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1. Identify common conditions and diagnosis leading to shoulder, hip, and knee arthroplasty
2. List the short- and long-term benefits from undergoing joint replacement and the risks identified from delaying surgery
3. Discuss current components, surgical procedures, and functional treatment strategies for total shoulder, hip, and knee arthroplasty based on current evidence, research, and national protocols
4. Develop documentation strategies and language based on information provided in this course to justify therapy services to all provides with total joint client

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
  • Bone, cartilage, muscle, tendon, and nervous tissue
• Review of joint movement and osteokinematics
  • Rolling, gliding, and spinning

 

TOTAL SHOULDER ARTHROPLASTY

• History leading to current procedures and prosthetics
• Functional verses textbook range of motion for normal function and ADLs
• Procedures/components
  • Glenoid component, humeral component
  • Hemiarthroplasty
  • Cemented versus cementless
  • Non-constrained versus constrained
  • Reverse TSA
    • Why reverse TSA?
    • Precautions of TSA versus standard TSA

• Research behind TSA regarding failure rates, functional outcomes, and ROM
• General therapeutic protocol
• 3 or 4 phase approach
• Treatment ideas/lab
  • Scapulohumeral rhythm
  • The proper pendulum
  • 4 approaches to the posterior glenohumeral glide (joint mobilization)
  • Non-weight bearing periscapular training

 

TOTAL HIP ARTHROPLASTY

• History leading to current procedures and prosthetics
• 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

• Research behind THA
  • Normal range versus functional range
• General therapeutic protocol
• Treatment ideas/lab
  • 6 determinants of gait
  • Lateral pelvic tilt in supine leading to frontal plane control (LAB)
  • Lateral weight shift with pelvic tilt emphasis (single leg stance with resistance)
  • 4 way straight leg raise

 

TOTAL KNEE ARTHROPLASTY

• History leading to current procedures and prosthetics
• Procedures/components
  • Femoral component (cemented versus cementless)
  • Tibial component (metal platform with plastic surface for ROM and absorption)
  • Patellar component (metal or plastic)
  • Unicompartmental option
  • Cruciate retaining, posterior stabilized design, fixed bearing, mobile bearing, and gender specific
  • Incisions (parapatellar, midvastus, subvastus/quad sparing)
• Research behind TSA
  • Normal range versus functional range
• General therapeutic protocol
  • SLR and closed chain activity
  • Dynamic EOM and half-standing with weight bearing/functional emphasis
  • Gold standard of the stationary bicycle
  • 4 directional patellar joint mobilization
  • Treatment ideas

 

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

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Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.

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Occupational Therapists, Occupational Therapy Assistants

Vyne Education, LLC. is an AOTA Approved Provider of continuing education. This educational offering is offered for 0.6 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Intermediate, Category 1: Domain of OT, 2: Occupational Therapy Process.

Occupational Therapists, Occupational Therapy Assistants - Florida: Vyne Education, LLC. is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This educational offering is approved for 6 contact hours for Occupational Therapist and Occupational Therapy Assistants.

Physical Therapists, Physical Therapist Assistants: This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Physical Therapists, Physical Therapist Assistants - Illinois: Vyne Education, LLC. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This educational offering qualifies for 6 CE Credit Hours.

Physical Therapists, Physical Therapist Assistants - New York: Vyne Education, LLC. is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This educational offering is awarded 7.2 contact hours.

Physical Therapists, Physical Therapist Assistants - Arkansas: This educational offering has been approved by the Arkansas State Board Of Physical Therapy for 6 contact hours for Physical Therapists.

Physical Therapists, Physical Therapist Assistants - Indiana: This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.

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Physical Therapists, Physical Therapist Assistants - North Carolina
NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2018.

Physical Therapists, Physical Therapist Assistants - New Jersey: This educational offering has been approved for 6 continuing education credits by the New Jersey Board of Physical Therapy Examiners for Physical Therapists and Physical Therapy Assistants (Approval # 1708-63).

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Other Professions
This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Physical Therapist, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants, Exercise Physiologists, Athletic Trainers, Certified Strength and Conditioning Specialists,Personal Trainers