Course Description

This online course features a review of typical and pathologic aspects of orthopedic development of the pelvis, hip joint and femur that influence the foot progression angle (FPA), i.e., in-toeing and out-toeing in gait. The principles support the safe use of TheraTogs pelvic and hip rotation strapping. To enroll in this on-demand course, you'll need to successful complete the on-demand level 1 course, Posture and Torso Alignment for Pediatric Neuromotor Training.

Already Completed the Prerequisite?

Prerequisite: Posture & Torso Alignment (CTF Level I).

Who Should Take this Course

Progressive GaitWays is committed to the fostering of collaborative and educated team management of people with complex neuromotor problems and welcomes a range of pediatric rehabilitation clinicians including physical therapists, orthotists, physicians in physical medicine and rehabilitation, and pediatric orthopedists. 

Attendees who successfully complete this didactic program qualify to attend the associated lab course to obtain certification as a TheraTogs Fitter Level 2.

Course Objectives

In this course you will learn...

  • Discuss the skeletal modeling process that influences long bone torsion and explain the modeling “window of opportunity.

  • Describe the ideal changes in growing bone design that occur in the transverse plane in the pelvis and femur in children born at full-term gestation.

  • Relate foot position – pronation and supination - to body weight distribution on the feet in standing and walking.

  • Relate toeing in and toeing out to body weight distribution on the feet in standing and walking, and to muscle recruitment strategies needed to maintain the upright position.

  • Explain the role of the Iliotibial band (ITB) and the “deltoid of the hip” in maintaining pelvic alignment and postural control in gait.

  • Describe the influence of a medially-rotated knee axis on ipsilateral iliotibial band alignment and competence.

Course Completion Requirements

  • Section Videos and Quizzes

    Watch each section video in its entirety. Complete all quizzes with a score of 90% or better. You get unlimited attempts to pass the quizzes.

  • Course Evaluation

    Let us know what you thought and how we can improve this course. Complete the course evaluation at the end of the course to receive your course completion certificate.

  • Course Access Period

    Once you have registered, you will have 60 days to review the course material. Each section must be completed before moving on to the next, but you can review any completed section at any time.

CEUs

Physical Therapists and Physical Therapist Assistants: 

Florida: Progressive Gaitways is a rule approved provider of the PT Board of Florida #50-45480. (2.75 hours) 

California: Progressive Gaitways has been approved as a provider of continuing education for Physical Therapists and Physical Therapist Assistants in California (CA) by Redefine Health Education, a recognized approval agency of the Physical Therapy Board of CA. (2.75 hours)

New Jersey: This course is approved for 2.75 contact hours by the New Jersey State Board of Physical Therapy Examiners through January 31, 2026. Approval #2306-62

Courses approved by other state boards in the following jurisdictions are likely accepted for licensure credit based on the state regulation. 

AL | AK | AR | CO | CT | DE | GA | HI | ID | IN | IA | KS | KY | ME | MA | MI | MO | MT | NE | NH | NC | ND | OR | PA | RI | SC | SD | TN | UT | VT | VA | VI | WA | WI | WY

APTA State Chapter Approvals

Illinois: This course is approved for 2.5 contact hours by the Illinois Physical Therapy Association through August 1, 2025. Course approval number 593-9293.

NOTE: Courses approved by other APTA chapters in the following jurisdictions are likely accepted for licensure credit based on the state regulation. 

AZ | DC | MD | MS | NM 

Please reach out to your state licensing board to confirm the currency and accuracy of this information. If you have a specific question about CEU approval for this course in your state, please direct your inquiry to [email protected]

The following states are not pre-approved:    LA, MN, NV, NY, NJ, OH, OK, TX, WV

Participants licensed in states not pre-approved may file for individual approval using the instructions on this document.

Orthotists: The Pediatric In-toeing and Out-toeing Management for Neuromotor Training course has been approved for 2.75 scientific contact hours by ABC. 

Course Curriculum

    1. Welcome to the Pediatric In-toeing and Out-toeing course!

    2. Course Handouts

    3. Introduction

    4. Section 1: Skeletal Modeling Mechanisms in the Transverse Plane (TP)

    5. Section 2: Nomenclature Review

    6. Section 3: Development of the Pelvis, Hip Joint & Femur in the Transverse Plane

    7. Section 4: Pathomechanics of Excess and Diminished Femoral Antetorsion

    8. Section 5: Review of Assessments: Hip Rotation ROM in Extension, Femoral Torsion Test

    9. Section 6: Pelvis, Hip & Femur - TP Management Strategies using TheraTogs

    10. Section 7: TheraTogs Research

    1. What's Next...

    2. Review Quiz

    3. Course Evaluation: Pediatric In-toeing and Out-toeing Management for Neuromotor Training

About this course

  • $79.00
  • 13 lessons

Interested in Becoming a Certified TheraTogs Fitter?

Our Certified TheraTogs Fitter courses will help you gain expertise in customizing TheraTogs garment systems to optimize your client’s outcomes. TheraTogs are an adjunct, carry-over modality that supports your clinical efforts in-between therapy sessions and can provide up to 50 hours of therapy a week.

Instructor

President / Senior Instructor Beverly (Billi) Cusick

Beverly (Billi) Cusick PT, MS, NDT, COF/BOC is an internationally known pediatric physical therapist whose specialty is the orthopedic development and orthotic management of children with cerebral palsy and other neuromotor deficits.

She has been teaching these and related topics since 1978 - including presentations by invitation for the APTA, AACPDM, AOPA, and AAOP and more than 460 full programs and workshops worldwide.

Ms. Cusick received her BS in PT from Bouve College at Northeastern University in Boston, MA in 1972, and her MS in Clinical and College Teaching for Allied Health Professionals from the University of Kentucky in Lexington in 1988. She is an Associate Professor for the Rocky Mountain University of Health Professions – Pediatrics Program – Provo, Utah (2006-present) and is NDT basic- and baby-trained.