Audience: PT, PTA, AT's, OT and COTAs welcome to attend

Course Level: Intermediate

Course Date: Online format with Live Virtual follow up Live-Interactive Webinar April 16^th, 2021

Live Virtual Time: Check in time Friday: 4:45 pm-5 pm and courses time: 5-8 pm

Location: Virtual

Contact hours: Online portion and Live Virtual Portion total 15.5 CEUs

PT/PTA partial credit:  for partial credit attended will be adjusted on your course

certificate and MN board of Approval number removed. You may still be able to submit the

hours attended towards your professional license

AOTA: Hours for partial credit will be adjusted on your course certificate. 

BOC: Hours for partial credit will be adjusted on your course certificate.  ATCs are able to claim the hours actually attended. 

 

 

 

What is gait training? Functional gait patterns require the synergy between balance, coordination, range of motion, and strength. A “normal” walking pattern is different for each person, depending on their specific needs. The key is to identify deficits that contribute to abnormal gait patterns and buildeach system ap­propriately. This course’s systematic approach will enhance differential diagnosis skills when assessing gait patterns and assist with developing comprehen­sive rehabilitation programs designed to improve functional gait at home and in the community.

• Information and skills needed to promote energy efficiency with gait and activities.

• Differential diagnoses skills for analyzing, communicating, and progressing the client to a more

  functional level of movement.

• Systematic evidence-based assessment and treatment techniques.

• Task analysis to help identify components to isolate movements of specific tasks.

• Phases of gait and factors that contribute to dysfunction are addressed in order to differentiate

   problematic sources contributing to gait dysfunction.

• Techniques to apply to many pathologies in both the neurologic and orthopedic realm (including, but

   not exclusive to, CVA, SCI, TBI, Parkinson’s Disease, MS, CP, deconditioning, hip pathologies, arthritis).

• Physician discussions promote the importance of understanding how comorbidities can affect gait and

   tips on addressing specific treatments, gait training exercises, techniques, and products are provided

   to help improve gait and function.

• Patient presentations, gait analysis, gait training exercises and rehab techniques are filmed with

   studio-quality, multi-camera angles. 3D animations of the gait cycle and musculature enhance the

   learning experience when identifying important musculoskeletal components in normal and

   dysfunctional movement.

• Six case presentations include patients with the diagnosis of Parkinson’s, spinal tumor, Achilles

   tendinitis and Parkinson’s, bilateral LE edema, s/p stroke with shoulder subluxation, neuropathy,

   lymphedema, and a spinal fracture. Each case is discussed from a functional approach, and

   recommendations are discussed and demonstrated to improve dysfunctional movements.

• Multi-Camera gait analysis provides an enhanced learning experience when observing varying gait

   patterns.

• 3D animations and anatomy images enhance understanding of the gait cycle and analysis.

 

Kimberly A. Contryman, PT, DPT, NCS, OCS earned her Master of Physical Therapy in 1991 from Northern Arizona University. She was NDT certified in 1995, received her certification as a neurology specialist by the APTA in 2000 and received her certification as an orthopedic specialist in 2002. In May of 2002 the University of Southern California awarded Kim a Doctor of Physical Therapy. She received the Order of the Golden Cane, which is the highest honor awarded to graduates who demonstrate outstanding accomplishments in a variety of professional areas. While in her doctoral program at USC, Kim worked as an assistant instructor in the DPT program at the university as well as treating physical therapy patients. Dr. Contryman was awarded the Outstanding Mentorship Award for her exceptional skill in assisting students to master difficult curricular content. Throughout her career, Dr. Contryman’s primary focus in physical therapy has always been on providing both inpatient and outpatient rehabilitation. In addition to hands-on physical therapy, Dr. Contryman was a clinical manager for over five years. Kim received the 5-Star Award given to outstanding employees within that health system. Kim is frequently a guest lecturer and is involved in teaching at various colleges within her geographical area. Neurology and orthopedics form an important part of Dr. Contryman’s background. Her expertise includes all forms of orthopedic and neurological diagnoses including traumatic head injuries, cerebral vascular accidents, pathological conditions, orthopedic insults and postsurgical care. Presently, Dr. Contryman owns Blue Ridge Physical Therapy where she treats a diverse population of patients with a variety of diagnoses focusing on orthopedic and neurological insults. Kim demonstrates a hands-on approach individualized to each patient rather than to each diagnosis.

• Identify musculoskeletal dysfunction that contributes to gait abnormalities.

• Discuss normal joint motion throughout the kinetic chain through the phases of gait.

• Identify evidence-based practices for best rehab outcomes with specific diagnoses.

• Identify contributors to abnormal movement patterns.

• Discuss the movement analysis model, the purpose and usefulness when developing effective rehab

   tasks and programs.

• Discuss comorbidities and the impact each on gait function.

• Identify how gait impacts ADLs and community participation and develop techniques to assist patients   

   to function within community.

• Differentiate specific musculoskeletal and neurological dysfunction leading to gait dysfunction.

• Systematically analyze gait abnormalities and prioritize treatments focused on improving function.

• Analyze movement patterns associated with specific tasks that involve gait.

• Develop task-specific treatment plans and gait training exercises to improve functional gait.

• Identify upper extremity factors that contribute to gait dysfunction and develop techniques to address

   the upper extremity.

 

• Analyzing gait

• Evidence based practice

• Normal phases of gait

• Lower trunk and pelvis

• Upper trunk

• Elomotus® Muscle Technology Animations of the • Gait cycle

• Understanding muscle function during gait

• Exploring and understanding the function

   of muscles gluteus maximus, hip adductors, abductors, tfl, quads, hamstrings, triceps surae, tibialis  

   anterior toe extensor

• Multi-sensory information such as visual and vestibular sensation work together so that functional gait

   can be achieved.

   Corticospinal tracts, Rubrospinal tract

   Reticulospinal, Vestibulospinal tract

   Tectospinal tract, Medial longitudinal fasciculus

   Brainstem, Cerebellum, Cerebrum

   Frontal lobe, Parietal lobe, Temporal lobe

   Occipital

• Training for function, efficiency

• Creating treatment plans, prioritizing, task

   analysis

• Common gait abnormalities with neuro patients

• Contributors to abnormal movement, posture, balance, risk for falls

• Everything is connected, pelvis, hip, lumbar spine, foot and ankle

• Movement and task analysis lab demonstrations

• Breaking down components from sit to stand from observing posture

• Discussing sitting posture and translation to movement

• Describing the Inverted Pyramid Approach to • • • Evaluation and Treatment

• Understanding neuromuscular activation of Glutes

• Five exercises for IT Band Syndrome or Greater • Trochanter Pain Syndrome

• Going beyond neuromuscular activation to muscular hypertrophy

• Integrating the Single leg dead lift exercise

 Physician Interviews - Factors and Diagnoses Affecting Gait and Gait Training

• Understanding foot biomechanics and gait training

• Neuropathy and its effect

• Understand the causes of neuropathy and approaches

• Therapy for patients with neuropathy

• The importance of proper eval, balance training, home analysis, and communication

• Big toe joint problems, bunions, secondary back issues, surgical options and risks

• Shoe options how to assess a proper shoe for proper gait

• Orthotics in the shoe - pro or con?

• Cortisone injections for arthritis

• Understanding plantar fasciitis

• Understanding ankle-foot orthosis, and orthotics

• Rigid orthotics are they beneficial?

• L1 Burst Fracture

• Lymphedema Bilateral Lower Extremity Cancer, Chemotherapy and Radiation

• Spinal Tumor

• Parkinson’s Disease

• Stroke Patient, Fibromyalgia, Subluxation, Lower Extremity Swelling

• Parkinson’s Gait, Task Analysis, ADL’s,

• Community Programs to improve Coordination and Balance

• Function Incorporating therapeutic exercise - quadruped

• Therapeutic exercise exercises in kneeling

   Manual therapy for hemi shoulder

• Using balance tests, scales,

April 16 5:00-8:00 Central time

4:45-5:00PM  Check in time

5:00-5:30PM Movement analysis (30 min)

5:30-6:00PM Gait Analysis (30 min)

6:00-6:45PM Muscle Activity and Case Studies (60min)

   Rehab progression and Gait analysis)

6:45-8:00PMTreatment strategies and lab demo

Question/Answer and Review

Open dialogue and questions