DIAGNOSTIC CRITERIA FOR DEGENERATIVE JOINT DISEASE (DJD)
- American Medical Association (AMA) Guidelines
- Arthritis Foundation’s Guidelines
PATIENT PRESENTATION AND ASSESSMENT
- Medical history
- DJD vs. rheumatoid arthritis vs. gout
- Other arthritic conditions
- Severs disease
PATHOPHYSIOLOGY OF DJD IN…
- Weight-bearing joints
- Non-weight bearing joints
- Spinal disc degeneration
IMPORTANCE OF JOINT CONSERVATION
- Silver Sneakers
- Ergonomic work and home
- Environments
- Biomechanics
- Positional awareness
TECHNIQUES TO MAINTAIN MOBILITY
- Motion is lotion
- Muscle balance
- Joint stability
- Diet and supplements
MEDICAL MANAGEMENT: DEBUNKING MYTHS
SURGICAL OPTIONS
- Arthroscopy
- Total Joint Arthroplasty
- Hip
- Knee
- Shoulder (conventional and reverse)
- Ankle
- MCP replacement
PRE-HAB MANAGEMENT
- Assistive devices
- Pre-op exercise program
- Sit to stand transfer
- Gait training
TOTAL JOINT REGIMENS – ACUTE CARE POST-OP
- Restoring range of motion
- Correct gait mechanics
- Transfer training
- Exercise programs
- Critical pathways
OUTPATIENT STRATEGIES
- Program goals
- Exercise design
- Scar care management
- Outcome measures
- Gait progression
CONVALESCENCE
- 1+ year to complete recovery
- Activity guideline
- Quality of life cost benefits of activities