Post-op Rehab Workshop -Evaluation & Treatment Strategies for Shoulder, Hip, & Knee – Terry Rzepkowski

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Post-op Rehab Workshop -Evaluation & Treatment Strategies for Shoulder, Hip, & Knee by Terry Rzepkowski,
Salepage link: At HERE. Archive:

Faculty:
Terry Rzepkowski
Duration:
12 Hours 22 Minutes
Format:
Audio and Video
Copyright:
Dec 12, 2017

Description

Learn to identify common orthopedic problems of the shoulder, hip, and knee and understand the various surgical techniques for repair.  Review the latest surgical techniques, including video analysis of surgical procedures that demonstrate changes before and after intraoperative repair. The post-op rehab implications of these various surgeries will be discussed in hands-on functional rehab labs, where you’ll practice cutting-edge interventions that can be applied in the clinic.

This comprehensive training workshop includes evaluation and intervention strategies for:

  • Shoulder RTC tears
  • Total shoulder replacement
  • Glenoid labrum tear
  • Acetabular labral defect
  • Hip fracture
  • Total hip replacement
  • Meniscal injury
  • Osteochondral defect
  • ACL tear
  • Total knee replacement

Handouts

Outline

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 

Faculty

Terry Rzepkowski, DPT, MS, BS's Profile

Terry Rzepkowski, DPT, MS, BS Related seminars and products: 12


Dr. Terry L Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in Orthopedic Physical Therapy. Throughout his 37-year career, he has specialized in Orthopedics, specifically: Musculoskeletal out-patient rehab as an independent private practitioner, Total Joint Replacement Surgery, and Sports Medicine. A professor in the Health Science department for Nova Southeastern University Terry provides instruction in Anatomy, Biomechanics, Kinesiology, and Neuro anatomy; Terry has extensive knowledge in relating the complexities of the Orthopedic joint replacement patient. Terry’s current clinical role as home care therapist working exclusively with orthopedic surgical patients in Tampa FL, provides a platform for staying abreast of the latest techniques and protocols utilized in joint care rehab. As a sought-after presenter, he enjoys sharing his knowledge with interdisciplinary audiences around the country. Terry has spoken professionally on shoulder, knee, and hip injuries with advances in orthopedic management.

Speaker Disclosures:

Financial: Terry Rzepkowski is an Assistant Professor for Nova Southeastern University Tampa; and an Assistant Professor for South University Tampa. He receives a speaking honorarium from PESI, Inc.

Non-financial: Terry Rzepkowski is a member of the American Physical Therapy Association (APTA). 



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