Improving Functional Mobility & Gait Patterns Following Injury, Surgery & Aging – Trent Brown – PESI

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Exploring the Essential Features of “Improving Functional Mobility & Gait Patterns Following Injury, Surgery & Aging – Trent Brown – PESI”

Rehab professionals are well versed in the phases of gait and recognize how consuming seeking to identify the slightest of abnormalities can be. After documenting these observations, what’s next? How do we draw meaningful and impactful conclusions to discover the origin of the identified abnormalities and further translate these findings to objective treatment goals and strategies? 

Functional mobility and gait are some of the most widely addressed therapeutic activities.  For decades, we have primarily relied on study of the “phases of gait” to address gait and mobility abnormalities with injury, surgery, or general aging.  Although impactful, the phases of gait often neglect areas critical for safe mobility and energy conservation.  This course will address the six determinants of gait and allow you to drastically add to your understanding of mobility beyond the mechanics.  You will learn evidence-based exercises, activities, and treatment strategies that can directly impact not only gait, but everyday function, mobility, and safety for your patients. 

Speaker

Trent Brown, MOT, OTR/L, BCG, ATP, CFPS
Advanced Healthcare
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

1. Demonstrate the impact of the 6 Determinants of Gait and the resultant reduction of energy expenditure.
2. Analyze current evidence supporting the use of the 6 Determinants of Gait in the clinical setting.
3. Investigate therapeutic activities and treatment strategies that emphasize the 6 determinants of gait following injury or surgery.
4. Develop documentation strategies and language based on information provided to justify mobility intervention to payer sources.

Outline

The 6 Determinants of Gait  

• Definition of Gait/Mobility  
• Original Determinants of Gait  
• Curtate vs prolate cycloid vs cycloid 

Evidence supporting the use of the 6 Determinants of Gait

• Phases of Gait review  
• What the phases neglect 
• Functions & systems 
• Parameters for mobility 

Therapeutic activities and treatment strategies  

• Application after injury or surgery 
• Sit-stand (anterior pelvic tilt)  
• Pelvic Teeter Totter 
• Lateral pelvic tilt  
• Knee flexion at midstance  
• Knee/ankle/foot interactions 
• Pelvic rotation with hip flexion 
• Reciprocal arm swing 

Documentation strategies

• Justify mobility intervention to payer sources 
• Documentation platforms 
• Gait/Mobility example  

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Chiropractors

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