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Total Joint Rehabilitation -Matching Intervention to Knee & Hip Impairment by Chad M. Thompson,
Salepage link: At HERE. Archive:

Faculty:: Chad M. Thompson
Duration:: Full Day
Format:: Audio and Video
Copyright:: Dec 06, 2016

Description

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.

Handouts

Outline

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?

Faculty

Chad M. Thompson, PT, DPT, OCS, CEAS Related seminars and products: 3

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.

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

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