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#TT: Understanding Arthrofibrosis and Its Clinical Implications 05.23

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#THIRDTHURSDAY: Understanding Arthrofibrosis and Its Clinical Implications (2 CE hours)

Arthrofibrosis, also known as joint contracture, is a pathological wound healing disease characterized by chronic inflammation and fibrosis of connective tissue in and around a joint, resulting in severe pain, marked loss of joint mobility, and diminished functional independence in daily life. It is most prevalent in the hip, elbow, and knee following exposure to physical trauma such as surgery, prolonged period of immobilization, or infection. In the shoulder, it typically occurs idiopathically and is known as adhesive capsulitis. In some cases, the disease may become permanent and, in rare instances, can result in amputation of the affected limb. Physical therapists are often the first members of the healthcare team to encounter an individual struggling with arthrofibrosis. Thus, early identification of the disease and proper clinical management are integral in preventing and/or minimizing its potential deleterious effects on an individual’s daily function and overall quality of life.

This recorded #THIRDTHURSDAY lecture was a joint presentation, given by a physical therapist experienced in treating individuals with arthrofibrosis alongside a leading scientific researcher in the field. Arthrofibrosis and its clinical implications for the treating clinician will be discussed in detail and include a specific emphasis on arthrofibrosis of the knee following surgical intervention (e.g., s/p ACLR, TKA, meniscectomy). A current scientific understanding of arthrofibrosis and its pathological mechanisms will be presented first, followed by the presentation of common clinical markers for its early recognition in the clinic. Proposed best physical therapy practices when treating individuals struggling with arthrofibrosis will also be presented accompanied by relevant case studies. The presentation will conclude with a Q&A session amongst the presenters and lecture attendees.

Dr. Nathan Brimm, PT, DPT & Dr. Kayley Usher, PhD shares their insight and expertise on "Understanding Arthrofibrosis and Its Clinical Implications."

COURSE OBJECTIVES: 

Following completion of the course, participants will be able to:

  • Describe the difference between arthrofibrosis and chronic regional pain syndrome (CRPS)
  • Understand the pathology of arthrofibrosis
  • Identify clinical features of acute and chronic arthrofibrosis of the knee
  • Identify the anatomic structure in the knee primarily involved in arthrofibrosis
  • Evaluate appropriate physical therapy interventions for treating individuals struggling with arthrofibrosis
  • Discover alternative interventions and resources outside of physical therapy practice for individuals struggling with arthrofibrosis

This is a pre-recorded virtual learning course. This event was originally held live on May 18, 2023. 


CE CREDITS: 

To earn CE, just purchase this item (FREE FOR IPTA MEMBERS!).  Be sure to sign in - to receive the member rate! Non members can pay $35.

Then - an email will be sent to you with a link to download the PDF handout. In the handout, there will be links to the online recording as well as the quiz to complete following the presentation.

Once you complete and submit the quiz you will see your score.  If you scored 80% or greater, congratulations! You will be awarded a CE certificate.

IPTA Members/ CE Subscribers: YOU MUST BE SIGNED IN before completing the quiz. 

Once you submit your quiz you will receive your score.  If you were logged into our website, and received a passing score, your CE certificate will automatically post in your membership profile under Professional Development.

If you are NOT yet a member of a IPTA, you do not need to sign into the website, but will need to complete the quiz. Please allow 5 business days for a CE certificate to be sent to you via the email address you provided.

Note to nonmembers: In free CE opportunities alone, your APTA/IPTA membership can pay for itself! Do the math – we welcome you to explore the various benefits of IPTA membership by clicking here. You too can be a part of your professional association, click here to join!


ABOUT THE SPEAKERS:

Dr. Nathan Brimm, PT, DPT works as a physical therapist in the Outpatient Rehabilitation department at Weiss Memorial Hospital located in Chicago’s North Side. Nathan received his undergraduate degree in Kinesiology from the University of Illinois at Chicago and a Doctorate in Physical Therapy from Northwestern University. Over the past several years, Nathan has come in contact with countless individuals struggling with arthrofibrosis, especially following orthopedic surgeries such as ACL reconstruction and revision total knee arthroplasty. It is from these experiences that Nathan has sought to learn more about arthrofibrosis and its harmful effects in order to best optimize long-term clinical outcome of individuals suffering from this unyielding disease.

 

Dr. Kayley Usher, PhD received her PhD from the University of Western Australia and is an Adjunct Lecturer in the School of Biomedical Sciences at the University of Western Australia. Kayley has a research background in immunology and microbiology, and her journey with arthrofibrosis began after a total knee replacement. Her experience of the “black hole” in awareness and understanding of arthrofibrosis created a passion to inform and educate people. Drawing on her scientific understanding of fibrosis, Kayley wrote a review paper called "Pathological mechanisms and therapeutic outlooks for arthrofibrosis", published in Nature Bone Research in 2019. Since this time, she founded the International Arthrofibrosis Association where she provides scientifically referenced information about the pathology of arthrofibrosis and treatment options and provides support.

 

 


COURSE REVIEWS:

"Thank you for a brilliant and fascinating presentation. The cases were excellent. The personal experience was also an important aspect of this excellent presentation. I loved the collaboration story. The holistic approach was so important. The ideas regarding nutrition, sleep, and CPM were also so important. The question and answer session was also so helpful."

"This presentation provided some great, eye opening, information in regards to our therapeutic approach."

"This was one of the best webinars I've attended via IPTA. Both of the speakers were easy to understand although the material was fairly technical. I had to listen very closely to Dr. Usher in particular, because she would drop important pearls of wisdom with very little fanfare"

"It was great to hear this information. I have worked with so many patients that were experiencing symptoms of Arthrofibrosis. I will definitely take a different approach as I treat patients with similar symptoms in the future."

"Always appreciated a good mix of science, supported research, and case studies/examples."




#THIRDTHURSDAY Virtual Library!

Now you can earn CE credits for viewing past #THIRDTHURSDAY events you missed! Downloadable recordings are FREE for IPTA members! Non-member cost is $35.



Refund Policy: All Online Training Course Purchases are Final and Non-Refundable

Online courses are non-refundable. Once the registration is final, no refund will be granted regardless of the reason.

If you have any questions, please contact us before making a purchase.

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