Hey ,

This session with Susan Hastings and Kelly is just jam packed with clinical take-aways! Have a listen in on how they problem solve crouch gait and more for the gorgeous Penny. A 3-year-old with diplegic CP post SDR.

Here's a few things you'll want to check out from this session:

• Introducing NMES to a young child, electrode placement and parameters used.
• Recognizing behaviour as a sign that an activity is too challenging, even when it seems that it's within the child's abilities.
• Noting effect and setting expectations for progress

+ so much more

Some clinical take-aways

• Focus on dorsal muscles for extension rather than ventral muscles
• Adductors help extend knee and hip, shifting patient backward
• Gastrocnemius strength is crucial for standing (50%)
• Slow down rapid walking to improve gait pattern
• Keep feet no wider than shoulder-width apart
• Use larger electrodes to cover more of the muscle bulk
• Consider combining E-stim with bracing for vertical tibia alignment
• Strengthening comes as a result of motor learning, not vice versa

+ some great references to additional resources and relevant research

▶ Play

I loved watching Susan and Kelly work in real time to introduce eStim to Penny and I especially loved Kelly's reflection on this session, it just highlights the real time learning that comes from real clinicians doing real clinical work with real kids in real time ♥️

I learned a lot of new information about crouch gait that I was unable to learn even after lots of time spent researching on the internet. Such as that the adductors are important to activate w/ e-stim due to their underappreciated action of extending the hip. I also had never considered to activate the plantarflexors since we were so lacking in dorsiflexion but this also makes sense to do this to further assist in activating knee extension.

Sit down and be inspired!

Warm regards,

Mindy

PS. Wanting to do a CEO session but feeling a little unsure? I'm here to help. Just book a time with me to ask your questions and I'll walk you through the steps to get you up and running in no time. It's easier than you think and the benefits of getting in a CEO session are so worth it!

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