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Shane Malecha – Therapeutic Strategies for Degenerative Joint Disease: Overcoming Pain and Improving Function

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Faculty:
Shane Malecha
Duration:
6 Hours 30 Minutes
Format:
Audio and Video
Copyright:
Oct 19, 2016

Description

Outline

Diagnostic Criteria for Degenerative Joint Disease (DJD)

  • American Medical Association (AMA) Guidelines
  • Arthritis foundation’s guidelines

Patient Presentation

  • Medical history
  • DJD v. Rheumatoid Arthritis v. Gout
  • Other Arthritic conditions

The Pathophysiology of DJD in:

  • Weight-bearing joints
  • Non-weight bearing joints
  • The spine

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
    • Super foods
    • Over the counter supplements

Medical Management

  • Medication
    • Benefits
    • Risks

Surgical

  • Arthroscopy
  • Total joint arthroplasty
    • Total hip
    • Total knee
    • Total shoulder
      • Conventional
      • Reverse
  • Ankle
  • MCP replacement

Physical Therapy Management

  • Pre-Hab
    • Introduction of assistive devices
    • Pre-op exercise program
    • Smoking cessation
    • Weight reduction
    • Motivational interviewing techniques

Total Joint Regimens

  • Acute care post-op
    • Post-op teaching
    • Gait instruction specific to intervention
    • Exercise programs
    • Critical pathways
  • Precautions

Outpatient Rehab

  • Program Goals
  • Design of exercise regimen
  • Scar care management
  • Outcome measure
  • Gait Progression
    • Household v. community ambulation
    • Addressing the “What can I do?”
    • Mature adult
    • Middle-aged adult

Convalescence

  • 1+ year to complete recovery
  • Activity guideline
  • Quality of life
  • Cost benefits of activities

Faculty

Shane Malecha, PT, DPT, MS, CSCS's Profile

Shane Malecha, PT, DPT, MS, CSCS Related seminars and products: 2

Physical Therapist

Aegis Therapies


Shane Malecha holds advanced degrees in Physical Therapy and Biology. He is also certified by the NSCA as a strength and conditioning specialist. His clinical experience includes six years of practice in a variety of settings, including out-patient, in-patient, neurological rehabilitation, and sports medicine. One of his areas of specialization is in spinal assessments and rehabilitation along with fall prevention. Dr. Malecha also contributes his time to the Journal of Orthopedic and Sports Physical Therapy as a reviewer, American Physical Therapy Association’s Advisory Panel of Education, and the Special Olympics FUNFitness program.

Dr. Malecha has practiced for Aegis Therapies since 2009. Other experiences include having been a director of a home health agency and staff clinician for an orthopedic/sports medicine clinic. Dr. Malecha graduated from Massachusetts General Hospital’s Institute of Health Professions with a doctoral degree in 2006. He received his Masters Degree in Science in 2004 from the University of Wisconsin-LaCrosse, and a B.A. in Biology/Pre-Medicine from St. Mary’s University of Minnesota in 2001.

Dr. Malecha has lectured extensively in the areas of medical screening for physical therapy, Lumbar/Thoracic and Cervical evaluation and treatment, vestibular rehabilitation, and fall prevention.

Speaker Disclosures:

Financial: Shane Malecha is receiving a fee for speaking at today’s educational activity.

Nonfinancial: Shane Malecha has no relevant nonfinancial relationships to disclose.


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