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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.

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

CUTTING-EDGE SOLUTIONS FOR GAIT DYSFUNCTIONS IN COMMON CONDITIONS

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

Stroke

• 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

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 disorder, TBI, and SCI. She has a special interest in Covid-19 ‘Long Haulers’, advanced technology and provides consulting through her company, Denes Physical Therapy Consulting, LLC. She has had extensive involvement with neuroprosthetic devices, lower extremity orthotics, and exoskeletons especially at the Rehab Institute of Michigan.

Shelly presents nationally at seminars on fall prevention and geriatric rehabilitation. She is a graduate of University of Michigan’s PT program and holds certifications in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) done ta The Rehab Institute of Chicago, is a certified Fall Prevention Specialist and a certified Geriatric Care Professional. 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.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; 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.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/13/2018
No CE available for this board.

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.

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.

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.

Copies of the evaluation may be sent to the IBON. 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.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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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.

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.

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.

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.

Texas Physical Therapists & Physical Therapist Assistants: This self-study 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.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

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