Michel (Shelly) Denes – Movement Pattern Restoration: Energy, Flow and Symmetry of Gait – PESI

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Exploring the Essential Features of “Michel (Shelly) Denes – Movement Pattern Restoration: Energy, Flow and Symmetry of Gait – PESI”

Movement Pattern Restoration: Energy, Flow and Symmetry of Gait
Speaker: Shelly Denes, PT, CFPS, C/NDT, CGCP
Duration: 5 Hours 31 Minutes
Format: Audio and Video

Description

When you have a patient that is just not responding to treatment, it can make you feel hopeless.

And when those patients are in a state of disuse combined with their sedentary lifestyle, the CNS adapts and they lose even more mobility.

With the boomers getting older, you’re only going to see an increase over the next few years which is why CMS has pushed so hard on fall reduction programs. Gait deviations lead to issues throughout all aspects of life.

With this simple and effective method, you will have the ability to treat your patients in ways you couldn’t before – strategies for all of the common issues that you treat with gait impairment including: TBI, stroke, MS, Parkinson’s and chronic pain. You’ll learn strategies to:

• Quickly pinpoint asymmetries
• Correct gait compensations
• Combine proprioception and neuroplasticity for improved outcomes

We’ll also incorporate a new therapeutic tool that effectively works to “remap the brain” – restoring movement patterns and creating a sensory-motor feedback loop. When you can quickly make improvements to gait – you can spend more time doing functional training!

Speaker

Shelly Denes, PT, CFPS, C/NDT, CGCP
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 disorders, TBI, and SCI. She has a special interest in COVID-19 ‘Long Haulers’ and advanced technology. She had been involved extensively with neuroprosthetic devices, lower extremity orthotics, and exoskeletons at the Rehab Institute of Michigan.

Ms. Denes travels nationally to present seminars on fall prevention and geriatric rehabilitation. Additionally, her expertise has been presented through expert witness work, both nationally and locally. Ms. Denes is a graduate of University of Michigan’s PT program, and she earned her certification in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) at The Rehab Institute of Chicago. She helped create the certifications of ‘Fall Prevention Specialist’ and a ‘Geriatric Care Professional’ with Evergreen Certifications and sits on their advisory board.

Speaker Disclosures:
Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with NewGait™ and Experts in Therapy LLC. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

Objectives

1. Analyze gait from the perspective of its’ energy, flow and symmetry.
2. Inspect how proprioception affects movement and movement pattern restoration.
3. Integrate multiple approaches for better outcomes, including balance and gait training, and neuromuscular re-education.
4. Appraise using therapeutics that enhance proprioception, resistance, assistance and a combination of all of these to address patients with gait, balance, mobility and chronic pain issues.
5. Determine the influence of the VOR (Vestibulo-Ocular Reflex) on gait, movement and balance.
6. Assess integrating Amy Cuddy’s power poses as an effective intervention in the treatment of gait, balance and pain disorders.

Outline

The Gait Cycle & Biomechanics

• Dynamic motor control
• Drivers of gait
• Quick, natural gait data collection
• Best practices in assessment
• Gait & Fall risk assessments

Movement Gone Astray: Gait Challenges

• Proprioception’s role in gait and movement
• Pain with movement and gait
• No fluidity
• Foot drop
• Antalgic gait
• Trendelenburg gait
• Spasticity and ataxia issues
• Stair and curb negotiation
• Inconsistent stride length, cadence or path of travel
• Decreased proprioceptive feedback post-op or post-injury
• Fear of falling
• Peripheral neuropathy
• Muscle weakness

System Framework for Postural Control

• Balance strategies for ankle, hip and stepping
• Restore somatosensory input
• Remapping the brain – neuroplasticity
• Incorporate the vestibular system
• Clinical symptoms of fatigue
• Amy Cuddy’s power poses & posture

In Action: Common Conditions and Diagnoses with Gait Challenges

• TBI
• Stroke
• Chronic pain
• MS
• Lower extremity amputations and prosthetics
• Parkinson’s disease
• Spinal cord injury
• Amputees

Functional Exercise and Gait Training and Tactical Interventions

• Perturbation based training
• Footwear selection
• Orthotics
• NewGait harness
• Proprioceptive interventions

Target Audience

• SPTs
• PTAs
• OTs
• COTAs
• Exercise Specialists / ATCs
• Orthotists / Prosthetists
• Physician Assistants
• Nurses
• Rehab Nurses
• Nurse Practitioners
• Senior Center Staff and Administrators

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