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1. Identify current options in total hip & total ankle arthroplasty
2. Discuss gait & balance mechanics & how these can be maximized post-operatively
3. Review ankle & hip joint anatomy, the concepts of hip strategies & ankle strategies for balance & the effect of surgery on joint receptors
4. Examine current literature on the importance of balance & proprioceptive training following each procedure
5. Demonstrate which exercises & activities are most helpful, when to initiate each & which ones the patient should continue independently

Current options in total hip and total ankle arthroplasty

• Review surgical techniques and components
• Common Dx leading to THA and TAA
• Post-operative timelines and when to initiate balance training with each population

Gait and balance mechanics to maximize post-operative outcomes

• Review ankle and hip motions in “Normal” gait to understand which motions to emphasize
• Does the prosthesis limit range of motion and strength gain potential?
• Deficits at 6 months and 2 years post-operatively
• What is the role of proprioception and muscular response in balance and gait

Strategies for post-surgical balance

• The role of neuroplasticity in balance recovery
• Role of symmetry training and impacts on the contralateral limb
• Why surgery seems to have greater impact on ankle joint receptors than in the hip
• Greater muscle mass in the hip and which muscles are the keys in balance

The importance of balance and proprioceptive training following surgery

• Impact on patient perceived long-term outcome and how this can differ from the therapist
• Importance of patients regaining confidence and impact of fear of falling on actual falls
• How is the patient functioning long after discharge from formal therapy?

Post-operative exercises and activities demonstration

• Single limb stance and tandem stance activity early and late in rehabilitation
• Varying sensory inputs for progressions
• Effective strengthening exercises and proper dosing/overload principles

Biography is not currently avaiable.

CE Information Coming Soon
Continuing education credit information is coming soon for this self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements.

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-379-0180 for more details.

**Information obtained in this course should be used within your scope of practice.

Athletic Trainers, Occupational Therapy, Occupational Therapy Assistants, Physical Therapy, Physical Therapy Assistants