Chad M. Thompson – Total Joint Rehabilitation: Matching Intervention to Knee & Hip Impairment
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- Faculty:
- Chad M. Thompson
- Duration:
- Full Day
- Format:
- Audio and Video
- Copyright:
- Dec 06, 2016
Description
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?
Faculty
Chad M. Thompson, PT, DPT, OCS, CEAS Related seminars and products: 3
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 Certified 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.
Nonfinancial: Chad Thompson has no relevant nonfinancial relationship to disclose.
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