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1. Define current concepts in total knee and shoulder arthroplasty and the correct interventions based on stages of healing and recovery
2. List the variety of options in replacing or resurfacing the knee and shoulder and how to tailor your rehabilitation to the individual
3. Design functional rehabilitation exercise programs based on the latest research
4. Develop pre– and post–operative rehabilitation plans and realistic, goal–based outcomes for this patient population
5. Discuss the history of joint replacement and what therapists can expect in the next 10–20 years
6. Implement a formula of progressive rehabilitation that incorporates pivoters, protectors and positioners

TOTAL KNEE ARTHROPLASTY AND HEMIARTHROPLASTY

• Anatomy of the articular cartilage and the progression of arthritis
• Surgical options with gender-specific components and hemiarthroplasty
• Missing links in preparing the operative procedure for the progression of the three phases of rehabilitation

MOBILITY AND MUSCULAR RECRUITMENT WITH EVIDENCE-BASED EXERCISES

• Manual exercise for the patella-femoral joint
• Extension re-lengthening by pre-functional mobility from hip to foot
• Hip core strengthening – why is this so vital to recovery?
• Open kinetic chain muscle recruitment – why terminal extension and short arc quads are not the same thing
• Hamstrings over quadriceps co-activation exercises to prepare for function
• Progressive closed kinetic chain loading: knowing that proprioception may be the missing link in recovery

LAB #1 – KNEE:

• Manual therapy for mobility of the knee
• Open and closed kinetic chain exercise for proprioception

TOTAL SHOULDER ARTHROPLASTY INCLUDING HUMERAL HEAD REPLACEMENT

• Regular verses reverse prosthesis
• Hemiarthroplasty for humeral head replacement
• Why consider the reverse prosthesis and how it effects recovery
• How do patients prescribe their function?
• The importance of the Subscapularis protective protocol
• Self-applied range of motion needs to be reconsidered
• Scapular mobility and stabilization: the core of shoulder surgery recovery
• Three vital motion patterns that produce the zone of function

EVIDENCE-BASED EXERCISES BASED ON THE MODE OF CONTRACTION

• What is the missing link of total shoulder replacement
• Formula of progressive rehab: pivoters, protectors, and positioners
• Progressive exercise based on the modes of contraction
• Corrective exercises for elevation “hike” dysfunction
• The geriatric “Big Three”

LAB #2 – SHOULDER

• Manual preparation of scapular and gleno-humeral mobility
• Exercises for stabilization toward function

CASE STUDIES AND OUTCOME STUDIES

Terry Trundle, ATC, LAT, PTA, has over 38 years of experience in clinical practice and offers educational programs on functional rehabilitation focusing on the upper and lower kinetic chain. He practices in the Atlanta area where he is the Owner and Director of the Athletic Rehab Institute and Sports Medicine. In addition, he serves as a rehab consultant for Benchmark Physical Therapy and as Chair of the Advisory Board for Cross Country Education's annual Rehab Summit.

Mr. Trundle's research has been featured in numerous journals and publications, and he has received awards and recognitions by the American Physical Therapy Association and Medical College of Georgia as a leader in the field. Most recently, he authored a chapter on orthopedic management of the shoulder in Fundamental Orthopedic Management for the Physical Therapist Assistant. He is the co-producer of a four-part video series that includes exercises on the knee and shoulder and passive micro-mobility of the upper and lower kinetic chains.

Speaker Disclosures:

Financial: Terry Trundle is owner of Athletic Rehab Institute and Sports Medicine. He receives a speaking honorarium from PESI, Inc.

Non-financial: Terry Trundle is a member of the American Physical Therapy Association; and the National Athletic Trainers Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 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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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.2 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.25 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 5.25 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 5.0 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 6.3 contact hours.

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 5.25 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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Other Professions
This self-study activity qualifies for 5.25 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
• Occupational Therapists
• Certified Occupational Therapy Assistants
• Athletic Trainers
• Personal Trainers
• Certified Strength and Conditioning Specialists