Michel Janet (Shelly) Denes – Gait & Balance
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.
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
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
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
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CUTTING-EDGE SOLUTIONS FOR GAIT DYSFUNCTIONS IN COMMON CONDITIONS
The “Parkinson’s Shuffle”
Techniques that minimize “freezing”
Enriching exercise with simultaneous activities
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
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
Evaluate abnormal gait patterns to introduce the most successful interventions.
Determine new strategies to minimize secondary complications due to gait disorders.
Analyze how muscle tone and leg length discrepancies can impact gait.
Assess whether orthotics and/or combination orthotics are going to benefit the patients you see.
Anticipate how balance challenges can impact fall risk so that optimal prevention practices can be incorporated.
Choose new strategies to maximize gait, strength and activity tolerance in recovering acute care patients.