignment in relation to the base of support.

· Identify how the standing and gait continuum is affected by the positional interaction of the thorax and pelvis.

· Discuss what muscle activation is needed to achieve and maintain correct functional alignment in upright postures.

· Develop and discuss strategies for progressing clients from early standing through gait.

· Strategies for correcting alignment deviations.

· Discuss the pros and cons of the use of assistive devices.

Level I

Course Schedule


7:15-7:30 Registration

7:30-7:45  Introduction

7:45-8:30  Relevant Functional Biomechanics

8:30-9:30 Adult Gait Lecture & Lab

9:30-9:45 Break

9:45-11:45 Adult Gait Lecture & Lab

11:45-12:45 LUNCH

12:45-1:15 Pediatric Gait Lecture & Lab – Early Standing

1:15-1:30 Demo/Lab

1:30-2:00 Pediatric Gait Lecture & Lab – Later Standing

2:00-2:15 Demo/Lab

2:15-2:30 Break

2:30-3:00 Pediatric Gait Lecture & Lab - Cruising

3:00-3:15 Demo/Lab

3:15-3:45 Pediatric Gait Lecture & Lab – Early Gait

3:45–4:15 Demo/Lab

4:15–4:30 Discussion/Lab


8:00-8:45 Questions and Review 

8:45-9:15 Pediatric Gait Lecture & Lab - Late Toddler

9:15-9:30 Demo/Lab

9:30-10:30 Discussion/Lab

10:30-10:45 Break

10:45-11:10 Small Group Observation - Early Stander

11:10-11:30 Whole Group Discussion and Lab

11:30-11:55 Small Group Observation - Late Cruising

11:55-12:15 Whole Group Discussion and Lab

12:15-1:15 LUNCH

1:15-1:40 Small Group Observation - Early Gait

1:40-2:00 Whole Group Discussion and Lab

2:00-2:25 Small Group Observation - Late Toddler

2:25-2:45 Whole Group Discussion and Lab

2:45-3:00 Break

3:00-3:30 Discussion - Progression of Normal Early Gait Lecture 

3:30-4:30 Lab


8:00-10:00 Lecture

 - Development of Pathological Gait

 - Pathological Gait Characteristics &


10:00-10:15 Break

10:15-11:00 Demonstration

 - Pathological Gait Characteristics &


11:00-11:15 Discussion of Demonstration

11:15-11:30 Lecture/Lab - Treatment of Spastic CP

11:30-12:15 Small Groups – Spastic Diplegic CP treatment

12:15-12:30 Whole Group Discussion and Lab

12:30-1:30 Lunch

1:30-1:45 Lecture/Lab - Treatment of Quadriplegic CP

1:45-2:30 Small Groups – Spastic Quadriplegic CP treatment

2:30-2:45 Whole Group Discussion and Lab

2:45-3:00 Lecture/Lab - Treatment of Hemiplegic CP

3:00-3:45 Small Groups - Hemiplegic CP treatment

3:45-4:00 Whole Group Discussion and Lab

4:00-4:30 Wrap-up