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1. Perform hands-on clinical assessments to identify structural pathology of shoulder, hip, and knee conditions
2. Perform assessment techniques to identify predisposing factors to the injury of shoulder, hip, and knee
3. Develop a personalized risk-specific treatment approach to minimize functional injury predispositions
4. Review the anatomy and biomechanics of the shoulder, hip, and knee
5. Describe appropriate medical diagnoses and possible surgical interventions for shoulder RTC tears, labral defects and total shoulder replacement
6. Describe the similarities and differences between normal vs. diagnostic imaging as it relates to shoulder injuries
7. Develop appropriate joint-specific injury prevention treatment plans for various patient populations
8. Discuss treatment duration and outcome for orthopedic surgical procedures for various shoulder, hip and knee injuries
9. Describe appropriate medical diagnoses and possible surgical interventions for hip fractures and total hip replacement
10. Compare and contrast possible surgical interventions for meniscal injuries
11. Perform hands-on functional rehab techniques for the shoulder, hip, and knee
12. Design functional home exercise programs in appropriate staged progression

SHOULDER

PREVENTION EXAM

• Postural positioning of the head and scapula
• Impingement exam?
  • Neer?
  • Hawkins/Kennedy
  • Crossover
  • Ergonomic accommodations to decrease impingement
• HANDS-ON LAB

ANATOMICAL AND BASIC BIOMECHANICS

• Anatomy of the Shoulder
• Anatomy review of joint structure

MEDICAL DIAGNOSES AND SURGICAL INTERVENTIO

• Comparative normal versus diagnostic imaging (X-ray, MRI) 
• Shoulder RTC tears
• Shoulder labral defects
• Shoulder Fx
• Total shoulder replacement: anatomical and reverse
• HANDS-ON LAB 

CLINICAL DIAGNOSIS

• Correlate mechanism of injury
• Damage exam?
  • RTC?
  • Glenoid labrum
  • Biceps long head

• HANDS-ON LAB 

INJURY PREVENTION AND DEVELOPING A JOINT-SPECIFIC TREATMENT PLAN

• Establish proximal scapular stability progress to distal mobility
• Progression:
  • Flexibility considerations
  • Manual scapular stabilization exercises?
  • RTC manual ex with scapular integration
  • Dynamic distal stabilization exercises
  • Home exercise with resistance band

• HANDS-ON LAB 

HIP AND KNEE

PREVENTION EXAM

• HIP: Posture of the pelvis sagittal/frontal plane
•  Predisposing elements
  • Glut medius weakness
  • IT band test (Ober’s)
  • Hip flexor (Yeomans’s, ELY)
  • Hamstrings (SLR)
• HANDS-ON LAB 
• KNEE: Dynamic positioning in movement
• Dynamic Valgus
  • Ligament dominance
  • Quad dominance
  • Leg dominance
  • Ankle position/foot wear
• HANDS-ON LAB

ANATOMICAL AND BASIC BIOMECHANICS

• Anatomy of the hip/knee
• Anatomy review of each joint structure
  • Surgical procedure videos

MEDICAL DIAGNOSES AND SURGICAL INTERVENTION

• HIP: Comparative normal versus diagnostic imaging (X-ray, MRI)
• Acetabular labral defects
• Hip fracture
• Total hip replacement (approaches: posterior, lateral, anterior)
• KNEE: Comparative normal versus diagnostic imaging (X-ray, MRI)
• Meniscal Injury (menisectomy vs repair)
• Osteochondral defect
• ACL repair (Hamstring vs Patellar Tendon)
• Total Knee replacement (Traditional, Subvastus, Bipolar, Unipolar, Custom fit)

CLINICAL DIAGNOSIS

• HIP: Correlate mechanism of injury
•  Tissue exam
  • Piriformis
  • Faber
  • Hip Scour
• HANDS-ON LAB 
• KNEE: Correlate mechanism of injury
•  Tissue exam
  • Ligament Medial-Lateral
  • Ligament Anterior-Posterior
  • Meniscal damage
• HANDS-ON LAB 

INJURY PREVENTION AND DEVELOPING A JOINT-SPECIFIC TREATMENT PLAN

• HIP: Balance weakness and flexibility
  • Flexibility considerations
  • Proximal closed chain stability exercises
  • Hip and core exercises
  • Home exercises for dynamic functional integration
• HANDS-ON LAB 
• KNEE: Incorporate Neuromuscular (N-M) retraining
  • Flexibility considerations
  • Functional closed chain exercises
  • Address ligament/muscular dominance
  • Sensory integration in balance progression
  • N-M integration in jump mechanics
  • Home exercises for dynamic functional integration
  • Advanced plyometric training for the LE
• HANDS-ON LAB 

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 $19.99 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 12.1 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 12.0 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 12.0 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 12.0 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 14.6 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 12.0 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 12.0 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
• Occupational Therapy Assistants
• Athletic Trainers
• Exercise Physiologists