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1. Analyze altered joint mechanics and the advancement of degenerative joint conditions to the staging orthopedic interventions.
2. Participate in hands-on application of special tests in differentiating joint damage for the shoulder, hip, and knee.
3. Evaluate the key indications for timing of arthroscopic or joint replacement surgery.
4. Divide the indications and procedures of TSA and Rev TSA.
5. Communicate various surgical approaches for THA.
6. Correlate the intra-operative procedure leading to increased conservative measure time required for THA revision.
7. Communicate the traditional approaches with MIS and MSS surgical approaches.
8. Analyze the advantages of computerized and robotic assisted replacement surgeries.
9. Propose the benefits of a multi-modal approach to post-operative pain.
10. Analyze the return to activity timeline of the post-surgical patient.
11. Explore the best practice strategies post-op exercises including UE manual scapular stabilization techniques and closed chain functional exercises of the LE.
12. Participate in hands-on application of cold therapies, UE immobilizers and point of care PT/INR.
13. Apply assistive devices correctly to optimize post-op needs.
14. Role play acute and sub-acute intervention strategies for the total shoulder, hip, and knee patient.
15. Practice advanced level out-patient intervention strategies for the total shoulder, hip, and knee patient.
16. Evaluate the latest research to guide treatment decisions for total joint patients.
17. Assess an orthopedic joint patient so that you don’t overlook any important details.
18. Explore what is on the horizon for joint replacements.

Day 1
Assessment of the Orthopedic joint patient

Application of orthopedic special tests and their findings

Correlation of special test findings with diagnostic imaging results

Rehabilitation options with consideration of: Conservative therapies, function and pain level, surgical options, physical co-morbidities, and relative bone density

Video presentations of surgical procedures Including

Shoulder arthroscopic procedures: SAD, RTC repair, SLAP and Bankart repair

Total shoulder arthroplasty (TSA)

Reverse TSA

Radiograph assisted Total Elbow Arthroplasty

Practice in donning and doffing of UE immobilizers

Day 2
Actual patient video presentations of surgical procedures:

• Hip Arthroscopic procedures: FAI and Acetabular labral repair
• Total Hip Arthroplasty (THA), conventional posterior and lateral approaches
• Anterior THA and THA revision
• Knee Arthroscopic procedures: Partial menisectomy, meniscal repair, bio ingrowth cartilage
• Total Knee replacement (TKA) conventional and sub vastus, uni & bi compartment
• The future of joint replacement with custom implants, computerized and robotic assisted hip, knee and ankle replacement

Acute post-op recovery:

• Discharge planning: New 2016 Guidelines for Total joints
• Acute Rehab / Skilled Nursing / Home which is the right choice in terms of accessibility, assistance, activity restrictions, and length of time
• Pain management, opioid tolerance and opioid induced constipation (OIC)
• Use of cold recirculator units and cold compression devices
• Active and passive TED strategies
• Demonstration of TED hose application
• Wound Care / Infection Prevention
• Demonstration of PICO dressing
• Demonstration of point of care PT/INR
• Selection and adjustment of assistive devices with instruction in proper usage for support

Day 3
Treatment sessions for the acute through the subacute phase of recovery

• Shoulder: Active proximal scapular exercise and cervical stretching techniques with permissible distal UE
• Hip: Immediate post-op exercises and progressions for the conventional and anterior approach, including transfer considerations
• Knee: Immediate post-op exercises and progressions for the conventional and subvastus approach, including forms of stretching

Strategies of optimal function for out-patient and beyond

• Shoulder: Manual techniques to build proximal scapular stabilization and progression to rotator cuff strengthening
• Hip: Progression of core pelvic strengthening, proximal trunk stability, proprioceptive, balance, coordination activities, return of normal gait mechanics
• Knee: Progression of flexibility exercises, patellar mobilization, demonstration of patella femoral taping, the importance of proper footwear, proprioceptive, balance, coordination activities, return of normal gait mechanics

Terry L. Rzepkowski, DPT, MS, BS, (AKA Dr. Z) is a Doctor of Physical Therapy with specialization in Orthopedic Physical Therapy. Throughout his 40-year career, he has specialized in orthopedics, specifically: musculoskeletal outpatient rehab as an independent private practitioner, total joint replacement surgery, sports medicine, and orthopedic homecare. This extensive background allows him to relate his knowledge of the complex rehab patient from prevention strategies including rehabilitative exercises, lifestyle and activity modifications through all phases of post-op rehabilitation. Speaker Disclosures:
Financial: Terry Rzepkowski has employment relationships with PTCE, Presbyterian College, Nova Southeastern University, National Healthcare Licensing Solutions, Inc., and Varsity Tutors. He receives compensation as a national presenter. Terry Rzepkowski receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Terry Rzepkowski is a member of the APTA.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $39.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/4/2023
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 17.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 17.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 17.6 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 17.5 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 17.5 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 17.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 17.5 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 17.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 21.1 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 17.5 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 17.5 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 17.5 clock hours of continuing education instruction.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 17.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Physician Assistants

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Other Professions
This self-study activity qualifies for 17.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Physical Therapists, Physical Therapist Assistants, Nurse Practitioners, Physician Assistants, Occupational Therapists, Occupational Therapy Assistants, Nurses