Full Course Description

Module 1: The Clinician’s Go-To Guide for Joint Arthroplasty

Program Information

Objectives

Discover the latest surgical joint replacement techniques, such as Computer Assisted Surgery, tissue sparring, resurfacing, and minimally invasive procedures
Grasp the rehab implications of the latest surgical advancements
Cover the latest evidence-based techniques and technologies in pre and post-operative therapy
Determine when it is safe for your patients to resume which activities
Design functional rehabilitation exercise programs

Outline

CURRENT TRENDS AND STATISTICS

Shoulder, knee, and hip arthroplasty
Core Implications for joint replacement patients

SHOULDER ARTHROPLASTY: NEW ADVANCES IN SURGICAL AND REHAB IMPLICATIONS

Osteoarthritis of the shoulder management
Complete Total Shoulder Arthroplasty (TSA)
Hemi shoulder arthroplasty
Reverse Total Shoulder Arthroplasty (rTSA)
Humeral resurfacing
Interpositional arthroplasty
Glenoid resurfacing
- Rehabilitation techniques following Total Shoulder Arthroplasty
  - Range of motion guidelines
  - Open and closed chain exercises
  - Kinetic chain experiences
- Return to activities following Total Shoulder Arthroplasty

TOTAL KNEE ARTHROPLASTY (TKA)

Traditional Total Knee Arthroplasty
Minimally Invasive Knee Arthroplasty (MIS TKA)
Less Invasive/Quad Sparring Total Knee Arthroplasty
Computer Assisted Surgery (CAS)
- Review of literature on Continuous Passive Motion (CPM)
- Review of literature on Neuromuscular Electrical Stimulation
- Review of literature on pre-operative physical therapy
- Return to activities following Total Knee Arthroplasty
- Learn when it is acceptable for your patients to:
  - Swim
  - Bike
  - Use the treadmill
  - Hike
  - Use the elliptical
- Facilitate use of key gait and function muscles weakened by TKA?

CASE STUDIES

TOTAL HIP ARTHROPLASTY (THA)

Traditional total hip precautions with a compare and contrast to the more advanced hip systems of today
Anterior Hip Arthroplasty—rehab implications
Minimally Invasive Hip Arthroplasty (MIS THA)
Advances in materials in THA and the rehab implications, especially the typical precautions, etc.
How to facilitate key muscles involved in gait and function for your THA patient
- Return to activities following Total Hip Arthroplasty
- Learn when it is acceptable for your patients to:
  - Swim
  - Bike
  - Use the treadmill
  - Hike
  - Use the elliptical
- Examine which sports are allowed following THA?

CASE STUDIES

Target Audience

Physical Therapists
Athletic Trainers
Physical Therapist Assistants
Occupational Therapists
Personal Trainers
Exercise Physiologists
Certified Strength and Conditioning Specialists
Certified Occupational Therapy Assistants

Copyright : 05/18/2018

Module 2: Total Shoulder Arthroplasty: The Surgery, The Rehabilitation, The Outcomes

Program Information

Target Audience

Physical Therapists
Physical Therapist Assistants
Occupational Therapists
Occupational Therapy Assistants
Athletic Trainers
Exercise Physiologists
Sports Medicine
Personal Trainers
Nurses
Nurse Practitioners
Clinical Nurse Specialists

Objectives

Discuss the risks associated from delaying joint arthroplasty and the outcomes achieved if immediate therapy is implemented.
Describe the risks associated from delaying joint arthroplasty & the outcomes achieved if immediate therapy is implemented
Identify current components, surgical procedures, and functional treatment strategies for total shoulder arthroplasty based on current evidence, research and national protocols.
Develop documentation strategies developed from this lecture using terminology accepted by payer sources to justify skilled services with the total shoulder client.

Outline

Trends and Projections with TSA

Age, etiology, costs, etc.
Common Dx leading to TSA
Why R TSA will be the new norm
Mastering the R TSA

Why Individuals Undergo TSA

Pain, Arthritis, etc.
Delaying Arthroplasty
Who qualifies for TSA

The Surgery and the Rehab

Humeral and Glenoid Components
Surgical Procedure
3 Phase “Gold Standard” Protocol
Proper Pendulum
GPG Mobilization Techniques
Post Recovery

Documentation

5 standards of Documentation
Examples

Copyright : 08/03/2017

BONUS: Restoring Balance & Function after Hip & Ankle Arthroplasty

Program Information

Target Audience

Athletic Trainers, Occupational Therapy, Occupational Therapy Assistants, Physical Therapy, Physical Therapy Assistants

Objectives

Identify current options in total hip & total ankle arthroplasty
Discuss gait & balance mechanics & how these can be maximized post-operatively
Review ankle & hip joint anatomy, the concepts of hip strategies & ankle strategies for balance & the effect of surgery on joint receptors
Examine current literature on the importance of balance & proprioceptive training following each procedure
Demonstrate which exercises & activities are most helpful, when to initiate each & which ones the patient should continue independently

Outline

Current options in total hip and total ankle arthroplasty

Review surgical techniques and components
Common Dx leading to THA and TAA
Post-operative timelines and when to initiate balance training with each population

Gait and balance mechanics to maximize post-operative outcomes

Review ankle and hip motions in “Normal” gait to understand which motions to emphasize
Does the prosthesis limit range of motion and strength gain potential?
Deficits at 6 months and 2 years post-operatively
What is the role of proprioception and muscular response in balance and gait

Strategies for post-surgical balance

The role of neuroplasticity in balance recovery
Role of symmetry training and impacts on the contralateral limb
Why surgery seems to have greater impact on ankle joint receptors than in the hip
Greater muscle mass in the hip and which muscles are the keys in balance

The importance of balance and proprioceptive training following surgery

Impact on patient perceived long-term outcome and how this can differ from the therapist
Importance of patients regaining confidence and impact of fear of falling on actual falls
How is the patient functioning long after discharge from formal therapy?

Post-operative exercises and activities demonstration

Single limb stance and tandem stance activity early and late in rehabilitation
Varying sensory inputs for progressions
Effective strengthening exercises and proper dosing/overload principles