Jason Handschumacher – Joint Replacement Rehab for Today and Tomorrow: Returning Seniors Back to Life

Outline

ETIOLOGY OF ARTHRITIS, HISTORY OF JOINT ARTHROPLASTY, & COST OF CARE ACROSS THE HEALTHCARE SPECTRUM

• Anatomy review: capsular changes, cartilage wear, and joint breakdown
• Origins of joint arthroplasty, surgical approaches and components used
• Manual therapy and taping options for pain reduction and neuromuscular facilitation
• Payment changes for facilities, surgeons, and rehabilitation
• Impact of “prehabilitation” and how you can be involved
• Methods to reduce overall cost to your system with the rise in volume of surgeries

TOTAL KNEE ARTHROPLASTY

• Component options, surgical approach, and rehab implications
• Revision surgeries
• Same-day surgery options, simultaneous bilateral surgery, and implications
• Impact of decline in sub-acute rehabilitation stays for patients
• Staging of rehabilitation: what to work on, when, and why
• NMES, CPM, manual therapy, and the latest research
• Hands-on lab/video using manual therapy and the right exercises at the right time

TOTAL HIP ARTHROPLASTY

• Component options, surgical approach and rehabilitation implications, and the latest research
• “Total Hip Precautions” for today
• Staging of rehabilitation: what to work on, when, and why
• Why these patients may need less rehabilitation
• Hands-on lab/video using manual therapy and the right exercises at the right time
• Gait stability and training
• Simultaneous bilateral and revision surgeries

TOTAL SHOULDER ARTHROPLASTY

• Standard or reverse: what, why, and what does it mean to you
• Surgical approach, tissue affected, rehabilitation implications, and the latest research
• Staging of rehabilitation: what to work on, when, and why
• Patient function expectations: what the prosthesis can and cannot do
• Hands-on lab/video using manual therapy and the right exercises at the right time

TOTAL ANKLE ARTHROPLASTY & FIRST MTP ARTHROPLASTY

• Overview of surgery today and tomorrow
• Rehabilitation implications
• Challenges and advances in prosthesis design
• Optimizing gait
• Patient function expectations: what the prosthesis can and cannot do

CASE STUDY, LAB DEMONSTRATION, EXERCISES, VIDEO, DISCUSSION

• Walk through real patient cases across each stage of rehab
• Video, demonstration, and practice of exercises based on stage of rehab and EMG muscle study
• Q&A about the patients you see