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Exploring the Essential Features of “Total Shoulder Arthroplasty: The Surgery, The Rehabilitation, The Outcomes by Trent Brown – PESI”
Total Shoulder Arthroplasty (TSA) and Reverse Total Shoulder Arthroplasty (R TSA) have increased by 243% in the last decade and will steadily climb with the emergence of the baby boomer generation. In addition, over 1/3 of all TSA and R TSA patients are under the age of 64. As outcomes have steadily increased with the advancement of surgical techniques, therapy protocols for the TSA patient have remained stagnant and redundant.
This recording will discuss the techniques used by surgeons to access the shoulder, common prosthesis used for TSA and R TSA, and a peer reviewed “gold standard” 3-phase protocol to ensure aggressive therapy services and functional outcomes. We will discuss the risks from delaying total shoulder arthroplasty and the benefits from immediate therapy. We will also study the emergence of younger patients electing for total shoulder arthroplasty and their ability to return to normal activity including sports.
Speaker
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.
Target Audience
- Physical Therapists
- Physical Therapist Assistants
- Occupational Therapists
- Occupational Therapy Assistants
- Athletic Trainers
- Exercise Physiologists
- Sports Medicine
- Personal Trainers
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
Objectives
- Discuss the risks associated from delaying joint arthroplasty and the outcomes achieved if immediate therapy is implemented.
- Describe the risks associated from delaying joint arthroplasty & the outcomes achieved if immediate therapy is implemented
- Identify current components, surgical procedures, and functional treatment strategies for total shoulder arthroplasty based on current evidence, research and national protocols.
- Develop documentation strategies developed from this lecture using terminology accepted by payer sources to justify skilled services with the total shoulder client.
Outline
Trends and Projections with TSA
- Age, etiology, costs, etc.
- Common Dx leading to TSA
- Why R TSA will be the new norm
- Mastering the R TSA
Why Individuals Undergo TSA
- Pain, Arthritis, etc.
- Delaying Arthroplasty
- Who qualifies for TSA
The Surgery and the Rehab
- Humeral and Glenoid Components
- Surgical Procedure
- 3 Phase “Gold Standard” Protocol
- Proper Pendulum
- GPG Mobilization Techniques
- Post Recovery
Documentation
- 5 standards of Documentation
- Examples
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