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1. Identify the most challenging fall predictors to be able to put in place a fall prevention plan.
2. Explore current evidence-based therapeutics and research in movement strategies for geriatric and neurologically impaired individuals.
3. Determine the most effective evaluation techniques for the highest risk populations you see in practice.
4. Choose the best strategies for fall prevention based on individualized assessment.
5. Incorporate the most appropriate functional balance testing tools for specific settings.
6. Differentiate between various types of therapeutic interventions, including: gait training, exercise, assistive devices and orthotics as appropriate.
7. Develop a comprehensive balance training and fall risk reduction program for individuals with balance dysfunction.

Assessment of Multiple Dimensions of Balance, Mobility and Fall Risk

Three Classifications of Falls

• Accidental
• Unanticipated physiological falls
• Anticipated physiological falls

Balance Dysfunction and Falls: Contributing Factors

• The vestibular system
• Vision
• Somatosensory system
• Muscular strength and joint flexibility
• Endurance, fatigue and fitness level
• Cognition
• Posture

Risk Factors

• Intrinsic risk factors
• Extrinsic risk factors
• Methods for reducing risk factors
• Practical suggestions
• Home safety checklist
• Health and safety checklist
• Fall predictors

Balance, Mobility and Fall Risk Assessment Tools: Individualized Options

• Functional Reach Test
• Tinetti Balance Assessment Tool
• Berg Balance Scale
• Functional Gait Assessment
• The Timed Up and Go Test
• Three and Six Minute Walk Tests
• Full Evaluation of ROM, Flexibility, Muscle Strength and Tone

Effective Interventions to Improve Balance & Mobility and Reduce Fall Risk

Consequences of a Fall

• Physical consequences
• Social consequences
• Psychological consequences

Nutrition

• Strategies to Maintain and Restore Balance
  • Stability
  • Mobility

The Normal Gait Cycle

Gait Training When it Has Gone Awry

• Considerations for assistive devices and orthotics

Therapeutic Exercise

• Benefits & specifics for balance, ROM, strength and gait
• Equipment for clinics and home use
• Program design
• Safety reminders
• Home exercise program
• Environmental Modification/Home Evaluation

Post-Fall Assessment and Problem Solving Prevention

• Fall risk identification

Problem Solving After a Fall Occurs

• Investigation process
• Plan of action
• Corrective and preventative measures

Community-Based Care

• Develop community-based fall prevention programs for older adults

Overcoming Barriers to Effective Strategy Implementation

• Cognitive barriers
• Family barriers
• Facility staff/Caregiver barriers

Medicare and Documentation Considerations

Interactive Lab Time: Assessment Tools and Intervention Strategies in Practice

Shelly Denes, PT, CFPS, C/NDT, CGCP, is an expert in fall prevention and neuro-rehab with more than 25 years of experience treating patients with hemiplegia, neuromuscular disorder, TBI, and SCI. She has a special interest in Covid-19 ‘Long Haulers’, advanced technology and provides consulting through her company, Denes Physical Therapy Consulting, LLC. She has had extensive involvement with neuroprosthetic devices, lower extremity orthotics, and exoskeletons especially at the Rehab Institute of Michigan.

Shelly presents nationally at seminars on fall prevention and geriatric rehabilitation. She is a graduate of University of Michigan’s PT program and holds certifications in Neurodevelopmental Treatment for Adult Hemiplegia (NDT) done ta The Rehab Institute of Chicago, is a certified Fall Prevention Specialist and a certified Geriatric Care Professional. Speaker Disclosures:
Financial: Michel Janet (Shelly) Denes is the owner of Denes Physical Therapy Consulting LLC. She is a consultant with Experts in Therapy LLC and previously with NewGait™. She receives a speaking honorarium from Motivations, Inc. Michel Janet (Shelly) Denes receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Michel Janet (Shelly) Denes is an advisory board member for Evergreen Certifications.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 10/19/2019
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants


Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Athletic Trainers, Exercise Physiologists, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, and other Healthcare Professionals