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Upcoming Event for Marquette Challenge

Optimizing Rehabilitation After Total Joint Replacement in a Changing Healthcare Landscape

Saturday, September 17, 2016  |  8:00am-5:30pm
Registration Begins: 7:30am

 Course Description

This course will present an in depth review of contemporary TKA and THA physical therapy treatment including the Comprehensive Care for Joint Replacement Model (CJR) and how it impacts health care professionals and patients, a review of surgical approach, risk stratification, current evidence in best practices for rehabilitation, and management of complications including persistent pain and arthrofibrosis. Discussion will also provide an in-depth analysis of emerging evidence-based treatment options and introduction of innovations including movement pattern retraining, tele-rehabilitation, and methods to help patients improve physical activity levels.


 Course Objectives

Participants will:

  • understand the known deficits in body structure and function, activity and participation associated with total knee arthroplasty (TKA) and total hip arthroplasty (THA)
  • be familiar with currently applied surgical techniques for TKA & THA
  • be introduced to and understand the implications of the Comprehensive Care for Joint Replacement (CJR) model for reimbursement following total joint replacement
  • be familiar with and understand clinical implementation of evidence-based physical therapy treatment following TKA & THA
  • Participants will have a basic understanding of common complications and treatment options for complications following TKA & THA

 Course Outline

Morning Session 1 (8-10)
1)     Overview
  a.     CJR
  b.     OA
2)     Surgery
  a.     Types of Surgery
  b.     Anesthesia/Medications
  c.     Complications
3)     Inpatient Rehabilitation
  a.     Inpatient rehabilitation Goals
  b.     Inpatient Risk Tools
  c.     Major prognostic factors
  d.     Inpatient outcome tools
4)     Recovery after TKA (30 min)
  a.     Typical impairments, activity, and participation restrictions after TKA
  b.     Time course of recovery after TKA
Morning Break (10-10:15)
Morning Session 2 (10:15-12:15)
5)     Specific Interventions after TKA
  a.     Lower Extremity Weakness
  b.     Movement pattern retraining
  c.     Additional EBP Interventions
Lunch Break (12:15-1:15)
Afternoon Session 1 (1:15-3:15)
6)     Recommended Rehabilitation Approach
  a.     Common exercises and challenges
  b.     Role of modalities
  c.     Returning to Driving, Travel, and Sport
  d.     Recommended Rehabilitation Outcomes
7)     Troubleshooting Problems
  a.     Arthrofibrosis –
  b.     Pain –
    a.     Prognostic factors for persistent pain
b.b.     Potential mechanisms for persistent pain
    c.     Management of persistent pain
8)     Future Directions
  c.     Swelling
  d.     Physical Activity, motivational interviewing, and targeted goal setting
  e.     Progressive rehabilitation in the SNF and HHPT settings
  f.      Telemedicine
Break (3:15-3:30)
Afternoon Session 2 (3:30-5:00)
1)     THA Overview
  a.     Indications for surgery
  b.     Surgery
    i.             Surgery types
     1.     Posterolateral approach
  2.  2.     Direct anterior approach
ii.ii.             Anesthesia/Medications
    iii.            Complications
2)     Recovery after THA
  a.     Post-surgical precautions
b.b.     Assistive device usage
  c.     Typical impairments, activity, and participation restrictions after THA
  d.     Time course of recovery after THA
3)     Physical Therapy Interventions and Rehabilitation Approach
  a.     PT Examination
  b.     Common exercises
  c.     Movement retraining and stability exercise
  d.     Return to activity
4)     Complications/Troubleshooting
  a.     Dislocation
  b.     Persistent pain
  c.     Other potential complications
5)     Future directions
  a.     Physical Activity
  b.     Early vs late rehabilitation considerations
c.c.     Alternative rehabilitation strategies/considerations
Quiz for Category 1 Continuing Education Credit (5:00-5:30)

 Instructional Methods

Lecture: 8am-5:30pm

 Course Schedule

Registration (7:30a)
Morning Session 1 (8-10)
Morning Break (10-10:15)
Morning Session 2 (10:15a-12:15p)
Lunch Break (12:15-1:15)
Afternoon Session 1 (1:15-3:15)
Break (3:15-3:30)
Afternoon Session 2 (3:30-5:00)
Quiz for Category 1 Continuing Education Credit (5:00-5:30)

 List and Qualifications of Course Presenter

Jennifer Stevens-Lapsley, PT, PhD
Dr. Stevens-Lapsley is a Professor in the Physical Therapy Program at the University of Colorado Anschutz Medical Center. She received her PT degree at the University of Delaware, where she went on to complete a PhD in Biomechanics and Movement Science with a focus in Applied Physiology. She then completed post-doctoral training at the University of Florida. She has served as a clinician in various environments with an emphasis on patients following knee and hip arthroplasty. She has 15 years of clinical research experience in patients with osteoarthritis planning to undergo joint arthroplasty, and has been actively involved in recent efforts to support better and more efficient care for patients with arthroplasty through the Comprehensive Care for Joint Replacement (CJR) model. The majority of her research emphasis has been on muscle dysfunction and age-related changes in muscle function, focusing on the use of rehabilitation strategies to improve patient outcomes after joint arthroplasty. Her clinical research has resulted in numerous publications (80+), national and international speaking invitations, and awards such as the Jack Walker Manuscript award from the American Physical Therapy Association (APTA) and the APTA Geriatrics Section, Excellence in Research Award. Her research has been consistently funded by the National Institutes of Health, Agency for Healthcare Research and Quality, Foundation for Physical Therapy, the American College of Rheumatology, and the Arthritis Foundation (over $11 million as principal investigator).
Dana Judd, PT, DPT, PhD
Dr. Judd is an Assistant Professor in the Physical Therapy Program at the University of Colorado. Dr. Judd received her BA in Kinesiology from the University of Colorado Boulder, completed her MS in Physical Therapy and DPT degrees at the University of Colorado Health Sciences Center and received her PhD in Clinical Science from the University of Colorado Anschutz Medical Campus. Her current research interests include optimizing muscle performance, movement quality, physical function, and quality of life following total joint replacement. She has several articles published in peer-reviewed journals and has had the opportunity to present her work at several national conferences. She is dedicated to making research and evidence accessible to practicing clinicians and students so that they may understand, interpret, and apply evidence to guide best clinical practice. Prior to her academic work and employment, Dr. Judd worked as a physical therapist, specializing in orthopedics. 
Michael Bade, PT, DPT, PhD, OCS, FAAOMPT
Michael is an assistant professor in the physical therapy program at the University of Colorado with over 10 years of experience in treating individuals after total knee arthroplasty (TKA) in the acute, home health, and outpatient settings.  In addition to his clinical experience, he is board-certified in orthopaedics and is a fellow in the American Academy of Orthopaedic Manual Physical Therapists.  He received his PhD in Clinical Science in 2012 from the University of Colorado with his area of focus on improving rehabilitation in individuals after TKA. He has given over 40 presentations nationally and internationally on this topic, has over 20 peer-reviewed publications, and has funding from the National Institutes of Health which supports his research in this patient population.  
Andrew Kittelson, PT, DPT, PhD
Andy Kittelson recently finished his PhD in Rehabilitation Science at the University of Colorado Anschutz Medical Campus. His work focuses on understanding heterogeneity in knee osteoarthritis, with the goal of tailoring conservative therapies to the factors most relevant to knee pain at the individual level.  His postdoctoral work explores data science and prediction methods to improve clinical decision-making for individuals undergoing total knee arthroplasty surgery.

 Contact Hours or Continuing Education Units

This course qualifies for 8 Category 1 contact hours under the Colorado Physical Therapy Board Standards for Continuing Education Activities. 7

 Target Audience and Instructional Level

Future and Current Physical Therapists, Physical Therapist Assistants

Intermediate Instructional Level - This level assumes that the participants have a general familiarity with the topic, so it focuses on increased understanding and application

 Requirements for Successful Completion and Prerequisites

Full attendance and completion of competency quiz at end of lecture.

No Prerequisites

 Fee, Payment, and Cancellation Policies

Refunds must be requested by September 16th, 2016. No refunds will be given after this time. To request a refund, please email

 Registration and Teleconferencing

Registration is available for in-person and new online option!

Teleconferencing is now available for rural or out-of-state clinicians living outside the Denver Metro Area. Teleconferencing option will be available in the registration process. After registration a link will be sent to you regarding how to access teleconferencing.​

Contact us for information or questions