Skilled gait assessment with subsequent intervention to minimize impairments and restore function to our patients is essential to the practice of neurologic physical therapy. Rancho Observational Gait Analysis is a systematic approach to view and improve an individual’s walking ability developed at Rancho Los Amigos National Rehabilitation Center. Attendees of this two day workshop will sharpen their observational skills as they review the components of normal and pathological gait. Clinical decision-making will be enhanced through utilization of Rancho’s Observational Gait Analysis worksheet to analyze gait dysfunction and guide treatment intervention. This workshop will provide an overview of the sequencing of muscle activity, joint motion, and kinetics that occur during gait. Participants will apply a problem-solving approach to determine the functional implications of significant gait deviations as well as treatment approaches (including the use of orthoses and/or electrical stimulation) to maximize a client’s walking ability. The Rancho R.O.A.D.M.A.P. (Recommendations for Orthotic Assessment, Decision-Making, And Prescription), an algorithm used as a tool to guide clinical decision-making related to bracing, will be introduced. Current research evidence will be presented as well as treatments for common postures seen in patients with neurologic dysfunction (i.e stiff-legged gait/extended posture, flexed posture). Participants will have the opportunity to perform observational gait analysis with patient participants and identify major problems and potential treatment interventions. They will work with persons with neurologic involvement utilizing the Rancho R.O.A.D.M.A.P. as a guide to make decisions related to most appropriate orthotic intervention for these individuals.
At the conclusion of the program, the participant will be able to:
- State the joint ranges of motion, torque demands, and muscle activity during the different phases of normal gait and how they affect the task accomplishments within the three functional tasks.
- Identify common gait deviations and their potential causes and clinical significance using a problem-solving approach.
- Identify appropriate targeted interventions for prioritized gait problems utilizing the best available evidence.
- Use the Rancho R.O.A.D.M.A.P. to make recommendations for orthotic prescription in clients with neurologic dysfunction.
8:00-8:30 Registration and Coffee
8:30-9:00 Course overview and objectives
9:00-11:00 Setting the Standard: Review of Normal Gait and Introduction to the RanchoGait App for Smartphone/Tablet
11:15-12:15 Understanding the Pathologic Ankle and Knee
12:15-1:15 Lunch on your own
1:15-2:00 Understanding the Pathologic Ankle and Knee (continued)
2:00-3:30 Understanding the Pathologic Hip/Pelvis and The Big Picture: Examining the body as a whole
3:45-5:00 Patient Demo Lab 1: Gait Analysis 1 and 2 with Patient Participants
5:00-5:15 Questions/Wrap-Up from Day 1
8:00-8:30 Continental Breakfast
8:30-10:00 Extended Posture Gait and Potential Interventions
10:15-12:00 The Rancho R.O.A.D.M.A.P. (Algorithm for Orthotic Decision-Making) including Technologic Advancements in Trial Orthoses (M.O.P.S.: Modular Orthosis Prescription System)
12:00-1:00 Lunch on your own
1:00-2:00 Flexed Posture Gait and Potential Interventions (Including Application of Orthoses and/or Electrical Stimulation)
2:15-3:45 Patient Demo Lab 2: Clinical Application and Problem-Solving Utilizing the Rancho R.O.A.D.M.A.P. and Patient Participants
Kelley Kubota, PT, MS received a Bachelor’s Degree from the University of California, Berkeley, and a Master of Science Degree and Certificate in Physical Therapy from Duke University, and she is a Board-Certified Specialist in Neurologic Physical Therapy. She has over 20 years of experience at Rancho Los Amigos National Rehabilitation Center with expertise in gait and orthotics and the treatment of individuals with brain injury, spinal cord injury, and other neurologic disorders. She is currently the Physical Therapy Supervisor of the Adult Brain Injury and Pediatric Services at Rancho Los Amigos National Rehabilitation Center. She worked closely with Dr. Jacquelin Perry, MD, in the area of gait analysis and the use of orthoses in persons with neurologic dysfunction including Post-Polio Syndrome. Ms. Kubota serves as a senior clinical mentor in the University of Southern California/Rancho Los Amigos National Rehabilitation Center Neurologic Residency program and has served as an adjunct faculty member in the Doctor of Physical Therapy Program at Mt. St. Mary’s University in Los Angeles, California. She has participated in a number of clinical research projects including a field-initiated development grant (NIDDR # H133G100268) on the Modular Orthosis Prescription System (MOPS) and is currently working on the SCI Model System Site Specific Research —“A Randomized Clinical Trial to Evaluate Two Prevention Programs for Maintenance of Shoulder Health and Function after Spinal Cord Injury.” She has presented throughout the United States and internationally including the Combined Sections Meeting (CSM) of the American Physical Therapy Association (APTA), the Congreso Nacional de Alta Especialidad en Medicina de Rehabilitacion y Terapias, and the Rehabilitation and Engineering Society of North America (RESNA) Annual Conference. She co-authored a book chapter entitled, “Lower Extremity Orthotic Prescription” in the textbook, Spinal Cord Injury Rehabilitation: Contemporary Perspectives in Rehabilitation. (Editor: Field-Fote, EC. F. A. Davis Company. 2009).
Walter Weiss, PT, MPT, has over 23 years of experience at Rancho Los Amigos in the treatment of individuals with neurological impairments. He is currently a Physical Therapy Instructor in the Outpatient Service at Rancho with expertise in the recovery of function for individuals with neurologic involvement. Under the guidance of Dr. Jacquelin Perry, Mr. Weiss worked several years in the Pathokinesiology Laboratory at Rancho where he coordinated two nationally-funded research grants (NIDDR, NIH) studying rehabilitation, recovery, and bracing for individuals with hemiparesis after stroke. He is an Adjunct Faculty member at the University of Southern California and is Clinical Manager of the USC/RLANRC Neurologic Residency program. He has presented at CSM, the Annual Meeting for the Gait and Clinical Movement Analysis Society, the Annual Conference for the CPTA, as well as several International Conferences. His work has been published in the Archives of Physical Medicine and Rehabilitation, Gait and Posture, the Journal of Geriatric Physical Therapy, and the Neurology Report. Mr. Weiss was the 2007 recipient of the Award for Clinical Excellence in Neurology by the APTA.
13.5 contact hours or 1.35 CEUs
Instruction Level: Intermediate
Format: Lecture and demonstration lab
Physical Therapists, Physical Therapist Assistants, and PT/PTA Students.
UC Davis Medical Center
Cancer Center Auditorium
4501 X Street
Sacramento, CA 95817
Garage parking is $3 per day
Courtyard by Marriott – 4422 Y Street, Sacramento
Best Western Lafayette Executive Plaza – 4343 South Lafayette Street, Sacramento
Westin Sacramento – 4350 Riverside, Sacramento
Embassy Suites – 100 Capitol Way, Sacramento
Holiday Inn Sacramento-Capitol Plaza – 300 J Street, Sacramento, CA
Hyatt – 1209 L Street, Sacramento, CA
Sheraton Grand – 1230 J Street, Sacramento, CA
Citizen Hotel – 926 J Street, Sacramento, CA
Larkspur Landing – 555 Howe Street, Sacramento, CA
Registration received by November 5, 2016
$400 APTA PT members
$250 APTA PTA members
$200 APTA Student members
Add $100 for late registration.
All cancellation requests must be received in writing – no exceptions. A full refund, less 20% service fee, if cancellation is received 14 days prior to the start of the course.
No refunds after November 5, 2016.