Refer a Patient Motion Analysis and Human Performance Laboratory
If you are a patient, please visit the Motion Analysis and Human Performance Laboratory for more contact, scheduling, and location information.
Referring Provider Instructions
To refer your pediatric patient to the Motion Analysis and Human Performance Laboratory, please select the reason for referral and complete the following steps.
- Review referral criteria
To ensure that your patient receives the best possible care, please review the referral guidelines below and submit the requested information.
Patients should meet the following criteria:- Gait impairment related to a neurological, orthopedic, or developmental disorder (for example: cerebral palsy, spina bifida, spinal cord injury, traumatic brain injury, cerebral vascular accident, genetic disorder, hereditary spastic paraparesis, idiopathic toe walking, etc.)
- Able to walk under their own power for a minimum of 10 feet without stopping. The patient must be able to walk this distance at least 10 times to complete the gait study.
- If needed, the patient may use any of the following assistive device(s): cane, crutches, standard anterior walker, or standard posterior walker. However, the gait study cannot be performed for patients who use a gait trainer or a walker with a hip belt (or pelvic support).
- For patients classified as GMFCS IV, please contact the Motion Analysis Lab at 936-267-6686 to determine whether the patient is appropriate for referral.
- Able to follow verbal commands
- At least five (5) years of chronologic age or greater, or behavior consistent with 5 years old
- Download and complete the online referral form
- Fax form to: 936-267-7904
- Provide patient with Welcome Packet
- We will submit pre-authorization to confirm insurance coverage and contact the patient’s parent/caregiver to schedule the patient’s visit at the Motion Analysis and Human Performance Laboratory.
To check on the status of a referral or for program related questions, please contact the Motion Analysis and Human Performance Laboratory at 832-826-6162 (Angela Joiner Johnson) or 936-267-7143 (Amy Barbuto).
- Review referral criteria
To ensure that your patient receives the best possible care, please review the referral guidelines below and submit the requested information.
Patients should meet the following criteria:- Age 12 and over
- Pain with throwing
- Pain with running
- Activity or sport limitations due to lower extremity pain
- Lower Extremity Injury that is not improving with traditional therapy
- Returning to sport after ACL injury
- Returning to Baseball or Softball after injury
- Returning to Dance after hip injury or surgery
- Be able to perform functional tasks like running, jumping, and squatting
- Be comfortable running on treadmill for running analysis
- Complete the online referral form
- Fax form to: 936-267-7914
- Provide patient with Welcome Packet
- We will contact the patient’s parent/caregiver to complete a phone intake and schedule the patient’s visit at the Motion Analysis and Human Performance Laboratory.
To check on the status of a referral, or for program related questions, please contact the Motion Analysis and Human Performance Laboratory at 936-267-7300.