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Fall Prevention: Assessment and Intervention Strategies to Care for High-Risk Fall Patients

Shelly Denes, PT, CFPS, C/NDT, CGCP
Full Day
Oct 19, 2016
PESI Publishing
Product Code:
Media Type:
DVD - Also available: Digital Seminar


Falls and subsequent injuries are an ongoing issue in healthcare and we as clinicians need to know how to intervene to not only treat falls, but also to prevent them before they happen.

During this course you will get the most up-to-date, clinically-relevant evaluation and treatment techniques for improving balance in geriatric and neurologically impaired individuals. A key focus is on learning to select and use the most appropriate tools for assessing balance/risk of falls and evaluating function. You will examine the relationship between cognition, the sensory system and all the musculo-skeletal aspects that impact on balance and fall risk. This will improve your clinical skills in assessment of high-risk fall patients. Providing appropriate pre-(minimizing the risks) and post-fall interventions is very critical to FALL PREVENTION.



* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants


PESI, Inc.  is an AOTA Approved Provider of professional development. Approved provider # 3322. This Distance Learning-Independent activity is offered at 0.6.6  CEUs IntermediateIntermediate, OT Service Delivery . The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.3 self-study continuing education credits.

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Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Shelly Denes, PT, CFPS, C/NDT, CGCP's Profile

Shelly Denes, PT, CFPS, C/NDT, CGCP Related seminars and products

Shelly Denes, PT, CFPS, C/NDT, CGCP, is an expert in fall prevention and neuro-rehab with more than 25 years of experience treating patients with hemiplegia, neuromuscular disorders, TBI, and SCI. She has a special interest in COVID-19 ‘Long Haulers’ and advanced technology. She had been involved extensively with neuroprosthetic devices, lower extremity orthotics, and exoskeletons at the Rehab Institute of Michigan.

Ms. Denes travels nationally to present seminars on fall prevention and geriatric rehabilitation. Additionally, her expertise has been presented through expert witness work, both nationally and locally. Ms. Denes is a graduate of University of Michigan’s PT program, and she earned her certification in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) at The Rehab Institute of Chicago. She helped create the certifications of ‘Fall Prevention Specialist’ and a ‘Geriatric Care Professional’ with Evergreen Certifications and sits on their advisory board.


Speaker Disclosures:
Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with Experts in Therapy LLC and previously with NewGait™. She receives a speaking honorarium from Motivations, Inc. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

Additional Info

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Assessment of Multiple Dimensions of Balance, Mobility and Fall Risk

Three Classifications of Falls

  • Accidental
  • Unanticipated physiological falls
  • Anticipated physiological falls

Balance Dysfunction and Falls: Contributing Factors

  • The vestibular system
  • Vision
  • Somatosensory system
  • Muscular strength and joint flexibility
  • Endurance, fatigue and fitness level
  • Cognition
  • Posture

Risk Factors

  • Intrinsic risk factors
  • Extrinsic risk factors
  • Methods for reducing risk factors
  • Practical suggestions
  • Home safety checklist
  • Health and safety checklist
  • Fall predictors

Balance, Mobility and Fall Risk Assessment Tools: Individualized Options

  • Functional Reach Test
  • Tinetti Balance Assessment Tool
  • Berg Balance Scale
  • Functional Gait Assessment
  • The Timed Up and Go Test
  • Three and Six Minute Walk Tests
  • Full Evaluation of ROM, Flexibility, Muscle Strength and Tone

Effective Interventions to Improve Balance & Mobility and Reduce Fall Risk

Consequences of a Fall

  • Physical consequences
  • Social consequences
  • Psychological consequences


  • Strategies to Maintain and Restore Balance
    • Stability
    • Mobility

The Normal Gait Cycle

Gait Training When it Has Gone Awry

  • Considerations for assistive devices and orthotics

Therapeutic Exercise

  • Benefits & specifics for balance, ROM, strength and gait
  • Equipment for clinics and home use
  • Program design
  • Safety reminders
  • Home exercise program
  • Environmental Modification/Home Evaluation

Post-Fall Assessment and Problem Solving Prevention

  • Fall risk identification

Problem Solving After a Fall Occurs

  • Investigation process
  • Plan of action
  • Corrective and preventative measures

Community-Based Care

  • Develop community-based fall prevention programs for older adults

Overcoming Barriers to Effective Strategy Implementation

  • Cognitive barriers
  • Family barriers
  • Facility staff/Caregiver barriers

Medicare and Documentation Considerations

Interactive Lab Time: Assessment Tools and Intervention Strategies in Practice




  1. Identify the most challenging fall predictors to be able to put in place a fall prevention plan.
  2. Explore current evidence-based therapeutics and research in movement strategies for geriatric and neurologically impaired individuals.
  3. Determine the most effective evaluation techniques for the highest risk populations you see in practice.
  4. Choose the best strategies for fall prevention based on individualized assessment.
  5. Incorporate the most appropriate functional balance testing tools for specific settings.
  6. Differentiate between various types of therapeutic interventions, including: gait training, exercise, assistive devices and orthotics as appropriate.
  7. Develop a comprehensive balance training and fall risk reduction program for individuals with balance dysfunction.

Target Audience

Athletic Trainers, Exercise Physiologists, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, and other Healthcare Professionals



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Total Reviews: 1

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