Transforming Total Joint Rehab: Fast-Track Function, Mobility & Return to Activity

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Speaker

John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1 Practitioner Related seminars and products

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John O’Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1 Practitioner, is a board certified orthopedic clinical specialist by the American Physical Therapy Association and has over 30 years of experience in the field of orthopedics. He earned his post-professional Doctor of Physical Therapy from Temple University. Dr. O’Halloran has studied orthopedic and sports therapy abroad in Australia and New Zealand. Dr. Halloran is the sole owner of O’Halloran Rehabilitation, a division of O’Halloran Consulting, LLC. John was born in Boston Massachusetts. He is credentialed with the McKenzie Institute in the mechanical diagnosis and treatment of the spine and has extensive post graduate training in manipulative therapy of the spine and extremities and is a certified SCTM-1 Practitioner and has certificates in SMT-1, SMT-2, and SMT-3 with the American Spinal Manipulative Institute. Dr. O’Halloran is also a certified functional capacity evaluator in the Blankenship Method.  He has presented over 1,300 times both locally and internationally on various orthopedic and sports medicine topics.

In 2014, John was the recipient of Clinician of the Year and Excellence in Clinical Practice Award by the North Carolina Physical Therapy Association. Recently, Dr. O’Halloran’s investigational work on the earlier facilitation of gait in the Total Knee Arthroplasty patient has been cited in a peer reviewed journal publication. Dr. O’Halloran was an invited presenter at the 2023 Ortho/Neuro Rehab Summit October 26-29 in Las Vegas, NV and the International Orthopedic Conference January 4, 2024, in Cairo, Egypt.

 

Speaker Disclosures:
Financial: John O'Halloran is the owner of O’Halloran Consulting LLC and O’Halloran Rehabilitation. He receives compensation as a national speaker. John O'Halloran receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: John O'Halloran has no relevant non-financial relationships.

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Objectives

1. Analyze the history of Total Joint Arthroplasty and modern evidence-based advances in same day surgery, pain management, and accelerated mobility.
2. Identify the common concerns and frequently asked questions (FAQs) raised by patients to understand the reasons behind the dissatisfaction of 25% of Total Joint Patients.
3. Utilize tailored rehab methods that address patients who do not meet anticipated functional goals.
4. Determine therapeutic solutions to accelerate return to activity and sport following Total Shoulder, Hip and Knee Arthroplasty.
5. Choose assessments for pre-op and post-op gait analysis for patients undergoing total hip and knee replacement surgeries to assess functional mobility.
6. Utilize skills in an experiential lab focused on manual therapy and corrective exercises, specifically addressing Total Shoulder, Reverse Shoulder Arthroplasty, and Total Hip and Knee range of motion.

Outline

Introduction

• Current trends and statistics:
  • Shoulder arthroplasty
  • Reverse arthroplasty
  • Knee arthroplasty
  • Hip arthroplasty
• Implications and insight pertaining to the comprehensive joint replacement model
  • Address the 15-20% of total joint patients that do not achieve therapeutic goals
  • Identify barriers to functional restoration
  • Recognize opportunities for improvement in the rehabilitation model
• Multifaceted Pain Management - Past practices, current trends and future directions

Addressing FAQ’s with Evidenced-Based Answers:

• Strategies to empower and motivate your patient
• Ensuring patient confidence in you as a clinician
• Explore evidence-informed answers to the most frequent questions patients ask:
  • Why does my total knee keep clicking?
  • Why is it still swollen?
  • Can I kneel? Can I run? Can I swim and play golf with my reverse shoulder?
  • When can I do yoga after my total hip?
  • My surgeon is using a robot to do my surgery ... is that better?
  • Do I need precautions after my posterior total hip?
  • What can be done for my persistent pain after my total knee? 
  • Should I do therapy before my joint replacement?

Troubleshooting the Difficult Total Joint Patient

• Address Leg Length Discrepancy Pre and Post Total Hip and Knee Arthroplasty
  • Preoperative Assessment and Early Detection
  • Surgical considerations and patient education
  • Postoperative Management and therapeutic interventions 
  • Patient Education, Communication, and Home Exercise Programming
• Total Shoulder and Reverse Shoulder Arthroplasty
  • Analyze biomechanics and spot compensatory movement patterns
  • Reduce shrug and/or hike with range of motion
  • Connect scapular motion and shoulder mobility
  • Muscle activation and co-activation – how to find the right balance
  • Interventions to develop joint stability with multiplanar mobility
• Address Altered Gait after Total Knee or Hip Arthroplasty
  • Normal gait cycle and key phases
  • Pathologic Gait – finding red flags
  • Subjective and objective assessment measures
  • Comprehensive gait analysis – Identify deviations, asymmetries, and impairments 
  • Safe weight-bearing and loading progression activities
  • Develop balance, stability and proprioception through therapeutic exercise
  • Ambulation training
• The Stiff Total Knee Patient
  • Identify fear avoidance patterns
  • Combat self-limiting behaviors
  • Down regulate tone and spasticity
  • Joint mobilization techniques to enhance mobility
  • Intra-active functional rehabilitation methods

Experiential Lab Workshop:

• Manual Therapy Techniques and Advanced Corrective Exercises for:
  • Shoulder Arthroplasty
  • Reverse Arthroplasty
  • Knee Arthroplasty
  • Hip Arthroplasty
• Live guided patient demos:
  • Live interactive demos of manual therapy and corrective exercise techniques in real time