A Step Ahead: Effective Management of Excessive Pronation

Earn 2.25 CEUs (approved by ABC)
This interactive, on-demand online course is designed to introduce the participant to a growth learning model for patients with hypotonia and excessive pronation. Treatment of excessive and symptomatic pronation is important to aiding proper postural control and gait development in young children. While there are many orthotic treatment solutions, understanding the benefits of circumferential compression and triplanar control will help the participant effectively develop orthotic treatment plans. In this course, we will discuss the evaluation, fitting, follow up and graduation of orthotic treatment using Surestep SMOs. We will also express the importance of collaboration of the health care team and family education.
Course Objectives
- Understand how to collaborate with care team members and integrate knowledge for best patient outcomes.
- Understand typical foot and ankle development
- Identify excessive and symptomatic pronation
- Assess children who present with excessive pronation and formulate an orthotic treatment plan
- Understand when to graduate a child from an orthotic treatment plan
- Apply this knowledge to evaluate patients who present with excessive and symptomatic pronation
- Understand orthotic objectives and how to choose appropriate devices to achieve these goals
- Apply this knowledge to effectively communicate with families
Course Outline
Duration | Objective | Description |
---|---|---|
5 min | Module 1 | Introduction & Handouts |
5 min | Module 2: Part 1 Lecture | Estabilsh health care team, and introduce course structure |
6 min | Module 3: Knowledge Level | Explore and understand learned knowledge of excessive pronation and its natural history |
7 min | Module 4: Part 2 Lecture | Takeaways from module and introduction to red flags |
12 min | Module 5: Knowledge Level: Experiential | Explore and understand experiential knowledge, traditional interventions (shoes & orthoses) and the effects on postural control and gait |
16 min | Module 6: Part 3 Lecture | Takeaways from module, additional red flags, and consequences of traditional treatment |
24 min | Module 7: Knowledge Level: Integrative | Explore and understand integrative knowledge, benefits of early orthotic intervention to provide dynamic stability, potential changes in postural control, motor skills and gait (short & long term) |
17 min | Module 8: Part 4 Lecture | Takeaways from module, orthotic objectives, importance of family education & care team collaboration |
17 min | Module 9: Knowledge Level: Is it too late? | Understand consequences of excessive pronation in older children. |
10 min | Module 10: Part 5 Lecture | Takeaways from module and course conclusion |
10 min | Module 11: Additional Resources | Helpful analogies, dosage, shoe recommendations, and when to graduate or replace from an SMO. |
15 min | Module 12: | A Step Ahead Quiz |
5 min | Module 13: | A Step Ahead Post-Course Survey |
Module 14: | Self-submission packet for PTS and OTS |
Related Events

September 10, 2025
Move: Stability In Every Step with Surestep's Lower Extremity Solutions
This live webinar empowers clinicians to create individualized treatment plans using Surestep’s Lower Extremity Solutions. These designs are carefully crafted to facilitate participation and meet parent and healthcare team goals. This course will introduce Surestep’s orthotic decision tree. Using this tool, the participant will become more confident in recommending and/or providing optimal lower extremity orthoses for children with varying degrees of hypotonia/hypermobility or hypertonia/stiffness.

September 10, 2025
Move: Stability In Every Step with Surestep's Lower Extremity Solutions
This live webinar empowers clinicians to create individualized treatment plans using Surestep’s Lower Extremity Solutions. These designs are carefully crafted to facilitate participation and meet parent and healthcare team goals. This course will introduce Surestep’s orthotic decision tree. Using this tool, the participant will become more confident in recommending and/or providing optimal lower extremity orthoses for children with varying degrees of hypotonia/hypermobility or hypertonia/stiffness.