THE ELDERLY ON THE MOVE: RESTORING FUNCTION
Evidence-Based Manual Therapy Treatment with a New Zealand Approach
A comprehensive course designed to provide the participant with effective approaches for the treatment of the common orthopedic conditions present in the elderly who present in the outpatient setting.
The elderly commonly have problems with the spine and extremity joints, specific to their age group. Taking this, and their general health, into consideration, the management of these conditions can be treated effectively using appropriate exercises and manual therapy. The areas addressed in this course include the cervical and lumbar spine, and their interaction with the shoulder, hip, knee and ankle. Evaluation and treatment of conditions such as spinal derangement and stenosis, post-fracture movement restrictions in the shoulder, frozen shoulder, and management of rotator cuff repairs are covered. For the lower extremities, the course includes post-THA weakness, non-surgical hip pain, post-TKA movement restrictions, post-fracture ankle movement restrictions and ankle dysfunctions.
An approach with an eclectic combination of exercise and manual therapy is used. Introduction of the manual therapy concept of postlation for treatment of the spine and sling therapy for the extremities is included, in addition to functional adaptation of traditional techniques.
The techniques taught on this course are presented in a down to earth and practical
• • • • • • • • •
can be used in a clinical setting immediately.
Evaluate and treat age specific spinal problems
Use age specific manual therapy techniques in the peripheral joints, including the hip, knee, ankle and shoulder
Use quick and effective tests to determine which joints are involved Assess the contributing factors of joint dysfunction
Assess primary and secondary joint dysfunction
Learn the new manual therapy technique of postlation
Treat post-THA weakness and pelvic girdle Treat post-TKA movement restrictions Identify contra-indications of treatment Advise the patient on home management Introduce functional exercises for the home
COURSE SCHEDULE – 1.75 days
7:30 Sign in
8:00 Introduction to orthopedic manual therapy
9:00 Considerations when treating the elderly with exercise and manual therapy 9:30 Examination and testing of the cervical spine
10:30 Manual therapy treatment of the cervical spine 12:00 Lunch
1:00 Examination and testing of the shoulder: joint mobility, impingement syndrome and stability
2:00 Treatment of the movement restricted shoulder 3:20 Break
3:30 Treatment of the post-rotator cuff repair shoulder 4:00 Treatment of the elderly scapulo-thoracic region 5:00 End of day one
8:00 Treatment of the wrist and hand
09:00 Lumbar spine classification and assessment
10:00 Treatment of the lumbar spine, including derangement, stenosis, instability and combination syndrome
11:00 Hip Assessment and screening 11:30 Break
12:00 Treatment of the OA hip and post-THR weakness
01:00 Examination and treatment of the post-TKA movement restrictions
02:15 Examination and treatment of the ankle and foot, including ORIF and foot dysfunctions
03:00 End of course
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