Total Joint Arthroplasty: An Intensive Lab Course to Improve Functional Outcomes

Total joint arthroplasty is the most common surgical procedure performed in the U.S. and will continue to climb rapidly. However, as surgical advances and prosthetic implants improve rapidly, the therapeutic process and protocols used with this population have remained stagnant. In an attempt to improve outcomes while reducing length of stay and therapy visits, clinicians have over utilized rigid protocols while neglecting proprioception and function yielding a reduction in long term outcomes. Today’s clinician must possess a stronger understanding of the techniques used by surgeons, the prosthetics commonly (and uncommonly) used, and evidence-based treatment strategies determined not just by their referring surgeon but by current research.

This course investigates the latest surgical and minimally invasive techniques used and the benefits and risks associated with these techniques. Taking hundreds of nationally established joint protocols, presenter Trent Brown summarizes the most effective and functionally relevant treatment strategies and protocols. Numerous labs will occur to ensure application of material and immediate carry-over to the clinical setting. Mr. Brown will also discuss documentation techniques and examples to strongly justify the need for skilled services with this population in hospital, in-patient, acute, home health, and outpatient settings.

We have available dates to host this course in 2024.

Should you like to be considered as a host site please complete the co-sponsorship request form here.

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Course Dates & Locations

Sep 14, 2024 – Sep 15, 2024
5700 Telegraph Ave, 2nd floor, OAKLAND, CA 94609
View Location Details
Alta Bates Hand Therapy
5700 Telegraph Ave, 2nd floor, OAKLAND, CA 94609
Course Location
Alta Bates Hand Therapy
5700 Telegraph Ave, 2nd floor
Oakland, CA 94609

Area Accommodations:
Hilton Garden Inn San Francisco/Oakland Bay Bridge
1800 Powell Street,
Emeryville, CA 94608
(510) 658-9300

Four Points by Sheraton San Francisco Bay Bridge
1603 Powell Street,
Emeryville, CA 94608
(510) 547-7888

Courtyard by Marriott Oakland Emeryville
5555 Shellmound Street,
Emeryville, CA 94608
(510) 652-8777

There are NO room blocks or discounts available at the mentioned hotels.
Please visit the hotel chain website for “Best Rates”
View Google Maps for Location and Nearby Accommodations
Click here to Register!

Faculty

TRENT BROWN, MOT, OTR/L, ATP, BCG

Educational Credit

A certificate of attendance for 15 Contact Hours will be awarded to each participant. All Therapy Network Seminars are pre‐approved for CEUs in the state where the course is conducted when required for PT, OT, ATs & Assistants.

Therapy Network, Inc. (BOC AP#: P2563) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. Our seminars are eligible for a maximum of 15 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

AOTA Approved Provider of Continuing Education # 3073 Category 1 Domain of OT. The assignment of AOTA CEUs does not imply endorsements of specific course content, products, or clinical procedures by AOTA

Audience

This is an intermediate level course intended for PTs, PTAs, OTs, OTAs and ATs

NOTE: Nothing in this course is to enable or permit the learner to apply techniques outside of the scope of practice in their individual state and discipline.

Objectives

Identify the diagnostic, demographic, and lifestyle explanations related to an increase in joint arthroplasty and the increased need for therapy services following arthroplasty
Identify and apply current evidence behind tissue healing science and how it affects the total joint client
Identify the evidence justifying therapy following total joint arthroplasty and the long and short-term benefits of therapy
Identify the difference between standard and reverse total arthroplasty components and techniques and how it impacts rehabilitation
Demonstrate evidence based hip therapeutic strategies used for recovery of the most commonly used hip surgical techniques
Identify the difference between the various surgical components and techniques used for knee arthroplasty and the impact of treatment
Demonstrate the best treatment strategies for patients seen in any therapeutic setting following practice of techniques in lab

Participants Comments

"Great emphasis & detail with treatment methods & interventions were provided, with multiple methods to implement & settings to which they are applicable. I found many interventions valuable in an OP and acute setting, which is very helpful." -Physical Therapist
"I loved the hands on labs appreciated all the treatment techniques and modifications provided - many are useful for multiple populations and not just joint replacements. I also liked the functional implications that were discussed and the various surgical approaches" Occupational Therapist
"The information in this course was very up to date - both surgical procedures as well as outcomes and modifications" -Physical Therapist

Schedule

Day 1

8:00	Registration and Continental Breakfast
8:30	Common Themes and Research behind Shoulder, Hip and Knee Arthroplasty (TSA, THA, TKA)
	Demographics Age, gender, lifestyle, and socioeconomic status Inclusion criteria for TJA (based on AMA) and who should avoid TJA Common diagnosis, pain levels, and reduced functional levels Neurological and psychological consequences from delaying total joint arthroplasty Depression, sleep disturbances, confusion, and memory loss Healing stages Inflammatory, proliferative, remodeling (over icing?) Bone, cartilage, muscle, tendon, and nervous tissue Review of joint movement and osteokinematics Rolling, gliding, scapulohumeral rhythm, and spinning
10:30	BREAK
10:45	Gait (Functional Mobility) and Arthroplasty
	The Determinants of Gait vs. Phases -Minimizing COM Displacement pre-post arthroplasty -Curtate-Prolate-COM Cycloid theories -What the phases of gait neglect and how to address following arthroplasty -Why clients don’t fall performing “gait” -How Shoulder, Hip, and Knee arthroplasty all impact gait (pre and post-surgery)
11:30	Total Shoulder Arthroplasty
	History leading to current procedures and prosthetics -Functional verses textbook ROM for “normal” function Procedures/components -Glenoid component, humeral component -Hemiarthroplasty, cemented vs. cementless, constrained vs. non-constrained) Reverse TSA Why reverse TSA? Minimally invasive R TSA including subscapularis sparing
12:00	LUNCH (ON YOUR OWN)
1:00	General therapeutic guidelines (3 or 4 phase approach) -Goals, Precautions, Advancement Criteria (function vs. a timeline)

1:30	LAB: TSA Treatment Phase 1: -The proper pendulum -Isometrics and elbow mechanics Phase 2: -4 approaches to GPG mobilization technique -Non-WB scapular depression -Natural arm swing and gait (standing/seated swingers)
3:00	BREAK
3:15	Phase 3 and 4 Functional carry-over TSA failure rates, functional outcomes, and ROM Appropriate “Functional” Standardized Assessments
4:00	Total Hip Arthroplasty
	History leading to current procedures and prosthetics Normal versus functional ROM Procedures/components -Femoral component (cemented versus cementless) -Acetabular component (plastic, metal, or ceramic) -Anterolateral, posterolateral, direct lateral, anterior, and superpath approaches Advantages and disadvantages to each approach
5:30	Adjourn

Day 2

8:00	LAB: General therapeutic guidelines
	Treatment Phase 1 – 4 (Goals, Precautions, Advancement Criteria (function vs. timeline) Supine lateral stability (bed mobility) Trochanter Tension -Glut Med emphasis (what works? Evidence-based) -Hip Hitch – Standing Sliders -Pelvic Teeter Totter
10:00	BREAK
10:15	LAB:
	-Hip Flexor lengthening -Lateral pelvic tilt in sitting leading to frontal plane control (bed mobility) -Seated Rotation -Lateral weight shift - pelvic tilt emphasis (single leg stance with resistance) -Static Chops
	Clinical Evidence behind THA and appropriate activities
12:00	LUNCH (ON YOUR OWN)
1:00	Total Knee Arthroplasty
	History leading to current procedures and prosthetics - “Normal” range versus functional range Procedures/components -Femoral component (cemented versus cementless) -Tibial component (metal platform with plastic surface for ROM and absorption) -Patellar component (metal or plastic) -Cruciate retaining, posterior stabilized design, fixed bearing, mobile bearing, and gender specific, unicompartmental option -Incisions (parapatellar, midvastus, subvastus/quad sparing) -Computer Aided Orthopedic Surgery (CAOS) why isn’t being utilized?
1:45	LAB: General therapeutic guidelines
	Treatment -Phase 1 – 4 (Goals, Precautions, Advancement Criteria (function vs. timeline) -Quad sit-up (NDT approach) (WB and functional emphasis) -4 directional Patellar Joint Mob -AP/PA Tibiofemoral Joint Mob
2:30	BREAK
2:45	LAB
	Gold standard of the stationary bicycle Knee Flexion 8* at Midstance Gastroclock and Soleuostretch Dynamic PNF Mobile Chops
4:15	Clinical Evidence behind TKA
4:30	Documentation
	Documentation ideas “outside the box” for the total joint client -Long-term care, acute, HH, outpatient, and transitional clients -Case study implementing research and treatment ideas
5:00	Course Evaluation and Adjourn

Cancellation Policy

Registration fee less a $75 administrative charge is refundable if cancellation received 14 days prior to program date. No refunds will be given after that time. Therapy Network, Inc. reserves the right to cancel a seminar and will refund in full the registration fee only. TNI is NOT responsible for registrants nonrefundable airfare, accommodations or fees.