Chapter 9: Total Hip Arthroplasty: Current Concepts in Pre- and Postsurgical Physical Therapy 4 Contact Hours
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rehabilitation science. He completed the sports physical therapy residency program through the University of Pittsburgh and Centers for Rehab Services/University of Pittsburgh Center for Sports Medicine. Keelan is also a certified athletic trainer (ATC), certified orthopaedic (OCS) and sports (SCS) physical therapy specialist, and NSCA strength and conditioning specialist (CSCS). He is currently serving as the Orthopaedic Physical Therapy Residency Program director at the Centers for Rehab Services/UPMC Center for Sports Medicine Clinic as well as an adjunct and clinical instructor for the University of Pittsburgh Departments of Physical Therapy and Sports Medicine and Nutrition. Keelan’s time is divided time between clinical practice, residency administration, project consultation, and professional development responsibilities. His areas of interest include determinants of outcomes and treatment options available for active individuals with pathological conditions of the hip joint. He regularly presents nationally and internationally on these topics. Keelan has been an author and editor, including peer-reviewed articles for the Journal of Orthopaedic and Sports Physical Therapy, Clinics in Sports Medicine, Current Reviews in Musculoskeletal Medicine, Operative Techniques in Orthopaedics, The Physician and Sportsmedicine, Journal of Bodywork and Movement, International Journal of Sports Physical Therapy, Journal of Sports Rehabilitation and Topics in Geriatric Rehabilitation . He has served as a content reviewer for the Journal of Orthopaedic and Sports Physical Therapy, Journal of Sport Rehabilitation, PM&R and Physical Therapy in Sport . Additionally, he has co-authored book chapters on the topics of rehabilitation of hip and knee injuries. Keelan is a member of the APTA Orthopaedic Section, and serves on panels for continuing education and conference content development. Keelan R. Enseki has disclosed that he has no significant financial or other conflicts of interest pertaining to this course. Physical therapy planner: Julie Heinrichs, DPT The contributors to this course have no conflicts of interest relative to its content. Describe the clinically relevant details of THA surgery, including different approaches and complications. Identify evidence-based approaches to preoperative and postoperative physical therapy including the use of appropriate outcomes measures to quantify change. control, which will allow a patient return to full functional abilities. The role of physical therapy (PT) both preoperatively and postoperatively is becoming more apparent with recent research. However the exact timing and dosing of PT has yet to be determined. This course will provide physical therapists and PT assistants with a comprehensive overview of THA. At the end of this course the learner will be able to identify the anatomy of the hip as it pertains to THA, describe the most recent advances in surgical approaches for THA, and gain an improved understanding of how different types of prosthetic implants, methods of fixation, and surgical techniques influence the ability of patients to
Emily Slaven, PT, PhD, OCS, FAAOMPT, received a bachelor of physiotherapy degree from University College Dublin, Ireland in 1996 and a master of physiotherapy degree from University of Manchester in 2001. After practicing for several years as a physical therapist in an orthopedic outpatient setting in Indiana where she worked with a large caseload of patients who had undergone joint arthroplasty, she developed an interest in being able to better quantify motion following lower joint arthroplasty and completed a masters degree in biomechanics from Ball State University, Indiana in 2008 and then a PhD in physical therapy from Nova Southeastern University in 2010. The topic of her PhD dissertation was “Prediction of Functional Outcome at Six Months Following Total Hip Replacement.” This study was published in Physical Therapy Journal and several presentations of different aspects of the study were presented nationally. Additionally, Dr. Slaven has completed the American Physical Therapy Association’s Orthopedic Clinical Specialization examination and a fellowship in manual therapy at Duke University Medical Center, North Carolina. Dr. Slaven is an associate professor in the Krannert School of Physical Therapy at the University of Indianapolis where she teaches orthopedics and manual therapy in the Doctor of Physical Therapy program. Her research has focused on the impact of lower limb arthroplasty on mechanics of gait and on the effect of physical therapy interventions for those who have hip osteoarthritis. She continues to practice clinically where she sees patients both as inpatients and outpatients following total hip arthroplasty. Emily Slaven has disclosed that she has no significant financial or other conflicts of interest pertaining to this course. Peer reviewer: Keelan R. Enseki, PT, MS, OCS, SCS, ATC, CSCS, completed his bachelor of science degree in biobehavioral health with a minor in neuroscience at the Pennsylvania State University. He attended the University of Pittsburgh completing a master of physical therapy and a master of science degree in health and Learning objectives After completing this course, the learner will be able to: Identify the relevant anatomy of the hip and its significance in total hip arthroplasty. Describe the differential diagnosis of other hip conditions and indications for THA surgery. Course overview Total hip arthroplasty (THA) is a frequently performed orthopedic surgical procedure and the treatment of choice for those patients with intractable pain and limited function arising from arthropathy of the hip joint. In THA the femoral head is removed and a femoral prosthesis and acetabular cup are inserted. The majority of THAs performed are for individuals with osteoarthritis (OA) in the hip, however THA is also the surgery of choice for patients with rheumatoid arthritis, for patients with degenerative changes which have occurred as a result of congenital dislocation of the hip, or after complications following hip fractures. Recovery of optimal function following THA depends on both a successful surgical course and the restoration of optimal range of motion, strength, and neuromuscular
INTRODUCTION
Page 138
Book Code: PTNY3622B
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