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1. Identify current options in total hip & total ankle arthroplasty
2. Discuss gait & balance mechanics & how these can be maximized post-operatively
3. Review ankle & hip joint anatomy, the concepts of hip strategies & ankle strategies for balance & the effect of surgery on joint receptors
4. Examine current literature on the importance of balance & proprioceptive training following each procedure
5. Demonstrate which exercises & activities are most helpful, when to initiate each & which ones the patient should continue independently

Current options in total hip and total ankle arthroplasty

• Review surgical techniques and components
• Common Dx leading to THA and TAA
• Post-operative timelines and when to initiate balance training with each population

Gait and balance mechanics to maximize post-operative outcomes

• Review ankle and hip motions in “Normal” gait to understand which motions to emphasize
• Does the prosthesis limit range of motion and strength gain potential?
• Deficits at 6 months and 2 years post-operatively
• What is the role of proprioception and muscular response in balance and gait

Strategies for post-surgical balance

• The role of neuroplasticity in balance recovery
• Role of symmetry training and impacts on the contralateral limb
• Why surgery seems to have greater impact on ankle joint receptors than in the hip
• Greater muscle mass in the hip and which muscles are the keys in balance

The importance of balance and proprioceptive training following surgery

• Impact on patient perceived long-term outcome and how this can differ from the therapist
• Importance of patients regaining confidence and impact of fear of falling on actual falls
• How is the patient functioning long after discharge from formal therapy?

Post-operative exercises and activities demonstration

• Single limb stance and tandem stance activity early and late in rehabilitation
• Varying sensory inputs for progressions
• Effective strengthening exercises and proper dosing/overload principles

Jason Handschumacher, PT, DPT, OCS, is an expert in myofascial release, with over 16 years of clinical experience in some of the top facilities in the country. He practices at a hospital in the Charlotte metropolitan area, serving patients in acute, sub-acute, and outpatient settings. In addition, he sees patients at a clinic within an active adult community.

Dr. Handschumacher travels nationally to present seminars on myofascial release and is known for his dynamic, hands-on teaching style. He has presented research finings for state and national PT associations related to non-operative management of the rotator cuff, injury prevention, and the uses of therapeutic taping. Board-Certified as an Orthopedic Clinical Specialist, Dr. Handschumacher earned his doctorate in physical therapy from Shenandoah University.

Speaker Disclosures:

Financial: Jason Handschumacher has an employment relationship with Springs Memorial Hospital. He receives a speaking honorarium from PESI, Inc.

Non-financial: Jason Handschumacher 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 1.9 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 1.75 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 1.75 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 1.5 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 2.3 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 1.75 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 1.75 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.

Athletic Trainers, Occupational Therapy, Occupational Therapy Assistants, Physical Therapy, Physical Therapy Assistants