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Geriatric Strengthening and Movement Re-education for MobilityCourse OutlineGeriatric Strength Training and Movement Re-education
for Mobility is a two-day interactive seminar designed to enhance
the ability of clinicians to treat older patients with various
disease processes in improving mobility, including gait. The
medical complexity of the typical geriatric patient can complicate
the rehabilitation process. Regardless of diagnoses, a common
deficit seen in all geriatric patients is weakness that can
be linked to functional decline. Muscular weakness can be successfully
treated with specific prescribed exercises. The participant
will leave this course with progressive, safe, and a thorough
understanding of evidence-based approaches to optimal functional
strength building and mobility improvement for geriatrics. Traditionally, rehabilitation has focused
on isolating and training muscles using single planes of motion.
Muscles and joints do not work in isolation. We know that functional
activities like transfers and gait are triplanar and require
acceleration, deceleration, and dynamic stabilization. This
course will emphasize training movements, not muscles. Participants
will develop an evaluation process and learn tests that allow
assessment of kinetic chain movement patterns to detect quality
of movement and neuromuscular efficiency. One such test, named
the Overhead Squat Test, assesses the closed kinetic chain mobility
and stability of patient’s ankles, knees, hips, core,
thorax and shoulders during a fundamental movement pattern.
Mobility and gait also utilize basic fundamental movement patterns
that will be assessed/corrected. Based on movement pattern findings
and applying neuromuscular physiology, the participant will
learn to inhibit and lengthen specific overactive muscles, facilitate
under active muscles and prescribe corrective exercises utilizing
evidence-based, optimal strength training parameters. Attendance
at this course will immediately increase clinical skill in obtaining
positive functional outcomes in an efficient manner in all settings
of geriatric practice. Course Objectives· Discuss evidence-based practice including the classic studies regarding geriatric strength training and how they relate to the population we treat. · Identify and discuss optimal resistance training parameters such as progressive resistive exercises, intensity, frequency, sets, and repetitions. · Correlate strength (underlying) impairment to functional deficits and converse with therapy team regarding functional strengthening as it relates to goal achievement. · Describe the scientific and clinical rationale behind the development of an exercise program for the treatment of mobility in the geriatric population. · Perform functional movement assessments such as the overhead squat test, mobility and gait to identify weaknesses in the kinetic chain. · Prescribe corrective exercises to treat functional deficits in mobility. · Properly utilize functional strength tests like bridging, SLR , Trendelenburg, and upright motor control test. · Understand how to utilize neuromuscular inhibition and facilitation techniques and how to sequence them in therapy prescriptions for maximum functional outcomes. · Identify movement training principles and how to activate movement/motor patterns.
Schedule of instruction
DownloadsCourse Brochures are in Adobe PDF format. Right click and choose "Save Target As" to download brochure. If you would like to open the brochure in your browser windows, select the link. Course Brochure for Geriatric Strengthening and Movement Re-education for MobilityScheduled Dates and Locations
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John Wilson, DPT, MA, CSCS, earned his Masters degree in Physical Therapy from Loma Linda University in 1998. He has been an exercise physiologist for the past 15 years, earning a Masters degree in Applied Exercise Physiology from San Diego State University in 1993. John completed his Advanced Post Professional Clinical Doctorate of Physical Therapy program at Western University of Health Sciences in 2005. Dr. Wilson also is a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association. Early in his career John focused on outpatient orthopedics and performance training. He spent two years as a research assistant at The Kasch Exercise Physiology Laboratory conducting performance testing/training of professional athletes (including the NFL Chargers) and exercise prescription of seniors in a community wellness program. His research at the lab with cyclists was subsequently published entitled “Thermoregulatory Effects of Cycling in a Hyperconvective Environment”. Though still active working with athletes, John’s emphasis the past decade has focused on geriatric orthopedics. Working with geriatrics in the LTC/SNF and outpatient setting has been rewarding. John spent 2005-06 providing internal geriatric strength training courses nationally, and was co-author of orthopedic training manuals for a national provider of skilled therapy. His current working environment is an Outcomes Manager for a large medical system. He utilizes outcomes research, evidence-based practice and professional experience to ensure efficient and effective outcomes for rehabilitation patients. Utilizing dynamic movement analyses, progressive resistive strength training, manual therapy and prescribed corrective exercises; John has brought his performance approach to the geriatric population. |
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