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Total Joint Rehabilitation: Matching Intervention to Knee & Hip Impairment

Chad M. Thompson, PT, DPT, OCS, CEAS
Full Day
Dec 06, 2016
PESI Publishing
Product Code:
Media Type:
DVD - Also available: Digital Seminar


  • 3D motion analysis of gait
  • Evaluate interventions in real time
  • Customized prosthetic components
  • Using the evidence to address strength loss and functional range
  • Avoid revisions & component removal
  • The future of bio growth tissue

Join Chad M. Thompson, PT, DPT, OCS, CEAS, to elevate your treatment of total joint patients into the here and now. Recent advances in total joint techniques and components, along with the advances in pre-care, anesthesia, pain control, and pharmacological regimens, are allowing for clients to now consider treatment options through surgical centers and out-patient surgery sites. The high-tech development of 3D custom joint fabrication, in conjunction with 3D motion analysis of gait, both pre- and post-operatively, allow the patient to receive the most state-of-the-art care available. Total joint patients now have the option of customized prosthetic components, which fit more precisely with less tissue trauma.

You will learn how to evaluate real-time evidence to determine whether current interventions are contributing to the most successful outcomes for the client. Based upon this evidence, we will discuss how to select targeted exercises that will achieve cost effective, functional goals. During this inspiring day, you will have an opportunity to see how 3D gait and motion analysis can match your client’s needs for a truly customized program. Discussion of the most recent literature findings will be incorporated as well, explaining such things as how convalescence is understood to be a year-long process, due to bone to metal interfaces demonstrating higher tensile stresses than bone to bone. Let us bring the future of total joint rehabilitation forward… as you discover the exciting new opportunities within your role, update your prescription methodology and determine ways to anticipate the evolving needs of your total joint client.



* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  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 completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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.  All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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 6.3 self-study continuing education credits.

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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 6.25 continuing competency hours.

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 6.25 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 Therapist Assistants

This self-study course consists of 6.25 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.

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 6.0 CE credit hours.

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 7.6 contact hours.

Other Professions

This self-study activity qualifies for 6.25 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.



Chad M. Thompson, PT, DPT, OCS, CEAS's Profile

Chad M. Thompson, PT, DPT, OCS, CEAS Related seminars and products

Chad M. Thompson PT, DPT, OCS, is the director for the Kentucky Orthopedic Rehab Team (KORT), Georgetown, Kentucky location. Chad has nearly 30 years of experience working with joint rehabilitation in both acute and outpatient phases. He is APTA Board Certified in orthopedics and contributes to the specialty through the development of written treatment protocols. His expertise has been sought for audiences across the United States of experienced rehab professionals on a variety of degenerative and total joint topics.

He consults on legal cases involving physical therapy malpractice and has served as an expert witness as well. In addition, Chad is a clinical instructor for the University of Kentucky, University of Louisville and assists in supervising the Samaritan Free Clinic. This clinic allows students to assess and treat underserved patients under the supervision of a PT.

Speaker Disclosures:

Financial: Chad Thompson is Director of Outpatient Physical Therapy at KORT Physical Therapy Clinic. He has stock holdings with Bristol Meyer Squibb in a 401K retirement plan with Select Medical Corporation. Mr. Thompson receives a speaking honorarium from PESI, Inc. His financial relationships with ineligible organizations have been mitigated.

Nonfinancial: Chad Thompson has no relevant nonfinancial relationship to disclose.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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Options Prior to Total Joint Replacement

  • Bio-logics
  • Supplements to manage OA
  • Hyaluronic injections
  • Selective cox II
  • Physical therapy

When Is It Time for an Elective Total Joint Procedure?

  • Total Joint Assessment Scales
  • Physical Exam Criteria
    • Pain: Visual analog scale, Wong Borg facial scale
    • Range of motion loss: What are functional ranges? What is functional gait?
    • Quality of life measure/outcomes: LEFS, TUG
  • Client’s Goals
    • The Bucket List
    • Leisure Time
    • Work Expectations
    • Enjoying the Later Years

Hospital Course

  • PreHaB
  • Critical pathways
  • Typical stay
  • Length
  • Pain control: Oral meds, PCA, nerve blocks
  • Rehab goals
    • Gait distance
    • Exercise protocol
    • Discharge planning
    • Anticipating needs at home
  • Rehab Outcomes
    • Gait distances
    • Knee stability
    • Click six
    • Iowa scale

Complicated Hospitalizations

  • Risks
    • Fracture
    • Blood clot
    • Component failure
    • Infection
    • Blood loss
    • Death
  • Expectations for a Complicated Course
    • Blood transfusions
    • Revision
    • Treating Infections: Component removal, IV antibiotics, oral meds
    • Back on track

The Focus of Post Hospital Care

  • Assessment of motion analysis
  • Evaluative findings
  • Customized exercise prescription
  • Gait assistive device selection

Rehabilitation Goals

  • Scar care
  • Benefits of scar care soft tissue mobilization
  • Cost of poor scar care
    • Fibrosis
    • Patellar adhesion
    • Range of motion loss
    • Manipulation
  • Functional range restoration
    • Normal ranges
    • Cost of range restriction
    • 3D assessment
    • Cost of NOT Restoring Range of Motion: Knee and hip
  • Strength loss
    • 3D Comparison of Functional Cost to Strength Loss
    • Best Practice Exercises WHY?
      • Squat
      • Lunge
      • Lateral Stepping
      • Stretch: Active and passive insufficiency

Cost analysis

  • Average hospital length
    • Saving a hospital day
    • Risk reduction: Infection, blood clot, nosocomial infections
  • Rehab cost
    • Hospital total cost
    • Outpatient cost
    • Home health
    • Bridge program
  • Joint life
    • Revision rates: Knee and hip
    • Revision difficulties: Knee and hip
  • The future of bio growth tissue
    • Cartilage re-growth
    • Bone re-growth
    • Can we ever prevent DJD? RA?





  1. Evaluate conservative management of degenerative joints to discern when these options are the best for the client.
  2. Analyze total joint replacement prescription for outcome achievement.
  3. Anticipate strategies to optimally manage complications.
  4. Contrast the current trends for comprehensive rehab programs.
  5. Determine how 3D gait and motion analysis can become a powerful tool in the development of functional rehab programming.
  6. Compare the effects of residual deficits well beyond the initial healing phase.
  7. Establish goals for complete rehabilitation.
  8. Review cost analysis and purposed saving as they pertain to customized joint replacements.

Target Audience

Athletic Trainers, Cardiovascular Technology Professionals, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals



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