Full Course Description

Total Joint Rehab: Essentials for Accelerated Outcomes of Shoulder, Hip & Knee Replacements

Program Information

Objectives

Investigate the history of total joint arthroplasty.
Propose rehab methods to address the 15-20% of total joint arthroplasty patients who struggle to achieve treatment goals.
Investigate the literature for evidence-based non-operative treatments of osteoarthritis.
Inspect the surgical methods for total shoulder (and reverse), hip and knee arthroplasty.
Perform functional assessment of pre-op and post-op gait in the total hip and knee patient.
Appraise total shoulder, hip and knee multimodal (corrective exercise and manual therapy) rehab interventions and incorporate into your treatment programs.
Evaluate and discuss return to activity and sports following total shoulder, hip and knee arthroplasty and how to incorporate into your treatment programs.

Outline

Current Trends and Statistics for Shoulder, Knee and Hip Arthroplasty

Implications of the comprehensive joint replacement model
How to address the 15-20% of total joint patients that don’t ACHIEVE GOALS OF THERAPY!

Assessment: Troubleshooting the Difficult Total Joint Patient

Gait deviations that occur post-op
Address the ‘stiff’ total knee patient
Correct total shoulder patients favoring a shoulder hike/shrug
Address the post-op total joint patient with an infection

Non-Operative Management of Osteoarthritis

Biologics including PRP, stem cells
Injections – options and frequency
Resistance training

Shoulder Arthroplasty: New Advances in Surgery and Rehab Implications

Osteoarthritis management
Complete total shoulder-TSA
Hemi shoulder arthroplasty
Reverse total shoulder arthroplasty-rTSA
Rehab techniques following total shoulder arthroplasty
- ROM guidelines and manual therapy for shoulder arthroplasty
- Open and closed kinetic chain exercises
Return to activity:
- Expected time frames to perform ADL’s and return to exercise/sports
Case Studies

Total Knee Arthroplasty

Traditional total knee arthroplasty - TKA
Minimally invasive knee arthroplasty-MIS TKA
Less invasive/quad sparring TKA
Computer assisted surgery - CAS, robotics
Literature review:
- Continuous passive motion – CPM
- Neuromuscular electrical stimulation - NMES
- Pre-operative Physical Therapy
Guidelines for return to activities post TKA:
- Biking, treadmill, elliptical
- Swimming
- Hiking
- What sports are allowed following a TKA?
Facilitate use of key gait and function muscles weakened by TKA
Case Studies

Total Hip Arthroplasty-THA

Traditional precautions vs current advanced hip systems
Anterior vs posterior total hip arthroplasty: which is better?
Anterior hip arthroplasty rehab implications
Minimally invasive hip arthroplasty - MIS
Advances in materials in THA and rehab implications including precautions
Facilitate key muscles involved in gait and function for your THA patients
Return to activities following THA:
- Biking, treadmill, elliptical
- Swimming
- Hiking
- What sports are allowed following a THA
Case Studies

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapist Assistants
Athletic Trainers

Copyright : 10/28/2022

Hip & Knee Total Joint Replacement Surgery - New Options for Pain Management

Pain management that seemed impossible just a few years ago is now the new reality for today’s total joint candidate. New advances allow for same-day surgical discharge and the reduced need for narcotic pain killers. In this session, we will examine the new strategies and techniques for total hip and knee patients’ post-op pain management. You’ll also gain a crucial understanding of the drug interactions associated with commonly prescribed post-op medications…and how you can use that to improve patient recovery. Participants are encouraged to bring laptops, tablets, and smartphones for an online activity.

Program Information

Objectives

Determine pain control and nerve blocks used for LE surgery
Apply the methods used for improved post-operative pain management
Demonstrate the use online tools for pill identification and possible interactions in the post-op patient
Determine the factors of Prescription Opioid addiction and what every caregiver needs to carry

Outline

Pain Control and Nerve Blocks for the Lower Extremity

Pre and post-operative oral medications
Difference of femoral versus obturator LE nerve block

Improved Post-Operative Pain Management

Pain management options
Use of Exparel (pain cocktail)
Video demonstration of intra-operative Exparel

Post-Op Medication

Online tool for pill identification
Case presentations
Post-Op medication list
Medication interactions

Prescription Opioid Addiction

Crisis in US
What makes them so addictive
Use and administration of Narcan

Target Audience

Physical Therapists
Occupational Therapists
Athletic Trainers

Copyright : 08/01/2020

The Aging of Posture: How Age, Gravity, and Dysfunction Contribute and What to Do About It

Does your patient’s posture appear to be inspired by Picasso? Are your patients reporting pain, dysfunction, falls, and more? Additionally, due to an increasingly sedentary lifestyle and electronic use, forward head posture and excess thoracic kyphosis are becoming more prevalent among ALL age groups. Dive into the anatomical and functional contributions to dysfunctional posture. We will analyze imaging of common pelvic, thoracic and cervical postural dysfunction. Finally, fill your toolbox with evidence-based treatment strategies to inhibit, lengthen, and activate specific structures for long-term successful correction of the most common postural deviations seen in the clinical setting.

Program Information

Objectives

Analyze dysfunctional posture that can occur with contracture, weakness, and disuse of anatomy.
Formulate common associations of dysfunctional posture in the pelvis, thorax, and cervical regions.
Evaluate evidence-based postural activities to inhibit, lengthen, and activate specific anatomy to limit or reverse dysfunctional posture.

Outline

Posture analysis

Images
Lateral Pelvic Tilt

Posture of aging

Muscle Fiber shortening
- Iliopsoas
- Biological sex and falls (anterior vs posterior pelvic tilt)

Stretch principles

Iliopsoas (pelvis)
Sherrington’s Law

Objective Assessment

Measuring FHP
- Angle & ruler
Measuring Kyphosis
- Inclinometer
- Averages

Treatment

NASM approaches
- Inhibit, lengthen, activate, integrate
- FHP - Cervical extension
- HKP – Thoracic, CRAC (active)
Sahrmann Corrective Exercises
- Target-Load
- Thoracic

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Athletic Trainers
Massage Therapists
Chiropractors

Copyright : 08/04/2022

Myofascial Therapy: Program Design to Promote Flexibility & Function Across the Lifespan

Improve your patients’ quality of life by incorporating myofascial therapy into rehab. Gain breakthrough evidence-based techniques that you can use to achieve improved flexibility and function with video demonstrations and interventions you can apply immediately. This session will teach you how to transform activity limitations and promote function across the lifespan.

Program Information

Objectives

Distinguish the anatomy and function of the fascial system.
Determine types of fascial impairments and diagnostic categories.
Apply myofascial interventions to improve mobility and function and to reduce pain.
Analyze the evidence-based research on fascial and the efficacy of myofascial release.

Outline

Fascial System: Function and Anatomy

How fascia is organized
How adhesions develop
Indications and contraindications for myofascial release (MFR)

Identify Fascial Impairments

Types of fascial impairments
Diagnostic categories
Differential diagnosis of myofascial pain, fibromyalgia, myositis/myalgia, trigger point

Myofascial Interventions

Improve mobility
Improve function
Reduce pain
Demonstrations of: skin glide, skin roll, cross hands release, muscle plan, distraction and deep releases

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Athletic Trainers
Massage Therapist

Natural Interventions for Pain: Trigger Point Release Therapy

People often develop habits that produce abnormal strain on the neuromuscular system, resulting in tight bands of abnormal muscle contraction known as trigger points (TPs). These TPs contribute to neck pain, headaches, back pain, and even functional disability. The cause of TPs is often overlooked or simply not addressed. If addressed, many use compression only to find they return shortly after the session. Discover a superior management strategy by examination of the physiology of trigger points and the significance in the neuromotor system. Arm yourself with a variety of techniques for successful clinical outcomes and happy patients!

Program Information

Objectives

Investigate the etiology and physiology of trigger points.
Develop evaluation and outcomes measurement for trigger points.
Apply three interventions to reduce the painful sensitivity and tension associated with trigger points.
Investigate current evidence for the effectiveness of trigger point management, using myofascial, positional and reflex release techniques.

Outline

Trigger Points Explained

Etiology
Physiology of trigger points
Assessment
Imaging
Research and Evidence

Interventions to manage painful TPs

Myofascial and positional release
Ischemic compression
Reflex movement therapy
Discussion - question/answer

Target Audience

Physical Therapists
Physical Therapy Assistants
Occupational Therapists
Occupational Therapy Assistants
Athletic Trainers
Massage Therapists
Chiropractors