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Facilitation of Normal Gait: Using Manual Cues to Improve Stand and Swing Mechanics
Presenter: Kristen Wilson PT, DPT, GCS, NDT Trained
3 Hours
Kristen Wilson PT, DPT, GCS, NDT Trained is a practicing physical therapist with a love for teaching. She earned her Master’s degree from Ithaca College in New York, followed by her tDPT from Temple University in Philadelphia, PA. Kristen completed Neurodevelopmental
Technique Training in 2006 as well as earned American Physical Therapy Association Geriatric Certified Specialist in 2009. Kristen has treated as a physical therapist in several areas of care including inpatient rehabilitation, skilled nursing facility, home care, and outpatient therapy expanding her therapy repertoire across the entire continuum. In addition to treating in the clinic, she serves as an adjunct faculty member at Neumann University as well as lectures within the community and APTA. Currently, Kristen is the co-owner of Action Potential, a one-to-one outpatient clinic located in Glen Mills, PA.
Description:
This course will review common principles of gait including general characteristics, critical events for each phase, and weight shift considerations. In addition, the course will discuss the training of stance and swing mechanics with an emphasis on manual facilitation. Lastly, the course will review bracing considerations and selection of a least restrictive assistive device for the patient with neurological compromise.
Objectives:
After completing this course you will have a better understanding of the following:
1. Elements of normal gait including critical events for each phase
2. The effects of weight shift on stance stability and swing mechanics
3. Proper facilitation of weight shift, midstance, terminal stance/preswing, and midswing
4. Bracing considerations for normal gait
5. Assistive devices that offer stability, yet provide the least restrictive opportunity for mobility
Course Outline:
1. Review general characteristics of gait
2. Identify the critical events for each gait phase
Initial contact
Loading response
Midstance
Terminal stance
Preswing
Initial Swing
Mid Swing
Terminal Swing
3. Discuss the effects of weight shift on stance alignment and swing mechanics
4. Facilitation of the following gait phases:
Weight shift/Midstance
Terminal stance/ Preswing
Mid swing
5. Assess examples of common gait deviations via case study
Stance deviation
Swing deviation
6. Discuss bracing guidelines to facilitate normal gait
