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Prehabilitation for Orthopedic Surgery: Physical and Medical Interventions

April 12, 2018 @ 4:00 pm - 6:30 pm

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!

Direction to the Zinner Breakout Room (70 Francis Street): The Zinner Breakout Room is located in the Carl J. and Ruth Shapiro Cardiovascular Center at 70 Francis Street, Boston, MA. Upon entering the building at the street level, walk straight towards the escalators in the rear of the building. The Zinner Conference Center is located on your right; the Breakout room is through the large doors on the left.


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
Thomas Thornhill, MD

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”

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

Session 2: Medical Prehabilitation
Thomas Thornhill, MD

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”

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

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

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

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



April 12, 2018
4:00 pm - 6:30 pm
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Brigham Research Institute