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Current Evidence-Based Rehabilitation Protocols for Total Joint Replacements

Profession: Physical Therapists/Assistants
Topic: Clinical
CEU: 0.8 unit
Contact Hours: 8 hours

States Approved:
- Physical Therapists/Assistants : Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming

Skill Level: Beginner


 

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Course Objectives:

  1. Compare and contrast distinguishing characteristics of 3 types of arthritis, which can lead to the need for total joint replacement.

  2. Briefly describe 2 roadblocks to cost containment for total joint replacements.

  3. Describe 3-4 physical therapist interventions, which routinely occur during the pre- operative visit(s) for patients scheduled to undergo total joint replacements.

  4. List 2 recent innovations in total knee implants and/or surgical techniques.

  5. Describe 4 research-supported treatments, which can be performed during Phase I-IV of rehabilitation after a total knee replacement.

  6. List 2 recent innovations in total hip implants and/or surgical techniques.

  7. Describe 4 research-supported treatments, which can be performed during Phase I-IV of rehabilitation after a total hip replacement.

  8. Describe 3 distinctions, which should be made when treating a total hip replacement (anterior approach) versus a total hip replacement (posterior approach).

  9. List 2 recent innovations in total ankle implants and/or surgical techniques.

  10. Describe 4 research-supported treatments, which can be performed during Phase I-IV of rehabilitation after a total ankle replacement.

  11. List 2 recent innovations in total shoulder implants and/or surgical techniques.

  12. Describe 4 research-supported treatments, which can be performed during Phase I-IV of rehabilitation after a total shoulder replacement.

Course Description:

Over the last two decades, seismic gains have been made in the field of total joint replacement surgeries and post-surgical rehabilitation. Hip, knee, shoulder and even ankle joints are being partially or completely replaced with prosthetic joints with significant gains in both pain and function being realized. Interestingly, no longer are total joint arthroplasties the “property” of the very disabled or very old. These orthopedic surgeries are now being considered for very young patients, especially those with a history of juvenile rheumatoid arthritis or joint necrosis (Polkowski, Callaghan, Mont, & Clohisy, 2012; Keeney, Eunice, Pashos, Wright, & Clohisy, 2011).

The goal of this book is to give the reader a short, yet useful, evidence-supported overview of the state of total joint replacement surgeries (knee, hip, ankle and shoulder) and to “prime the pump” of clinical reasoning by providing rehabilitation protocols and suggested pathways. 

Chapter 1: Overview of Total Joint Replacements 
The Road to Surgery 
THE ROOT OF THE PROBLEM: ARTHRITIS 
PRIMARY JOINT REPLACEMENTS 
COST CONTAINMENT 
Chapter 2: The Pre-Operative Phase of Total Joint Replacements 
Patient Education and Counseling 
Chapter 3: The Total Knee Replacement 
ANATOMY OF THE KNEE/IMPLANT 
BRIEF HISTORY OF THE TOTAL KNEE REPLACEMENT 
INNOVATIONS IN IMPLANTS 
COMPLICATIONS & REVISIONS 
PREVALENCE 
Rehabilitation 
PHASE I (DAY 0-3) 
PHASE II (DAY 4-WEEK 6) 
PHASE III (WEEK 7-12) AND PHASE IV (WEEK 13+) 
Chapter 4: The Total Hip Replacement 
ANATOMY OF THE HIP/IMPLANT 
BRIEF HISTORY OF THE TOTAL HIP REPLACEMENT 
INNOVATIONS IN IMPLANTS 
COMPLICATIONS & REVISIONS 
PREVALENCE 
Rehabilitation 
PHASE I (DAY 0-3) 
PHASE II (DAY 4-WEEK 6) 
Chapter 5: Total Ankle Replacement 
ANATOMY OF THE ANKLE/IMPLANT 
BRIEF HISTORY OF THE TOTAL ANKLE REPLACEMENT 
INNOVATIONS IN IMPLANTS 
COMPLICATIONS & REVISIONS 
Rehabilitation 
PHASE I (DAY 0 – WEEK 2 AT EARLIEST; PHASE I MAY CONTINUE THROUGH WEEK 8) 
PHASE II (THIS PHASE CAN START AS EARLY AS WEEK 2 OR AS LATE AS WEEK 8) 
PHASE III (THIS PHASE CAN START AS EARLY AS WEEK 6 OR AS LATE AS WEEK 12) AND PHASE IV (WHICH BEGINS ONCE PHASE III GOALS ARE MET) 
Chapter 6: The Total Shoulder Replacement 
ANATOMY OF THE SHOULDER/IMPLANT 
BRIEF HISTORY OF THE TOTAL SHOULDER REPLACEMENT 
INNOVATIONS IN IMPLANTS 
COMPLICATIONS & REVISIONS 
Fractures 
Loss of Tuberosity Fixation 
Instability & Glenoid Component Loosening 
Soft Tissue Tears & Imbalance 
Post-Operative Stiffness 
Infection 
PREVALENCE 
ANATOMIC TOTAL SHOULDER ARTHROPLASTY REHABILITATION 58
PHASE I (DAY 0 - WEEK 4 AT EARLIEST; PHASE I MAY CONTINUE THROUGH WEEK 6) 
PHASE II (THIS PHASE CAN START AS EARLY AS WEEK 4 OR AS LATE AS WEEK 6) 
PHASE III (MAY BEGIN NO EARLIER THAN 6 WEEKS AFTER SURGERY; TYPICALLY BEGINS 10-12 WEEKS AFTER SURGERY) 
THE REVERSE TOTAL SHOULDER REPLACEMENT REHABILITATION 
PHASE I (DAY 0 – WEEK 6) 
PHASE II (WEEK 6-WEEK 12) 
PHASE III and IV (WEEK 12-DISCHARGE) 

Accreditation

CA sealPhysical Therapists/Assistants : Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming

Physical Therapists, Physical Therapist Assistants: New York: Rehabsurge, Inc. 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 8 contact hours.

Physical Therapists, Physical Therapist Assistants: California: The Physical Therapy Board of California recognizes Rehabsurge, Inc. as an Approval Agency to Approve Providers of Continuing Competency Courses in California for Physical Therapists and Physical Therapy Assistants. This course is approved for 8 CEs/Contact Hours.

Pricing Information

Self Study Physical Book Only (through Amazon.com): $30

Exam Only (through Rehabsurge.com or by mail): $50

Self Study E-Book and Exam(through Rehabsurge.com): $80

 

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