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Gait & Balance: Quick, Effective & Evidence-Based Therapeutic Solutions

Shelly Denes, PT, CFPS, C/NDT, CGCP
Full Day
Nov 13, 2015
PESI Publishing
Product Code:
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Join gait and human movement expert, Shelly Denes, PT, C/NDT, and move beyond basic assessment and treatment interventions. Learn practical, evidence-based strategies to:

  • Improve gait efficiency in seniors
  • Enhance safety and decrease fall risk in ambulatory residents
  • Recognize and design treatment plans for abnormal gait patterns in recovering hip & knee replacement patients
  • Maximize gait, strength and activity tolerance in recovering acute care patients
  • Improve gait quality in people living with Parkinson’s Disease, Multiple Sclerosis and the effects of stroke

Shelly will teach you quick tips to recognize normal gait and its components, as well as to understand evaluation of abnormal gait. Review posture, and discover details about its impact on gait. Through interactive case studies and lab demonstrations, Shelly will help you consider the latest in orthotics and other advanced technologies being used in rehabilitation – interventions that you can implement into your practice now. Be the best rehab resource for your patients by learning quick, effective and evidence-based strategies and interventions that will transform your practice.



* 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 7.2 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 - 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 6.0 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 6.0 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 6.0 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 6.0 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 7.2 contact hours.

Other Professions

This self-study activity qualifies for 6.0 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

Access for Self-Study (Non-Interactive)

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Quick Tips to Recognize Normal vs. Abnormal Gait Patterns

  • Identify where the “breakdowns” occur in normal gait patterns
  • What should gait look like? Video examples and demonstrations

Screening Tests & Solutions for Changes in Gait

  • Advanced visual assessment techniques
    • Gait speed & cadence changes
    • Double stance time
    • Walking posture
    • Joint motion
    • Muscle strength & muscle tone (Spasticity and Rigidity)
  • Video motion analysis and 3D kinematics
  • Dynamic surface electromyography
  • Dynamic fine wire electromyography

Strategies to Identify the Manifestations & Underlying Causes of Abnormal Gait Patterns

  • Pathological gait disorders
  • Orthopedic issues
  • Musculo-skeletal issues
  • Neurological issues
  • Pain issues
  • Fear of falling

Documentation, Goal Writing, Outcome Expectations and Discharge Planning

  • Long- & short-term goal writing tips
  • Intensity, frequency and duration of care documentation
  • Progress reports: how to get paid & avoid payment denials
  • Treatment encounter notes
  • Maintenance services: justification tips
  • Examples of documentation essentials


Parkinson’s Disease

  • The “Parkinson’s Shuffle”
  • Techniques that minimize “freezing”
  • Enriching exercise with simultaneous activities

Multiple Sclerosis

  • Techniques to address ataxia issues
  • Treatment strategies for relapses or flares
  • Benefits of aquatic therapy
  • Benefits of Tai Chi and Yoga for gait and balance


  • Strategies to reteach walking
  • Training for family and caregivers
  • Functional electrical stimulation (FES)
  • Techniques to address Trendelenburg gait
  • Exercises to strengthen muscles
  • Appropriate assistive devices

Hip & Knee Replacement Rehabilitation

  • Techniques to immediately address post-op gait
  • Interventions to regain range of motion post-op
  • Cautionary considerations: Trendelenburg gait

Leg-Length Discrepancies

  • When to correct, and when not
  • Testing considerations for muscle imbalance & functional limb-length issues

Indications and Biomechanics for the use of Orthotics

  • Weakness at specific joints
  • Correction for alignment issues
  • Orthotics for LE collapsing even without foot-drop
  • Utilizing combined orthotics in unique situations




  1. Evaluate abnormal gait patterns to introduce the most successful interventions.
  2. Determine new strategies to minimize secondary complications due to gait disorders.
  3. Analyze how muscle tone and leg length discrepancies can impact gait.
  4. Assess whether orthotics and/or combination orthotics are going to benefit the patients you see.
  5. Anticipate how balance challenges can impact fall risk so that optimal prevention practices can be incorporated.
  6. Choose new strategies to maximize gait, strength and activity tolerance in recovering acute care patients.



Target Audience

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals



Overall:      3.7

Total Reviews: 3


Maria T

"I really love this lady! She's energetic, funny and smart. Thanks! ! "

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