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Check Out The Expert Exchange

As physical, occupational and speech therapists working with children with complex needs (and too often) exhausted families and disconnected teams that don't always see eye-to-eye, we recognised the need for clinical discussions that go beyond what we can gather from textbook and published guidelines.

Julie Hannan Perfect: Pediatric Standing and Gait

Julie Hannan Perfect, PT, DPT, PCS

Physical Therapist

Doctor of Physical Therapy

Pediatric Certified Specialist

Julie Hannan Perfect works in early intervention, school-based, and outpatient settings with children and adults who have developmental disabilities. She graduated from Northwestern University with a BS in Physical Therapy in 1980 and a DPT in Pediatric Sciences in 2017. In 2015, she became a certified pediatric clinical specialist. Julie works as a part-time professor at University of the Pacific, Thomas J. Long School of Pharmacy and Health Sciences, and Samuel Merritt University, where she teaches pediatric curriculum for the first-year DPT programs.

Julie's passion is treating pediatric standing and gait issues. For thirty years, she has been teaching courses on pediatric gait using principles and strategies she developed alongside Mary Weck. Julie has an endlessly curious mind and an irrepressible excitement for whats possible when you pay attention to the right components and alignments of standing and gait with a goal of pain-free function across the lifespan.


Scroll down to the podcast player to listen or find us on Spotify, iTunes or Stitcher.

For handy links to things we've discussed in this interview,  scroll down to the Resources Section at the bottom of the page.

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Podcast Highlights

Time Stamps in green

  • 3:00 minutes- The power of clinician's experience and intuition

  • 6:08 minutes- Looking at early development in standing and walking

  • 11:13 minutes- Types of walkers

  • 13:18 minutes- Building in plane stability

  • 17:06 minutes-Practice Age vs Developmental Age

  • 23:25 minutes- Alignment vs Participation

  • 25:37 minutes- Strategies for addressing Alignment

  • 28:12 minutes- Hinged AFOs - when and why

  • 38:56 minutes- Learning to walk

  • 42:04 minutes- Lifespan Function


  1. 45:25 minutes- EMGs and Body weight

  2. 50:06 minutes- Vertical Tibia

  3. 57:17 minutes- Walkers and Walking

  4. 59:12 minutes- Dyskinesia

  5. 1:03:50 minutes- Dosage

  6. 1:05:42 minutes- Crouch Gait

  7. 1:12:27 minutes- Trunk flexion vs Trunk Inclination

Rapid Fire Questions

  1. 1:20:07 minutes- Best advice for new therapists

  2. 1:22:39 minutes- What's exciting right now

  3. 1:24:30 minutes- Find out more


Contact Julie here at

Article Links

There were so many great articles referenced in this interview. You'll find them all here. Hover over the article and click the double arrow to zoom in, or click on the article to open in a new tab - happy browsing!

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