Julie Hannan Perfect: Pediatric Standing and Gait
- Sep 14, 2022
- 2 min read
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.
Enjoy!
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
Questions
45:25 minutes- EMGs and Body weight
50:06 minutes- Vertical Tibia
57:17 minutes- Walkers and Walking
59:12 minutes- Dyskinesia
1:03:50 minutes- Dosage
1:05:42 minutes- Crouch Gait
1:12:27 minutes- Trunk flexion vs Trunk Inclination
Rapid Fire Questions
1:20:07 minutes- Best advice for new therapists
1:22:39 minutes- What's exciting right now
1:24:30 minutes- Find out more
Contact Julie here at juliehperfect@gmail.com
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!
Forms of Early Walking 
EMG 
How Do You Learn to Walk? 
Trunk movements 
Patterns of spinal motion 
Effect of Trunk Sagittal 
Trunk movements during gait 
Thorax and pelvis kinematics 
Three-dimensional head 
Altered trunk movements 
THE EFFECT ON GAIT 
The natural history of crouch 
The Spinal Engine
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