Chad M. Thompson – Total Joint Rehabilitation

This course will teach you how to assess real life.-Time evidence to determine if current interventions are producing the best outcomes for the client.

Chad M. Thompson – Total Joint Rehabilitation

• 3D Motion Analysis of Gait
• Real-time evaluation of interventions
• Prosthetic components that can be customized
• Use the evidence to address functional range and strength loss
• Avoid revisions & component removal
• Future of biogrowth tissue

Join Chad M. ThompsonFor total joint care, contact PT, DPT and OCS to get the best possible treatment. Modern advances in total-joint techniques and components have led to new advances in preoperative treatment.-Care, anesthesia and pain control are now available to clients.-Patient surgery sites. The high quality of patient surgery sites.-Tech development of 3D custom joints, in conjunction 3D motion analysis, pre- and/or post.-Operatively, let the patient receive the best state possible-Of-The-art care available. Total Patients with joint injuries now have the opportunity to purchase customized prosthetic parts. These components fit more accurately and require less tissue trauma.

This course will teach you how to assess real life.-Time evidence to determine if current interventions are producing the best outcomes for the client. We will then discuss how to choose targeted exercises that will help you achieve your functional goals while remaining cost-effective. 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. The latest literature findings will also be discussed. This will explain such topics as convalescence as a year.-Long process due to bone-to-metal interfaces that exhibit higher tensile stress 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 Before Total Joint Ersatz

• Bio-Logical
• Supplements for OA
• Hyaluronic injections
• Selective cox II
• Physical therapy

When is it time for an elective? Total Joint Procedure?

• Total Joint Assessment scales
• Physical Examination Criteria
  • Pain: Visual analog scale, Wong Borg facial scale
  • What is range of motion loss? What is functional gait?
  • Measuring quality of life and outcomes, LEFS, and TUG
• Client’s Goals
  • The Bucket list
  • Leisure Time
  • Work Expectations
  • Enjoying the later years

Hospital Course

• PreHaB
• Important pathways
• Stay in a typical hotel
• Length
• Pain management: Oral meds (PCA), nerve blocks
• Rehab goals
  • Gait distance
  • Exercise protocol
  • Discharge planning
  • Anticipating home needs
• Rehab Outcomes
  • Gait distances
  • Stability at the knee
  • Click six
  • Iowa scale

Complex Hospitalizations

• There are risks
  • Fracture
  • Blood clot
  • Component failure
  • Infection
  • Blood loss
  • Death
• Expectations for a Complex Course
  • Transfusions
  • Revision
  • Treatment of Infections – Component removal, IV antibiotics and oral meds
  • Returned to the track

Post Hospital Care: What is the Focus?

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

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Rehabilitation Goals

• Scar care
• Scar care soft tissue mobilization has many benefits
• Poor scar care costs money
  • Fibrosis
  • Patellar adhesion
  • The range of motion loss
  • Manipulation
• Functional range restoration
  • Normal ranges
  • Limitations on range cost
  • 3D assessment
  • Cost of NOT Restoring Range Motion: Knee and hip
• Strength loss
  • Comparison 3D of Functional Cost and Strength Loss
  • Best Practice Exercises WHY?
    • Squat
    • Lunge
    • Lateral Stepping
    • Stretch: Active and passive insufficiency

Analyse of costs

• Average length of a hospital
  • A hospital day saved
  • Risk reduction: Infection, blood clot, nosocomial infections
• Rehab cost
  • Hospital total cost
  • Outpatient cost
  • Health at home
  • Program to bridge
• Joint The meaning of life
  • Revision rates: Hip and knee
  • Revision difficulties: Hips and knees
• Future of biogrowth tissue
  • Cartilage re-Growth
  • Bone re-Growth
  • DJD can we ever be stopped? RA?

OBJECTIVES

1. Assess conservative management for degenerative joints to determine when this option is best for you.
2. For the ultimate achievement of your goal, analyse total joint replacement prescription.
3. To minimize complications, prepare strategies.
4. Check out the latest trends in comprehensive rehabilitation programs.
5. Find out how 3D gait analysis and motion analysis can be used to develop functional rehabilitation programming.
6. You can see the residual effects of the healing phase.
7. Set goals to complete rehabilitation
8. Examine cost analysis and the purposed savings as they relate to custom-made joint replacements.