3313 – Latest Concepts for Hips
Advanced / Pool Workshop
Sanibel, FL / Wednesday, June 20, 2018 – 7:45-11:15 am – 3.0 credit hours
(Pool: 7:45-9:15 am / Classroom: 9:45-11:15 am)
COURSE DESCRIPTION: Examine a comprehensive update on the latest information from top orthopedic surgeons at Cedars-Sinai Medical Center in Los Angeles regarding the most common hip conditions and surgeries. The landscape for treating hips has changed dramatically since femoroacetabular impingement (FAI) was first codified by surgeons in 2003. There is now an entire sub-category of hip diagnoses that didn’t previously exist, which can be corrected arthroscopically. The intricate work performed arthroscopically inside the joint to repair or reconstruct a torn labrum and to sculpt out the offending bone to prevent further impingement requires movement restrictions for those patients. These complicated surgeries take about 90 minutes to perform compared to 30 minutes for today’s total hip surgeries. Whereas total hip replacement patients had the most movement precautions previously, now they are less restricted while the FAI patients must follow strict guidelines. Those who work with clients and patients in the pool need to understand both the big picture and the specifics. A look at the latest changes in total hip implant surgeries: new anesthesia, smaller incisions, and new approaches to the surgery have made it very minimally invasive. In the pool, students will learn the do’s and don’ts for non-surgical and postsurgical hip patients.
1) Examine in-depth information about the most common hip problems.
2) Identify which exercises are therapeutic for hips and which to avoid or modify for hip pain.
3) Be able to put together an appropriate session for any of the hip diagnoses discussed.
4) Determine when to progress into more advanced exercises.
5) Modify group activities to protect the most injured while challenging the most capable participants.
6) Explore the latest research and what it means for aquatic rehab programs.
7) Modify participants’ positions in the pool to make a small pool feel spacious.
8) Guide students, clients, or patients away from surgery with confidence, knowing the pool program will help them prevent or postpone surgery or help them prehab for surgery.
9) Determine the specific movement guidelines for those with hip pain or dysfunction who are trying to prevent or postpone surgery.
10) Identify how to prehab and rehab postsurgical hip patients – be able to construct a pool protocol within the limitations of appropriate movement restrictions.
11) See intra-operative photos and drawings to be able to identify the three types of FAI.
12) Examine the latest information from top surgeons regarding criteria to be a candidate for hip arthroscopy and the conditions that preclude that candidacy.
13) Apply the day’s understandings – be able to give examples of what to do at each phase of the program, whether it is to prevent or postpone surgery or to prehab for or recover from surgery.
FACULTY: Lynda Huey, MS, is the author of Heal Your Knees and Heal Your Hips, and the President of CompletePT Pool & Land Physical Therapy in Los Angeles that treats over 400 patients per week. Huey pioneered the use of water rehabilitation in athletics with the US track and field team in the 1980s. She has taught her water therapy techniques to thousands of coaches, therapists, and doctors in Italy, Australia, Brazil, and around the United States. She is a regular guest on radio and TV news shows.