Lesson 1
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Mobility Goals Core Components
Our focus this month is mobility and enhancing management of mobility challenges to meet functional goals. Reviewing common gait presentations and how to approach performing a practical level gait assessment are fundamental components that we cover initially before looking further into when you may need to consider the use of orthoses and how to choose which path to take. A key component to functional gait is balance and in the third module of this block the focus is on how to perform a practical balance assessment to assist in identifying key deficits and guide targeted balance training. We all recognise that practice performed within a therapy session is a drop in the ocean of practice volume required so in our 4th module we unpick how to increase participation and practice in the home and community within and outside of therapy sessions. Â
Masterclass
Instructions​
Watch each of the theory videos below at your leisure. You can post comments or questions in the forum at the end of this masterclass. There is a self-assessment quiz to test your knowledge at the end of each video.
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You will also find journal articles and learning resources at the bottom of this page, to help deepen your knowledge.
Please use the case study submission button to submit a client case study or clinical question you would like our ARCademy team’s input into. Please make sure any client information is de-identified.
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Make sure to join our live class on the 6th of May at 6pm AEST where we will discuss the practical elements of the topic and case studies. You can register at the bottom of this page if you would like to receive email reminders.
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There is also a bonus challenge question to complete at the end and a CPD log for you to track your activity.
My Progress
Neurological gait variations and compensations – understanding what you see
Presenter: Sarah Turner, Senior Neurological Physiotherapist
Description: This presentation explores common gait variations and compensations that people with neurological conditions may present with and a brief guide on using a structured systematic approach to facilitate gait analysis. It also covers how to take a good video, why this is important, and the requirement for new graduates to allocate time with their peers to analyse and discuss the videos taken. 5 case studies including video and photos have been included alongside treatment ideas to facilitate clinical reasoning.
Gait Aids and Ankle Foot Orthoses (AFOs) – when to use and why?
Presenter: Amali Perera
Description: In this week’s in-service, we explore practical applications for various types of gait aids and gait trainers available in the market. We will also discuss special consideration when prescribing gait aids to meet clients unique presentation. We will also outline various types of AFOs and how they could aid mobility.
Functional Balance: Optimising Assessment and Treatment
Presenter: Dominique Birchall
Description: We recognise that new graduate therapists will be familiar with the theory of balance assessment and training but would benefit from assistance in how to set this up practically. In this inservice, we provide a practical approach around which factors to consider in a balance assessment and how to use those findings to set up a successful balance training program and treatment session.
Supporting Clients at Home
Presenter: Cassandra Mangos (Senior Neurological Physiotherapist)
Description: Home-based physiotherapy can increase independence and quality of life by training skills in the same environment they will ultimately be used: the home. Through two case studies, this in-service explores the ways we can support our clients at home – from implementing an effective home exercise program, to engaging their support teams, and to setting them up with the right equipment and assistive devices to meet their goals.
Join us for the next group coaching session. This is your chance to ask questions and get feedback from our senior clinicians based on this months topic.
Don’t forget to submit your questions, case studies or example before the live session. Click the buttons below to get started.
Reflection and CPD Log
Click the button below to track your learning, take notes and reflect. A copy will be emailed to you for your records.Â
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Challenge Question
A 35 year mother of 2 primary school aged children has requested a home based assessment due to her mobility deterioration associated with her MS diagnosis. She presents as mobilising independently in the home but you notice she constantly touches the walls and furniture and her right leg does not clear the floor well.
Spend 5 minutes reflecting and jotting down ideas of what you may wish to explore within your assessment and treatment of the areas below:
- Balance
- Strength
- Spasticity
- Gait
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