Amtryke Evaluation and Fitting For Therapists

Overview of Adaptive Cycling

Research shows that adaptive cycling can positively impact the physical, social and emotional aspects of the lives of individuals living with disabilities. AMBUCS offers the Amtryke program with 15+ adaptive tricycle frames and 50+ adaptive accessory options to allow nearly anyone to reap the benefits of adaptive cycling.

Per the APTA Guide to Physical Therapy Practice, “Physical therapist-patient and client management consists of examination, evaluation, diagnosis, prognosis, intervention and outcomes.” This course focuses on the use of therapeutic tricycles as an intervention, specifically an “Assistive Technology” intervention as described here by the ‘Guide.’ “Assistive technology includes the prescription, application, and, as appropriate, fabrication or modification of seating and positioning technologies; aids for locomotion; orthotic devices; prosthetic devices; and other assistive technologies to improve functioning. Prescription, application, and, as appropriate, fabrication or modification of assistive technologies are processes used to select, fit, and deliver assistive technology devices that are used to reduce the level of physical disability, promote activities and participation, and decrease pain caused by various pathologies and injuries. Proper prescription, application, and fabrication and/or modification of assistive technologies can promote good posture; maximize comfort, safety, and efficiency during locomotion; enhance breathing and digestion; minimize risk for pressure ulcers, skin irritation, and other secondary impairments; slow progression of disability; minimize pain; and maximize function during activities of daily living (ADL) and instrumental activities of daily living (IADL).”

Upcoming course dates/CCU

Course hosts will seek CCU approval from the Physical or Occupational Therapy Board of the state where each course is held. Amtryke Evaluation and Fitting for Therapists (AEFT) has been approved as a course for physical therapists by these professional bodies: Texas Chapter of the American Physical Therapy Association, IPTA- Illinois Chapter of the American Physical Therapy Association, Physical Therapy Board of California, North Carolina Chapter of APTA, and the Physical Therapy Board of Oklahoma. Many state boards recognize these states for pre-approval purposes. It is the responsibility of the attendee to verify CCU/CEU credit with their state licensing board. See below for upcoming training dates:

Previous Trainings:

Western Region 2023: Ventura CA and Sacramento CA

Southern Region: Greensboro NC (2023) and Savannah GA

Central Region (2024): Danville IL

Great Plains Region (2024): Edmond OK

Southwest Region (2024): Lubbock TX




Marquette, MI, August 24

  • 8am-5pm at MARESA – Marquette-Alger Regional Educational Service Agency
    Conference Room A
    321 E. Ohio St.
  • Register Here

Who is AEFT designed for?

This course will serve as a training for licensed PTs, OTs, and Recreational Therapists, PTAs, COTAs, and RTAs (non-evaluation content) for appropriately evaluating and fitting individuals with disabilities for Amtryke adaptive tricycles. All therapists must be licensed, if recreational therapists are not licensed in the state they are practicing, they require a co-signature. There will be both didactic and hands-on learning lead by a trained instructor with extensive experience in this program. PTs and OTs will benefit from all aspects of this course from evaluation, selection and fitting. PTAs and COTAs will benefit from the understanding of the components and rationale behind the evaluation and selection process to be able to appropriately apply adaptive cycling interventions recommended by the PTs and OTs in the plan of care.

30:1 student: instructor ratio

Course Information

Cost – $115  
Includes all portions of the course, course materials and lunch.

Individual registration cancellations-
Accepted up to 1 week prior to course date and eligible for $75 refund. Please notify Marisa Laws (Director of Amtryke Training and Research) at OR 800-838-1845 x123

There are no prerequisites for this course.

Conflict of Interest Disclosure – This course describes assessment for a therapeutic tricycle manufactured by Amtryke LLC, which is a fully owned subsidiary of the nonprofit organization, National AMBUCS, Inc. Clinical reasoning may be applied generally to other manufacturers. The therapist instructor is a member of his or her local AMBUCS chapter and receives a speaker fee, paid by Amtryke LLC, to present this course. He or she does not benefit financially from the order or sale of Amtrykes.

AEFT Privacy Policy – National AMBUCS takes the protection of personal information very seriously and only use vendors known to keep that information contained in a secure environment. For your protection, payment information is never stored on our, nor our vendor servers.

AEFT registration information is collected via PayPal. PayPal does not sell or rent your personal information to third parties for their marketing purposes without your explicit consent. PayPal may combine your personal information with information we collect from other companies and use it to improve and personalize PayPal Services, content, and advertising.


Course Outline

8:00 – 9:45 AM (1.75 hours)

  • PowerPoint presentation with demonstration of frames and adaptive accessories
  1. Research for benefits of adaptive cycling
  2. Frame selection problem-solving based on intended use, safety and neurological and structural factors
  3. Accessory selection based on needs for each
  4. Measurement and adjustment lab
  5. Orientation to paperwork

9:45 – 10:00 AM (0.25 hours)

  • Break: Frames and accessories available for hands-on trial by attendees

10:00 – 10:30 AM (0.5 hours)

  • Case studies

10:30 – 11:00 AM (0.5 hours)

  • PowerPoint presentation of fitting process and checklist

11:00 – 11:30 AM (0.5 hours)

  • Instructor led demo of evaluation and fitting

11:30 AM – 12:30 PM

  • Lunch

1:00 – 3:30 PM (2.5 hours)

  • Hands-on eval and fitting in small groups with live demos

Meet our AEFT Instructors

Ashley Schilling PT, DPT, PCS

Ashley Schilling PT, DPT, PCS

Amtryke Advisory Board Chair


Ashley Schilling has been involved with AMBUCS since 2010 as a charter member of the chapter serving middle Tennessee, Music City Trykes. To date, the chapter has given more than 900 Amtrykes to local children. During her time as the Therapist Education Coordinator for the National Amtryke Advisory board, Ashley developed and credentialed a post-graduate CEU curriculum for physical and occupational therapists on the assessment and fitting of Amtrykes, now known as AEFT. She is an associate faculty member and the Sharon Vanderbilt Professor of Physical Therapy at the University of Tennessee at Chattanooga. She is the department’s pediatric content lead and has been a ABPTS certified Pediatric Clinical specialist since 2011. Dr. Schilling’s clinical work includes 15 years treating pediatric patients, birth to young adulthood, with a focus on children with neurological and developmental conditions. She has a special interest and history of collaborating with engineers and other disciplines to maximize outcomes for her patients through equipment and environmental adaptation/modification. In her free time, she enjoys spending time with her family, hiking, traveling and participating in triathlons.

Marisa Laws PT, DPT, PCS

Marisa Laws PT, DPT, PCS

Director of Amtryke Training and Research


Marisa was born and raised in Lexington, NC. She studied Exercise Science with a minor in Psychology at Catawba College and graduated in 2015. Pursuing her dreams of helping others through movement, she moved on to study in the Doctor of Physical Therapy program at Western Carolina University where she graduated in 2019. She has practiced exclusively in pediatrics and has a strong desire for pro bono care and community service which brought her to AMBUCS, Inc. Marisa is the Director of Amtryke Training and Research working diligently alongside AMBUCS Staff and expert clinicians to develop evidence-based training courses for the Amtryke Community. When she is not at work, she enjoys taking walks with her pup, Piper, being in the water at the lake or beach, and riding horses. She is also known to venture onto the volleyball court every now and again. Marisa is eager to dive into world of AMBUCS, Inc and provide the unique lens of a clinician.

Christina Thompson PT, DPT, DHSc

Christina Thompson PT, DPT, DHSc

AMBUCS Member- Upper Gwynedd Chapter


Christy is a Board Certified Clinical Specialist in Pediatric Physical Therapy with over 10 years’ experience at Children’s Hospital of Philadelphia. She maintains a diverse clinical experience and is especially passionate about children with developmental disabilities, understanding childhood gait abnormalities and providing quality education to patients, parents and students.  She recently completed her Doctor of Health Sciences degree at Drexel University with a scholarship focus on adaptive cycling and physical activity in children with disabilities. Christy serves as adjunct faculty at Drexel University teaching in Clinical Reasoning, Advanced Clinical Reasoning and Functional Mobility courses and also provides a yearly lecture on adaptive cycling to occupational therapy students at Gwynedd Mercy University. Along with colleagues from New England University and Drexel University,  Christy will provide an education session at the APTA pediatrics conference in Omaha, NE in October of 2023 titled, Ride On! Implementing Cycling Interventions to Promote Participation for Children with Disabilities. Christy and her husband Keith are members of Gwynedd AMBUCS in Pennsylvania and are currently focused to rejuvenating their local chapter!

Emi Yukawa PT, cNDT

Emi Yukawa PT, cNDT

Secretary of SoCal Tryers Chapter of AMBUCS

Emi is a staff physical therapist with California Children’s Services working with the pediatric population for over 20 years. She graduated with her BS in Physical Therapy from California State Long Beach and has also worked with the acute and skilled nursing populations. She has been a Guest Lecturer and Teaching Assistant at the DPT program at Cal State Long Beach. Emi is a charter member of SoCal Trykers formed in 2013, and has assisted in over 40 Bike Eval Days, 35 Trike Giveaways, and has built over 250 Amtryke trikes. She has presented the AMBUCS/Amtryke program in Road Shows and presentations to hospitals, clinics, and schools. She has also assisted in getting 4 other AMBUCS/Amtryke chapters started in California.

Denise Netteberg PT

Denise Netteberg PT

President of SoCal Trykers Chapter of AMBUCS


Denise has been a Pediatric Physical therapist for 32 years. She is passionate about assisting children enjoy life and movement which led to starting up an AMBUCS chapter in 2013 with fellow therapists and family/friends to promote the AMBUCS mission. She is a member of the SoCal Tryker Chapter and has helped provide a little over 700 trikes to riders and still going.

Kristina Bouley OT

Kristina Bouley OT

President of RoughRider Chapter of AMBUCS


Kristina grew up in rural North Dakota. She graduated from the University of North Dakota in 2008 with a Master’s degree in Occupational Therapy. She has worked primarily in outpatient pediatrics and early intervention throughout her career, although has also worked in home health. Kristina is currently president of her local AMBUCS chapter in Bismarck, ND. She enjoys spending time with her family & friends, traveling, and scrapbooking. Kristina and her husband have one son and a dog.

Marie MacLeod PT

Marie MacLeod PT

Vice President Vermont Chapter of AMBUCS


Marie is a physical therapist who lives and works in Central Vermont with her husband. She loves being outside, riding her bike, hiking, paddling, skiing, and gardening. She has worked in the field for over 25 years in addition, she holds her master’s in special education with a focus on Students with Significant Disabilities. Her practice has included, Orthopedics, Neuro, Rehab, Pediatric, School Based Practice, Special Education, and Assistive Technology. In addition, she has worked with the Vermont I Team, and The Vermont Cortical Visual Impairment project. She was Faculty at the University Center on Disability and Community Inclusion (LEND PROGRAM) and an adjunct faculty and lecturer in the Physical Therapy, and Special Education programs at the University of Vermont. Marie is one of the founding members and has volunteered with the Vermont Ambucs chapter for 15 years. She currently is the Vice President of the chapter and the state trainer for the AMTRYKE Evaluation and Fitting for Therapists.

Cassidy Sanchez PT, PCS

Cassidy Sanchez PT, PCS

President of Western Wisconsin Wheels Chapter of AMBUCS


Cassidy Sanchez has practiced as a rural Physical Therapist since 2001. She received ABPTS pediatric board certification in 2009, renewed in 2019, and is currently maintaining certification through the MOSC program. In addition to treating patients of all ages,  Cassidy treats children across settings including outpatient,  schools and in the home for early intervention. She is a founding member of the local AMBUCS chapter, serving as president since 2016. She performs assessments and fittings regularly, has built many of the trykes issued by her chapter, and rides the Amtryke tadpole in her spare time. Cassidy was honored with the 2019 ambucs therapist of the year award,  and looks forward to helping more therapists feel comfortable making tryke recommendations.

Tami Forwood-Tubell PT, MPT, MHA

Tami Forwood-Tubell PT, MPT, MHA

Secretary of Huntsville Tennesse Valley Chapter of AMBUCS

Tami has worked as a physical therapist, mainly with kids, for over 25 years. She is currently working in Early Intervention in North Alabama. She is a founding member of the Huntsville Tennessee Valley AMBUCS chapter in Huntsville, AL. She also serves at the chapter Amtryke Program Manager, fitting all sizes of Amtrykes since 2008. She has been serving as an AEFT instructor since 2016.

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