Rehab Strategies for Degenerative Joint Disease: Keeping Seniors Active – Chad Thompson

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Are you ready to face the mounting number of “baby boomers” who want to return to an active lifestyle after they’ve been diagnosed with degenerative joint disease? Advanced surgical techniques, shorter hospital stays, minimal inpatient rehab, and decreasing home health visits make treating this emerging population a necessity for all therapists and rehab professionals. Help your patients get back to life with speaker Chad Thompson, PT, DPT, CEAS, as he relates more than 25 years of practical, evidence-based interventions he uses with this exact population. He will give the tools today that you need for tomorrow, such as:Are you ready to face the mounting number of “baby boomers” who want to return to an active lifestyle after they’ve been diagnosed with degenerative joint disease? Advanced surgical techniques, shorter hospital stays, minimal inpatient rehab, and decreasing home health visits make treating this emerging population a necessity for all therapists and rehab professionals. Help your patients get back to life with speaker Chad Thompson, PT, DPT, CEAS, as he relates more than 25 years of practical, evidence-based interventions he uses with this exact population. He will give the tools today that you need for tomorrow, such as:

• practical exercise regimen for outpatient seniorspractical exercise regimen for outpatient seniors
• techniques to maintain mobility and improve gait mechanicstechniques to maintain mobility and improve gait mechanics
• mobilization tips to increase range of motion in UE and LEmobilization tips to increase range of motion in UE and LE
• medical managementmedical management
• accessing and understanding the latest research to defend your practice and improve reimbursementaccessing and understanding the latest research to defend your practice and improve reimbursement
• a roadmap for what the future holds for degenerative joint diseasea roadmap for what the future holds for degenerative joint disease

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1. Summarize the pathophysiology of degenerative joint diseaseSummarize the pathophysiology of degenerative joint disease
2. List techniques to maintain mobility and stabilize jointsList techniques to maintain mobility and stabilize joints
3. Explain focused history-taking techniques and examination methods to create diagnostic skills for evaluation of upper and lower extremity degenerative jointsExplain focused history-taking techniques and examination methods to create diagnostic skills for evaluation of upper and lower extremity degenerative joints
4. Define the decision-making processes regarding conservative and surgical treatment options for patients with degenerative jointsDefine the decision-making processes regarding conservative and surgical treatment options for patients with degenerative joints
5. Design a treatment program for acute as well as outpatient clientsDesign a treatment program for acute as well as outpatient clients

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DIAGNOSTIC CRITERIA FOR DEGENERATIVE JOINT DISEASE (DJD)DIAGNOSTIC CRITERIA FOR DEGENERATIVE JOINT DISEASE (DJD)

• American Medical Association (AMA) GuidelinesAmerican Medical Association (AMA) Guidelines
• Arthritis Foundation’s GuidelinesArthritis Foundation’s Guidelines

PATIENT PRESENTATION AND ASSESSMENTPATIENT PRESENTATION AND ASSESSMENT

• Medical historyMedical history
• DJD vs. rheumatoid arthritis vs. goutDJD vs. rheumatoid arthritis vs. gout
• Other arthritic conditionsOther arthritic conditions
• Severs diseaseSevers disease

PATHOPHYSIOLOGY OF DJD IN…PATHOPHYSIOLOGY OF DJD IN…

• Weight-bearing jointsWeight-bearing joints
• Non-weight bearing jointsNon-weight bearing joints
• Spinal disc degenerationSpinal disc degeneration

IMPORTANCE OF JOINT CONSERVATIONIMPORTANCE OF JOINT CONSERVATION

• Silver SneakersSilver Sneakers
• Ergonomic work and homeErgonomic work and home
• EnvironmentsEnvironments
• BiomechanicsBiomechanics
• Positional awarenessPositional awareness

TECHNIQUES TO MAINTAIN MOBILITYTECHNIQUES TO MAINTAIN MOBILITY

• Motion is lotionMotion is lotion
• Muscle balanceMuscle balance
• Joint stabilityJoint stability
• Diet and supplementsDiet and supplements

MEDICAL MANAGEMENT: DEBUNKING MYTHSMEDICAL MANAGEMENT: DEBUNKING MYTHS

SURGICAL OPTIONSSURGICAL OPTIONS

• ArthroscopyArthroscopy
• Total Joint Arthroplasty Total Joint Arthroplasty
  • HipHip
  • KneeKnee
  • Shoulder (conventional and reverse)Shoulder (conventional and reverse)
  • AnkleAnkle
• MCP replacementMCP replacement

PRE-HAB MANAGEMENTPRE-HAB MANAGEMENT

• Assistive devicesAssistive devices
• Pre-op exercise programPre-op exercise program
• Sit to stand transferSit to stand transfer
• Gait trainingGait training

TOTAL JOINT REGIMENS – ACUTE CARE POST-OPTOTAL JOINT REGIMENS – ACUTE CARE POST-OP

• Restoring range of motionRestoring range of motion
• Correct gait mechanicsCorrect gait mechanics
• Transfer trainingTransfer training
• Exercise programsExercise programs
• Critical pathwaysCritical pathways

OUTPATIENT STRATEGIESOUTPATIENT STRATEGIES

• Program goalsProgram goals
• Exercise designExercise design
• Scar care managementScar care management
• Outcome measuresOutcome measures
• Gait progressionGait progression

CONVALESCENCECONVALESCENCE

• 1+ year to complete recovery1+ year to complete recovery
• Activity guidelineActivity guideline
• Quality of life cost benefits of activitiesQuality of life cost benefits of activities

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