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Pathologic Gait Review and Principles of Bracing in the Neurologic Population

presented by Karen McCain

Accreditation Check:

This course is designed to provide a broad overview of the Observational Gait Analysis (OGA) system, including typical and pathologic gait. The phases of gait will be reviewed as will the pathologic mechanisms involved in gait abnormalities seen in the clinic. The system will be summarized in a way to encourage clinicians to not only appreciate the value of the OGA system for providing a framework for observation but also to provide a logical framework for decision-making in the treatment of gait dysfunction. In addition, lower extremity bracing (orthoses) will be examined with emphasis on options and implications of different designs on gait in the neurologic population. The information will be synthesized and applied in the context of a patient case with video of the patient before and after bracing. This course is designed to immediately improve understanding of gait and to enhance problem solving skills in the treatment of gait dysfunction.

Meet Your Instructor

  • Karen McCain, PT, DPT, NCS

    Karen McCain, PT, DPT, NCS, is a licensed physical therapist, board certified Neurologic Clinical Specialist and educator with more than twenty years of clinical experience. She is currently an Associate Professor in the Physical Therapy program at the University of Texas Southwestern Medical Center in Dallas, Texas and is former senior physical therapist at the renowned Baylor Institute for Rehabilitation located in Dallas, Texas. Her clinical and research interests are centered around Stroke recovery, Gait and Balance rehabilitation and Multi-Disciplinary Neurological Care. As lead investigator for the Locomotor Treadmill Training (LTT) study at Baylor Institute, Dr. McCain has helped make significant strides in gait and balance recovery in patients with stroke as well as improving outcomes in all stroke related impairments and is currently working on a third manuscript for LTT. In addition to teaching, she maintains a clinical practice and is actively involved in research with subjects with acute stroke.

    Dr. McCain received her physical therapy degree from University of Texas Southwestern Medical Center and her DPT from Regis University. She is an active member of the APTA and holds a specialty certification in neurology as well as a degree in Speech/Language Pathology. She has earned both the Leadership in Practice Award and the Excellence in Allied Health Award.

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Chapters & Learning Objectives

Download Learning Objectives
  1. Phases of Gait and Basic Functions

    1. Phases of Gait and Basic Functions

    Discuss the basic components and parameters of the gait cycle. Outline the 8 sub phases of the human gait cycle and explain the objectives of each sub phase.

  2. Normal Human Gait and Pathologic Gait Mechanism

    2. Normal Human Gait and Pathologic Gait Mechanism

    Identify the basic functions of human gait. Discuss the normal ROM values for each joint at each sub phase of normal human gait.

  3. Pathologic Gait Definitions

    3. Pathologic Gait Definitions

    Discuss the mechanisms involved in pathological gait. Know the definitions of the terminology association with pathological gait in the Observational Gait Analysis system. Outline the functional implications of common gait deviations.

  4. Purposes of Orthoses and the Evaluation

    4. Purposes of Orthoses and the Evaluation

    Explain the basic purposes of Orthoses. Discuss the normal range of motion values for each joint at each sub-phase of normal human gait. Outline the components of an evaluation for an orthoses.

  5. Types of Orthoses and the Double Adjustable AFO

    5. Types of Orthoses and the Double Adjustable AFO

    Identify the most commonly prescribed types of lower extremity orthoses and their applications in the neurologic population. Discuss the design of the double adjustable ankle joint and its indications / contraindications for use.

  6. Case Applications

    6. Case Applications

    Explain the definitions of the terminology association with pathological gait in the Observational Gait Analysis system.