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

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

The shoulder is inherently instable – that’s why it has so much movement! One of the most daunting tasks facing rehab professionals is the in-depth understanding of the shoulder complex and how the intricate anatomy and biomechanics play into the non-surgical and post-surgical rehab process.

Dr. Rzepkowski bring 38 years of orthopedic experience to walk you through:

• Which tests to use to quickly target the compromised structures
• Manual and resistive exercise interventions to promote return of shoulder complex function
• Best practices for pain management

But this seminar isn’t just for pre-op. When you’re following post-op protocol, it can be difficult to understand why the protocol is designed the way it is. In this seminar, you’ll also be able to SEE the surgical procedures to get a thorough understanding of why and how the protocols were developed. You’ll gain a better understanding of:

• The importance of each ligament and how that impacts surgery and recovery
• Why mechanical wear and tear is so common
• The anatomy of impingement: videos that show what’s happening beneath the skin

When you treat patients requiring care for a wide range of shoulder pathologies ranging from tendonitis to total shoulder replacements, this in-depth understanding of the biomechanics is crucial. Watch Dr. Rzepkowski today to build your confidence in treating the various types of shoulder dysfunction you see in practice.

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).

MECHANISMS OF SHOULDER INJURY

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

TARGETING COMPROMISED STRUCTURES: CLINICAL PROCEDURES

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

INSIDER ACCESS TO SURGICAL PROCEDURES

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

PAIN MANAGEMENT

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

PROMOTE RETURN OF SHOULDER COMPLEX FUNCTION

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

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