Full Course Description
Improving Functional Mobility & Gait Patterns Following Injury, Surgery & Aging
Rehab professionals are well versed in the phases of gait and recognize how consuming seeking to identify the slightest of abnormalities can be. After documenting these observations, what’s next? How do we draw meaningful and impactful conclusions to discover the origin of the identified abnormalities and further translate these findings to objective treatment goals and strategies?
Functional mobility and gait are some of the most widely addressed therapeutic activities. For decades, we have primarily relied on study of the “phases of gait” to address gait and mobility abnormalities with injury, surgery, or general aging. Although impactful, the phases of gait often neglect areas critical for safe mobility and energy conservation. This course will address the six determinants of gait and allow you to drastically add to your understanding of mobility beyond the mechanics. You will learn evidence-based exercises, activities, and treatment strategies that can directly impact not only gait, but everyday function, mobility, and safety for your patients.
- Demonstrate the impact of the 6 Determinants of Gait and the resultant reduction of energy expenditure.
- Analyze current evidence supporting the use of the 6 Determinants of Gait in the clinical setting.
- Investigate therapeutic activities and treatment strategies that emphasize the 6 determinants of gait following injury or surgery.
- Develop documentation strategies and language based on information provided to justify mobility intervention to payer sources.
The 6 Determinants of Gait
Evidence supporting the use of the 6 Determinants of Gait
- Definition of Gait/Mobility
- Original Determinants of Gait
- Curtate vs prolate cycloid vs cycloid
Therapeutic activities and treatment strategies
- Phases of Gait review
- What the phases neglect
- Functions & systems
- Parameters for mobility
- Application after injury or surgery
- Sit-stand (anterior pelvic tilt)
- Pelvic Teeter Totter
- Lateral pelvic tilt
- Knee flexion at midstance
- Knee/ankle/foot interactions
- Pelvic rotation with hip flexion
- Reciprocal arm swing
- Justify mobility intervention to payer sources
- Documentation platforms
- Gait/Mobility example
Movement Pattern Restoration: Energy, Flow and Symmetry of Gait
When you have a patient that is just not responding to treatment, it can make you feel hopeless.
And when those patients are in a state of disuse combined with their sedentary lifestyle, the CNS adapts and they lose even more mobility.
With the boomers getting older, you’re only going to see an increase over the next few years which is why CMS has pushed so hard on fall reduction programs. Gait deviations lead to issues throughout all aspects of life.
With this simple and effective method, you will have the ability to treat your patients in ways you couldn’t before - strategies for all of the common issues that you treat with gait impairment including: TBI, stroke, MS, Parkinson’s and chronic pain. You’ll learn strategies to:
- Quickly pinpoint asymmetries
- Correct gait compensations
- Combine proprioception and neuroplasticity for improved outcomes
We’ll also incorporate a new therapeutic tool that effectively works to “remap the brain” – restoring movement patterns and creating a sensory-motor feedback loop. When you can quickly make improvements to gait – you can spend more time doing functional training!
Imagine the gratification you’ll feel after you have restored mobility and independence! Purchase now to forever change your patients’ lives.
- Analyze gait from the perspective of its’ energy, flow and symmetry.
- Inspect how proprioception affects movement and movement pattern restoration.
- Integrate multiple approaches for better outcomes, including balance and gait training, and neuromuscular re-education.
- Appraise using therapeutics that enhance proprioception, resistance, assistance and a combination of all of these to address patients with gait, balance, mobility and chronic pain issues.
- Determine the influence of the VOR (Vestibulo-Ocular Reflex) on gait, movement and balance.
- Assess integrating Amy Cuddy’s power poses as an effective intervention in the treatment of gait, balance and pain disorders.
The Gait Cycle & Biomechanics
Movement Gone Astray: Gait Challenges
- Dynamic motor control
- Drivers of gait
- Quick, natural gait data collection
- Best practices in assessment
- Gait & Fall risk assessments
System Framework for Postural Control
- Proprioception’s role in gait and movement
- Pain with movement and gait
- No fluidity
- Foot drop
- Antalgic gait
- Trendelenburg gait
- Spasticity and ataxia issues
- Stair and curb negotiation
- Inconsistent stride length, cadence or path of travel
- Decreased proprioceptive feedback post-op or post-injury
- Fear of falling
- Peripheral neuropathy
- Muscle weakness
In Action: Common Conditions and Diagnoses with Gait Challenges
- Balance strategies for ankle, hip and stepping
- Restore somatosensory input
- Remapping the brain – neuroplasticity
- Incorporate the vestibular system
- Clinical symptoms of fatigue
- Amy Cuddy’s power poses & posture
Functional Exercise and Gait Training and Tactical Interventions
- Chronic pain
- Lower extremity amputations and prosthetics
- Parkinson’s disease
- Spinal cord injury
- Perturbation based training
- Footwear selection
- NewGait harness
- Proprioceptive interventions
Effective Fall Prevention in the Geriatric Population: Strategies from the CDC’s Dynamic Trio
The CDC has dedicated itself to address fall prevention in the geriatric population through the STEADI Initiative (Stop Elderly Accidents, Deaths and Injuries). Analyze the algorithms that address each area that impact fall risk. STEADI will be covered comprehensively, including balance, medications, home environments, medical conditions and fear of falling. Key takeaways from the latest research will offer new patient fall prevention solutions.
- Analyze the latest advances in fall prevention from the CDC – STEADI Initiative for Fall Prevention into your practice.
- Distinguish between comprehensive screening tools and assessments to identify issues with balance, visual-spatial functioning, proprioception and other root causes of fall risk.
- Select the most appropriate intervention to safely restore balance, mobility and function in your patients.
- Determine how home-based risk factors that contribute to falls can be mitigated.
Integrate the Latest Advances in Fall Prevention
- CDC’s STEADI Initiative
- Screen, assess and intervene
- 3 key questions to ask your patients
- Case Study: RBG
- Identify issues with balance, visual-spatial functioning, and proprioception
- Stay Independent Brochure
- Evidence-based gait and balance tests
- Home hazards, BP, Visual Test
- Feet and footwear issues
- Comorbidities to consider
Impact of Medications on Fall Risk
- Beers criteria for medications
- Interventions for optimizing the medication list
Safely Restore Balance, Mobility and Function
- Assess available interventions
- Evidence-based exercise program details
- Treatments for BP issues
- Referrals for vision impairment
- Appropriate exercise RX for older adults
Home Based Risk Factors
- Evaluation and intervention for:
- Home hazards
- Foot and footwear issues
- Referrals for home and community based exercise and fall prevention programs
Tai Chi to Improve Function & Prevent Falls
Due to the high risks of falls in the elderly, rehab professions must explore effective, proven methods that decrease the risk for falls. Tai Chi combines low-impact exercises you can easily use safely with patients. The practice puts profound emphasis on breathing, relaxing, and focusing the mind in specific postures. Benefits include improving flexibility/balance to prevent falls, reducing stress/anxiety, strengthening the cardiovascular system, decreasing chronic pain and recovering from injuries/surgeries faster.
Using a combination of clinical therapy skills, personal training experience, and expertise in Tai Chi, Ralph will equip you with the relevant tools and techniques to incorporate into your patients’ treatment plans. Adding this reimbursable therapy to your toolbox will immediately enable you to provide an additional modality to enhance patients’ stability, flexibility, core strength, posture, balance, and coordination.
This training opportunity is a MUST if you work with patients who need easily adaptable and non-invasive exercises—and an opportunity to practice Tai Chi.
- Analyze the history of Tai Chi and its relevancy in the rehab clinical setting.
- Articulate the link between chronic arthritis pain and fall risk.
- Define the international fall reduction statistics directly related to Tai Chi programs.
- Apply the basic styles of Sun style of Tai Chi by the end of the course to strengthen clients’ flexibility, core, and balance.
Relevancy of Tai Chi in the Clinical Setting
- History of Tai Chi
- Different styles
- Clinical applications
- Link between chronic arthritis pain and fall risk
- International fall reduction directly related to Tai Chi programs
Applying the Movements
- Sun, Yang, and Chen styles of Tai Chi
- Strengthen flexibility, core and balance
- Therapeutic benefits