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Endless Pools hydrotherapy pools for aquatics rehabilitation
Endless Pools
Hydrotherapy Pools

Justifiable Aquatic Therapy for the Total Hip and Knee Replacement Client (Rochester, MN)

 
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ABOUT THIS 2 DAY INTENSIVE SEMINAR

 

A 16 hr. training module packed into 2 days includes over 10 hours of pool time. This class has been submitted to the Federation of State Boards of PT which approves CEUs in 29 states.

 

A 16 hour in-service packed into 2 days. Designed to provide evidence-based support for treating the hip and knee replacement patient in water – and then to practice these techniques in water. Will focus exclusively on the THR and TKR patient. Examines recent research findings which support aquatic therapy for this population. Provides detailed instruction of the following techniques as relates to the hip and knee population: PNF, Aquatic Blanket Drills (ABD), aquatic adaptations of the Berg (for balance), plyometrics, edema control, and more.

 

This class is being hosted by Shorewood Senior Campus.


Learning Objectives

 

  1. Describe 2-3 important factors for therapists to remember about joint replacement surgery patients (lecture)
  2. Describe why aquatic therapy may be the treatment of choice if (a) the patient demonstrates an abnormal gait pattern or the need for an assistive device post-operatively due to pain or weakness, (b) the patient is experiencing post-operative edema limiting ROM  (c) the patient is unable to exercise in a gravity-dominant environment (lecture)
  3. Recite 3-4 aquatic precautions and contraindications specific to the pre- and post- total hip and total knee replacement patient (lecture)
  4. Understand, from the physician's perspective, under what circumstances it would be appropriate to begin aquatic therapy as early as 5-7 days post-operatively (lecture)
  5. List 2-3 distinctions which should be made in working with the anterior vs. posterior approach THR patient in water (lecture)
  6. Document medical necessity for aquatic therapy and locate what payers (including Medicare) have to say about its use for the pre- and post-operative total joint replacement patient (lecture)
  7. Be able to identify and locate supportive research to bolster case (lecture)
  8. Understand what information physicians would look for in a brief Powerpoint presentation on aquatic therapy services for this population. Be able to make a 3-minute "case" for treating this population in water.
  9. Outline a sample baseline protocol (either conservative, moderate or aggressive) for working with a THR or TKR patient in water. Include frequency, duration, intensity, and a progression of interventions (lecture)
  10. Understand if aquatic therapy should -- or should not -- be a part of post-manipulation rehab for a stiff knee syndrome. Make a case for treating these patients in water more often than 2x/week (lecture)
  11. Understand what information physicians would look for in a brief Powerpoint presentation on aquatic therapy services for this population. Be able to make a 3-minute "case" for treating this population in water.
  12. Match 2-3 mock patient scenarios with the specific aquatic techniques that are most appropriate (lab)
  13. Progress a specific aquatic task (such as turning, stepping, squatting) from a lower level of function towards increased independence. Demonstrate skilled use of verbal and tactile cueing to engage patient participation (lab)
  14. Understand the basic principles of the following techniques and apply them to the pre- and post-operative total joint replacement patient:
  • Aquatic adaptations of the Berg
  • Aquatic Blanket Drills (ABDs)
  • Aquatic manual therapy and stretching
  • Functional skills training
  • Progressive resistive exercise
  • Proprioceptive neuromuscular facilitation (PNF)
  • Watsu (lab)
  1. Working with a partner, design and implement a 15-minute aquatic treatment plan (including equipment selection) for 1-2 of the following:
  • Pre-operative treatment for total hip replacement candidate
  • Post-operative treatment for total hip replacement candidate
  • Pre-operative treatment for total knee replacement candidate
  • Post-operative treatment for total knee replacement candidate

TARGET AUDIENCE

This course is within the scope of practice of the Physical Therapist and Occupational Therapist working in aquatic therapy (CPT code 97113). This course does not focus on evaluation or examination of the patient and thus, the content is also within the scope of practice for the Physical Therapist Assistant/ Occupational Therapist Assistant working under the supervision of the Physical Therapist or Occupational Therapist. This class does include  material on determining medical necessity for aquatics and extrapolating existing protocols to water. Although PTAs/OTAs may not perform these functions, they do require a working understanding of this process in their roles as treatment providers who assist a therapist in documenting progress and executing a reimbursable plan of care. While the primary audience for the course is the PT/OT provider, other rehabilitation providers who count the therapeutic procedure aquatic therapy within their scope of practice will find it beneficial.
 


TENTATIVE SCHEDULE

Day 1

 

7:30-8:00 Registration
8:00-12:30 Lecture (w 15 min energy break at 10:00)
12:30-1:30 Lunch
1:30-5:30  Pool lab (w 15 min energy breaks at 3:30)

 

8 hours

 

Day 2

 

8:00-12:30 Lecture (w 15 min energy break at 10:00)
12:30-1:30 Lunch
1:30-5:30  Pool lab (w 15 min energy breaks at 3:30)

 

8 hours


Meet Your Instructor

Kimberly Gordon, MPT, MAqI
Main Campus Director

Tracks: Musculo, Geriatric, Sports

kim gordon pixKimberly Gordon, MPT graduated from Mayo Clinic's School of Health Related Sciences with her Master's degree in Physical Therapy. She began practicing in an outpatient sports medicine clinic in Sarasota, FL where her case-load included orthopedic and post-surgical clients, including older adults with torn knee and ankle ligaments, total joint replacements, osteoarthritis, osteoporosis, and gait dysfunction. She went on to manage a branch for that company in Bradenton, FL. Upon moving back to Rochester, MN, she spent time working in a local nursing home, helping to develop their short term rehab program to increase the number of joint replacement patients in the facility and to better manage these patients as a team in the nursing home. She then moved into a home health physical therapy position, bringing innovative ideas to the patient returning from a hospital or nursing home stay after surgery or trauma, including many with new joint replacement patients.

She currently works at both the Rochester Active PT office and the Plainview ActivePT office (managing the Plainview office) where she specializes in treating orthopedic patients both in and out of the therapy pool. Her specialty is treating pelvic, hip and knee patients and the majority of her patients come with women's health, orthopedic and sports medicine complaints.


Kim has over 11 years of treating primarily orthopedic patients with 7 of those years specializing in sports medicine. Kim also has over 200 hours of continuing education including SI joint dysfunction, Shoulder rehabilitation presented by Kevin Wilk, pelvic floor training through the Herman and Wallace Pelvic Institute, a certification course in Pilates training and specializes in Pilates. She also teaches a Pilates class at the Rochester Athletic Club and has devoloped specialized classes for the athletic club including Back School, return to Pilates after rehabilitiation, and prenatal Pilates.
 
Kim's area of specialty is the hip and pelvis. This includes pelvic floor dysfunction, low back and hip pain, total joint replacements, and SI dysfunction. She has trained for 3 years with Aquatic Therapy University, achieving lead instructor status under their extensive instructor's curriculum. Kim offers specialty training in the following through her affiliation with ActivePT.
  • Pilates
  • Back School
  • Osteoporosis


Kim lives in Rochester with her husband and two children. She enjoys playing soccer, biking, and running, has completed her first duathalon, and continues to compete in annual half marathons throughout the midwest.

What they are saying about Kim


About ATU Trainings

  • Our classes are taught by licensed therapists and physicians with Masters degrees and above who have extensive aquatic experience. Our instructors will teach you the essentials you need to know in order to get you started with your aquatic therapy career.... or to propel you into master clinician status.
  • Our teaching style is entirely hands-on and personal. You will first be introduced to new concepts and techniques during classroom lectures after which you will transition into the pool to tactilly apply what you have learned. Classes are capped at 25-30 students (16:1 in California) to insure all attendees receive the one-on-one personalized attention we are known for.
  • Because learning is a continual process, all students will go home with a class manual that reinforces the concepts covered in class. They also get a free 1-year membership to Aquatic Resources Network's online research, support forums and equipment discounts.
     

ATU Credentialing

This is an 800 series class (teaches Intermediate-Advanced skills). This class is a required class for individuals seeking ATU Credentialing in the Musculoskeletal Track.

 


Applicability for PTs/PTAs

CPT Code 97113 (Aquatic Therapy) is a designated code for the technique of aquatic therapy. Aquatic therapy is a recognized procedure by the American Medical Association, the American Physical Therapy Association and the Centers for Medicare & Medicaid Services (CMS). Physical therapists and assistants are recognized providers of aquatic therapy in all states and by most payers, including Medicare and Medicaid. The provision of aquatic therapy is not entry-level knowledge; providers need specialized training to practice with this population in the unique environment provided by a therapy pool.

Applicability for OTs/OTAs

The provision of aquatic therapy is not entry-level knowledge; providers need specialized training to practice with this population in the unique environment provided by a therapy pool.CPT Code 97113 (Aquatic Therapy) is a designated code for the technique of aquatic therapy. Aquatic therapy is a recognized procedure by the American Medical Association, the American Occupational Therapy Association and the Centers for Medicare & Medicaid Services (CMS). Occupational therapists and assistants are recognized providers of aquatic therapy in all states and by most payers, including Medicare and Medicaid.

 

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