An online curriculum for entry-level DPT programs

  • Online Education

    Pre-recorded online course on the evidence, principles, and application of high-intensity gait training in clinical practice

  • Case Application Videos

    Two video cases that describe the application of high-intensity gait training to patients with stroke and spinal cord injury

  • Quiz Questions

    Knowledge checks and post-course test questions provided

  • Questions and Answers

    Answers to commonly asked questions

  • Tools and Resources

    Library of high-intensity gait training tools and resources to help students apply high-intensity gait training to clinical practice

Course curriculum

    1. Evidence Supporting High-Intensity Gait Training

    2. Knowledge Checks - Evidence

    1. Principles of High-Intensity Gait Training

    2. Knowledge Checks - Principles

    1. Application of High-Intensity Gait Training in the Clinic

    2. Knowledge Checks - Application

    1. Ambulatory Patient Following iSCI

    2. Knowledge Checks - Ambulatory Patient

    3. Non-ambulatory Patient Following Stroke

    4. Knowledge Checks - Non-ambulatory Patient

    1. Name Badge Resources

    2. Signs and Reference Sheets

    3. Documentation Samples

    4. HR Calculators

    5. Clinical Prediction Rules for ambulation following neurologic injury

    6. Medical Clearance Considerations with HIT

    7. Recommended Outcome Measures

    8. Treatment Ideas for Biomechanical Subcomponents

    1. How much time within a session should be focused on high intensity gait?

    2. It seems like the two key components of the protocol are high intensity (75-85% HRmax) and maximizing step counts. If both are not able to be achieved, which focus would be more important?

    3. How do you know if you are providing too much assistance to create worse outcome for the patient?

    4. If you have access to treadmill and over-ground training, which is best?

    5. What additional treatment interventions do you use in combination with high intensity gait training?

    6. Do you still perform HIT with dense hemiparetic pts with minimal to no return in strength?

    7. When initiating treadmill training, how do you decide what speed to try?

    8. How do you determine if a client is suitable for HIGT?

    9. Is there a specific subcomponent of gait that should be addressed first/prioritized?

    10. Would you ever use ankle weights on a person who has adequate limb advancement for the sole purpose of increasing the intensity of the intervention?

    11. When a patient is very impaired in most or all of the biomechanical subcomponents, how do you decide which one(s) to target first?

    12. Should I consider doing lower extremity therapeutic exercise or sit to stands to increase heart rate prior to gait training?

    13. How frequently should heart rate be monitored during high intensity gait training?

    14. In the sample documentation, gait training was charged. Would it ever be appropriate to charge ther ex or neuro re-ed?

    15. What are key pieces of information to include when documenting a HIT session?

About this course

  • $400.00
  • 33 lessons
  • 3 hours of video content

Instructors

T. George Hornby PT, PhD

T. George Hornby PT, PhD is a Professor of Physical Medicine and Rehabilitation at Indiana University and the director of the Locomotor Recovery Laboratory at the Rehabilitation Hospital of Indiana. Dr. Hornby’s work is focused on optimizing rehabilitation interventions to improve lower extremity function in patients with stroke and spinal cord injury, with a primary focus on restoration of walking ability. By integrating both quantitative and clinical measures of motor function, Dr. Hornby’s work aims to understand the biomechanical and physiological impairments underlying limitations in locomotor activity in these populations, and the relative efficacy and mechanistic basis of specific interventions to enhance function. Recently, his activity has focused on direct translation of his research to clinical practice in rehabilitation. Dr. Hornby has co-authored over 90 research publications in scientific journals. He is PI or Co-PI on active R01, DOD, and NIDRR center grants, with both national and international collaborations. He is also the Director of Research for the Academy of Neurologic Physical Therapy.

Chris Henderson PT, PhD, NCS

Chris Henderson, PT, PhD, NCS is an Assistant Research Professor within the Indiana University School of Medicine’s Department of Physical Medicine and the Director of Residency programming for the Institute of Knowledge Translation. He has his PhD in Biomechanics and Movement Science, Doctorate of Physical Therapy, and Masters of Mechanical Engineering from the University of Delaware. He has also completed a Neurologic Physical Therapy Residency jointly supported by the Clement J Zablocki Veterans Affairs Hospital and Marquette University. Dr. Henderson’s work is focused on optimizing the rehabilitation of individuals following acute onset neurologic injuries and translating evidence-based interventions into routine neurologic physical therapy practice. Dr. Henderson has co-authored publications on the topic of stroke rehabilitation and presented on the topic at both regional and national conferences. Most recently, Dr. Henderson presented at the 2019 Combined Sections Meeting and was awarded Best Platform Presentation by the Stroke Special Interest Group.

Contact us for information

[email protected]