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Exploring the Essential Features of “Gait Strategies: How the Determinants of Gait Impact Function, Mobility & Safety – Trent Brown – PESI”
Description
Treatment of a patientβs abnormal gait can be challenging work. The key to this challenge is not looking immediately on the rigid mechanics of the phases of gait; rather, we must return to the basics of neuromuscular control, center of mass control and proximal stability.
Watch as your treatment of this patient population is transformed by focusing on the 6 determinants of gait with an emphasis on pelvic stability, pelvic mobility, foot and ankle interactions, and reciprocal arm swing. You will learn evidence-based exercises, activities, and treatment strategies that can directly impact not only gait but everyday function, mobility, and safety with our patients.
Speaker
Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Utah Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131, advancing OT practice in the state of Utah, and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule, he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.
Speaker Disclosures:
Financial: Trent Brown has employment relationships with the University of Utah, the Utah Department of Health, Well Being Services, Northern Utah Rehab Hospital, and Aspenridge Home Health. He receives compensation as an instructor. Trent Brown receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Trent Brown has no relevant non-financial relationships.
Objectives
- Evaluate the 6 Determinants of gait and how they impact the phases of gait and reduce energy expenditure during gait.
- Investigate current evidence justifying the utilization of the 6 determinants of gait in the clinical setting.
- Demonstrate activities, exercises, and treatment strategies to improve each of the 6 determinants of gait.
Outline
History of gait study and development
Energy Expenditure vs. conservation
Determinants-Phase-Curtate Cycloid
Metabolic cost of transport
What the βphases of gaitβ neglect
Why people donβt fall during βgaitβ
Research justifying each determinant of gait
Sit-Stand
- Ab Ball Press
- Pelvic Teeter Totter
Lateral Pelvic Tilt
- Trochanter Tension
Knee Flexion at Midstance
- Half-Stand WB
Knee/Ankle/Foot Interactions
- Soleus stretch
- Gastroclock
Pelvic Rotation/Hip Flexion
- Seated Rotation
- Iliopsoa stretch
Reciprocal Arm Swing
Reciprocal Patterns
Target Audience
- Physical Therapists
- Physical Therapist Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Athletic Trainers
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