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Professional Resources & Education

Pathological Gait Analysis and Orthotic Intervention For Adults with Neurologic Dysfunction

TIRR Faculty:

Lauren Szot, PT, DPT, NCS
Tamara Juden, PT, DPT, NCS
Todd Klekar PT, DPT, NCS

Guest Speaker:

Tom DiBello, CO, FAAOP

Open to: PT, PTA

Course Date: Saturday & Sunday, July 29-30, 2017

Time: Registration at 7:30 am, Course from 8:00 am -5:00 pm (Saturday), 8:00 am -12:00 pm (Sunday)


TIRR Memorial Hermann Inpatient Rehabilitation - MHHS
Greater Heights Hospital
South Tower Conference Center
1635 North Loop West
Houston, TX 77008

(I-610 and Ella Blvd, The Heights)
Parking available in Garage 2, $6 daily

Class size: Limited to 40 attendees

Recommended Pre-requisites:

Prior to attendance of this course, the participant should be able to:

  1. Identify the parameters of normal gait, including necessary range of motion, muscle activity and functional implications
  2. Basic knowledge of types of orthotics
  3. Participants must be familiar with NORMAL gait as a preparation for this course. Normal gait will not be taught, participants are expected to use the Normal Gait 2017 handout as a guide for normal gait knowledge.

Course Handouts:

Normal Gait 2017
TIRR Gait and Orthotics CCU 2017
Gait Module Handout Stance
Gait Module Handout Swing
Rancho Roadmap AFO
Video Cases

Target Audience

PT, PTA clinicians looking to advance their clinical expertise pathological gait and orthotics when working with those with a neurologic injury or illness.


This intermediate level course will apply the participants’ knowledge of normal gait to the analysis of pathological gait in persons with neurological injuries. Also included will be practical information in regards to biomechanics, component selection, prescription rationale, orthotic design and problem solving. Interventions targeting pathological gait will be reviewed, including orthotic intervention. This information will be conveyed through lecture, video case presentations, clinical observation and resident case presentations.

Learning Objectives: Upon completion of this course participants will be able to:

  1. Identify common gait deviations in adults with neurologic conditions and hypothesize potential causes of gait deviations
  2. Select appropriate outcome measures for measuring gait outcomes
  3. Appraise available literature on evidence-based interventions to address gait dysfunction
  4. Discuss biomechanical principles related to orthotic design, fit, and componentry
  5. Demonstrate understanding of biomechanics, design, and componentry by formulating an appropriate orthotic prescription and justification for orthotic device
  6. Develop evidence guided interventions and gait training strategies designed to target specific gait deviations, underlying impairments, and functional limitations through a series of case studies

Assessment of Learning Objectives: Course evaluation

Speaker Information

TIRR Faculty Information

Catherine Lauren Szot

Lauren Szot, PT, DPT, NCS
Lauren Szot, PT, DPT, NCS graduated with a Master of Physical Therapy in 2007 and transitional Doctorate of Physical Therapy in 2009 from Louisiana State University Health Sciences Center in Shreveport, LA. She is a graduate of the TIRR Memorial Hermann Neurologic Physical Therapy Residency Program in 2011 and received her Board Certification in Neurologic Physical Therapy in 2011. In her 8 years of practice, Lauren has worked in a variety of clinical settings with focus on neurologic rehabilitation. She is currently a Clinical Assistant Professor and Assistant Director of Clinical Education at Texas Woman’s University in Houston. She also participates in clinical practice in neurologic inpatient rehabilitation at TIRR Memorial Hermann, where she has served as residency mentor and faculty for the TIRR Memorial Hermann Residency Program. Lauren also enjoys professional service through her involvement as prior Chair of the Nominating Committee and current 2nd Vice Co-Chair of Southeastern District of the TPTA.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann and Texas Women's University (TWU). She currently receives funding for research: Sauer M, Rodriguez D, Hale J, Szot L. The Effects of Tracker Feedback on Walking Activity, Self-Efficacy, and Quality of Life Following Stroke – A Pilot Study Texas Woman's University Small Grant Program, 2015-2016
  • Non-financial: None reported

Tamara Juden, PT, DPT, NCS
Tamara Juden, PT, DPT, NCS has been working as a physical therapist within the TIRR Memorial Hermann system since 2012 and is currently working in the outpatient rehabilitation setting. Prior to this she completed the TIRR Memorial Hermann Neurologic Physical Therapy Residency Program, treating patients throughout the neurologic continuum of care ranging from the Neurotrauma ICU to the TIRR Challenge program, a community re-integration program for brain injury survivors. Tamara completed her undergraduate education at Texas State University in San Marcos, Texas with a bachelor’s degree in Exercise Sports Science and went on to complete her doctorate in physical therapy at Texas Woman’s University in Houston, Texas. She works with adult and pediatric clients of varying neurologic diagnoses and serves as the Center Coordinator of Clinical Education as well as a clinical instructor at the TIRR Memorial Hermann Memorial City campus. Tamara is certified in LSVT Big and her special interests include working with clients with Parkinson’s Disease, amputation, and spinal cord injury.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: TIRR Memorial Hermann Adult and Pediatric Outpatient Services: Center Coordinator for Clinical Education (CCCE) Kirby Glen
Todd Kleker

Todd Klekar PT, DPT, NCS
Todd Klekar PT, DPT, NCS is a physical therapist who currently works at Memorial Hermann Rehabilitation Hospital – Katy in the outpatient therapy department where he primarily works with patients post-stroke. His professional interests include orthotic interventions and the impact of high intensity in treatment sessions on patients’ functional outcomes. Todd is a board-certified clinical specialist in neurology and completed the TIRR Memorial Hermann Neurologic Residency Program in 2013. He obtained his Doctorate in Physical Therapy from Texas Women’s University in 2011 and his Bachelor of Science degree in Kinesiology/Exercise Science from the University of Houston in 2006. He has been an active member of the American Physical Therapy Association since 2008 and member of the neurologic section since 2012.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Employment relationship with TIRR Memorial Hermann
  • Non-financial: None reported

Guest Speaker


Tom DiBello, CO, FAAOP
Tom DiBello, CO, FAAOP is the Regional Director, Hanger Clinic. He holds a Bachelors of Pharmacy Degree from Duquesne University and certificates in Orthotics and Prosthetics from Northwestern University. He has lectured extensively on Lower Extremity Orthotics throughout the United States and Mexico as well as Italy, Australia, Southeast Asia and Africa and has authored chapters in two textbooks and two chapters for the new Atlas of Orthotics.

He has served the American Academy of Orthotists and Prosthetists as a past president and board member. Tom is a Fellow of the Academy and received the American Academy of Orthotists and Prosthetists distinguished practitioner award in 2007 and as awarded the American Orthotic and Prosthetic Associations Lifetime Achievement Award in 2015.

Speaker Disclosures & Conflicts of Interest:

  • Financial: Director, Clinical and Scientific Affairs, Hanger Clinic; Hangar Clinic receives referrals from TIRR Memorial Hermann; Formerly, President/CEO/Clinical Orthotist for Dynamic Orthotics and Prosthetics, L. P.
  • Non-financial: Tom is Clinical Assistant Professor at the Baylor College of Medicine, Honorary Adjunct Faculty at Texas Women’s University and Chairman of the Advisory Committee of the Baylor College of Medicine Master’s Program on Orthotics and Prosthetics.

Speaker Disclosures & Conflicts of Interest:
Policy & Procedures exist whereby all speakers must disclose any relationships which may cause a conflict of interest. Any relevant financial and non-financial relationships will be disclosed via speaker agreement, written notification after agreement, and prior to presentation.

Saturday July 29

TimeTopic & Activity
7:30 am - 8:00 am Registration & Refreshments
8:00 am - 10:00 am

Intro to gait analysis & pathological Gait

10:00 am - 10:15 am Break
10:15 am - 11:30 am

Pathological gait

11:30 am - 12:30 pm Examination & Evaluation
12:30 pm - 1:30 pm

Lunch provided

1:30 pm - 3:00 pmEvidence based interventions
3:00 pm - 3:15 pm


3:15 am - 5:00 pmOrthotics & prescription writing

Sunday, July 30

TimeTopic & Activity
7:30 am - 8:00 am Registration & Refreshments
8:00 am - 8:30 am

Pathological gait and orthotics review

8:30 am - 10:00 am Clinical decision making
10:00 am - 10:15 am


10:15 am - 11:30 am Clinical application & case studies
11:30 am - 12:00 pm

Course summary & Evaluations, Q & A

Instructional Methods Used: PowerPoint, lecture, video, labs



PT: Memorial Hermann Health System is TPTA Approved Provider of continuing education. This course meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas for 11.75 CCUs.

Instructional Level: Intermediate. Participants must attend the entire course in order to receive CEU’s/CCU’s and course certificate. No partial credits will be given.

TPTA 2017


Course MHHS AttendeeNon-MHHS Employee
Any Course Day 1$75$175
Any 2 day course $150$325
Register for any 3 or more courses at the same timeReceive a $75 discountReceive a $75 discount
Register for all 8 courses at the same time (*other discounts no longer apply)Receive a $150 discount for registering for all 8 classes. Total price when registering for all 8 classes, with discount applied, is $825.Receive a $250 discount when registering for all 8 classes. Total Price when registering for all 8 classes, with discount applied, is $1900.

Discounts applied when you register for 3 course or more, or when you register for all 8 courses.
Discounts automatically applied as courses are selected on registration.

Class Size: Registration is open to 40 participants.

*Registration closes July 26, 2017

Non-employee: $325, MHHS Rehab Service Line Employee: $150. MHHS employees must register with their MHHS email to receive the employee benefit.

Any questions, please contact:

Cancellations: Refunds will be granted if cancellation notice is received in writing no later than 14 calendar days prior to the course start date to If you register and do not attend, or do not fulfill the requirements of the class, your course fee will not be refunded. Cancellation of the event by TIRR Memorial Hermann will result in a full refund of monies received. TIRR Memorial Hermann is not responsible for the refund of travel or hotel expenses under any circumstances. TIRR Memorial Hermann reserves the right to cancel or change any programs for due cause. In the event of a cancelation, participants will be notified via email and contact phone number submitted in the registration.

Parking: Parking available in Garage 2, $6 daily

Registration for this course is now closed.