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Exploring the Essential Features of “Total Shoulder Arthroplasty: How Outcomes are Being Minimized Through Functional Neglect -Trent Brown – PESI”
Advances in Total Shoulder Arthroplasty (TSA), including reverse total shoulder Subscapularis and Deltoid sparing approaches have led to a 243% increase in the number of procedures performed over the past decade. As more clients elect to undergo TSA, orthopedic surgeons continue to report remarkable reduction in pain and increased range of motion. However, data suggests functional outcomes, proprioception, and a return to normal function have not improved despite surgical advances. This course will specifically address this mystery and how function should be the foundation of your post shoulder protocol. In addition, techniques and interventions will be presented that directly impact the areas often neglected with standard post TSA protocols.
Speaker
Trent Brown, MOT, OTR/L, BCG, ATP, CFPS
Advanced Healthcare
Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He completed his undergraduate and graduate work at the University of Utah where he is also an adjunct professor. He is employed by the Utah Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care. Mr. Brown also reviews clinical documentation for UDOH as an expert witness in reviewing cases. Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. Recently, he served as the VP for the UOTA where he co-authored SB 131, advancing OT practice in the state of Utah, and has received multiple awards for his clinical, academic, and legislative work. Through his expertise in advocating for therapy services authoring law and rule, he has evolved into an expert presenter on ethical and legal issues facing therapy. Mr. Brown has provided courses for thousands of clinicians throughout the country in conferences, private settings, and specialty conferences. Mr. Brown is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction. He has also been a keynote speaker at multiple events throughout the country.
Speaker Disclosures:
Financial: Trent Brown has employment relationships with the University of Utah, the Utah Department of Health, Well Being Services, Northern Utah Rehab Hospital, and Aspenridge Home Health. He receives compensation as an instructor. Trent Brown receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Trent Brown has no relevant non-financial relationships.
Objectives
- Investigate the current projections and trends regarding total shoulder arthroplasty and reverse total shoulder arthroplasty.
- Differentiate and expand on current surgical procedures, components, and minimally invasive options for the TSA client.
- Distinguish the role of therapy in maximizing functional outcomes and proprioception while expanding beyond range of motion and pain.
- Construct evidence-based treatment strategies emphasizing function and proprioception for the TSA client.
- Master documentation strategies and functional terminology for the TSA client to justify therapy services to payer sources.
Outline
Projections and trends regarding total shoulder arthroplasty and reverse total shoulder arthroplasty
- Introduction
- Trends/Projections of TSA
- Why TSA is increasing
- Pandemic of Pain
- Norms for ROM
- Textbook vs. functional
Current surgical procedures, components, and minimally invasive options for the TSA client
- Standard TSA surgical procedure
- Reverse TSA
- Subscapularis and Deltoid-Sparing
- Outcomes TSA vs. RTSA
Role of therapy in maximizing functional outcomes
- How is Post-TSA success measured?
- Functional Neglect with standardized assessments
- Constant, ASES, DASH, Simple, UCLA
Constructing evidence-based treatment strategies
- Emphasizing function and proprioception for the TSA client
- TSA protocols (what’s the problem?)
- TSA Functional treatment emphasis
- Seated/Standing Sliders
Documentation strategies
- Justify therapy services to payer sources
- Documentation Platforms with TSA client
- Questions and Wrap-up
Target Audience
- Physical Therapists
- Physical Therapy Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Athletic Trainers
- Massage Therapists
- Chiropractors
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