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Mobile Gait Analysis - A Low Cost Solution to Providing a Specialised Service Locally. Mike Walsh MISCP MMedSc Manager of Gait Laboratory, CRC. What is Gait Analysis. Pictures Graphs Video. Identification of Need. Client demand/location Referrer demand/location

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mobile gait analysis a low cost solution to providing a specialised service locally

Mobile Gait Analysis- A Low Cost Solution to Providing a Specialised Service Locally

Mike Walsh MISCP MMedSc

Manager of Gait Laboratory, CRC

what is gait analysis
What is Gait Analysis
  • Pictures
  • Graphs
  • Video
identification of need
Identification of Need
  • Client demand/location
  • Referrer demand/location
  • Database study/prevalence figures
  • Concerns over representative data
  • CRC Strategic Plan
  • Government Health Policies
  • Identification of ability – “Eureka Moment”
processes used
Processes used
  • Planning phase
    • Technology testing
    • Stakeholder meetings/contacts - Informal
    • Financing – Cost/benefit analysis
    • Project Management Strategy
    • Risk assessment
    • Training
  • Implementation phase
    • Stakeholders - Formal
    • Pilot
    • PR strategy – Local/National Media, People First.
    • Workshops/Information sessions
    • QA testing and development
stakeholders
Stakeholders
  • Clients
  • Referring clinicians
  • CRC Board
  • Gait Lab Team
  • Manufacturers
  • HSE
impact outcomes
Impact/Outcomes
  • Local service in Mid West and South East (70 clients/yr, ~ 25%)
  • Impact on families – 100% Satisfaction, ↓travel time, cost, stress, service contact time, ↑ quality of care
  • Impact on referrers – ↑ 20% new referrers, education/knowledge, ↑interaction/working trust with gait lab staff, ↑ quality of care,
  • ↑referral numbers from those regions
  • Research/Publications
  • ↑ Gait lab profile nationally and internationally
  • HSE Innovations award
  • Impact on gait lab staff
  • Technology Used in other areas/departments
  • Temporary mobile lab
  • ↑ Academic links
measurements and continuous improvement processes
Measurements and Continuous Improvement Processes
  • Review phase
    • Client survey (interviews/questionnaire)
    • Referrer survey (interviews/workshops)
    • Gait lab staff survey (continual review)
    • Service review with local managers
    • Cost/output/operational efficiency analysis
    • Peer review
    • Manufacturer’s review
    • Clinical Movement Analysis Society (CMAS) audit
    • Independent risk assessment
  • Strategy plan for service expansion
changes based on review
Changes Based on Review
  • Achieved
    • Environmental / equipment changes
    • Clinic model / transport
    • Experience of client
    • Communication processes
    • Education
    • Technical protocols / QA / support procedures
  • Planned
    • North/West/Southern service
    • ↑ Staffing resource
    • ↑ Gait Course/Education Modules
    • ↑ Academic Links
    • ↑ PR
key learning points for the organisation
Key Learning Points for the Organisation
  • Innovative work practice improved experience of client and filled a service gap
  • Potential of telemedicine
  • Hunger/need for education/knowledge
  • Communications infrastructure
  • Benefits of partnership
  • ? Formal project management training / support / infrastructure for all heads of departments
  • Strategy for increasing staffing resource for national services
learning transferred use for nfpba member organisations
Learning transferred/use for NFPBA member organisations
  • Working model of mobile gait lab may provide solution in other areas of specialised clinical practice
  • Flexibility is key
  • Potential of telemedicine/communications infrastructure
  • Value of a partnership approach to provision of local services (maximisation of resources)
  • Hunger/market for knowledge/education (link it with service provision)
  • Strategy for resourcing service development early in a project
  • Methodology for supporting HSE’s Primary, Community and Continuing Care Directorate plans
research publications
Research/Publications
  • “Mobile gait analysis – A low-cost solution to provision of this specialised service to a large geographical area” M Walsh BPhysio MMedSc, R O’Sullivan BPhysio MSc, D Bennett BAI PhD, A Jenkinson BPhysio MSc, C Dunlevy BSc PhD, T O’Brien MCh FRCSI, O Hensey BSc FRCPI. Developmental Medicine & Child Neurology. Supplement No. 103 November 2005. Vol 47.
  • “Mobile Gait Analysis – A Low Cost Solution to Provision of this Specialised Service to a Large Geographical Area” Walsh Mike BPhysio MMedSc, Bennett D BAI PhD, O’Sullivan R BPhysio MSc, Jenkinson A BPhysio MSc, Dunlevy C BSc PhD, O’Brien T MCh FRCSI. JEGM Proceedings 2006, Amsterdam.
  • “The characteristics of gait in Charcot-Marie-Tooth disease type I and II”. Christopher J. Newman, Mike Walsh, Rory O’Sullivan, Ann Jenkinson, Bryan Lynch, Timothy O’Brien. Gait & Posture 2007;26(1):120-127.
  • “The gait of young people with Charcot-Marie-Tooth Disease”. Christopher J. Newman, Mike Walsh, Rory O’Sullivan, Ann Jenkinson, Bryan Lynch, Timothy O’Brien, Owen Hensey. Developmental Medicine & Child Neurology. Supplement No. 102 September 2005 Vol 47. Page 19.
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