Full Course Description
Intensive Clinical Orthopedic Certificate Course
OUTLINE: Modules 1-3
Assessment of the Orthopedic joint patient
- Application of orthopedic special tests and their findings
- Correlation of special test findings with diagnostic imaging results
- Rehabilitation options with consideration of:
- Conservative therapies, function and pain level, surgical options, physical co-morbidities, and relative bone density
Video presentations of surgical procedures Including
- Shoulder arthroscopic procedures: SAD, RTC repair, SLAP and Bankart repair
- Total shoulder arthroplasty (TSA)
- Reverse TSA
- Radiograph assisted Total Elbow Arthroplasty
- Practice in donning and doffing of UE immobilizers
OUTLINE: Modules 4-6
Actual patient video presentations of surgical procedures:
- Hip Arthroscopic procedures: FAI and Acetabular labral repair
- Total Hip Arthroplasty (THA), conventional posterior and lateral approaches
- Anterior THA and THA revision
- Knee Arthroscopic procedures: Partial menisectomy, meniscal repair, bio ingrowth cartilage
- Total Knee replacement (TKA) conventional and sub vastus, uni & bi compartment
- The future of joint replacement with custom implants, computerized and robotic assisted hip, knee and ankle replacement
Acute post-op recovery:
- Discharge planning: New 2016 Guidelines for Total joints
- Acute Rehab / Skilled Nursing / Home which is the right choice in terms of accessibility, assistance, activity restrictions, and length of time
- Pain management, opioid tolerance and opioid induced constipation (OIC)
- Use of cold recirculator units and cold compression devices
- Active and passive TED strategies
- Demonstration of TED hose application
- Wound Care / Infection Prevention
- Demonstration of PICO dressing
- Demonstration of point of care PT/INR
- Selection and adjustment of assistive devices with instruction in proper usage for support
OUTLINE: Modules 7-9
Treatment sessions for the acute through the subacute phase of recovery
- Shoulder: Active proximal scapular exercise and cervical stretching techniques with permissible distal UE
- Hip: Immediate post-op exercises and progressions for the conventional and anterior approach, including transfer considerations
- Knee: Immediate post-op exercises and progressions for the conventional and subvastus approach, including forms of stretching
Strategies of optimal function for out-patient and beyond
- Shoulder: Manual techniques to build proximal scapular stabilization and progression to rotator cuff strengthening
- Hip: Progression of core pelvic strengthening, proximal trunk stability, proprioceptive, balance, coordination activities, return of normal gait mechanics
- Knee: Progression of flexibility exercises, patellar mobilization, demonstration of patella femoral taping, the importance of proper footwear, proprioceptive, balance, coordination activities, return of normal gait mechanics
- Analyze altered joint mechanics and the advancement of degenerative joint conditions to the staging orthopedic interventions.
- Participate in hands-on application of special tests in differentiating joint damage for the shoulder, hip, and knee.
- Evaluate the key indications for timing of arthroscopic or joint replacement surgery.
- Divide the indications and procedures of TSA and Rev TSA.
- Communicate various surgical approaches for THA.
- Correlate the intra-operative procedure leading to increased conservative measure time required for THA revision.
- Communicate the traditional approaches with MIS and MSS surgical approaches.
- Analyze the advantages of computerized and robotic assisted replacement surgeries.
- Propose the benefits of a multi-modal approach to post-operative pain.
- Analyze the return to activity timeline of the post-surgical patient.
- Explore the best practice strategies post-op exercises including UE manual scapular stabilization techniques and closed chain functional exercises of the LE.
- Participate in hands-on application of cold therapies, UE immobilizers and point of care PT/INR.
- Apply assistive devices correctly to optimize post-op needs.
- Role play acute and sub-acute intervention strategies for the total shoulder, hip, and knee patient.
- Practice advanced level out-patient intervention strategies for the total shoulder, hip, and knee patient.
- Evaluate the latest research to guide treatment decisions for total joint patients.
- Assess an orthopedic joint patient so that you don’t overlook any important details.
- Explore what is on the horizon for joint replacements.