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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. Obtain methods to effectively educate patients regarding: the arthritic process, treatment options, recovery steps, and long-term expectations
5. Define the decision-making processes regarding conservative and surgical treatment options for patients with degenerative joints
6. 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

Chad M. Thompson PT, DPT, OCS, is the director for the Kentucky Orthopedic Rehab Team (KORT), Georgetown, Kentucky location. Chad has nearly 30 years of experience working with joint rehabilitation in both acute and outpatient phases. He is APTA Board Certified in orthopedics and contributes to the specialty through the development of written treatment protocols. His expertise has been sought for audiences across the United States of experienced rehab professionals on a variety of degenerative and total joint topics. He consults on legal cases involving physical therapy malpractice and has served as an expert witness as well. In addition, Chad is a clinical instructor for the University of Kentucky, University of Louisville and assists in supervising the Samaritan Free Clinic. This clinic allows students to assess and treat underserved patients under the supervision of a PT.

Speaker Disclosures:

Financial: Chad Thompson is Director of Outpatient Physical Therapy at KORT Physical Therapy Clinic. He has stock holdings with Bristol Meyer Squibb in a 401K retirement plan with Select Medical Corporation. Mr. Thompson receives a speaking honorarium from PESI, Inc. His financial relationships with ineligible organizations have been mitigated.

Non-financial: Chad Thompson has no relevant non-financial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.2 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.5 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Personal Trainers