Hey Medical Exercise Professionals…..This is the final in the "Bridging the Gap with Total Knee Replacement" series. In this segment we review a couple of specific techniques to recruit/activate the quadriceps and stretch the knee. REMEMBER....leave the acute management to the physicians and therapists. They will make your job easier if they have managed their roles and responsibilities appropriately.
The swelling is the major limitation in the early stages. The swelling should be at a minimal level when MET begins. If the client is limited to less than 90 degrees of flexion and unable to achieve full extension, refer the client back to the therapist or contact the therapist o develop an appropriate training program. Terms you need to become familiar with are extensor lag and patella mobility. The extensor lag is a combo of quad weakness/lack of fiber recruitment, swelling and lack of flexibility and connective tissue pliablity. The therapist should address these...
MedXPROS....total knee and hip replacements will become a large component of MET services over the next 20 years. The number of total knee replacements performed is estimated at 720,000 per year. TKR clients, if there are no major post-operative complications, will go through a brief bout of physical therapy. After which they are prime candidates for medical exercise training (MET) to increase strength, maintain or improve ROM/flexiblity, enhance joint stability and overall restore function. Every total joint replacement client needs MET in some form or fashion.
This video summarizes status of the client regarding swelling, ROM/flexibility and exercise programming. Three areas must be simultaneously addressed in the acute stages following TKR: 1) swelling/pain; 2) ROM/flexibility and 3) muscle recruitment/strength. In the acute stages these 3 are best handled in a physical therapy setting after discharge from the hospital. After these are addressed and the client is...
Medical Exercise Specialists…..total joint replacements will become a bigger part of your practices over the next 20 years. This is a continuation of the earlier blog post working with a total knee replacement client. Weight bearing status is important when working with TKRs. Upon discharge from the hospital the client is usually weight bearing to tolerance. After the surgery, the physician wants the client up within the first 24 hours walking with a walker weight bearing to their tolerance.
After the replacement, the knee is severely swollen with significant pain. The knee is usually wrapped and partially immobilized in extension. Pain management and safe ambulation are the focus in the hospital. Discharge occurs within 24 - 48 hours of the surgery. Depending on the client's home situation and family support, along with their weight bearing and ambulatory status, the client will go home or to a skilled nursing facility (SNF). If the client is discharged to their home,...
Medical exercise training (MET) will grow tremendously over the next two decades. Medical Exercise Specialists (MES) will also see the types of clients they manage expand greatly. To manage this wide range of client, medical exercise professionals (MedXPROs) will need a logical thought process to develop safe and effective medical exercise programming. The Medical Exercise Training Institute (METI) developed this 6 Point MET Client Management system more than 20 years ago and it is taught to every METI Medical Exercise Specialist, Post Rehab Conditioning Specialist and Medical Exercise Program Director. This medical exercise "critical thinking" model should be used when providing all medical exercise services.
The 6 Point MET Client Management System includes the following:
Hello everyone. I hope this feeds you safe and healthy. Covid 19 has certainly changed our world. I know it's had a huge impact on our medical exercise professionals. I know many of you have MET and post rehab certifications which are about to expire or have expired. We realize many of your are limited in your abiity to see clients you can see as well as access to PT and rehab facilities to perform observation hours. Follow the link below to renew your certification:
With that in mind we have made some modifications to our renewal policy. We hope this makes it easier to renew and maintain your certifications. The changes include:
1. Only 5 hours of observation hours and your MET/post rehab related course work is required to renew;
2. Regardless as to when your certificate expired, you will only pay the $50 renewal fee. The reinstatement fee is waived until further notice.
3. If you are unable to complete observation hours...
Hello everyone!! I hope this blog post finds you and yours safe and healthy. Covid - 19 has certainly turned our lives upside down. We are now seeing and will see even greater shifts in both the healthcare industry and fitness industry. The shutdown of health clubs and the restrictions with hospital elective surgeries has major implications for revenue and the future of these two industries.
The shift in the fitness industry is toward medical exercise and post rehab fitness. This is great for fitness professionals. But we must be careful. We are seeing a proliferation of post rehab certification programs. This is good as a means of giving access to more fitness professionals to obtain the necessary training to work with chronic medical conditions. But there is also concern with the marketing of these certifications. Many ads for these certification programs are using terms which should not be part of the language of medical exercise or post rehab professionals. These terms...
Hello everyone and welcome back. We've survived this first round of COVID and we are back with the MES Study Group (MESSG). The MESSG starts the evening of June 30th at 9pm ET/6pm PT. To register go to www.messtudygroup.com.
We are in this together. Social justice is expected for every human on this planet. Peaceful protests are the right of every AMexican. Violence and rioting are not acceptable. Please point out social injustice when you see it. Remember Dr King's summary of Theodore Parker's quote:
"The arc of the moral universe is long, but it bends toward justice."
Please enter your name and email address to receive METI updates and information.