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Digital Seminar

Joint Arthroplasty for Today’s Clinician: Greater Knowledge, Greater Evidence, Greater Outcomes


Faculty:
Trent Brown
Duration:
5 Hours 54 Minutes
Format:
Audio and Video
Copyright:
Jan 19, 2017
Product Code:
WDS020616
Brochure Code:
WDPTARTHRO
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
 Purchase Additional Participant CE »

Description

Evidence-Based Interventions Beyond the Typical Protocol

Total joint arthroplasty is the most common surgical procedure performed in the U.S. However, as surgical advances and prosthetic implants improve annually, the therapeutic process and protocols used with this population have remained stagnant. In addition, the recent push to reduce length of stay and therapy visits while increasing functional outcomes and activity levels makes the clinician’s job even more critical. With total joint procedures doubling the past decade and trending upward, today’s clinician must possess a stronger understanding of the techniques used by surgeons, the prosthetics commonly (and uncommonly) used, and evidence-based treatment strategies determined not just by their referring surgeon but by current research.

This course particularly discusses the latest surgical and minimally invasive techniques used and the benefits and risks associated with these techniques. Taking over 1,000 nationally established joint protocols, presenter Trent Brown, MOT, OTR/L, BCG, summarizes the most effective and functionally relevant treatment strategies and protocols. Demonstrations and labs will occur to ensure application of material and immediate carry-over to the clinical setting. Mr. Brown will also discuss documentation techniques and examples to strongly justify the need for skilled services with this population in hospital, in-patient, acute, home health, and outpatient settings.

Credits


Occupational Therapists, Occupational Therapy Assistants

is an AOTA Approved Provider of continuing education. This course is offered for 0.6 AOTA CEU(s). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Intermediate, Category 1: Domain of OT, 2: Occupational Therapy Process, .


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Physical Therapists, Physical Therapist Assistants - Arkansas

This program has been approved by the Arkansas State Board Of Physical Therapy for 6 contact hour(s) for Physical Therapists.


Physical Therapists, Physical Therapist Assistants - Illinois

is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This course qualifies for 6 CE Credit Hour(s).


Physical Therapists, Physical Therapist Assistants - Indiana

This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.


Physical Therapists, Physical Therapist Assistants - New Mexico

This program has been approved by the New Mexico Physical Therapy Board for 6 contact hour(s).


Physical Therapists, Physical Therapist Assistants - New York

is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 7.2 contact hour(s).



Handouts

Faculty

Trent Brown Related seminars and products

MOT, OTR/L, BCG

Advanced Healthcare


TRENT BROWN, MOT, OTR/L, BCG, is a licensed occupational therapist in Utah and Nevada and is 1 of 24 credential holders of a board certification in gerontology from the AOTA. Currently, he is the director for Pineview within the Advanced Healthcare Corporation specializing in adult and geriatric inpatient transitional rehabilitation. Mr. Brown served as the Vice President for the Utah Occupational Therapy Association (UOTA) for 2 years where he supervised the continuing education committee and conference committee. During his term, he co-authored SB 131 advancing OT practice in the state of Utah and has received multiple awards for his clinical, academic, and legislative work. Mr. Brown is an Adjunct Professor at the University of Utah and has been teaching in their department since 2007. He has provided courses for thousands of clinicians throughout the country in various settings lecturing and demonstrating on the core, joint replacement, legislation, documentation, and aging. He has also been a keynote speaker at multiple events throughout the country.

Speaker Disclosures: 

 

Financial: Trent Brown has employment relationships with the Utah Department of Health and the University of Utah. He receives a speaking honorarium and product royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Trent Brown has no relevant non-financial relationships.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Outline

Course Outline

COMMON THEMES AND RESEARCH BEHIND SHOULDER, HIP, AND KNEE ARTHROPLASTY (TSA, THA, TKA)

  • Demographics
    • Age, gender, lifestyle, and socioeconomic status
  • Inclusion criteria for TJA (based on AMA) and who should avoid TJA
    • Common diagnosis, pain levels, and reduced functional levels
  • Neurological and psychological consequences from delaying total joint arthroplasty
    • Depression, sleep disturbances, confusion, and memory loss
  • Healing stages
    • Inflammatory, proliferative, remodeling
    • Bone, cartilage, muscle, tendon, and nervous tissue
  • Review of joint movement and osteokinematics
    • Rolling, gliding, and spinning

 

TOTAL SHOULDER ARTHROPLASTY

  • History leading to current procedures and prosthetics
  • Functional verses textbook range of motion for normal function and ADLs
  • Procedures/components
    • Glenoid component, humeral component
    • Hemiarthroplasty
    • Cemented versus cementless
    • Non-constrained versus constrained
    • Reverse TSA
      • Why reverse TSA?
      • Precautions of TSA versus standard TSA
  • Research behind TSA regarding failure rates, functional outcomes, and ROM
  • General therapeutic protocol
  • 3 or 4 phase approach
  • Treatment ideas/lab
    • Scapulohumeral rhythm
    • The proper pendulum
    • 4 approaches to the posterior glenohumeral glide (joint mobilization)
    • Non-weight bearing periscapular training

 

TOTAL HIP ARTHROPLASTY

  • History leading to current procedures and prosthetics
  • Procedures/components
    • Femoral component (cemented versus cementless)
    • Acetabular component (plastic, metal, or ceramic)
    • Anterolateral, posterolateral, direct lateral, anterior, and superpath approaches
      • Advantages and disadvantages to each approach
  • Research behind THA
    • Normal range versus functional range
  • General therapeutic protocol
  • Treatment ideas/lab
    • 6 determinants of gait
    • Lateral pelvic tilt in supine leading to frontal plane control (LAB)
    • Lateral weight shift with pelvic tilt emphasis (single leg stance with resistance)
    • 4 way straight leg raise

 

TOTAL KNEE ARTHROPLASTY

  • History leading to current procedures and prosthetics
  • Procedures/components
    • Femoral component (cemented versus cementless)
    • Tibial component (metal platform with plastic surface for ROM and absorption)
    • Patellar component (metal or plastic)
    • Unicompartmental option
    • Cruciate retaining, posterior stabilized design, fixed bearing, mobile bearing, and gender specific
    • Incisions (parapatellar, midvastus, subvastus/quad sparing)
  • Research behind TSA
    • Normal range versus functional range
  • General therapeutic protocol
    • SLR and closed chain activity
    • Dynamic EOM and half-standing with weight bearing/functional emphasis
    • Gold standard of the stationary bicycle
    • 4 directional patellar joint mobilization
    • Treatment ideas

 

DOCUMENTATION

  • Documentation ideas “outside the box” for the total joint client
    • Long-term care, acute, HH, outpatient, and transitional clients
  • Case study implementing research and treatment ideas

Objectives

  • Identify common conditions and diagnosis leading to shoulder, hip, and knee arthroplasty
  • List the short- and long-term benefits from undergoing joint replacement and the risks identified from delaying surgery
  • Discuss current components, surgical procedures, and functional treatment strategies for total shoulder, hip, and knee arthroplasty based on current evidence, research, and national protocols
  • Develop documentation strategies and language based on information provided in this course to justify therapy services to all provides with total joint client

Target Audience

Physical Therapist, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants, Exercise Physiologists, Athletic Trainers, Certified Strength and Conditioning Specialists,Personal Trainers

Reviews

5
4
3
2
1

Overall:      4.8

Total Reviews: 14

Comments

Jodie C - YUMA, Arizona

"Excellent course. Enjoyed the various (and different) treatment techniques that can be incorporated throughout the rehab process. Enjoyed seeing the information presented from an OT viewpoint. "

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