Chad Thompson – Total Joint Rehabilitation: Matching Intervention to Knee & Hip Impairment

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Exploring the Essential Features of “Chad Thompson – Total Joint Rehabilitation: Matching Intervention to Knee & Hip Impairment”

Speaker: Chad M. Thompson, PT, DPT, OCS, CEAS
Format: Audio and Video
Media Type: Digital Seminar

Description

• 3D motion analysis of gait
• Evaluate interventions in real time
• Customized prosthetic components
• Using the evidence to address strength loss and functional range
• Avoid revisions & component removal
• The future of bio growth tissue

Join Chad M. Thompson, PT, DPT, OCS, CEAS, to elevate your treatment of total joint patients into the here and now. Recent advances in total joint techniques and components, along with the advances in pre-care, anesthesia, pain control, and pharmacological regimens, are allowing for clients to now consider treatment options through surgical centers and out-patient surgery sites. The high-tech development of 3D custom joint fabrication, in conjunction with 3D motion analysis of gait, both pre- and post-operatively, allow the patient to receive the most state-of-the-art care available. Total joint patients now have the option of customized prosthetic components, which fit more precisely with less tissue trauma.

You will learn how to evaluate real-time evidence to determine whether current interventions are contributing to the most successful outcomes for the client. Based upon this evidence, we will discuss how to select targeted exercises that will achieve cost effective, functional goals. 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. Discussion of the most recent literature findings will be incorporated as well, explaining such things as how convalescence is understood to be a year-long process, due to bone to metal interfaces demonstrating higher tensile stresses 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.

Speaker
Chad M. Thompson PT, DPT, OCS, is the director for the Kentucky Orthopedic Rehab Team (KORT), Georgetown, Kentucky location. Chad has nearly 30 years of experience working with joint rehabilitation in both acute and outpatient phases. He is APTA Board in orthopedics and contributes to the specialty through the development of written treatment protocols. His expertise has been sought for audiences across the United States of experienced rehab professionals on a variety of degenerative and total joint topics.

He consults on legal cases involving physical therapy malpractice and has served as an expert witness as well. In addition, Chad is a clinical instructor for the University of Kentucky, University of Louisville and assists in supervising the Samaritan Free Clinic. This clinic allows students to assess and treat underserved patients under the supervision of a PT.

Speaker Disclosures:

Financial: Chad Thompson is Director of Outpatient Physical Therapy at KORT Physical Therapy Clinic. He has stock holdings with Bristol Meyer Squibb in a 401K retirement plan with Select Medical Corporation. Mr. Thompson receives a speaking honorarium from PESI, Inc. His financial relationships with ineligible organizations have been mitigated.

Nonfinancial: Chad Thompson has no relevant nonfinancial relationship to disclose.

Outline

Options Prior to Total Joint Replacement

• Bio-logics
• Supplements to manage OA
• Hyaluronic injections
• Selective cox II
• Physical therapy

When Is It Time for an Elective Total Joint Procedure?

• Total Joint Assessment Scales
• Physical Exam Criteria
  Pain: Visual analog scale, Wong Borg facial scale
  Range of motion loss: What are functional ranges? What is functional gait?
  Quality of life measure/outcomes: LEFS, TUG
• Client’s Goals
  The Bucket List
  Leisure Time
  Work Expectations
  Enjoying the Later Years

Hospital Course

• PreHaB
• Critical pathways
• Typical stay
• Length
• Pain control: Oral meds, PCA, nerve blocks
• Rehab goals
  Gait distance
  Exercise protocol
  Discharge planning
  Anticipating needs at home
• Rehab Outcomes
  Gait distances
  Knee stability
  Click six
  Iowa scale

Complicated Hospitalizations

• Risks
  Fracture
  Blood clot
  Component failure
  Infection
  Blood loss
  Death
• Expectations for a Complicated Course
  Blood transfusions
  Revision
  Treating Infections: Component removal, IV antibiotics, oral meds
  Back on track

The Focus of Post Hospital Care

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

Rehabilitation Goals

• Scar care
• Benefits of scar care soft tissue mobilization
• Cost of poor scar care
  Fibrosis
  Patellar adhesion
  Range of motion loss
  Manipulation
• Functional range restoration
  Normal ranges
  Cost of range restriction
  3D assessment
  Cost of NOT Restoring Range of Motion: Knee and hip
• Strength loss
  3D Comparison of Functional Cost to Strength Loss
  Best Practice Exercises WHY?
  – Squat
  – Lunge
  – Lateral Stepping
  – Stretch: Active and passive insufficiency

Cost analysis

• Average hospital length
  Saving a hospital day
  Risk reduction: Infection, blood clot, nosocomial infections
• Rehab cost
  Hospital total cost
  Outpatient cost
  Home health
  Bridge program
• Joint life
  Revision rates: Knee and hip
  Revision difficulties: Knee and hip
• The future of bio growth tissue
  Cartilage re-growth
  Bone re-growth
  Can we ever prevent DJD? RA?

Objectives

1. Evaluate conservative management of degenerative joints to discern when these options are the best for the client.
2. Analyze total joint replacement prescription for outcome achievement.
3. Anticipate strategies to optimally manage complications.
4. Contrast the current trends for comprehensive rehab programs.
5. Determine how 3D gait and motion analysis can become a powerful tool in the development of functional rehab programming.
6. Compare the effects of residual deficits well beyond the initial healing phase.
7. Establish goals for complete rehabilitation.
   Review cost analysis and purposed saving as they pertain to customized joint replacements.

Target Audience
Athletic Trainers, Cardiovascular Technology Professionals, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals

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