Total Joint Replacement of the Hip and Knee

Assessment and Clinical Strategies for Preventive and Joint Replacement Surgeries

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Total Joint Replacement of the Hip and Knee

Assessment and Clinical Strategies for Preventive and Joint Replacement Surgeries


Instructor: Terry Rzepkowski, DPT, MS, BS

Course Length: 6 hours | Tuition: $229 or FREE for Elite Passport Members


This is a livestream, interactive course.  The instructor will teach in real time.  You will have the opportunity to ask and answer questions.

BENEFITS OF ATTENDING

  • Comprehensive video review and discussion of DJD preventive and joint replacement surgeries
  • Clinical testing for orthopedic differential diagnosis of knee & hip conditions
  • Use of slow motion video analysis for identifying knee injury risk factors
  • Functional Rehab exercise applications with low and no cost equipment
  • Hands-on Labs: Clinical Assessments and Functional Rehab Techniques

COURSE DESCRIPTION

Total Joint Replacements are the fastest growing segment of orthopedic surgery. Tens of millions of Americans are currently diagnosed with arthritis of the hip and knee with a dramatic increase in these diagnoses projected over the next decade. As a result, an increase in Total Joint Replacement surgeries is also predicted. Clinicians must have a good working knowledge of non-surgical conservative interventions for this patient population. With the recent changes in Medicare, knowing the correct approach and how to properly document your therapy with patients is imperative.

In this seminar, you will gain the knowledge to identify and deter the progression of degenerative changes, and manage this ever growing segment of clients for the rehab professional.  Dr. Rzepkowski will give you the necessary tools to clinically identify common orthopedic problems of the Hip and Knee and understand the rehab implication of various surgical techniques for repair. Attendees will gain useful prevention strategies of youth injury, clinical identification of joint pathology, and functional rehab interventions for all ages including total joint replacements. Using videos of surgical procedures Dr. Rzepkowski will demonstrate changes before and after intraoperative repair. Attendees will learn how to use electronic strategies to provide functional analysis and create custom rehab exercises in both non-operative and post-operative patients to optimize functional return and deter re-occurrence of injury. The clinical techniques covered in this course can be easily integrated into the clinic or home the next day.

ATTENDEE OBJECTIVES

  1. Perform assessment techniques to identify predisposing factors to injury of the Hip and Knee.
  2. Develop a risk-specific treatment approach to minimize functional injury predisposition.
  3. Perform hands-on clinical assessments to identify structural pathology of the Hip and Knee.
  4. Discuss prognosis, treatment duration, and outcomes for each type of orthopedic surgical procedure.
  5. Perform hands-on functional rehab techniques for the Hip and Knee.
  6. Develop Medicare Documentation strategies using functional progression of home exercise programs for the Hip and Knee patient.

WHO SHOULD ATTEND

  • Physical Therapists and Assistants
  • Occupational Therapists and Assistants
  • Athletic Trainers

OUTLINE

1. BASELINE EXAM LAB – HIP 
a. Posture of the pelvis sagittal/frontal plane:
b. Predisposing elements

    • Gluteus Medius weakness (Trendelenburg)
    • IT Band Test (Ober’s)
    • Hip Flexor (Yeomans’s, ELY)
    • Hamstrings (SLR)

c. Correlate mechanism of injury
d. Tissue exam

    • Piriformis
    • Faber/Faddir/Fitzgerald
    • Hip Scour

2. MEDICAL/CLINICAL DIAGNOSES AND SURGICAL INTERVENTION – HIP 
a.  Comparative normal vs. diagnostic imaging (X-ray, MRI)
b.  Acetabular labral defects
c.  Hip fracture
d.   Anatomy of the Hip

 VIDEO DEMO

3. BASELINE EXAM LAB – KNEE 
a.  Dynamic positioning in movement
b.  Dynamic Valgus

    • Ligament dominance (Use of slow motion video analysis)
    • Quad dominance (Use of slow motion video analysis)
    • Leg dominance
    • Ankle position/Foot wear

c.  Correlate mechanism of injury
d.  Tissue Exam

    • Ligament Medial-Lateral (Varus-Valgus)
    • Ligament Anterior-Posterior (Lachmans’s Drawer testing)
    • Meniscal damage (Appley’s)

4. ANATOMICAL & BASIC BIOMECHANICS 
a.  Anatomy of the Knee
b. Comparative normal vs diagnostic imaging (X-ray, MRI)
c.  Anatomy review of each joint structure

 VIDEO DEMO

d.  Meniscal Injury (Menisectomy vs, repair)
e.  Osteochondral defect
f.   ACL repair (Hamstring vs Patellar Tendon)
g.  Total Knee Replacement (Traditional, Subvastus, Bipolar,    Unipolar, Custom-fit)

5. INJURY PREVENTION AND DEVELOPING A JOINT-SPECIFIC TREATMENT PLAN (15 min break at an appropriate time)

HIP
a. Balance weakness and flexibility

    • Flexibility considerations
    • Proximal Closed Chain Stability Exercises (CKC)
    • Hip and Core Exercises
    • Home Exercises for Dynamic Functional Integration

KNEE
b.  Incorporate Neuromuscular (N-M) retraining

    • Flexibility considerations
    • Functional Closed Chain Exercises (CKC)
    • Address ligament/muscular dominance
    • Sensory Integration in balance progression
    • N-M Integration in Jump Mechanics
    • Home Exercises for Dynamic Functional Integration
    • Advanced Plyometric training for the LE

6. COMMENTS, Q&A, COURSE ADJOURNS