This course provides rehab professionals with a thorough overview of the factors involved with managing older patients who have been diagnosed with osteoarthritis (OA). The course begins with the definitions, pathophysiology, epidemiology, clinical presentation, and differential diagnosis of osteoarthritis. It includes diagnostic testing and OA’s effects on function. Evaluation of the older patient with arthritis is reviewed, and a variety of medical interventions and rehab treatment options for these patients are discussed, all aimed at maximizing the patient’s functional outcomes. Clinical Tips and a case study help focus the clinician’s application of the material. This course will be immediately useful in clinical practice for all rehab professionals who work with older adults.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 0.6 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Alaska State PT & OT Board | 6.00 | ||
AOTA | 6.00 | ||
Arizona State Board of Physical Therapy | 6.00 | ||
Arkansas State Board of Physcial Thearpy | 6.00 | ||
California Physical Therapy Board | 6.00 | ||
Colorado Division of Professions and Occupations | 6.00 | ||
Delaware Examining Board of Physical Therapists and Athletic Trainers | 6.00 | ||
District Of Columbia Department of Health | 6.00 | ||
FPTA | 6.00 | ||
Georgia State Board of Physical Therapy | 6.00 | ||
Hawaii Board of Physical Therapy | 6.00 | ||
Idaho Physical Therapy Licensure Board | 6.00 | ||
Indiana Physical Therapy Board | 6.00 | ||
Iowa Board of Physical Therapy and Occupational Therapy | 6.00 | ||
Kansas State Board of Healing Arts | 6.00 | ||
Kentucky Board of Physical Therapy | 6.00 | ||
Louisiana Physical Therapy Board | 6.00 | ||
Maine Board of Physical Therapy | 6.00 | ||
Maryland Board of Physical Therapy | 0.60 | ||
Massachusetts Board of Allied Health Professionals | 6.00 | ||
Michigan Board of Physical Therapy | 6.00 | ||
Mississippi State Board of Physical Therapy | 6.00 | ||
Missouri Advisory Commission for Physical Therapists | 6.00 | ||
Montana Board of Physical Therapy Examiners | 6.00 | ||
Nebraska Department of Health and Human Services | 6.00 | ||
New Mexico Physical Therapy Board | 6.00 | ||
New York State Education Department | 6.00 | ||
North Carolina Board of Physical Therapy Examiners | 6.00 | ||
North Dakota Board of Physical Therapy | 6.00 | ||
Office of Professional Regulation, Vermont Secretary of State | 6.00 | ||
Oklahoma Physical Therapy Board | 6.00 | ||
Oregon Board of Physical Therapy | 6.00 | ||
Pennsylvania State Board of Physical Therapy | 6.00 | ||
Physical Therapy Governing Board New Hampshire | 6.00 | ||
South Carolina Board of Physical Therapy | 6.00 | ||
South Dakota Physical Therapy License Board | 6.00 | ||
State of Alabama Board of Physical Therapy | 6.00 | ||
State of Rhode Island Department of Health | 6.00 | ||
Tennessee Board of Physical Therapy | 6.00 | ||
Texas Physical Therapy Association | 6.00 | ||
Utah Physical Therapy Licensing Board | 6.00 | ||
Virginia Board of Physical Therapy | 6.00 | ||
Washington State Board of Physical Therapy | 6.00 | ||
West Virginia Board of Physical Therapy | 6.00 | ||
Wisconsin Physical Therapy License Board | 6.00 | ||
Wyoming Board of Physical Therapy | 6.00 |
223 Osteoarthritis in Older Adults | Module | ||
Course Evaluation | Module |
Sarah R.Stillings, MA, PT, MPT, CHT
Sarah R. (Sally) Stillings is a PT and Certified Hand Therapist in Texas. She received her physical therapy degree from the University of North Carolina at Chapel Hill. Prior to becoming a therapist, Sally taught university-level writing courses and was assistant editor of The Journal of Craniomandibular Practice. In her extensive career as a PT, she has held a variety of clinical, teaching, administrative, and business roles, including general PT practitioner, upper extremity specialist, clinic manager, hand therapy clinic coordinator, continuing education (CE) instructor, and CE course administrator. She has also served as Executive Director of the Kellermann Foundation, a U.S. nonprofit organization supporting healthcare and community development in Uganda, East Africa. Her work now focuses on creating evidence-based CE materials for rehab professionals. Sally is a lifelong runner who celebrates all those who cover the ground.
223a Osteoarthritis in Older Adults—Course Objectives
After successfully completing this continuing education course, the learner should be able to:
223a Osteoarthritis in Older Adults—Table of Contents
HOUR 1
Course Instructions 2
About the Author / Course Description 3
Course Objectives 4
Table of Contents 5
Introduction 7
Chapter 1: Definitions, Pathophysiology, and Epidemiology 8
Arthritis Categories
Degenerative Arthritis
Autoimmune and Inflammatory Arthritis
Infectious Arthritis
Metabolic Arthritis (Gout)
Defining Osteoarthritis 10
Pathophysiology of Osteoarthritis 11
Articular Cartilage
How Osteoarthritis Develops
Epidemiology 14
Prevalence/Incidence: Arthritis in General
Prevalence/Incidence: Osteoarthritis 17
HOUR 2
Risk Factors 18
National Arthritis Management Objectives 20
Chapter 2: Presentation and Diagnosis 22
Clinical Presentation
Differential Diagnosis 25
Diagnostic Testing 27
Laboratory Tests
Radiography and Other Imaging Techniques 29
Conventional Radiography
Computed Tomography (CT) 32
Magnetic Resonance Imaging (MRI) 33
HOUR 3
Chapter 3: Assessment of the Older Patient with OA 35
History
General Medical and Social History
History of the Current Complaint 36
Pain Assessment 38
Special Considerations 40
Physical Examination 41
Visual Inspection
Documentation of Joint Deformities 42
Edema Assessment
Range of Motion Measurements 42
Strength Assessment 43
Gait Analysis 44
Functional Assessment
Manual Dexterity and Coordination Tests 45
Putting It All Together 46
Chapter 4: Principles of Medical Management 48
Medical Approaches
HOUR 4
Pharmacological Treatment 51
Oral Analgesics
Topical Analgesics 54
Intra-Articular Injections 55
Corticosteroids
Hyaluronic Acid/Viscosupplementation 56
Platelet-Rich Plasma (PRP)
Other Cell-Based Therapeutics
Surgical Intervention 57
Chapter 5: Rehab Intervention 61
Patient Education 63
Joint Protection Techniques 64
Activity Modification 66
Fall Prevention
Weight Management 68
HOUR 5
Exercise 68
Aerobic Exercise 69
Range of Motion 71
Strengthening 74
Pain Management 80
Modalities
Manual Therapy 83
Assistive Devices 84
Orthoses 85
HOUR 6
Maximizing Function 86
Conclusion 87
Case Study 88
References 92
Examination
Evaluation
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
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