Tilted off Axis: Managing Issues with Verticality

About the Course
Locomotor training, aka gait training, is often the major focus of a therapy plan of care. Rehabilitation literature has leaned heavily into researching better ways to improve walking ability, with many new concepts and developments over the past two decades. Technology has also come along for the ride, with advances in treadmills, support systems, robotics, and more. However, it is often very difficult to stay abreast of the latest information when engaged in full-time clinical practice. This course was created to inform participants on what is the latest and greatest in the research world, from advances in treatment paradigms, to the newest technological gadgets. We will not only introduce these topics, but also go into the pros and cons of each. By the end of this course, participants should have a good understanding where we currently stand with locomotor training, and where we are headed in the near future, as well as how you can implement these ideas into your clinical practice.

Learning Outcomes
  • Identify the 2 sources of verticality perception
  • Identify at least 1 anatomical structure responsible for each source
  • Describe the 3 most common forms of verticality dysfunction and potential causes
  • Compare and contrast at least 3 different assessments for lateropulsion
  • Identify at least one assessment for retropulsion
  • Describe elements of functional assessment
  • Describe typical prognosis for those who push
  • Describe the 4 components of intervention
  • Understand the current evidence for outcomes with intervention

About the Author
Geoff has been a physical therapist in the neuro-rehabilitation setting since 1997, when he graduated from the University of Missouri— Columbia. He has been involved with both direct patient care and administration in an adult inpatient rehabilitation setting. He attained his specialty board certification in neurologic physical therapy (NCS) in 2001, and was recertified in 2011. In the past he has also received certification in vestibular rehabilitation from Emory University in 2003, and as an Assistive Technology Provider (ATP) in 2007. He has been adjunct faculty at the Missouri State University and has been invited multiple times to guest lecture and instruct at both Southwest Baptist University and at his alma mater. He has participated in multiple research studies, including a study recently published on the administration of the Functional Gait Assessment. He has authored numerous continuing education seminars, and has been a guest speaker at meetings, seminars, and conferences on both the regional and national level.

How to Receive Credit
  • Read the entire course online or in print.
  • Answer the final examination questions at the end of the course. A passing grade of 70% is required. Test questions link content to learning objectives as a method to enhance individualized learning and material retention.
  • Provide required personal information and payment information.
  • Complete the mandatory course evaluation.
  • Print your Certificate of Completion.
Resolution of Conflict of Interest
Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement
It is the policy of Colibri not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

©2022: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.