Great Seminars’ response to COVID – 19 – Click Here

Maximizing Mobility, Balance, Gait, and Fall Reduction Strategies to Improve Functional Outcomes in Older Adults

Despite advances in medicine, increased access to healthcare, and improved surgical strategies, quality of life for adult and geriatric populations has been reduced as quantity of life has taken priority. Regardless of clinical setting, clinicians are asked to magically improve quality of life with reduced funding, reduced time, and increased documentation demands.

How can I improve quality of life and participation in meaningful activity while meeting the demands of the industry? How can I effectively evaluate and provide treatment strategies addressing stability, mobility, falls, confidence, gait, and mobility with my clients in their specific context? How do I return my practice to an emphasis on quality treatment with a focus on the client developing strategies specific to increase quality and participation in life?

If these questions are occupying your thoughts these days, then this innovative, evidence-based course is for you. You’ll learn new perspectives, at least a dozen assessment tools that provide objective data, and 2-3 dozen treatment strategies plus hundreds of ways to grade it them up or down. And…you’ll be engaged and energized.

This innovative, evidence-based course presents the latest best practices for assessing degenerative changes due to functional decline and creating a practical treatment plan that focuses holistically on addressing all client areas. You will learn new and effective strategies designed for promoting mobility and stability to delay common age-related physical impairment. Emphasis will be placed not just on increasing strength, but also on the appropriate functional movement pattern.

This course is based on an evolutionary pattern approach in which clinicians are trained to adjust or evolve treatment plans depending on how each individual is responding that day and that minute. For example, some patients perform optimally when starting with heat and some patients respond poorly to heat. Some do well with heat first most days, but not today.  You can’t treat all patients, or even all patients dealing with the same deficits, the same way. You have to be alert and willing to change your approach depending on what you see in your patient moment to moment.

This course addresses three major areas:

  • Re-defining the core using principles of stability and mobility
    Through evidence-based approaches and labs, participants will master movements for stability in all functional planes. These strategies can be modified for all functional levels. The course will also address dysfunctional posture and contracture development commonly seen with older adults, and participants will learn specific strategies to reduce and delay these patterns.
  • Fall reduction strategies
    Attention will be given to stability and mobility as well as external factors, medication management, depression, and psychological factors often neglected in everyday practice.
  • The “Determinants of Gait” and how they impact function, mobility, and quality of life.
    This course will dive into the history of mobility and what is often neglected when we focus solely on physical “phases of gait”. The instructor will provide in depth analysis on the 6 determinants of gait using the latest evidence and how to address the 6 determinants increasing function and mobility beyond gait.

Trent Brown’s background is unique, which is why he looks at the human body and activities in a different way than most therapists. He was a gymnast, a diver and an acrobat. These experiences have helped him learn to take a complicated task and break it down for a 90 year old. If you’re looking for fresh ideas and innovative thinking, this course is for you.

Trent is known for making learning fun. His course is based on solid evidence and it’s also totally engaging. He is crazy creative! To make sure that you leave with practices that can be put to use safely tomorrow, he devotes 6-7 hours of this course to lab work. You will learn, practice, get feedback, and then practice again until you have mastered the skills.

The course manual is often referred to as a picture book because it includes pictures of deficits, pictures of research results that address the problem (actual pictures, not just words), and then pictures of a therapist using assessments and interventions while working with a patient. Participants LOVE the picture book and many have told Trent that they attend his course because they’ve seen their colleagues’ picture book.

What Participants Are Saying . . .

Upon completion of this seminar, participants will be able to:

  • Analyze the dysfunctional posture, gait, and functionalmobility that can occur with contracture, weakness, anddisuse of core anatomy.
  • Explain functional movement patterns in all anatomicalplanes based on patient posture, positioning, andaging.
  • Develop comprehensive, evidence-based treatmentplans to improve stability and mobility in all planesthrough labs.
  • Review core-based activities based on research andcurrent evidence to promote independence with sit-stand, transfers, ADL’s, and dynamic standing tasks.
  • Demonstrate stability and dynamic based core treatmentstrategies during labs to develop an evolutionary plan of care and to promote functional outcome.
  • Identify the major contributors to falls, the most commonenvironments where falls occur, the importance of corestability, and the role of clinicians in fall reduction forthe adult and geriatric population.
  • Design exercises, assessments, fall reduction programs,and educational evidence-based resources appropriatefor clinical application to reduce falls.
  • Compare and Contrast the 6 Determinants of gait, howthey impact the phases of gait, and how they reduceenergy expenditure during gait.
  • Master exercises, activities, and manual treatmentstrategies to improve each of the 6 determinants of gaitin lecture and labs.
  • Administer standardized gait and mobility assessmentsand which utilize the strategies learned in this course.

A certificate of attendance for 20 contact hours of educational activity (20 CEUs or 2.0 CEUs depending on how your Practice Act determines CEUs in your state) will be awarded to registrants upon completion of the seminar. Great Seminars and Books is an Approved CE Provider for PTs and PTAs in DC, NY, KY, IL, TX and NC. Approved for PTs and PTAs in MD, AR, CA, NJ, and VA for 20 Clinical Contact Hours. Have applied for approval for PTs/PTAs in OK. GREAT Seminars is an American Occupational Therapy Association (AOTA) Approved Provider of continuing education (Provider #5363). This course is pre-approved by the Maryland Board of Occupational Therapy since this course is provided by an AOTA approved provider. Our courses also meet the guidelines for approval in PA, SD, MI, AL, VA, MO, IN, AZ, DE, GA, NH, OR, RI, UT, VT, WY and MO. Courses are accepted for CEUs in NE, ID, MT, WA, CT, IA, and ND.

If you do not see your state listed, please give our office a call. Your tuition is tax deductible. Any reference to or mention of state rules or regulations concerning continuing education requirements are true and accurate to the best of our knowledge at the time of print. If you have questions, please contact your board or regulating body

Day 1

7:30am – Registration and Continental Breakfast

8:00am – “CORE” TRENDS AND RESEARCH

  • The impact of aging, lifestyle/bedrest & lack of core emphasis

8:45am – DEFINITION(S) OF THE CORE

  • Superior/Central/Inferior core (re-defining the core)
  • Core disassociation and dissemination
  • Stabilizers vs. Mobilizers (which is better)

9:30am – EVIDENCE–BASED CORE/EXERCISE PRINCIPLES

  • CRAC theory, Exercise Dosage, Motor Unit Recruitment, Reciprocal Innervation, Fiber Type

10:00am – BREAK

10:15am – SUPINE STABILITY

  • Imprinting/Abdominal Ball Press (sagittal plane) (HANDS-ON LAB/PRACTICE)
  • Trochanter Tension (frontal Plane) (HANDS-ON LAB/PRACTICE)
  • Supine Toby Twister and Isometric Log Roll (transverse plane)

11:15am – SEATED STABILITY

  • Dolphin (dissemination modified side plank)
  • Seated Toby Twister
  • Stable Reaction Ball Drop (single-multi-planer) (HANDS-ON LAB/PRACTICE)

12:00pm – WORKING LUNCH (on your own) Case Study

1:00pm – STANDING STABILITY

  • Modified Standing Plank (core dissemination)
  • Modified Codman Plank (pre-gait)
  • Standing Toby Twister
  • Stable Reaction Ball Drop (single multi-planer) (HANDS-ON LAB/PRACTICE)

1:45pm – SUPINE MOBILITY

  • ASIS/PSIS Press (manual single-planer joint mob)
  • Superior Scapular Elevation (HANDS-ON LAB/PRACTICE)

2:30pm – SEATED MOBILITY

  • Quad sit-up (closed chain/WB emphasis) (HANDS-ON LAB/PRACTICE)
  • Lateral Reach
  • Toby Twister
  • Mobile Reaction Ball Drop (single multi-planer) (HANDS-ON LAB/PRACTICE)

3:00pm – STANDING MOBILITY

  • Flex/Ext with Pelvic Resistance
  • Dynamic Lateral Side Bend
  • PNF Pattern Transport
  • Mobile Reaction Ball Drop (single multi-planer) (HANDS-ON LAB/PRACTICE)

3:45pm – BREAK

4:00pm – FUNCTIONAL IMPLICATION (APPLIED PRACTICE)

4:15pm – CASE STUDY, QUESTIONS & DOCUMENTATION

4:30pm – DEMOGRAPHICS, STATS, AND COST

  • The Where and Why

5:15pm – COMMON FALL ASSOCIATION AND UNCOMMON TREATMENT

  • Fall Preventatives
  • Fear and Stiffening Strategy
  • Soleuostretch (HANDS-ON LAB/PRACTICE)
  • Eye Movement Behaviors
  • Visual Stance and Glance (HANDS-ON LAB/PRACTICE)

6:30pm – ADJOURN

 

Day 2

7:30am – Registration and Continental Breakfast

8:00am – COMMON FALL ASSOCIATION … cont.

  • Plantar Flexion and Mobility
  • Gastroclock (HANDS-ON LAB/PRACTICE)
  • Visual Impairment, Medication and Mechanism, Depression and SSRI’s
  • Hip Flexor Contraction – Male vs. Female Falling
  • Functional Iliopsoas Lengthening and Mobility (HANDS-ON LAB/PRACTICE)
  • Vitamin D Deficiency (the increasing correlation)

9:30am – THE CLINICIANS ROLE IN FALL PREVENTION

  • Education: Sleep, Adaptive Equipment (training and set-up)
  • Fall Reduction Programs: What Works (OTAGO)

10:00am – BREAK

10:15am – BEST PRACTICE

  • Fall Risk Assessment/Evaluation (FRT, 4-Test, CDC Algorithm)
  • Static vs. Dynamic PNF Chops
  • NDT Single Leg WB (HANDS-ON LAB/PRACTICE)

11:15am – CLIENT ACTIVE PARTICIPATION

11:30am – CASE STUDY, QUESTIONS & DOCUMENTATION

12:00pm – WORKING LUNCH (on your own) Review/Discuss Standardized Gait Assessments

1:00pm – WHY WE WALK THE WAY WE DO

  • Saunders vs. Rancho Los Amigos
  • Metabolic landscape – Curtate Cycloid – Energy Expenditure and COM

1:30pm – WHERE “PHASES OF GAIT” MISS THE MARK

  • Pedunculopontine Nucleus and Mobility
  • Parameters for clinical examination of mobility

1:45pm – 6 DETERMINANTS OF GAIT (INCLUDING CURRENT RESEARCH FOR EACH)

  • Sit-Stand (anterior/posterior pelvic tilt)
  • Pelvic Teeter Totter (HANDS-ON LAB/PRACTICE)
  • Lateral Pelvic Tilt (7 degrees)
  • Glut Med Response Activity (most effective)
  • Seated Walking
  • Knee Flexion at Midstance (8*)
  • Half-stand Stabilizers (HANDS-ON LAB/PRACTICE)
  • Knee/Ankle/Foot Interactions
  • Insoles, Re-visit Gastroclock/Soleustretch

3:15pm – BREAK

3:30pm – 6 DETERMINANTS OF GAIT (Continued)

  • Pelvic Rotation with Hip Flexion
  • Dynamic Rotation (seated/half-stand)
  • AAROM Hip Flexion (seated walking) (HANDS-ON LAB/PRACTICE)
  • Reciprocal Arm Swing
  • Seated/Standing UE Swing (with/without resistance) (HANDS-ON LAB/PRACTICE)

5:15pm – STANDARDIZED EVALUATIONS/ASSESSMENTS (WHAT WORKS?)

  • 10 Meter, FGA

6:00pm – CASE STUDY, QUESTIONS & DOCUMENTATION

6:30pm – ADJOURN

Cancellations must be received in writing at least two weeks prior to the seminar date for tuition refund less a $75 administration fee. NO refunds will be made after this date.



For Mail/Email/Fax registrations, click here or call us at 877-794-7328.

Note: We cannot take online registrations beginning on the Monday of the week of the seminar. Instead, please call our office at (877) 794-7328 to register so we can ensure there will be a handout at the course for you.


Registration Cost

Early Bird = $50 discount

Regular = $545

Late Fee = add $25


More courses coming soon!

Your Instructor

Trent Brown , MOT, OTR/L, ATP, BCG