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.

---

 Michel Janet (Shelly) Denes – Gait & Balance

Shelly is a join gait and human movement expert. DenesPT, C/NDT and go beyond basic assessment and treatment interventions. Practical, evidence-based information-Based strategies to:

• Seniors can improve their gait efficiency
• 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. Learn about the effects of posture on gait. Shelly will guide you through interactive case studies and demonstrations in the lab to help you understand the latest rehabilitation technologies and how you can incorporate them into your practice. Learn how to be the best rehabilitation resource for your patients. Rapid, effective, and evidence-based-Based Strategies and interventions that will transform the practice

OUTLINE

Quick Tips to Identify Normal vs. Unusual Gait Patterns

• Identify the location “breakdowns” occur in normal gait patterns
• What should the gait look and feel like? Demonstrations and video examples

Screening Tests & Solutions for Changes in Gait

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

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

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

Documentation, Goal Writing. Outcome Expectations. Discharge Planning

• Long- & short-Writing tips for term goals
• Documentation about the intensity, frequency, and duration of care
• Progress reports: how to get paid & avoid payment denials
• Treatment encounter notes
• Maintenance services: Justification Tips
• Examples of documentation essentials

Would you like a gift?  Michel Janet (Shelly) Denes – Gait & Balance ?

CUTTING-EDGE SOLUTIONS IN COMMON CONDITIONS FOR GAIT DYSFUNCTIONS

Parkinson’s Disease

• The “Parkinson’s Shuffle”
• Techniques that minimize the use of chemicals “freezing”
• Exercise enriching with simultaneous activities

Multiple Sclerosis

• Techniques to treat ataxia
• Strategies for treating flares or relapses
• Benefits of Aquatherapy
• Tai Chi and Yoga benefits for balance and gait

Stroke

• Strategies to reteach walking
• 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

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

Leg-Length Discrepancies

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

Orthotics Biomechanics and Indications

• Weakness in certain joints
• Correction of alignment issues
• Orthotics for LE collapsing even if you don’t have foot-Drop
• Combining orthotics in special situations

OBJECTIVES

1. Assess abnormal gait patterns and make recommendations to improve your chances of success.
2. Find new strategies to minimize secondary complications caused by gait disorders.
3. Analyze how leg length and muscle tone can affect gait.
4. Assess if orthotics or combination orthotics will benefit the patients you see.
5. To prevent falls from happening, be aware of how balance issues can impact fall risk.
6. Recovering acute care patients may need to be given new strategies to increase their gait, strength, and activity tolerance.