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:

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

1. Summarize the pathophysiology of degenerative joint disease
2. List 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 joints
4. Define 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 clients

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