Product Detail

1. Participate in hands-on application of acute and sub-acute intervention strategies for the total shoulder, hip, and knee patient.
2. Evaluate the key indications for timing of joint replacement surgery, including post-op recovery considerations.
3. Practice application of cold therapies, UE immobilizers, and point-of-care PT/INR.
4. Evaluate post-operative pain, wound care, and anticoagulant options.
5. Compare surgical approaches and procedures through video presentations to determine appropriate post-op restrictions.
6. Explain the indications to reverse a TSA.
7. Distinguish between the various surgical approaches currently available for THA.
8. Differentiate between traditional surgical approaches and the subvastus approach for TKA.
9. Analyze the advantages of computerized and robotic assisted replacement surgeries.
10. Practice hands-on application of advanced out-patient intervention strategies for the total shoulder, hip, and knee patient.

Determinants for Joint Replacement

• Muscle imbalance
• Acute injuries
• Chronic conditions
• Systemic conditions

Pre-operative Selection Determinants

• Postural deformity
• Diagnostic imaging
• Function and pain level
• Conservative therapies
• Physical co-morbidities
• Relative bone density
• Post-op considerations: Acute rehab? Skilled nursing? Home? Which is the right choice in terms of accessibility, assistance, activity restrictions, and length of time?

Surgical Procedures with Video Presentations

• Total shoulder arthroplasty (TSA)
• Reverse TSA
• Total elbow arthroplasty
• Total hip arthroplasty (THA), conventional posterior and lateral approaches
• Anterior THA and THA revision
• Total knee replacement (TKA), conventional and subvastus
• Total ankle replacement
• The future of joint replacement:
  • Video radio graph assisted total elbow arthroplasty
  • Computerized and robotic assisted hip, knee and ankle replacement

Acute Post-op Recovery Interventions

• Pain management, opioid tolerance and opioid induced constipation (OIC)
• Wound care/Infection prevention demonstration of PICO dressing
• VTE prophylaxis
  • Hands on demonstration
    • Point-of-care PT/INR
    • The latest recommendations on TED hose
    • Cold recirculator units and cold compression devices

Treatment Sessions for the Acute through the Subacute Recovery Phase

• Physical/Occupational therapy
• Movement restrictions
• Demonstration of proper positioning
• Hands on practice
  • UE: Donning and doffing of UE immobilizers
    • Shoulder, distal UE exercises, and active proximal scapular exercise, cervical stretching techniques
  • Hip: Immediate post-op exercises and progressions for the conventional/anterior approach hips, including transfer considerations
  • Knee: Immediate post-op exercises and progressions for the conventional/subvastus approach, forms of stretching

Out-patient and Beyond: Strategies for Optimal Function and Joint Longevity

• Hands on activities
  • Shoulder: Manual techniques to build proximal scapular stabilization, 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, 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 $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.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 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 6.0 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 6.3 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.

---

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

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 6.0 continuing education credits.

---

Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 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 6.25 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 6.0 CE credit hours.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.25 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. 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.

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 7.6 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 6.0 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 6.25 clock hours of instruction that is applicable for physical therapists.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional level: Introductory. This activity will provide 6.25 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.

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 6.25 clock hours of continuing education instruction.

Vermont Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. 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.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy.

---

Other Professions
This self-study activity qualifies for 6.25 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.

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants and other Healthcare Professionals