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Clinical Gait I:

LE Integration into Gait Cycle

Part 1 of a 3 Series Class

running legs musculoskeletal.jpg

Course Description

     This course (series) will utilize the allopathic portrayal of gait as a template to reconcile with the osteopathic approach to gait. We will elucidate how the allopathic, lab-equipment based approach to gait gives us insight into how and why we treat osteopathically. In that elucidation, we hope to provide a deeper understanding of our current, osteopathic approach but also broaden the "why" and "when" we apply certain techniques. That is, we will use allopathic measurements and more rigid definitions of gait to decipher somatic dysfunction that we may readily treat with manual techniques. 

     Application of the biomechanical model to lower extremity joint function will be used to examine and treat, while recognizing that each joint has both “major” and “minor” motions that are distinct to the structure and function of that joint. These joint motions being adapted for an optimal balance between flexibility and stability.

     Major motions of the lower extremity joints are easily recognized by the casual observer but minor motions are often not voluntarily reproducible or visually observable in isolation and must be assessed with “end-feel” palpation.

    The evaluation skills of the first class will focus on the assessment of “minor motion” of the lower extremity joints, since it is often the minor motion of the joint that is responsible for somatic dysfunction. Often the failure to address the lack of minor motion of a joint with appropriate osteopathic-based manual therapy (OMT) leads to failure in fully restoring joint motion and returning the patient to full function.

     Additional evaluation and assessment will include identification of fascial plane restrictions and common muscle imbalances and inhibitory patterns found in the lower extremity and hip-girdle complex.

Clinical Gait I:

LE Integration into Gait Cycle

Part 1 of a 3 Series Class

Portland, OR, February 7-9th, 2020

Courtyard by Marriott Airport

Address11550 NE Airport Way, Portland, OR 97216

Phone: (503) 255-1500

Target audience: Licensed healthcare providers including, but not limited to:

PT, AT, DC, MT, RN, OT, LMT, and ND.

BOC Essential Level

18 contact hours – 18 1-A hours anticipated  


Instructors: Neal O'Neal, PT and Dennis Eaton, MPT

Class is held 9-5 Friday and Saturday, 8-12 Sunday.


Fees: $650/student. Course limited to 24 students.


Learning Objectives: Upon course completion, the participant will be able to-

1. Participants will learn the important aspects of embryology of the lower extremity complex and how those aspects apply to assessment and treatment sequencing.

2. Participants will learn the key phases of the human gait cycle being able to discern “normal” vs. common pathological patterns.

3. Participants will learn how to properly assess major vs. minor motion of the hip girdle and lower extremity complex using “end-feel” palpation technique.

4. Participants will learn to properly assess and treat common inhibitory patterns of the hip girdle and lower extremity and their associated biomechanical consequences upon the gait cycle.

5. Participants will learn how to properly assess and treat common orthopedic conditions of the hip girdle and lower extremity complex and understand their impact on the gait cycle.


Materials Provided: A binder of the course materials will be provided to each student to follow along and take notes during the lecture and lab portions of the class.

Purpose: The purpose of this class is to provide the clinical practitioner with the knowledge of how recent research has changed current clinical treatment approaches to the biomechanical pelvis and lower extremity. 

Expected outcomes are to develop effective delineation and treatment strategies based upon an integration of new information and the extensive body of knowledge of the anatomy, physiology, and embryology of the lower extremity as it relates to the gait cycle. This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence, and extensive lab-based learning.




9am – 10:30pm        Overview of Gait

10:30 - 12pm            Anatomy and Neurology of the LE and its role in Gait (Lecture)

12pm – 1pm              Lunch

1pm – 1:45pm          Biomechanics of Gait

1:45pm – 2:45pm     Relation and Testing of LE as part of Gait (Lecture)

2:45pm – 5pm          Somatic Treatment of the Lower Extremity- Counterstrain / Mobilization (Lab)



9am – 9:30am          Global and Regional Provocation Tests (Lab)

9:30am – 10:30am   Assessment of Major and Minor Motion of the LE (Lab)

10:30am – 12pm      Somatic Treatment for Minor Motion of the LE (Lab)

12 – 1pm                   Lunch

1pm  – 2:30pm         Somatic Treatment of the Hip Girdle and LE- STM treatment (Lab)

2:30pm – 5pm          Somatic Treatment of the Hip Girdle and LE- MET (Lab)



8am – 11am              Common Inhibitory Patterns of Hip Girdle and LE (Lab)

11am – 12pm            Common Orthopedic Conditions of the Hip Girdle and LE (Lab)

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