#7180 Gait Analysis & Gait Training: Painful Musculoskeletal Syndromes

#7180 Gait Analysis & Gait Training: Painful Musculoskeletal Syndromes is organized by MotivationsCEU.

Description:
If pain occurs when walking/running, then observation and analysis of walking/running is required. Complete analysis with real-time symptom modification approach can be fun by providing significant individual case level evidence of effective, efficient, enhanced patient centered care to solve client’s problems and improve and enhance existing clinical toolkit for diagnosis and intervention of painful musculoskeletal syndromes. This course will utilize smart phone video technology slow motion analysis to identify appropriate external focused verbal cueing during gait training for improved accuracy of motion analysis. Learn how to proactively identify potential side effects, unintended consequences of chosen interventions (gait training, wearables, shoe/orthotic intervention, & adaptive equipment).

Objectives:
Upon completion of this course, the participant will be able to:

1. Identify indications, benefits, and barriers to the use of two-dimensional video (smart phone) slow motion analysis.
2. Describe how to record, analyze, store, and retrieve video data which can improve the validity and reliability of gait analysis and slow-motion video analysis of client.
3. Identify the application of a clinical reasoning process of symptomatic modification procedure as applied to gait analysis and gait training.
4. Identify the use of working hypothesis during evidence-based practice with individual client to explain why problem(s) exists and/or to justify choice of intervention.
5. Recognize at least 15 common qualitative gait deviations which may be correlated with painful musculoskeletal syndromes and potential interventions and/or verbal cues to alter gait deviation and modify pain symptom.
6. Recognize at least 15 qualitative gait deviations which may be correlated with neurological syndromes and possible interventions and/or verbal cues to alter the gait deviations.
7. Propose a process of selecting which of multiple gait deviations to alter/modify symptoms, prevent injury, or improve performance first.
8. Given the region of pain (spine; hip/pelvis; knee; lower leg; foot; & status post joint replacement) and/or tissue diagnosis, list potential gait deviations for each region of pain and/or tissue diagnosis you might expect the client to demonstrate.
9. Describe clinical reasoning process of when an observed gait deviation or automatic gait compensation when walking/running should be allowed and encouraged as opposed to altered/modified.
10. Describe a progression or sequence of cueing, coaching, and learning opportunities for the client to perform and learn to move in a new way, which is considered less deviant.
11. Describe with in session symptom modification procedure(s) to alter gait deviations using verbal cues; wearable feedback devices; adaptive equipment; shoe/shoe inserts; and or controlling the environment.
12. Describe concepts of psychomotor domain performance versus psychomotor domain learning including at least the following: knowledge of performance vs results; focus of attention extrinsic vs intrinsic; sensory feedback (visual, auditory, and/or kinesthetic); pain or no pain; when to provide feedback (continuous vs occasional); placebo vs nocebo verbiage; focus on clients’ strength vs weakness; metaphors/analogies; and distributed practice vs massed practice; random practice vs blocked practice; and whole skill vs part of skill.
13. Given at least 15 gait deviations list verbal cue(s) designed to alter the gait deviation which are: addressing client’s expectations; individualized to clients preferred learning sense; facilitates autonomy; specific; short; includes an image (analogy); is internally focused; is externally focused; and if possible, uses implicit learning practice.
14. Describe potential side effects, unintended consequences of potential interventions for identified gait deviations