Functional Strength Integration After Total Hip Arthroplasty

This course is written for physical therapists and physical therapist assistants who see patients during the first weeks and months after total hip replacement, in outpatient clinics, home health, or post-acute settings. Physical therapists will find the trial’s design and outcome selection relevant to how they evaluate patients and set a plan of care. Physical therapist assistants, working under the direction of a physical therapist, will find the description of the two exercise programs and the reported recovery pattern useful background for the treatment sessions they deliver. No research training is assumed; every finding is reported in plain language.

Physical therapists and physical therapist assistants in outpatient orthopedics, home health, acute care, and post-acute rehabilitation settings who treat adults after primary total hip arthroplasty.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course is based entirely on one article: Judd DL, Cheuy V, Peters A, Graber J, Hinrichs-Kinney L, Forster JE, Christiansen CL, Stevens-Lapsley JE. “Incorporating Functional Strength Integration Techniques During Total Hip Arthroplasty Rehabilitation.” Physical Therapy, volume 104, issue 3, article pzad168.

The study was a double-blind randomized controlled clinical trial registered at ClinicalTrials.gov (CT02920866), approved by the Colorado Multiple Institutional Review Board and the Veterans Administration Research and Development Committee, and supported by a Merit Review Award from the United States Department of Veterans Affairs Rehabilitation Research and Development Service. The funding source had no role in the design, conduct, or reporting of the study, and the authors reported no conflicts of interest.

Every claim, figure, and conclusion in this course traces to that article. No outside evidence has been added, and no numbers have been estimated.

After completing this course, you will be able to:

1. Describe the population, design, and two rehabilitation programs compared in this randomized trial of functional strength integration after total hip arthroplasty.
2. State the trial's primary six-minute walk finding and name the one secondary outcome that favored the functional strength integration group.
3. Explain the limitations the authors identified and the conclusions they drew about rehabilitation after total hip replacement.

1. Start Here: How This Course Works
2. Podcast: Functional Strength Integration After Hip Replacement (about nine minutes)
3. Lingering Walking and Balance Problems After Total Hip Arthroplasty
4. Inside the Two Programs: Functional Strength Integration Versus Representative Care
5. Walking Distance, Balance Time, and Strength: What the Trial Found
6. Pandemic Disruption, a Mostly Male Sample, and Other Limits
7. What the Authors Concluded, and What It Could Mean in the Clinic
8. Key Takeaways
9. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 0.5 contact hours (30 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. This course is based entirely on one article: Judd DL, Cheuy V, Peters A, Graber J, Hinrichs-Kinney L, Forster JE, Christiansen CL, Stevens-Lapsley JE. “Incorporating Functional Strength Integration Techniques During Total Hip Arthroplasty Rehabilitation.” Physical Therapy, volume 104, issue 3, article pzad168.
2. The study was a double-blind randomized controlled clinical trial registered at ClinicalTrials.gov (CT02920866), approved by the Colorado Multiple Institutional Review Board and the Veterans Administration Research and Development Committee, and supported by a Merit Review Award from the United States Department of Veterans Affairs Rehabilitation Research and Development Service. The funding source had no role in the design, conduct, or reporting of the study, and the authors reported no conflicts of interest.
3. Every claim, figure, and conclusion in this course traces to that article. No outside evidence has been added, and no numbers have been estimated.