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presented by Julie Ries, PT, PhD
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Julie Ries, PT, PhD
Julie Ries is a physical therapist and professor of physical therapy at Marymount University in Arlington, Virginia. She has a special interest in physical therapy with older adults, particularly those with cognitive deficits such as Alzheimer's disease, and her recent research has been in the area of outcome measures and balance interventions in this population.
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1. Slippery Slope of Aging & Frailty
A small physiological change can manifest as a huge change in function and independence, as is represented in the classic idea of declining down the slippery slope of aging. As PTs we recognize that this can be represented in both directions... a small improvement in physiology can move someone who is frail or pre-frail to a more functional level. Activity is the key to moving back up the slope and progressive walking challenges are a perfect cornerstone to treatment.
2. Gait & Cognition
Gait and cognition, especially executive function, are intricately related. Evidence demonstrating this relationship in recent rehabilitation literature is presented. The relevance of this relationship and the need for dual task training are discussed.
3. Plan of Care & Interventions
The 3 primary tasks of gait are reviewed to provide a paradigm within which to perform observational gait analysis. Treatment interventions are discussed with tips for ensuring success and a special emphasis on ideas for dual task training.
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