Michel Janet (Shelly) Denes – Gait & Balance

Shelly will give you some quick tips on how to recognize normal gait, its components, and how to evaluate abnormal gait. Examine your posture and learn more about how it affects gait.

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 Michel Janet (Shelly) Denes – Gait & Balance

Shelly, expert on human movement and join gait, Denes, PT and C/NDT and go beyond the basic assessment and treatment interventions. Practical, evidence-based information-Based strategies for:

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

Shelly will give you some quick tips on how to recognize normal gait, its components, and how to evaluate abnormal gait. Examine posture and learn about its effects on gait. Shelly will guide you through interactive case studies and demonstrations in the lab to help you understand how orthotics and other advanced rehabilitation technologies are used. These are interventions you can immediately implement in your practice. Learn how to be the best rehabilitation resource for your patients. Rapid, effective and clear evidence-Based You can transform your practice with strategies and interventions.

OUTLINE

Here are some quick tips to help you distinguish between normal and abnormal. Gait Patterns

• Identify the location “breakdowns” occur in normal gait patterns
• What should the gait look like? Videos and demonstrations

Screening Tests & Solutions for Changes in Gait

• Advanced visual assessment techniques
  • Gait speed & cadence changes
  • Double the time for stance
  • Walking position
  • Joint motion
  • Muscle strength & muscle tone (Spasticity and Rigidity)
• Video motion analysis, 3D kinematics
• Electromyography of dynamic surface
• Dynamic electromyography of fine wires

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

• Pathological gait disorders
• Orthopedic problems
• Musculo-Problems with the skeleton
• Neurological issues
• Pain issues
• Fear of falling

Documentation, Goal Writing and Outcome Expectations.

• Long- & short-Writing tips for term goals
• Care documentation: Intensity, frequency, duration
• Progress reports: how to get paid & avoid payment denials
• Treatment encounter notes
• Maintenance services: Justification Tips
• Here are some examples of documentation essentials

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CUTTING-EDGE SOLUTIONS IN COMMON CONDITIONS FOR GAIT DYSFUNCTIONS

Parkinson’s Disease

• The “Parkinson’s Shuffle”
• Techniques that reduce the need for human intervention “freezing”
• Multi-activity enrichment exercise

Multiple Sclerosis

• Techniques for addressing ataxia
• Relapse prevention and flare-up treatment strategies
• Aquatherapy has many benefits
• Tai Chi and Yoga are good for balance and gait.

Stroke

• Reteaching walking: Strategies
• Training for caregivers and family members
• Functional electrical stimulation (FES).
• Techniques to treat Trendelenburg gait
• Exercises to build muscles
• Appropriate assistive devices

Hip & Knee Replacement Rehabilitation

• Post-it-now techniques-op gait
• Interventions to regain motion range post-Op
• Cautionary Notes: Trendelenburg gait

Leg-Length Discrepancies

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

Orthotics Biomechanics and Indications

• Insomnia at certain joints
• Correction of alignment issues
• Even without foot, orthotics for LE collapse even without foot-Drop
• Combining orthotics in unusual situations

OBJECTIVES

1. Assess abnormal gait patterns and make recommendations to improve your chances of success.
2. Develop new strategies to reduce secondary complications from gait disorders.
3. Analyze the impact of leg length and muscle tone on gait.
4. Evaluate whether orthotics or combination orthotics will benefit patients you see.
5. To prevent falls from happening, be aware of how balance problems can impact fall risk.
6. You can use new strategies to increase gait, strength, and activity tolerance for patients in acute care.