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Interventions for Neurological Diagnoses: Postural Transitions & Gait

presented by Kay Wing, PT, DPT, NCS

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Once a patient has mastered the functional task of sitting, the next progression is often to standing, with the ultimate goal of walking. Standing is the basis of a number of transitional positions in walking, so if one is unable to stand, they're likely unable to walk. Join Dr. Wing in the second part of this three-part series as she demonstrates sit-to-stand transitions and walking activities for patients with various neurological disorders. Fundamental principles of motor control to function, safety, and independence will be incorporated as an essential component of sit-to-stand transitions, with an emphasis on the importance of walking speed on quality and length of life.

Meet Your Instructor

Kay Wing, PT, DPT, NCS

Kay Wing, PT, DPT, NCS, is the owner of Southwest Advanced Neurological Rehabilitation (SWAN Rehab), an outpatient rehabilitation facility specializing in the treatment of stroke, traumatic brain injury, and other neurological diseases. She received her physical therapy degree at Northwestern University and her Doctorate of Physical Therapy from Northern Arizona University. She is a board-certified…

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Chapters & Learning Objectives

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1. Sit-to-Stand

The inability to transfer safely from sitting to standing is a common reason for the admission of elderly patients to care facilities. In this chapter, Dr. Wing demonstrates dynamic motor control strategies throughout the phases of sit to stand. We'll take a look at the four stages of standing and identify missing components of the stages in standing for patients.

2. Over Ground Gait Training

Motor control dysfunction limits safe and efficient ambulation in patients with neurological deficits. Effective treatment requires the clinician to address components of gait including range of motion (ROM), step length, walking speed, and postural control in movement. Various over ground gait training activities will be demonstrated in this chapter.

3. Gait Training on the Treadmill

The treadmill is an effective tool to provide a safe environment for the patient and the therapist. The treadmill provides the opportunity to practice new motor patterns and provide the necessary repetitions for neuroplasticity and motor learning.

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