You will learn how to evaluate real-time evidence to determine whether current interventions are contributing to the most successful outcomes for the client.
Chad M. Thompson – Total Joint Rehabilitation
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.
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
Would you like to receive Chad M. Thompson – Total Joint Rehabilitation ?
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?
OBJECTIVES
Evaluate conservative management of degenerative joints to discern when these options are the best for the client.
Analyze total joint replacement prescription for outcome achievement.
Anticipate strategies to optimally manage complications.
Contrast the current trends for comprehensive rehab programs.
Determine how 3D gait and motion analysis can become a powerful tool in the development of functional rehab programming.
Compare the effects of residual deficits well beyond the initial healing phase.
Establish goals for complete rehabilitation.
Review cost analysis and purposed saving as they pertain to customized joint replacements.
