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Lower Limb Biomechanics Introductory Workshop

Presented By: Brian R. Hoke, P.T., D.P.T., S.C.S.

Dr. Brian Hoke received his degree in Physical Therapy with Highest Distinction from Indiana University and earned his post-professional Doctor of Physical Therapy degree from Boston University. His clinical experience has been specialized to the realm of orthopaedic and sports physical therapy, with a particular focus upon the biomechanical basis for lower extremity rehabilitation. He is board certified as a Sports Clinical Specialist by the American Board of Physical Therapy Specialties and has been an active faculty member of the popular continuing education seminar “When the Feet Hit the Ground, Everything Changes” since 1985. He was a co-developer of the Advanced level course “Take the Next Step” and has taught this course since 1990.

Dr. Hoke has been an invited speaker at many interdisciplinary conferences, including the “Complete Foot Care Course” sponsored by the American Orthopaedic Foot and Ankle Society. He has also traveled internationally to participate in seminar presentations in England, Canada, Germany, Australia, and New Zealand. He is a contributing author to two current contemporary textbooks on sports injuries: Sports Injuries: Prevention and Rehabilitation, and Textbook of Running Medicine. Dr. Hoke is an Adjunct Faculty Member of Old Dominion University in Norfolk, VA and Touro College School of Health Science in Bay Shore, NY. He is currently co-owner and Director of Atlantic Physical Therapy, P.C., a physical therapist owned private practice in Virginia Beach, Virginia. His typical caseload consists of sports injury, post-surgical rehabilitation, soft tissue injury, and extensive use of biomechanical and accommodative foot orthoses.

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Content in this course includes:

  • Nature versus Civilization, Overview of the Gait Cycle
  • Triplane motion, the Function of the Subtalar joint
  • Biomechanical dysfunction in relation to common conditions; plantar fasciitis, Achilles related pain, shin splints, knee pain, low back pain and leg length discrepancy.
  • Evaluation: fore foot/ rear foot relationship, mid tarsal joint,
  • Common Conditions: metatarsalgia, Morton’s neuroma, fore foot varus/valgus, plantar flexed/dorsi flexed 1st ray
  • The importance of 1st ray function
  • PRACTICAL: Subtalar neutral, 1st Ray Evaluation. ORTHOSES: heat molding, fitting, posting
  • Patient compliance.

COURSE OBJECTIVES: At the completion of the course participants will be able to:

  • Evaluate foot / lower limb structure and function to iden tify structural faults and motion impairments and be able to relate this to the pathomechanics of overuse injuries
  • Identify the advantages and disadvantages of orthotic intervention
  • Implement new methods of prescribing orthoses
  • Select and prescribe orthoses appropriate to the patients’ needs
  • Appreciate orthoses therapy in the broader physiotherapy context
  • Integrate orthoses therapy into physical therapy management

CEU/CME ACCREDITATION:

This course has been accredited with all state PT associations that workshops are being held in. Certificates of completion will be provided at the end of the course. Content is covered for 6.5 continuing education hours.

2010 Schedule of Events

City Date Location Time Map
March 2010
Roanoke VA Thursday,
March 25th
Hampton Inn
6621 Thirlane Rd.
Roanoke, VA 24019
8am - 4pm View Hotel Site
View Map
April 2010
San Antonio Thursday,
April 1st
Patterson Dental Branch
12625 Wetmore Rd. # 103
San Antonio, TX 78247-3609
8am - 4pm View Map
Chicago Thursday,
April 29th
Patterson Dental Branch
501 W.Lake St.,
Suite 200
Elmhurst, IL 60126
8am - 4pm View Map
May 2010
Phoenix Thursday,
May 6th
New Patterson Medical Branch Office
601 South Madison Drive
Tempe, AZ 85281
8am - 4pm View Map
New York Monday,
May 17th
New Patterson Medical Branch Office
29 G Commerce Way
Totowa, NJ 07512
8am - 4pm View Map
June 2010
Charlotte Tuesday,
June 1st
New Patterson Medical Branch Office
9129 Monroe Rd
Charlotte, NC 28270
8am - 4pm View Map
Minneapolis Thursday,
June 10th
New Patterson Dental Branch
2930 Waters Road,
Suite 100
Eagan, MN 55121
8am - 4pm View Map
Indianapolis Tuesday,
June 29th
Patterson Dental Branch
6110 Technology Center Dr
Indianapolis, IN 46278-6004
8am - 4pm View Map
August 2010
Orlando Thursday,
August 19th
Patterson Medical Branch
570 Monroe Rd.
Sanford, FL 32771
8am - 4pm View Map
September 2010
Virginia Beach Thursday,
September 16th
Patterson Dental Branch
530 Independence Pky, #200
Chesapeake, VA
8am - 4pm View Map
October 2010
San Francisco Thursday,
October 7th
Patterson Dental Branch
5750 Imhoff Drive Suite J,
Concord, CA 94520
8am - 4pm View Map
Seattle Saturday,
October 9th
New Patterson Medical Branch Office
6419 S. 228th Street
Kent, WA 98032
8am - 4pm View Map
Detroit Tuesday,
October 19th
Patterson Dental Branch
2631 Superior Ct Ste A
Auburn Hills, MI 48326
8am - 4pm View Map
November 2010
Dallas Thursday,
November 4th
Patterson Medical Branch
405 South Nolen Drive,
Suite 200
Southlake, TX 76092
8am - 4pm View Map

Workshop Program

Time   Hours
07:30 – 08:00am Registration - Tea & Coffee  
08:00 – 09:30am Lower Limb Biomechanics Theory
  • Anatomy
  • Gait Cycle
  • The Rearfoot
  • Tri Planar Motion
  • Tibial Varum
  • Compensatory rearfoot pronation
  • Rearfoot Positions
  • Subtalar positioning theory
1.5
09:30 – 09:45am Break - Tea & Coffee
09:45 – 11:00am Lower Limb Biomechanics Theory - Common Conditions
  • Plantar Fasciitis
  • Posterior Calcaneal Pain (Achilles Tendonitis / Tendonopathy)
  • Hallux Abducto Valgus (bunions)
  • Metatarsalgia
  • Morton's neuroma
  • Shin Pain- Knee Pain
  • Hip and Back pain
  • Leg length discrepancy
1.25
11:00 – 12:00pm Lunch
12:00 - 01:00 pm Practical
  • Subtalar Neutral Positioning
  • Basic Premade Orthotic Fabrication
  • heat molding
1
01:00 – 02:00pm Assessment and Diagnosis of Forefoot Conditions - Theory
  • Mechanics of Forefoot Motion
  • Forefoot neutral positioning and assessment
  • Practical Forefoot Measurement techniques
  • 1st Ray assessment and measurement
  • Functional Hallux Limitus
1
02:00 - 02:15 pm Break - Tea and coffee
02:15 pm - 4:00 pm Practical Workshop
  • Patient Lower limb evaluation
  • Rearfoot
  • Forefoot assessment
  • 1st Ray function
  • Jacks test
  • Orthotic Fabrication
  • Fitting and posting
  • Fine Tunig
1.75
Total Course Hours 6.5
Theory 3.75
Practical 2.75
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