Download or read book Management of a Patient Following Total Knee Arthroplasty in the Subacute Rehabilitation Setting written by Anthony Waggoner and published by . This book was released on 2018 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient, status post right total knee arthroplasty, was seen for physical therapy treatment 2 times each day, 6 days each week, over the course of 23 days, in a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle testing, Wells criteria, the numeric pain rating scale, the Timed Up and Go test, the 6-minute walk test, California Department of Health Care Services assistance levels, Stanbridge Colleges's Graded Posture Movement Ability of Individual, and patient report. A plan of care was then established. Main goals for the patient were to improve level of independence, and return home to continue a morning walking program with her sister. Additional goals included improving lower extremity range of motion, strength, static and dynamic standing balance, functional and bed mobility, walking endurance, transfer and ambulation ability, and decreasing pain. Main interventions used were goal-oriented, functional, and impairment-based, with use of progressive overload, and included strengthening and range of motion exercises, and gait and functional training. The patient improved range of motion, strength, balance, walking endurance, functional mobility, and independence with activities of daily living. The patient was discharged home with a home exercise program, and scheduled to receive home-health physical therapy.

Download or read book Critical Rehabilitation for Partial and Total Knee Arthroplasty written by Frank R. Noyes and published by Springer Nature. This book was released on 2021-11-19 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Total knee arthroplasty (TKA) is a frequently performed operation - in the U.S. alone, 5.2 million TKAs were performed from 2000-2010 - and partial (unicompartmental) knee arthroplasty (UKA) is another common operation that is done in younger, active individuals. Many patients require knee arthroplasty from osteoarthritis that develops after sports injuries or decades of participation in athletics. While much has been written regarding technical surgical details of arthroplasty, there is comparably little available on critical rehabilitation principles and guidelines that allow return to normal physical function, as well as recreational and sports activities. Filling this gap in the literature, this group of internationally recognized surgeons and therapists discusses all aspects of critical rehabilitation following both partial and total knee replacement, including: Advances in surgical techniques for robotic computer-navigated knee arthroplasty Effects of preoperative rehabilitation and nutrition on postoperative function Specific rehabilitation principles to avoid complications and return to daily activities Advanced physical therapy concepts to return to recreational and sports activities Objective testing to determine strength and physical function in the arthroplasty athlete Recommended guidelines for recreational and sports activities Key factors for achieving high patient satisfaction and quality of life after surgery Presenting the most up-to-date evidence and guidelines, Critical Rehabilitation for Partial and Total Knee Arthroplasty will be an invaluable resource for orthopedic surgeons, physical therapists, athletic trainers, personal trainers and all professionals caring for patients seeking to return to full activity after knee replacement.

Download or read book Total Knee Arthroplasty written by James Alan Rand and published by Lippincott Williams & Wilkins. This book was released on 1993 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.

Download or read book In patient Rehabilitation Following a Right Total Knee Arthroplasty written by Danielle Ferrie and published by . This book was released on 2017 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: A 55-year-old patient with a total knee arthroplasty was seen six days a week for three weeks at a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, the Numeric Pain Rating Scale, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), 10 Meter Walk Test, the Tinetti Performance Oriented Mobility Assessment, and the assessment of independence level in the performance of functional activities; and a plan of care was established. Problems found were decreased range of motion of the knee, increased pain, decreased strength, decreased balance, decreased gait speed, and decreased independence with functional activities. The main goals of the treatment course were to decrease pain, increase range of motion of the knee, increase balance, increase gait speed, and achieve independence with functional abilities. The main interventions used were range of motion activities, strength activities, and task-specific functional activities. The patient met her goals in pain level, balance, gait speed, and ability to climb stairs. The patient made some progress but did not meet her goals in knee range of motion, functional activities as measured by the WOMAC, and the ability to participate in community outings. She was discharged home with an exercise program and was to continue physical therapy in an outpatient setting.

Download or read book Outpatient Rehabilitation for a Patient Following Total Knee Arthroplasty written by Lyle Nelson and published by . This book was released on 2016 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient, 6 weeks post-total knee arthroplasty (TKA) on the left, and 1 week post-TKA on the right with an additional factor of manipulation under anesthesia (MUA) on the left was seen for physical therapy treatment for 20 sessions from 7/13/15 to 8/19/15 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle tests, gait evaluation, and the Western Ontario and McMaster Universities Osteoarthritis Index, and a plan of care was established. Main goals for the patient developed in collaboration with the supervising physical therapist were to improve strength, range of motion, gait mechanics during walking, and overall physical function. Main interventions used were passive stretching, active and passive range of motion, strength training, and over-ground gait training. The patient improved in range of motion, strength, and gait mechanics. The patient was discharged with a home exercise program and follow up with her physician.

Download or read book Total Knee Replacement and Rehabilitation written by Daniel J. Brugioni and published by Hunter House. This book was released on 2004 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year approximately 250,000 Americans undergo total-knee-replacement surgery (also known as a total knee arthroplasty, or TKA). Every year, a million more consider it. If you are considering or have had a total knee replacement you should read this book. It will tell you everything you need to know to prepare for and recover from the surgery, and to get the most out of your new knee. The success of a total knee replacement depends on rehabilitating the knee after the operation -- in fact, the rehab is as important as the surgery itself. This book maps out the road to recovery with week-by-week exercises for a full year. The authors, a surgeon and physical therapist who have both been orthopedic patients, provide practical tips, success stories and personal insights into the recovery process. Most people, even surgeons, don't realize how dramatically arthritis can change a person's life. Author Jeff Falkel, Ph.D., was one of these people. Over the course of 20 years his knees had gotten progressively worse, and eventually the pain reached the point where it was present in every aspect of his life. He could not stand or walk without crippling pain.

Download or read book Outpatient Rehabilitation for a Patient Following a Left Total Knee Arthroplasty written by John A. Dwyer and published by . This book was released on 2016 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient with left total knee arthroplasty was seen for physical therapy treatment for 10 sessions from 6/19/15 to 7/29/15 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist supervised by a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle testing, evidence based health status questionnaires and mobility screening to assess joint range of motion, strength, functional mobility, activity and participation limitations to design an appropriate plan of care. Primary goals for the patient were to improve strength, knee range of motion, motor control during functional activities and to improve gait speed and standing balance. The main interventions used were manual therapy, therapeutic exercise and task-specific training for functional mobility. The patient met the following goals: increased joint range of motion, increased muscular strength, and increased balance. The patient was discharged to home with a long-term progressive home exercise program.

Download or read book Physical Medicine and Rehabilitation Patient Centered Care written by Sorush Batmangelich, EdD, MHPE and published by Demos Medical Publishing. This book was released on 2014-09-04 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: Built around the six core competencies for physicians practicing rehabilitation medicine as required by the ACGME, Physical Medicine and Rehabilitation Patient-Centered Care: Mastering the Competencies is a unique, self-directed text for residents. Covering all aspects of patient-centered care in the practice of physical medicine and rehabilitation, the book provides a competency-based approach to topics and conditions commonly encountered in this specialty. Thoughtfully organized chapters offer easy-to-access clinical content for all major practice areas, and the bookís competency-based goals and objectives also serve as a clear platform for educating physiatrists in training during their clinical rotations. The first part of the book presents the foundations of the core competencies (medical knowledge, professionalism, patient care, practice-based learning and improvement, system-based practice, and interpersonal and communication skills) with basic principles for application, and also includes chapters on implementing educational milestones, core professional education principles, and building leadership skills. In the second part, experts in the field apply these core competencies to the management of common conditions including stroke, spinal cord and brain injury, amputation and prosthetics, musculoskeletal disorders, multiple sclerosis, and much more. Each of these chapters identifies goals and objectives for each competency and concludes with a representative case study and self-assessment questions with answers and explanations. The book also provides references to key articles and links to internet-based educational materials. Practical tips, how-to and where-to guides, key points, tables, and charts also help to maintain current knowledge and competency in the many areas that comprise the field of PM&R. The book will be a valuable asset to physiatrists in training, program directors, and teaching faculty in rehabilitation medicine training programs, and for continuing professional development. Key Features: Addresses core competencies for rehabilitation medicine physicians as required by the ACGME Covers all major physiatric practice areas with facts, concepts, goals, and objectives following the competency model Grounded in a holistic, patient-centered approach Presents sample case studies with discussion points and self-assessment questions with answer key and explanations for each area to track progress and build clinical acumen

Download or read book Acute Inpatient Rehabilitation for a Patient Following a Left Total Knee Replacement written by Lauren Shanks and published by . This book was released on 2016 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient following a left total knee replacement to correct painful end-stage osteoarthritis was seen for physical therapy treatment for 5 sessions from 7/1/15 to 7/3/15 in an acute care hospital setting. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Timed Up and Go test to measure functional mobility and assess fall risk, the Oxford Knee Score to measure knee function and knee pain, and the Wells Clinical Decision Rule to assess the likelihood of the presence of a deep vein thrombosis. A plan of care was established to fit the individual's impairments determined by the initial evaluation. The main goals for the patient were to improve strength, endurance, gait quality, functional mobility, functional independence, and reduce fall risk. Main interventions used were over-ground gait training, progressive strength training, and functional task-specific training. Throughout the episode of care the patient improved strength, endurance, gait quality, functional mobility, and functional independence. All goals were met in these areas of focus, except the patient remained at high fall risk based on the Timed Up and Go test findings. The patient was discharged home with a home exercise program, a recommendation of supervision as needed, and with home health physical therapy and nursing.

Download or read book Acute Rehabilitation of a Patient with Total Knee Arthroplasty in the Setting of Bipolar Disorder written by Sara Peterson and published by . This book was released on 2017 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient with a complex history of mental illness received a right total knee arthroplasty during the summer of 2016 and was seen for physical therapy treatment for 5 sessions in an acute care hospital setting. Treatment was provided by a student physical therapist (SPT) under the guidance and supervision of a licensed physical therapist. The patient was evaluated with manual muscle testing, goniometry, numeric pain rating scale, two-minute walk test, and levels of assistance. The results of these assessments were evaluated and a plan of care was established to address the patient's specific impairments and activity limitations. The plan of care addressed the patient's reduced right knee range of motion, weakness of bilateral hips and right knee, pain while resting and with movement, limited endurance, and impaired bed mobility, transfers and gait. The main goals set for this patient were to improve range of motion in the surgical knee and gain independence in transfers, bed mobility, and gait. Interventions included range of motion exercises, functional mobility training, and cryotherapy. The patient improved independence with all functional mobility activities, increased right knee range of motion, and experienced a reduction in pain with movement by the time of discharge. The patient was safe to discharge home with assistance of a caregiver, and was discharged with a progressive, individualized home exercise program, continuous passive movement device, and orders for home health physical therapy.

Download or read book White Paper on Joint Replacement written by Hans-Holger Bleß and published by Springer. This book was released on 2017-11-03 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.

Download or read book Handbook of Subacute Health Care written by Kathleen M. Griffin and published by Jones & Bartlett Learning. This book was released on 1995 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Subacute Health Care is the first complete resource containing specific information on how to develop and operate a profitable subacute care hospital or unit. It offers everything providers need to decide whether they should enter the subacute marketplace and, if so, how to make decisions that will lead to profitability. Sample forms, financial worksheets, and other hands-on materials are provided.

Download or read book Pathology and Intervention in Musculoskeletal Rehabilitation E Book written by David J. Magee and published by Elsevier Health Sciences. This book was released on 2008-09-18 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: Detailed and evidence-based, this text focuses on musculoskeletal pathology and injury with descriptions of current and practical rehabilitation methods. PATHOLOGY AND INTERVENTION IN MUSCULOSKELETAL REHABILITATION provides everything you need to create and implement rehabilitation programs for your patients with musculoskeletal disorders due to injury, illness, or surgery. Each intervention includes a rationale, pathology and related problems, stages of healing, evidence in literature, and clinical reasoning considerations. This is the third volume of the new four-volume musculoskeletal rehabilitation series anchored by "Magee’s Orthopedic Physical Assessment, 5th Edition." A companion CD with references and links to MEDLINE abstracts, provides easy access to the articles referenced in the text. Evidence-based content, with over 4,000 references, supports the scientific principles for rehabilitation interventions, providing the best evidence for the management of musculoskeletal pathology and injury. Over 150 tables and 250 boxes help organize and summarize important information, highlighting key points. Over 700 drawings, clinical photos, radiographs, and CT and MRI scans demonstrate and clarify important concepts. Trusted experts in musculoskeletal rehabilitation — David Magee, James Zachazewski, Sandy Quillen, plus more than 70 contributors — provide authoritative guidance on the management of musculoskeletal pathology and injury.

Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

Download or read book Rapid Recovery in Total Joint Arthroplasty written by Giles R. Scuderi and published by Springer Nature. This book was released on 2020-04-02 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system. This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies. There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work.

Download or read book Rehabilitation Medicine Core Competencies Curriculum written by Adrian Cristian and published by Demos Medical Publishing. This book was released on 2014-09-04 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: Built around the six core competencies for physicians practicing rehabilitation medicine as required by the ACGME, Physical Medicine and Rehabilitation Patient-Centered Care: Mastering the Competencies is a unique, self-directed text for residents. Covering all aspects of patient-centered care in the practice of physical medicine and rehabilitation, the book provides a competency-based approach to topics and conditions commonly encountered in this specialty. Thoughtfully organized chapters offer easy-to-access clinical content for all major practice areas, and the bookÌs competency-based goals and objectives also serve as a clear platform for educating physiatrists in training during their clinical rotations. The first part of the book presents the foundations of the core competencies (medical knowledge, professionalism, patient care, practice-based learning and improvement, system-based practice, and interpersonal and communication skills) with basic principles for application, and also includes chapters on implementing educational milestones, core professional education principles, and building leadership skills. In the second part, experts in the field apply these core competencies to the management of common conditions including stroke, spinal cord and brain injury, amputation and prosthetics, musculoskeletal disorders, multiple sclerosis, and much more. Each of these chapters identifies goals and objectives for each competency and concludes with a representative case study and self-assessment questions with answers and explanations. The book also provides references to key articles and links to internet-based educational materials. Practical tips, how-to and where-to guides, key points, tables, and charts also help to maintain current knowledge and competency in the many areas that comprise the field of PM&R. The book will be a valuable asset to physiatrists in training, program directors, and teaching faculty in rehabilitation medicine training programs, and for continuing professional development. Key Features: Addresses core competencies for rehabilitation medicine physicians as required by the ACGME Covers all major physiatric practice areas with facts, concepts, goals, and objectives following the competency model Grounded in a holistic, patient-centered approach Presents sample case studies with discussion points and self-assessment questions with answer key and explanations for each area to track progress and build clinical acumen

Download or read book Outpatient Hip and Knee Replacement written by R. Michael Meneghini and published by Springer Nature. This book was released on 2023-04-18 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Outpatient surgery and early discharge is the hottest topic in hip and knee arthroplasty and will continue to be in the coming years: It is expected that over 50% of all hip and knee arthroplasties will be performed in the outpatient setting by 2026. Currently, a central text that encompasses all of the unique aspects of performing hip and knee arthroplasty in the outpatient setting does not exist. Furthermore, as surgeons across the US and abroad are incentivized and encouraged by government and commercial payors, as well as patients, to perform these surgical procedures in the outpatient setting, the educational material must be available to disseminate the unique perioperative and surgical strategies and techniques accordingly. This book is unique in that it will address all the essential elements and considerations to promote surgeon success in this endeavor and enhance patient safety through the transition of hip and knee arthroplasty into the outpatient setting, as well as how to implement such a program into practice. Topics discussed include patient selection, medical optimization and risk management, anesthetic surgical techniques, pain management protocols, and postoperative physical therapy. Later chapters cover practical issues surrounding outcome metrics, discharge criteria, minimizing patient readmissions, financial considerations, and additional implications for hospitals, ASCs and payers. Filling a glaring gap in the literature on this popular new topic, Outpatient Joint Replacement is an ideal resource for orthopedic surgeons, notably hip and knee specialists, as well as residents, fellows and supporting clinical staff.