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Upcoming: Winter Conference  |   Butte, MT  |   Feb. 2-3, 2019

Winter Conference 2019: CE #2 choice: Therapeutic Evaluation and Treatment of Pediatric Toe Walking (Pediatric Equinus Gait)

  • 02-Feb-2019
  • 7:00 AM
  • 03-Feb-2019
  • 4:00 PM
  • Copper King Hotel and Convention Center, Butte, Montana



Therapeutic Evaluation and Treatment of Pediatric Toe Walking (Pediatric Equinus Gait) 

Presented by Liesa Persaud, PT, DPT, PCS

16 Contact Hours, MT category A 

Full Course information can be found by scrolling down below. 

If you are registering a member, and you find the selection does not give you member pricing, please log in with the email we have on file for you. This will recognize you as a member. If that doesn't work, feel free to call or email and we will find the problem and fix!


Provisions include a light continental breakfast including coffee, lunch at the business meeting. MAPTA hosts these conferences as a fundraiser to pay for state government affairs - protecting and enhancing your practice act! As such, we often do not pay for the exorbitant fees at conference centers for breakfasts and snacks. Please feel free to bring a healthy snack if you require. We will try to provide something for long programs if necessary.

Accommodations and Conference Site:

Copper King Hotel and Convention Center. Please request MAPTA room block by calling 406-565-5001. Special rate of $109 for single/double. This rate and block expires on December 31, 2018. We will do our best to extend this into January, but please book early. 

Board Meeting

February 1, 2019, 6pm. Copper King Hotel.

Business Meeting

Business meeting and elections will be held at noon on Saturday, February 2, 2019 at the CE site. Lunch is included for those registered for the course. Please RSVP if you are not registered (you may register online). Please send agenda items to the office or President Jay Shaver by Jan. 12, 2019. Final agenda will be posted on our website by Jan. 23, 2019.

Cancellation Policy

MAPTA reserves the right to refuse/cancel an event registration. If MAPTA refuses a registration, registrants will be offered a full refund.

Registration Cancellation by Participant:

  • Cancellations will be accepted in writing via fax, email, or mail.
  • A $25.00 administration fee will be withheld when cancellation occurs up to ten days prior to the start of the event; 50% refund if cancelled 2-10 days prior; 25% refund if cancelled 0-1 day prior.

Group Discounts:

10% Discount for 3 or more APTA Member PTs/PTAs from one clinic. Fees for all persons must be made with one payment. No exceptions. Credit will not be provided at a later date. Combining discounts (ie Lifetime AND Group) is not applicable. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.

Student Discounts: 

Students may take any classroom course for only $99. Courses in which we need to limit numbers or labs do not apply.  If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.

Lifetime Member:

Lifetime members may take any non-limited seating, MAPTA sponsored CE at 50% discount. Combining discounts (ie Lifetime AND Group) is not applicable. If you need to take advantage of this, call us for a group code to pay online, or mail in your check with participant names.


We are considering adding Liesa's 3rd day to this course which would mean moving the 2 day program to Friday/Saturday so the optional 3rd day can be held on Sunday. WE'll know more by mid November.

7am Professional Issues Forum (MAPTA Conference Item)
8am - 12noon CE Courses run with 15 minute break 
12-2pm  MAPTA Business Meeting Luncheon
2pm - 5:30pm/6:30 CE Courses continue with 15 min break.
5:45pm - 6:30pm Hosted Reception - Meet APTA's Lobbyists with Montana roots!
6:30pm - end No-host dinner in Uptown Butte. We will reserve a table, just need to know if you'll join us! More to be announced.

8am Courses continue, with break (this may move to 7:30)
12noon Lunch break
1pm Courses continue, with break (this may move to 12:30)
Courses end between 4pm and 6pm on Sunday. See individual course agendas.

About the course:

Therapeutic Evaluation and Treatment of Pediatric Toe Walking (Pediatric Equinus Gait)

Course Description: 

This seminar covers 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 pattern. Both evaluation and treatment of these children are often frustrating for all involved and frequently results 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. Through an organized evaluation procedure, specific data will be used to direct the clinician to potential etiologies. Causes and appropriate intervention strategies are identified in order to utilize a systematic approach to developing an effective treatment plan.

Course Objectives:

Participants who complete the workshop are expected to be able to:
  1. Identify specific pathologies relevant to pediatric equinus gait.
  2. Develop an organized evaluation approach and use the data to determine various etiologies of pediatric equinus gait.
  3. Discuss etiology-specific & age-appropriate assessment & management strategies for this population.
  4. Apply effective examination, evaluation, intervention and treatment strategies to toe walking in the pediatric population.
  5. Design an effective & individualized treatment plan for the pediatric patient.
  6. Explain the future consequences of incorrect intervention.
  7. Gain confidence with the evaluation and treatment of pediatric toe walking.

Course Agenda:

7am - MAPTA Hosts a Professional Issues Forum, coffee served. Topic TBA.

8:00am-10:15am IDEAL GAIT & EQUINUS GAIT

  • Definition of Idiopathic Toe Walking
  • Problems & concerns regarding an equinus gait pattern
  • Components of normal gait & gait development
  • Characteristics of equinus gait


10:30am-12:00pm BIOMECHANICS

  • Necessity of a stable base
  • The influence of an anterior center of mass
  • Muscle Balance Theory
  • Passive ankle DFROM measurement technique: R1 & R2 (LAB)

12:00pm-2:00pm: MAPTA Business Meeting Luncheon (see description)

2:00pm-3:30pm BIOMECHANICS (cont’d.)

  • Dynamic Response Ankle Foot Orthosis
  • Orthoses


3:45pm-4:30pm Posting wedges & calcaneal eversion (LAB)

4:30pm-6:30pm  BIOMECHANICS (cont’d.)

  • Transverse plane movement & ankle strategies
  • Biomechanical training aids

(We are working to adjust this schedule so it ends at 5:30pm)

5:30pm - MAPTA Hosts Reception to meet VIPS! Stay Tuned.

6:30pm - MAPTA invites participants to join together for a no-host dinner in Uptown Butte. You pay for your meal, but we'll include you in the head count to reserve a table for a group!

Day 2:

8:00am-9:45am KINESIOLOGY

  • Physiology
  • Passive stretching
  • Manual therapy
  • Myofascial release*
  • Muscle lengthening strategies
  • Muscle strength: soleus, eccentric exercise, NMES, Therapeutic Taping


10:00am-12:00pm (LAB)

  • Muscle lengthening technique: an alternative to stretching
  • NMES technique
  • Therapeutic Taping: DF assist, Gastroc inhibition, transverse abdominus & oblique facilitation

12:00pm-1:00pm: LUNCH on own


  • Consideration of the sensory systems: tactile, vestibular, visual, proprioceptive, emotional
  • Anatomy, Diagnosis, & Incidence
  • Assessment with regards to Toe Walking



  • Birth history
  • Developmental history
  • Vision
  • Differential diagnoses
  • Etiology

5.30 pm: DAY 2 ENDS

* Demonstration only

About the Speaker

Liesa M. Persaud, PT, DPT, PCS, CKTP is a licensed physical therapist with 26 years experience in the field of adult and pediatric therapy. Ms. Persaud is a practicing physical therapist at Tulsa Sunshine Center in Oklahoma.

Additionally, Liesa is owner of Know to Change, PLLC in Skiatook, Oklahoma, and has educated health care professionals, both nationally and internationally, in advanced treatment techniques, specialized practical training and consultative services. She has worked in a variety of settings, including private pediatric and adult clinics, schools, private homes, hospitals and long-term care facilities.

Ms. Persaud is a Credentialed Clinical Instructor and has taught human anatomy, physiology and nutrition at Tulsa Community College. She received her Associate’s Degree in 1993 from Tulsa Junior College and worked as a physical therapist assistant while completing her Bachelor of Science Degree in Organizational Leadership from Southern Nazarene University in Tulsa, Oklahoma. Ms. Persaud earned her Master’s Degree in Physical Therapy from the University of Findlay in Findlay, Ohio in 2003 and continued to expand her expertise in the field. She received her post-graduate Doctorate from Rocky Mountain University of Health Professions and is a Board Certified Specialist in Pediatric Physical Therapy.

Ms. Persaud’s passion for travel has lead her to teach & treat overseas in Australia, New Zealand, Turkey, the Arab Emirates & Mexico. She will go to Ukraine & Palestine in December 2017, & Poland & South Africa in 2018.

Her wide range of clinical experience, organizational leadership, and proficient teaching skills make Liesa an exciting and compelling instructor.

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