Shoulder Disorders: An Evidence-Based Approach to Evaluation and Treatment

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Speaker

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

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Terry L. Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in orthopedic physical therapy. Throughout his 40+ year career, he has specialized in orthopedic roles, total joint replacement surgery, sports medicine, musculoskeletal outpatient rehab, and as an independent private practitioner. A professor in the health science department for Nova Southeastern University, Terry provides instruction in anatomy, biomechanics, kinesiology, and neuro anatomy. Terry’s current clinical role as a home care physical therapist focuses exclusively on orthopedic surgical patients, which keeps Dr. Rzepkowski abreast of the latest techniques and protocols used in joint care rehab. As a sought-after presenter, he enjoys sharing his advanced orthopedic knowledge with interdisciplinary audiences around the country.
 

Speaker Disclosures:
Financial: Terry Rzepkowski has employment relationships with Nova Southeastern University, CORA Physical Therapy, Presbyterian College, National healthcare Licensing Solutions, Inc., Varsity Tutors, and PTCE. 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.

 

 

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Objectives

1. Assess the various mechanisms of shoulder injury both insidious and acute with the structures compromised.
2. Demonstrate clinical procedures (tests) for targeting compromised shoulder structures.
3. Evaluate surgical procedures for the shoulder.
4. Inspect the role of scapular force couples in scapulo-humeral rhythm required for normal shoulder movement.
5. Utilize manual and resistive exercise interventions to promote return of shoulder complex function.

Outline

• Insidious and acute
• Structures that become compromised
• Biomechanical roles in shoulder function
• Anatomy of impingement

• Clinical tests that identify issues quickly
• Tests that assess for:
  • Impingement
  • Rotator cuff disorders
  • Labral pathology
  • Glenohumeral instability
  • Correctly interpreting the special test data

• Surgical video reviews of shoulder repairs
• Sub acromial decompression
• Rotator cuff repair
• Labral repair
• Bankart repair
• Proximal shoulder fracture
• Total shoulder
• Reverse total shoulder

• Peri-operative procedures that reduce pain
• How are Interscalene blocks performed
• Use of non-narcotic pain cocktails to expedite discharge comfort

• Kinesiology of scapula-humeral rhythm
• Priority sequencing of muscle groups
• Custom exercises to facilitate rehab intervention
• Manual therapy progressions
• Incorporate custom exercise videos

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Doctors of Chiropractic
• Licensed Massage Therapists
• Certified Strength and Conditioning Specialists
• Other Rehab and Healthcare Professionals