Terry Trundle – Joint Replacement Rehab for the Shoulder and Knee: Maximizing Functional Outcomes After Arthroplasty

Outline

TOTAL KNEE ARTHROPLASTY AND HEMIARTHROPLASTYTOTAL KNEE ARTHROPLASTY AND HEMIARTHROPLASTY

• Anatomy of the articular cartilage and the progression of arthritisAnatomy of the articular cartilage and the progression of arthritis
• Surgical options with gender-specific components and hemiarthroplastySurgical options with gender-specific components and hemiarthroplasty
• Missing links in preparing the operative procedure for the progression of the three phases of rehabilitationMissing links in preparing the operative procedure for the progression of the three phases of rehabilitation

MOBILITY AND MUSCULAR RECRUITMENT WITH EVIDENCE-BASED EXERCISESMOBILITY AND MUSCULAR RECRUITMENT WITH EVIDENCE-BASED EXERCISES

• Manual exercise for the patella-femoral jointManual exercise for the patella-femoral joint
• Extension re-lengthening by pre-functional mobility from hip to footExtension re-lengthening by pre-functional mobility from hip to foot
• Hip core strengthening – why is this so vital to recovery?Hip core strengthening – why is this so vital to recovery?
• Open kinetic chain muscle recruitment – why terminal extension and short arc quads are not the same thingOpen kinetic chain muscle recruitment – why terminal extension and short arc quads are not the same thing
• Hamstrings over quadriceps co-activation exercises to prepare for functionHamstrings over quadriceps co-activation exercises to prepare for function
• Progressive closed kinetic chain loading: knowing that proprioception may be the missing link in recoveryProgressive closed kinetic chain loading: knowing that proprioception may be the missing link in recovery

LAB #1 – KNEE:LAB #1 – KNEE:

• Manual therapy for mobility of the kneeManual therapy for mobility of the knee
• Open and closed kinetic chain exercise for proprioceptionOpen and closed kinetic chain exercise for proprioception

TOTAL SHOULDER ARTHROPLASTY INCLUDING HUMERAL HEAD REPLACEMENTTOTAL SHOULDER ARTHROPLASTY INCLUDING HUMERAL HEAD REPLACEMENT

• Regular verses reverse prosthesisRegular verses reverse prosthesis
• Hemiarthroplasty for humeral head replacementHemiarthroplasty for humeral head replacement
• Why consider the reverse prosthesis and how it effects recoveryWhy consider the reverse prosthesis and how it effects recovery
• How do patients prescribe their function?How do patients prescribe their function?
• The importance of the Subscapularis protective protocolThe importance of the Subscapularis protective protocol
• Self-applied range of motion needs to be reconsideredSelf-applied range of motion needs to be reconsidered
• Scapular mobility and stabilization: the core of shoulder surgery recoveryScapular mobility and stabilization: the core of shoulder surgery recovery
• Three vital motion patterns that produce the zone of functionThree vital motion patterns that produce the zone of function

EVIDENCE-BASED EXERCISES BASED ON THE MODE OF CONTRACTIONEVIDENCE-BASED EXERCISES BASED ON THE MODE OF CONTRACTION

• What is the missing link of total shoulder replacementWhat is the missing link of total shoulder replacement
• Formula of progressive rehab: pivoters, protectors, and positionersFormula of progressive rehab: pivoters, protectors, and positioners
• Progressive exercise based on the modes of contractionProgressive exercise based on the modes of contraction
• Corrective exercises for elevation “hike” dysfunctionCorrective exercises for elevation “hike” dysfunction
• The geriatric “Big Three”The geriatric “Big Three”

LAB #2 – SHOULDERLAB #2 – SHOULDER

• Manual preparation of scapular and gleno-humeral mobilityManual preparation of scapular and gleno-humeral mobility
• Exercises for stabilization toward functionExercises for stabilization toward function

CASE STUDIES AND OUTCOME STUDIESCASE STUDIES AND OUTCOME STUDIES