
2025-11-19 Offense Meets Defense: Safe Guarding Success in High-Intensity Gait Training Through Knowledge to Action Implementation of Clinical Practice Guidelines
Includes a Live Web Event on 11/19/2025 at 9:00 PM (EST)
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Register
- Physical Therapist (PT) - Free!
- Physical Therapist Assistant (PTA) - Free!
- Student PT/PTA (STU) - Free!
- Partner - Free!
- LMS User - Free!
Despite strong Clinical Practice Guideline (CPG) recommendations, adoption of High-Intensity Gait Training (HIGT) remains limited due to delays in knowledge translation (KT) and concerns about patient safety. This session will introduce a two-sided “offense and defense” approach to implementation, where offensive strategies advance evidence-based HIGT practices and defensive strategies proactively address safety considerations.
Drawing from the Locomotor CPG and a multi-year quality improvement initiative at TIRR Memorial Hermann, presenters will highlight how the Knowledge-to-Action (KTA) Cycle, the Consolidated Framework for Implementation Research (CFIR), and the Expert Recommendations for Implementing Change (ERIC) were integrated to strategically guide intervention design. Success was driven not only by these implementation science frameworks, but also by interdisciplinary collaboration, leadership engagement, and innovative, evidence-based interventions.
Participants will gain practical insights into how targeted interventions can serve dual purposes: moving evidence into action while addressing barriers to support the safe and successful implementation of HIGT in acute and inpatient rehabilitation practice.

Abigail Neal
PT, DPT
Abby earned her Bachelor of Science (BS) in Neuroscience from Westminster College in Salt Lake City, Utah in 2017 and her Doctor of Physical Therapy (DPT) from the University of Utah in 2023. She began her career at TIRR Memorial Hermann Kirby Glen Outpatient Center in 2023, working on the Spinal Cord Injury service line. In 2024, she pursued a Neurologic Physical Therapy Residency at TIRR Memorial Hermann and, following its completion, advanced into her current role as an inpatient physical therapist on the Brain Injury and Stroke Team.
Clinically, Abby’s special interests include motor learning, neurologic rehabilitation, and expanding accessibility in healthcare. Her work has focused on knowledge translation, high-intensity gait training, and innovative strategies to implement outcome measures and patient-reported outcomes in pro bono and neurologic rehabilitation settings. She has presented research and platforms at national conferences, including the APTA Combined Sections Meeting, and guest lectured at multiple Doctor of Physical Therapy programs on gait training, the ASIA International Standards for Spinal Cord Injury Classification, motor control, and disability justice considerations in neurologic rehabilitation.
Abby is an engaged member of the American Physical Therapy Association (APTA), participating in the Academy of Neurologic Physical Therapy (ANPT) and the Academy of Leadership and Innovation (ALI). She also serves as Outreach Director for ALI’s Disability Justice Anti-Ableism Advocacy Catalyst Group and an active member of the Education Committee for Allies for Improving the Disability Experience (AIDE), an employee engagement group at Memorial Hermann. Outside of clinical practice, Abby is passionate about advancing disability justice, accessibility in education and rehabilitation, and expanding opportunities for accessible recreation. In her free time, she enjoys hiking with her dog, puzzles, and anything related to travel.

Julia Sypek
PT, DPT
Julia Sypek earned her Bachelor of Science (BS) in Exercise Science from the University of Massachusetts Lowell in Lowell, MA in 2021, and her Doctorate of Physical Therapy (DPT) from Texas Woman’s University in Houston, TX in 2024. She then went on to pursue the TIRR Memorial Hermann Neurologic Physical Therapy Residency program, which she recently completed in 2025.
Following residency, Julia now works as a clinician on the Brain Injury and Stroke Team at TIRR Memorial Hermann, where she continues to pursue her passion for treating this patient population. She is also actively involved in a quality improvement initiative at TIRR, focusing on knowledge translation strategies to promote evidence-based practice related to the Locomotor Clinical Practice Guideline. Julia has presented at both local and national conferences on topics related to neurologic physical therapy, as well as community health promotion and wellness.
In addition, Julia has served as a guest lecturer at several Doctorate of Physical Therapy (DPT) and Physical Therapy Assistant (PTA) programs. These experiences have fueled her interest in teaching, and she hopes to continue contributing to DPT education in the future.
Outside of her professional work, she enjoys staying active, spending time outdoors, and traveling.
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