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Shoulder Arthroplasty: Return to Function - An Update

presented by John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1

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Disclosure Statement:

Financial: John O’Halloran receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: John O’Halloran has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 72 Minutes, Learning Assessments: 34 Minutes

The shoulder is the third most commonly replaced joint in the body. Join Dr. John O’Halloran as he reviews the evolution of shoulder arthroplasty and talks about the surgical procedures used today. This course describes the rehabilitation phases and range-of-motion expectations through lecture, patient videos, and demonstrations. Dr. O’Halloran demonstrates a wide range of manual techniques and therapeutic exercises to promote return of function to the level desired by today’s arthroplasty patients. The course finishes with an in-depth look at the indications for a reverse total shoulder arthroplasty surgery and the rehabilitation considerations specific to this procedure. This course is part of a five-course series on joint arthroplasty:

Meet Your Instructor

John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1

John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1, is an American Physical Therapy Association board-certified orthopedic clinical specialist with more than 30 years of experience in the field of orthopedics. He earned his postprofessional Doctor of Physical Therapy from Temple University and has studied orthopedic and sports therapy abroad in…

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Chapters & Learning Objectives

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1. Introduction

In this chapter, Dr. O’Halloran provides an overview of the history of shoulder arthroplasty and introduces two different surgical techniques. The chapter also includes common medical management practices of arthritis and rotator cuff tears and four key postoperative rehabilitation objectives.

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2. Rehabilitating the Shoulder

Join Dr. O’Halloran as he identifies the four rehabilitation phases and range-of-motion expectations following shoulder arthroplasty. Learn different manual techniques and therapeutic exercises for the four main shoulder muscles to promote increased range of motion.

3. Postoperative Exercises and Expectations

Several patient videos are presented to demonstrate postoperative rehabilitation exercises. Dr. O’Halloran also describes the return-to-function phases and activity expectations for patients postoperatively.

4. Reverse Total Shoulder Arthroplasty

Dr. O’Halloran describes the indications and surgical techniques of a reverse total arthroplasty procedure. This chapter identifies the two different phases of rehabilitation and provides a timeline for range of motion expectations.

More Courses in this Series

Hip Arthroplasty: Improving Gait - An Update

Presented by John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1

Hip Arthroplasty: Improving Gait - An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 62 Minutes, Learning Assessments: 12 Minutes

Following the knee, the hip is the second most commonly replaced joint. Join Dr. John O’Halloran as he provides the history of hip arthroplasty and compares the advantages and disadvantages of different surgical approaches. This course focuses on assessing the gait cycle, both pre- and postoperatively, so that clinicians are better able to identify key patterns of gait compensation. The phases of postoperative rehabilitation and the management of leg length discrepancies at different stages of the patients’ rehab are outlined as well. This course is part of a five-course series on joint arthroplasty:

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Knee Arthroplasty: Increasing Range of Motion - An Update

Presented by John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1

Knee Arthroplasty: Increasing Range of Motion - An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 80 Minutes, Learning Assessments: 32 Minutes

With an increasing demand for knee replacement procedures, clinicians require up-to-date information on surgical and rehabilitation techniques. Starting with an overview of the history of knee arthroplasty, this course compares minimally invasive and traditional knee arthroplasty methods, such as mobile-bearing versus fixed-bearing surfaces. Dr. John O’Halloran describes the phases of postoperative rehabilitation and range of motion methods, including continuous passive motion and neuromuscular electrical stimulation, using numerous patient demonstration videos. The course finishes with an in-depth discussion of recommendations for return to activity following knee arthroplasty. This course is part of a five-course series on joint arthroplasty:

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Troubleshooting Difficult Cases in Joint Arthroplasty

Presented by John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1

Troubleshooting Difficult Cases in Joint Arthroplasty

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 70 Minutes, Learning Assessments: 25 Minutes

With the emergence of the baby boomer generation, there has been a significant rise in joint arthroplasty surgeries in the past five years. The projections are staggering. In the United States, there are 1 million hip and knee arthroplasties, and that number will grow to 5 million in the next 8–10 years. With that growth and the changes in the United States health care reimbursement and utilization control, it is imperative that today’s clinician who works with total joints be able to address the difficult cases. Currently, joint arthroplasty patients have outcome data showing approximately 80 percent overall satisfaction at 20 years post-operation. Having said that, patient expectations are higher today than ever before. The clinician who can expedite the rehab process and address the difficult cases will be the clinician that the well-informed patients will seek to do their rehabilitation. This course will provide the clinician treatment sequence strategies incorporating manual therapy and corrective exercises that involve the entire kinetic chain. This course is ideal for all settings and has been developed to address the following difficult cases:
  1. The dreaded shoulder hike or shrug in shoulder arthroplasty
  2. The total hip patient who has Trendelenburg gait
  3. The total knee patient who can’t achieve desired range of motion
  4. The total knee and hip patient who has persistent pain and has been told by an MD that “the X-rays are perfect” and that “you just need time” and “your knee was the worst one I've ever seen”
This course is part of a five-course series on joint arthroplasty:

View full course details

Current Concepts in Joint Replacement: Following Arthroplasty - An Update

Presented by John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1

Current Concepts in Joint Replacement: Following Arthroplasty - An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 77 Minutes, Learning Assessments: 47 Minutes

With more people requiring joint replacements than ever before, effective acute care and rehabilitation are increasingly essential to successful patient outcomes. In this course, Dr. John O’Halloran reviews the history of joint replacement procedures and how they’ve transformed to the modern day joint arthroplasty in the shoulder, knee, and hip. Utilizing patient demonstrations and videos, Dr. O’Halloran reveals cutting-edge methods for the acute care and home care clinician. Emphasizing early rehabilitation, patient demonstrations focus on thought-provoking bed and core exercises, as well as functional weight-bearing activities, that can be implemented immediately following joint arthroplasty. This course is part of a five-course series on joint arthroplasty:

View full course details

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