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Digital Seminar

Restoring Balance & Function after Hip & Ankle Arthroplasty

Jason Handschumacher, PT, DPT, OCS
1 Hour 58 Minutes
Audio and Video
Aug 03, 2017
Product Code:
Media Type:
Digital Seminar

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How many times have you heard a patient say, “I had my hip replaced three years ago and it doesn’t hurt now. However, I just never got all my strength back and I still feel like I could lose my balance and fall”?

Following lower extremity total joint arthroplasty, it is common to focuses on pain reduction, basic trans-fers, range of motion and basic strengthening. Oftentimes this is where we or the patients stop. Long-term functional improvement and ambulation safety can be overlooked.

This course aims to emphasize the long-term outcomes following ankle and hip joint replacement. We will examine what current literature says about which post-operative deficits are most impactful and the best means of improving balance after the surgery. What works may be surprisingly simple.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 1.9 self-study continuing education credits.

CE Broker

Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 1.75 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 1.75 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 1.75 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 1.5 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 2.3 contact hours.

Other Professions

This self-study activity qualifies for 1.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Jason Handschumacher, PT, DPT, OCS Related seminars and products

Jason Handschumacher, PT, DPT, OCS, is an expert in myofascial release, with over 16 years of clinical experience in some of the top facilities in the country. He practices at a hospital in the Charlotte metropolitan area, serving patients in acute, sub-acute, and outpatient settings. In addition, he sees patients at a clinic within an active adult community.

Dr. Handschumacher travels nationally to present seminars on myofascial release and is known for his dynamic, hands-on teaching style. He has presented research findings for state and national PT associations related to non-operative management of the rotator cuff, injury prevention, and the uses of therapeutic taping. Board Certified as an Orthopedic Clinical Specialist, Dr. Handschumacher earned his doctorate in physical therapy from Shenandoah University.


Speaker Disclosures:

Financial: Jason Handschumacher has an employment relationship with Springs Memorial Hospital. He receives a speaking honorarium from PESI, Inc.

Non-financial: Jason Handschumacher has no relevant non-financial relationship to disclose.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Target Audience

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


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


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


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