Total Joint Rehab

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Handouts/Brochure

Speaker

John O'Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1 Practitioner Related seminars and products

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John O’Halloran, PT, DPT, OCS, ATC (retired), CSCS (retired), Cert MDT, Certified SCTM-1 Practitioner, is a board certified orthopedic clinical specialist by the American Physical Therapy Association and has over 30 years of experience in the field of orthopedics. He earned his post-professional Doctor of Physical Therapy from Temple University. Dr. O’Halloran has studied orthopedic and sports therapy abroad in Australia and New Zealand. Dr. Halloran is the sole owner of O’Halloran Rehabilitation, a division of O’Halloran Consulting, LLC. John was born in Boston Massachusetts. He is credentialed with the McKenzie Institute in the mechanical diagnosis and treatment of the spine and has extensive post graduate training in manipulative therapy of the spine and extremities and is a certified SCTM-1 Practitioner and has certificates in SMT-1, SMT-2, and SMT-3 with the American Spinal Manipulative Institute. Dr. O’Halloran is also a certified functional capacity evaluator in the Blankenship Method.  He has presented over 1,300 times both locally and internationally on various orthopedic and sports medicine topics.

In 2014, John was the recipient of Clinician of the Year and Excellence in Clinical Practice Award by the North Carolina Physical Therapy Association. Recently, Dr. O’Halloran’s investigational work on the earlier facilitation of gait in the Total Knee Arthroplasty patient has been cited in a peer reviewed journal publication. Dr. O’Halloran was an invited presenter at the 2023 Ortho/Neuro Rehab Summit October 26-29 in Las Vegas, NV and the International Orthopedic Conference January 4, 2024, in Cairo, Egypt.

 

Speaker Disclosures:
Financial: John O'Halloran is the owner of O’Halloran Consulting LLC and O’Halloran Rehabilitation. He receives compensation as a national speaker and clinical instructor. John O'Halloran receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: John O'Halloran has no relevant non-financial relationships.

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Objectives

1. Investigate the history of total joint arthroplasty.
2. Propose rehab methods to address the 15-20% of total joint arthroplasty patients who struggle to achieve treatment goals.
3. Investigate the literature for evidence-based non-operative treatments of osteoarthritis.
4. Inspect the surgical methods for total shoulder (and reverse), hip and knee arthroplasty.
5. Perform functional assessment of pre-op and post-op gait in the total hip and knee patient.
6. Appraise total shoulder, hip and knee multimodal (corrective exercise and manual therapy) rehab interventions and incorporate into your treatment programs.
7. Evaluate and discuss return to activity and sports following total shoulder, hip and knee arthroplasty and how to incorporate into your treatment programs.

Outline

• Implications of the comprehensive joint replacement model
• How to address the 15-20% of total joint patients that don’t ACHIEVE GOALS OF THERAPY!

• Gait deviations that occur post-op
• Address the ‘stiff’ total knee patient
• Correct total shoulder patients favoring a shoulder hike/shrug
• Address the post-op total joint patient with an infection

• Biologics including PRP, stem cells
• Injections – options and frequency
• Resistance training

• Osteoarthritis management
• Complete total shoulder-TSA
• Hemi shoulder arthroplasty
• Reverse total shoulder arthroplasty-rTSA
• Rehab techniques following total shoulder arthroplasty
  • ROM guidelines and manual therapy for shoulder arthroplasty
  • Open and closed kinetic chain exercises
• Return to activity:
  • Expected time frames to perform ADL’s and return to exercise/sports
• Case Studies

• Traditional total knee arthroplasty - TKA
• Minimally invasive knee arthroplasty-MIS TKA
• Less invasive/quad sparring TKA
• Computer assisted surgery - CAS, robotics
• Literature review:
  • Continuous passive motion – CPM
  • Neuromuscular electrical stimulation - NMES
  • Pre-operative Physical Therapy
• Guidelines for return to activities post TKA:
  • Biking, treadmill, elliptical
  • Swimming
  • Hiking
  • What sports are allowed following a TKA?
• Facilitate use of key gait and function muscles weakened by TKA
• Case Studies

• Traditional precautions vs current advanced hip systems
• Anterior vs posterior total hip arthroplasty: which is better?
• Anterior hip arthroplasty rehab implications
• Minimally invasive hip arthroplasty - MIS
• Advances in materials in THA and rehab implications including precautions
• Facilitate key muscles involved in gait and function for your THA patients
• Return to activities following THA:
  • Biking, treadmill, elliptical
  • Swimming
  • Hiking
  • What sports are allowed following a THA
• Case Studies 

Target Audience

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