Clinical Geriatric Orthopedics

GREAT Seminars and Books, Inc.

Course Info

  • Course Format: Live
  • Contact Hours: 20.0
  • Course Approval Status: Approved
  • Agencies List: Check Course Brochure for list of Approvals -
  • Practice Area(s): Geriatrics , Orthopedics/Sports (Lower Extremity)
  • Course Fee: $595.00
  • Fee Details: $570 Early Bird Registration (check brochure for dates); $50 late fee added within 3 weeks of course date.

Dates & Locations

Description of Course/Objectives


Course Description

A progressive hands-on course with emphasis on clinical skills to provide participants with the most up to date treatment techniques addressing orthopedically related age changes and pathology affecting older persons. The current evidence regarding orthopedic problems will be presented, followed by a laboratory session with hands-on instruction in evaluation and treatment techniques. Specific evaluation tools for common orthopedic problems affecting older adults will be demonstrated and practiced. Treatment strategies and progressions will be presented, and hands-on sessions will help familiarize therapists with proper implementation of treatment techniques and approach including advanced modified joint mobilizations stretching & therapeutic exercise techniques specific for older persons. Case studies will be presented and reviewed to facilitate effective treatment planning. Evaluation forms, musculoskeletal norms, and outcomes measures for every joint will be discussed to illustrate the importance of this aspect of patient care regarding reimbursement for services. Upon completion, participants will be familiar with the body of evidence for geriatric orthopedic rehabilitation and, feel comfortable with an advanced manual examination , and make precise intervention decisions with minimal risk to patients. Participants will be able to reinforce clinical treatment with exercise programs based on best evidence and targeted to relevant impairments identified through the manual examination. All techniques presented have been selected from high quality published research, some of which the presenter have contributed to, and continueS to use in her current clinical research and practice .The extensive handout, which is over 300 pages with 5,000 current medical references, will provide detailed evaluation forms, outcome measures, suggested protocols, sample home exercises and progressions. The material presented provides a thorough approach to therapeutic strategies and goals, thereby preparing therapists to design and implement highly skilled rehabilitation programs for older persons.


Course Objectives

Upon completion of this seminar,

participants will be able to:

1. Perform specific treatment techniques for dysfunction of the neck, back, shoulders, elbows, wrists, hands, hips, knees, and feet of older persons including taping, myofascial, mobilization with movement and numerous evidence based protocols.

2. Select evidence based interventions and outcome measures for a comprehensive rehabilitation approach for a myriad  of orthopedic problems affecting older persons.

3. Discuss treatment modifications to existing rehabilitation and note simple ways to incorporate the techniques learned and practiced in the courseinto.programs for a specific orthopedic problem.

4. Comprehensively evaluate orthopedic dysfunctions in the neck, back, shoulders, elbows, wrists, hands, hips, knees, and feet of older persons.

5. Design individualized rehabilitation programs for specific orthopedic problems such as rotator cuff tears, osteoarthritis, total hip and knee procedures, fractures, osteoporosis, lumbar stenosis and other pathologies seen in older patients.

6. Create the optimum environment for working with older persons.

7. List musculoskeletal changes with age that impact rehabilitation.

8. Compile and explain how to use over 20 different specific orthopedic functional outcome tools.

9. Compare and contrast innovative therapeutic exercises for numerous orthopedic conditions based on the latest evidence.

10. Dissect and develop treatment protocols for common orthopedic diagnoses.

11. Use the immense handout in daily practice as a user friendly reference for norms, evidence based tests and evidence based treatment techniques.

Program Outline


7:30 AM Registration and Continental Breakfast

8: 00 AM Developing the Optimal Mindset for Working with the Older Patient (Using the myths, statistics and concepts of aging to improve your outcomes. A special feature on deconditioning.)

9:45 AM Break

10:00 AM Musculoskeletal Changes of Age - Evidence Based Evaluation and Treatment of Flexibility, Strength, OA, RA, (Reading X-Rays & Posture Lab) Practice Bautmans’s Evidence Based Protocol for Hyperkyphosis

12:00 PM Lunch (on your own)

1:00 PM Evaluating Back Problems Commonly Seen in Older Persons – Lumbar Stenosis, Vertebral Compression Fracture, SI, Sprains/Strains

3:00 PM Break

3:15 PM Treating the Back (Lab) Innovative Exercises and Manual Techniques (Practice specific muscle energy techniques and comprehensive stabilization and SI protocols as well as Dr. Lewis’ often cited evidence based exercise protocol for lumbar stenosis)

5:30 PM Adjourn


7:30 AM Continental Breakfast

8: 00AM Help for Aging Hips - Evidence Based Evaluation and Treatment of Hip Fractures, Replacements and Osteoarthritis (Lab- become proficient in mobilization with movement and specific manual techniques for older persons)

10:15AM Break

10:30AM Total Knee Replacements and Osteoarthritis of the Knee- Using evidence and creativity to get results (Lab  Practice Deyo’s Evidence Based manual and exercise protocol as well as a myriad of other techniques as well as Dr. Lewis’ proven exercise protocol)

12:30PM Lunch (on your own)

1:30PM Neck Pain - Evaluation and Treatment (Evidence based) - Cervical Spondylosis, Fibromyalgia and Myofascial Pain (Lab- Learn manual techniques of Travell’s myofascial to Cantu’s laminar release and progress from the manual to exercises based on current clinical prediction rules)

3:30PM Break

3:45PM Aging Shoulder Problems - Is it Rotator Cuff or Bursitis? - Differential Evaluation and Treatment of Adhesive Capsulitis, Fractures, Rotator Cuff and Bursitis (Lab focuses on evidenced based myofascial and mobilization with movement techniques as well as Dr. Lewis’ Adhesive Capsulitis protocol)

5:30PM Adjourn


7:30AM Continental Breakfast

8:00AM Treat the Feet - Evidenced Based Evaluating and Treating Foot Problems of the Older Person (Lab) Hallux valgus, posterior tibial tendonosis, hammer toes, and how the feet affect function. (The newest mobilizations and acupressure points will be practiced to provide pain relief and improve function)

9:30AM Elbow, Wrist and Hand - Reaching for Results - Fractures, Carpal Tunnel Syndrome, RA, Dupuytren’s Contracture (Lab- Perform and apply creative kineseotaping and mobilization with movement for the elbow wrist and hand)

10:45AM Break

11:00AM Osteoporosis- Everything you need to know for Evaluation and Treatment

12:00PM Conclusions, Questions and Answers

12:15PM Adjourn


Instructor(s) Bio


Carole B. Lewis, P.T., D.P.T., G.T.C., G.C.S., M.S.G., M.P.A., Ph.D., FAPTA 

is well known as a leader and advocate in the field of geriatric rehabilitation for over 30 years. She wrote the first textbook published in the field of geriatric rehabilitation. Dr. Lewis treats patients, conducts clinical research and publishes monthly for ADVANCE for Physical Therapists. She has taught continuing education courses throughout the United States and the World as a clinical expert in geriatric rehabilitation. Each year her courses are completely updated and restructured to reflect current trends in practice and the newest medical research. Her seminar emphasizes scientifically based assessments, treatment, techniques, and protocols while being extremely relevant to the daily practice of rehabilitation of older adults. Dr. Lewis actively engages in clinical research and conducted the original research for current protocols for knee and back pain in aging adults. As founder and president of Premier Physical Therapy, Dr. Lewis continues to work in a clinical capacity. Additionally, she is an adjunct full professor at the George Washington University College of Medicine. Her dedication to the profession as both DC Chapter President and President of the Section on Geriatrics of the American Physical Therapy Association has motivated her to author over 21 textbooks on aging (Geriatric Rehabilitation, Decade of Articles, Aging: the Health Care Challenge, The Functional Toolbox I & II, Improving Mobility for Older Persons, Clinical Strategies, etc.) as well as over 200 articles on age related topics. Her pursuit of the latest clinical information led her to the position of editor for the journal Topics in Geriatric Rehabilitation. Dr. Lewis combines her clinical and consultative experiences in outpatient clinics, hospitals, home health agencies, and long-term care facilities to present practical, immediately useful techniques for health professionals who work with aging adults.



Course Contact Information


GREAT Seminars and Books, Inc. 

2639 Revere Drive * Akron, OH 44333

Toll Free (877) 794-7328

Fax: (330) 865-6941