The Road to Rotator Cuff Recovery

Credit

Handouts/Brochure

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

• Assess the functional impact of rotator cuff injuries on assessment, rehabilitation interventions, as measured by improved patient outcomes in therapy sessions.  (Barnes, 2017)
• Identify impaired scapular function implications in rehabilitation patients, leading to more effective treatment planning and interventions. (Hotta, 2017)
• Evaluate and adapt manual therapy approaches to address induced functional consequences of scapulohumeral rhythm faults resulting in enhanced patient progression and improved functional outcomes. (Pauyo, 2018)

Outline

Principles of the Rotator Cuff: Why a Deeper Understanding Matters for Rehab Professionals

• Appreciation of the combined function of the RTC on movement of the shoulder.
• Better clinical assessment in identifying RTC injury.
• The interaction of scapulo-humeral biomechanics on rotor cuff function
• Patient safety and maximizing therapeutic intervention outcomes.

Identifying Common Assessment and Intervention Errors: Their Influence on Rehabilitation Progress

• The external rotation lag sign, the drop arm test, the empty can test, the Gerber test. 
• How to properly bias these tests to reduce false positive and negative findings

Scapular importance – understanding the role of posture and scapular function in providing the proximal stability for the rotor cuff muscle to efficiently function.

Post-op recovery period – allowable activities, positioning, that promote recovery and potential threats to recovery.

Therapeutic activity - using manual therapy techniques to protect and progressively advance recovery from rotator cuff insult or repair.

Special Considerations in Geriatric Population
New cutting-edge interventions that address the function of the rotator cuff using In-Space ballon implants

Exploring Non-Surgical Alternatives: The Role of Regenerative Medicine in Rehabilitation

• Impact on activities and post procedure timelines in therapy
• Modifications and precautions of activity
• Adjustments in therapy approach and environment

Collaboration: Patient Education and the Interdisciplinary Approach

• Empowering Patients
  • Importance of tissue healing timeline
  • Recognizing a wholistic approach to recovery
• Value of collaboration between PT, OT, and other allied health professionals
• Sharing observations and concerns for optimal patient care

Practical Application

• Using clinical tests in real-life scenarios to analyze and discuss implications.
• Collaborative problem-solving and knowledge sharing
• Importance of continuous learning in the ever-evolving field of rehabilitation
• Promoting the role of rehab professionals in intervention management and patient care
   

Target Audience

• Athletic Trainers
• Chiropractors
• Exercise Physiologists
• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapy Assistants
• Strength and Conditioning Coaches
• Massage Therapists
• Other Rehabilitation and Fitness Professionals.