Total Knee

A Joint Decision

Contact Hours: 5

Seminar Description:

The emphasis of this seminar is on the medical and rehabilitative management of knee joint arthroplasty. The course combines the medical, surgical and rehabilitative expertise of a nationally known, highly trained physical therapist. This rich combination provides participants with a unique opportunity to see the entire spectrum of care for the patient from prevention through treatment. The course will review the anatomy and biomechanics of lower extremities with discussion of surgical techniques for knee arthroplasty. Critical pathways (i.e. care plans), therapeutic treatment techniques, and rehabilitation protocols will be presented for the total knee surgery. Preoperative, acute care, and post-discharge concerns will be addressed and examples of a precise therapeutic exercise program within each setting will be presented. Suggested protocols, sample home exercise instruction sheets, and home exercise programs along with evaluation and treatment guidelines will be given, thus providing therapists with information to improve their clinical practice related to knee joint arthroplasty.

Course Objectives

  1. Create rehabilitation programs for specific knee joint arthroplasty procedures.
  2. Analyze the surgical considerations and options available for knee joint arthroplasty.
  3. Judge post-operative precautions/restrictions following knee joint arthroplasty.
  4. Apply joint specific evaluation tools.
  5. Describe the aspects of total joint surgery and the impact on rehabilitation.
  6. Design multidisciplinary care plans and their impact on patient care.
  7. Construct the stages in medical and surgical management for patients receiving a knee joint replacement.
  8. Inspect and review the rationale for rehabilitation protocols following knee joint replacement.
  9. Implement evidence-based treatment interventions for knee joint replacements.

Course Outline

  • Pre-test (5 min)
  • Introduction, Anatomy, Assessment/History, AAOS Guidelines, Alternative Therapy, Surgical Intervention (40 min)
  • Surgical Alternatives, Indications, Contraindications, Pitfalls, Prostheses, and Precautions (105 min)
  • Rehab Following Total Knee Arthroplasty, Precautions, and Pre-Op (12 min)
  • Acute Care, Pain, Hyperflexion CPM Protocol, and Post-Operative days 1-2 (60 min)
  • Post-Discharge Rehab, Modalities for Pain & Edema, Therapeutic Exercise, Gait Training, Functional Training, and functional Tools (35 min)
  • 2 Case Studies (42 min) Overview of Devices (3 min) Resources
    Post-test with feedback (5 min) Course Evaluation (5 Min)

Faculty

Sandy Shelton

PT, GTC

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