Clinical Gait Analysis: A Focus on Interpretation

Wednesday, Thursday and Friday, April 25-27, 2018

Course Description

Sponsored by: Gillette Children’s Specialty Healthcare

In Collaboration With:  Connecticut Children’s Medical Center and University Hospital Pellenberg

This course is intended for orthopedic surgeons, physical medicine and rehabilitation physicians, nurse practitioners, physical therapists, engineers, orthotists and anyone who treats children who have gait deviations.

This three-day course features level I and level II courses. The level I course teaches introductory skills for analyzing gait and planning associated treatments. The level II course is tailored to clinicians who have experience in gait analysis. Presenters discuss in depth the complexities of gait issues from clinical and engineering perspectives in children who have disabilities.

Both courses focus on interpreting gait data and planning associated treatments for ambulatory children who have cerebral palsy.

Level I Course Objectives

At the completion of the course, participants should be able to:

  • Describe the kinematics, kinetics and electromyography (EMG) patterns associated with typical gait
  • Identify typical gait deviations associated with muscle tightness, bony deformities and tone issues for children who have cerebral palsy
  • Explain the limitations of, and potential errors associated with, clinical gait analysis
  • Demonstrate basic skills in interpreting gait analysis data
  • Describe a corresponding treatment plan based on gait analysis data

Level II Course Objectives

At the completion of the course, participants should be able to:

  • Summarize how to use a problem-identification approach to plan treatments based on gait analysis data
  • Describe the limitations of current/standard/commonly used gait models and how advanced applications can address these needs
  • Describe lever-arm dysfunction and its affect on gait
  • Describe motor control and its affect on gait
  • Demonstrate basic understanding of the dilemmas of modeling foot deformities and interpreting data
  • Describe the mechanical principles associated with crouch gait and their influence on gait data
  • Describe the importance of comprehensive outcome assessment

Accreditation

Gillette Children’s Specialty Healthcare is accredited by the Minnesota Medical Association to provide continuing medical education (CME) for physicians. Gillette takes responsibility for the content, quality and scientific integrity of the CME activity.

Gillette designates this live educational activity for a maximum of 19.75 hours (Level I course), 19.25 hours (Level II course) in Category 1 AMA PRA Category 1 Credits. Physicians should claim credit commensurate with the extent of their participation in the activity. 

This CME-accredited activity meets the requirements for a maximum of 19.75 continuing education credits (Level I course), 19.25 continuing education credits (Level II course) for physical therapists. If you have questions, please contact your state board. 

On behalf of orthotists, the sponsors of this course have filed a request with the American Board for Certification in Orthotics and Prosthetics, Inc., for 19.75 hours (Level I course) and 19.25 hours (Level II course) continuing education credits.

Level I Course Agenda

Wednesday, April 25, 2018

7:30 a.m.             Registration

8:15 a.m.             Welcome and Introductions

8:30 a.m.             Qualitative Description of Normal Gait

                                Comprehensive Overview of the Clinical Gait Method

                                Quantitative Description of Normal Gait (Kinematics and Kinetics)

                                EMG Data and Interpretation Guides

                                Case Study 1- Guided Case Study

Rotate through Groups A, B and C –

Marker Placement (Group A)

                                Physical Exam (Group B)

                                Functional Outcome Measures, Energy (Group C)

Interactive Review

4:45 p.m.             End of Day 1: Reception and Tour of James R. Gage Center for

Gait and Motion Analysis

 

Thursday, April 26, 2018

8:30 a.m.             Overview of Pathologic Gait in Cerebral Palsy (+Normal Review)

                                Identification and Treatment of Muscle Tightness/Contractures

                                Introduction to Case Methodology

                                Case Study II– Muscle Tightness/Contractures

                                Identification and Treatment of Torsional Deformities

                                Case Study III – Torsional Deformities

                                Primary Deformities vs. Compensations/Interactions Across Planes

                                Electives (choose two)

  • Gait Deviation Index
  • Orthotic Function in Gait   
  • Rehabilitation After Single-Event Multilevel Surgery   
  • Orthopedic Surgery Topics    
  • Muscle Adaptations in Spasticity
  • Engineering Topic
  • Gait Lab Equipment/QI/Accreditation
  • Use of Botox in the Treatment of Spasticity  

5:15 p.m.             End of Day 2

 

Friday, April 27, 2018

8:30 a.m.             Tone Management

                                Outcomes of Selective Dorsal Rhizotomy

                                Case Study IV – Tone Management

                                Avoiding Iatrogenic Complications

                                Overview of Crouch Gait

                                Treatment of Crouch Gait

                                Case Study V – Crouch Gait

                                Gait Outcome Assessment List (GOAL) Questionnaire

                                Wrap-up Lecture

5:15 p.m.             End of Course

Level II Course Agenda

Wednesday, April 25, 2018

7:30 a.m.             Registration

8:15 a.m.             Welcome and Introductions

8:30 a.m.             Muscle Structure and Function

                                Instrumented Spasticity Measurement

                                Botulinum Toxin – Pros/Cons

                                SDR Patient Selection

                                SDR Case Examples

                                SDR Outcomes

                                Motor Control Overview – Neuroscience to Gait

                                Clinical Assessment of Motor Control

                                Objective Quantification of Motor Control During Gait

                                Case Study – Low vs. High Motor Control

4:45 p.m.             End of Day 1: Reception and Tour of James R. Gage Center for

Gait and Motion Analysis

 

Thursday, April 26, 2018

8:30 a.m.             Clinical Need for Enhanced Imaging and Modeling

                                Imaging and Modeling of Muscle

                                Imaging and Modeling of Bone

                                Dynamic Simulation of Gait

                                Advanced Knee Modeling with Application to Crouch

Indications/Technique/Dosing for Lever Arm Dysfunction (FDO, TDO) in SEMLS

Indications/Technique/Dosing for Lever Arm Dysfunction (DFEO/PTA) in SEMLS

                                Long Term Outcomes of FDO and DFEO/PTA

                                Case Study II – Lever Arm Dysfunction

4:45 p.m.             End of Day 2

 

Friday, April 27, 2018     

8:30 a.m.             Clinical Evaluation of Foot Deformity

                                Multi-Segment Foot Models

                                Treatment of Common Foot Deformity in CP

Quantitative Assessment of Foot Function using Radiography and Pedobarography

                                Case Study III – Foot Deformity

                                Clinical Need for Comprehensive Outcome Assessment

                                Clinical Measures of Function

                                Goal Attainment Scales

                                Case Study IV – Long Term Follow-Up DFEO/PTA

                                Wrap Up Lecture

5:15 p.m.             End of Course

Registration Information and Accomodations

The course registration fee for Level I or Level II is $1,000 USD. For active full-time students, residents, and fellows, tuition is $750 USD. There will be a 20 percent discount per ticket when organizations register three or more people to attend.  Please email cme@gillettechildrens.com for instructions if your organization will be registering three or more people. Fees include conference materials and lunch for three days. Enrollment is limited to 50 participants for each course.

For course content information, email jstout@gillettechildrens.com. For course registration information, email cme@gillettechildrens.com.  

Refund Policy

Attendees can receive refunds up to 7 days before the event start date.  Please email cme@gillettechildrens.com.

Accommodations

Find more information and reserve your hotel room for the gait course. 

Guests may call directly to the In-House Reservation Specialists during regular business hours at 800-522-8856 or to the Millennium Hotels toll-free line 866-866-8086. For additional questions or assistance, guests may also call the hotel direct at 612-332-6000.

Faculty and Planning Committee

** Guest Faculty

Planning Committee  

Nanette Aldahondo, MD
Pediatric Rehabilitation Medicine Specialist
Gillette Children’s Specialty Healthcare

Liz Boyer, PhD
Post-Doctoral Fellow
Center for Gait & Motion Analysis
Gillette Children’s Specialty Healthcare

Rocio Riveros Charry, PT
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

Pam Ciresi
Administrative Assistant
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

Trenton Cooper, MD
Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare

**Jon Davids, MD
Pediatric Orthopedic Surgeon
Medical Director, Motion Analysis Laboratory
Shriners Hospitals for Children - Northern California
Sacramento, Calif.

**Kaat Desloovere, PhD
Kinesiologist
Clinical Motion Analysis Laboratory
University Hospital
Pellenberg, Belgium

Timothy Feyma, MD
Pediatric Neurologist
Gillette Children's Specialty Healthcare

Andrew Georgiadis, MD
Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare

Michael Healy, MD
Pediatric Orthopedic Surgeon
Associate Medical Director, Surgery
Gillette Children’s Specialty Healthcare

Tou Kong
Data Technician
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

Steven Koop, MD
Pediatric Orthopedic Surgeon
Medical Director
Gillette Children’s Specialty Healthcare

Jennifer Laine, MD
Pediatric Orthopedic Surgeon
Program Director of Research
Gillette Children’s Specialty Healthcare

**Unni Narayanan, MD, MBBS, MSc, FRCS(C)
Pediatric Orthopedic Surgeon
Hospital for Sick Children
Toronto, Ontario, Canada

*Tom Novacheck, MD
Pediatric Orthopedic Surgeon
Medical Director, James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

**Sylvia Ounpuu, MSc
Kinesiologist
Center for Motion Analysis
Connecticut Children’s Medical Center
East Hartford, Conn.

**Kristan Pierz, MD
Pediatric Orthopedic Surgeon
Medical Director, Center for Motion Analysis
Connecticut Children’s Medical Center
East Hartford, Conn.

Deborah Quanbeck, MD
Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare

Andy Ries, PhD
Engineer
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

*Adam Rozumalski, PhD
Supervisor, Engineer Services
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

*Michael Schwartz, PhD
Director, Biomedical Engineering and Research
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

**Adam Shortland, PhD, BSc
Consultant Clinical Scientist
One Small Step Gait Laboratory
Guy’s & St. Thomas Hospital Trust
London, United Kingdom

Sue Sohrweide, PT
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

*Jean Stout, PT, MS
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

**Darryl Thelen, PhD
Mechanical Engineer
University of Wisconsin – Madison
Madison, Wisc.

Torey Tilahune
Therapy Aide/Data Technician
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

Kevin Walker, MD
Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare

Katie Walt, PT, DPT
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare

Marcie Ward, MD
Pediatric Rehabilitation Medicine Specialist
Gillette Children’s Specialty Healthcare

Libby Weber, MD
Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare

Roy Wervey, BS
Engineer
James R. Gage Center for Gait and Motion Analysis
Gillette Children’s Specialty Healthcare