Prehabilitation for Orthopedic Surgery: Physical and Medical Interventions

Thomas S. Thornhill, MD, Chair and Moderator
Julie Glowacki, PhD, Co-Chair

Please join the Musculoskeletal Research Center for an interactive workshop on Prehabilitation for Orthopedic Surgery: Physical and Medical Therapies. During this in-depth discussion, speakers will explore topics including cost-effectiveness, increased healing and post-operative PT compliance, as well as decreased infection, mortality, and pain. The program will be divided into three sessions: physical prehabilitation, medical prehabilitation, and research brainstorming. Each will consist of a series of short presentations followed by a panel discussion. This is an exciting and informative event that you won’t want to miss!

Agenda:

Can prehabilitation
increase healing                                                                 decrease length of stay
increase post-operative PT compliance                        decrease morbidity
decrease infection                                                              facilitate outpatient surgery
decrease mortality                                                             have a place in surgical disparities research
decrease pain                                                                      be cost-effective

Introduction: Wolfgang Fitz, MD  “Why bother, I just want surgery”

Session 1: Physical Prehabilitation
Moderator:
Thomas Thornhill, MD

Speakers:
Chris Chiodo, MD: “PT non-compliance in orthopedic patients”
Jean Flanagan, PT, DPT, CLT: “Using ‘I Get Better’ app for PT preassessment, exercise, and follow-up”
Nancy Latham, PhD: “Technologies to support effective home-based prehabilitation” 
Mary Anne Kenyon, MPH, RN: “Connecting with patients”

Panelists:
Jeffrey Lange, MD, Meryl LeBoff, MD, Clare Safran-Norton, PT, PhD

Session 2: Medical Prehabilitation
Moderator:
Thomas Thornhill, MD

Speakers:
Jeffrey Lange, MD: “Optimizing the patient for surgery”
Houman Javedan, MD: “Frailty, what it is and why it matters”
Tammy Martin, MD: “Use of scoring tools to coordinate pre-op care and post-op disposition”
Meryl LeBoff, MD: “Occult osteoporosis and D-deficiency in orthopedic patients”
Antonia Chen, MD: “Patient optimization to prevent infection”
Sus Waikar, MD: “Post-operative acute kidney injury”

Panelists:
Wolfgang Fitz, MD, David Leaf, MD, Nancy Shadick, MD

Session 3: Research Brainstorming – Preadmission Interventions to Improve Orthopedic Outcomes
Moderator:
Julie Glowacki, PhD

Speakers:
Matthew Mossanen, MD: “Comprehensive patient-centered prehabilitation for cystectomy”
Kristin Cunningham PT, DPT: “Physical therapy prehabilitation program prior to cystectomy”

Panelists:
Antonia Chen, MD, Chris Chiodo, MD, James Kang, MD, Jeffrey Lang, MD, Clare Safran-Norton, PT, PhD