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

Outline

TOTAL KNEE ARTHROPLASTY AND HEMIARTHROPLASTY

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

MOBILITY AND MUSCULAR RECRUITMENT WITH EVIDENCE-BASED EXERCISES

• Manual exercise for the patella-femoral joint
• Extension re-lengthening by pre-functional mobility from hip to foot
• 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 thing
• Hamstrings over quadriceps co-activation exercises to prepare for function
• Progressive closed kinetic chain loading: knowing that proprioception may be the missing link in recovery

LAB #1 – KNEE:

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

TOTAL SHOULDER ARTHROPLASTY INCLUDING HUMERAL HEAD REPLACEMENT

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

EVIDENCE-BASED EXERCISES BASED ON THE MODE OF CONTRACTION

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

LAB #2 – SHOULDER

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

CASE STUDIES AND OUTCOME STUDIES