2319 – Total Joint Replacement Specialty Certificate Program

Intermediate / 15-Hour Program


Faculty: Beth Scalone, PT, DPT, OCS / Terri Mitchell, BA, PTA, ATRIC


COURSE DESCRIPTION: According to the American Academy of Orthopedic Surgeons, more than one million total joint replacement surgeries are performed annually in the United States. Patients leave the hospital sooner and expect to return to an active lifestyle. This course will review current surgical procedures relating post-operative precautions, protocols and healing time-frame for total shoulder arthoplasty, total hip arthoplasty and total knee arthroplasty. New procedures such as “minimally invasive” hip replacements, resurfacing and hemiarthroplasty will be included.   


The aquatic environment is ideal throughout the stages of rehabilitation however, delaying aquatic therapy often occurs for fear of infection or poor wound healing. The pros and cons for early initiation of aquatic therapy, along with safe techniques for the application of waterproof dressings will be presented. This course integrates current evidence-based research with the practical clinical “pearls” for rehabilitation of total joint replacement surgery. Manual techniques for improving ROM, progression of therapeutic exercise to improve gait, balance and return to function will be the focus of pool lab portion of the course.



1)  Describe post-surgical precautions in individuals who have undergone joint replacement surgery for hip, knee or shoulder joints.

2)  Safely cue and progress aquatic exercise for individuals post total joint replacement surgery. 

3)  Discuss current research related to aquatic therapy and total joint replacement rehabilitation.

4)  Develop aquatic exercise strategies to facilitate gait and balance for individuals post-total joint replacement.

5)  Perform techniques to safely improve joint mobility in the “stiff” post-op knee.

6)  Describe proper application of tegaderm/ waterproof dressing. 



Beth Scalone, PT, DPT, OCS, ATRIC, is a licensed physical therapist with over 18 years of experience in orthopedic and aquatic therapy. As the owner of North County Water and Sports Therapy Center in San Diego (www.waterpt.com), she continues with hands-on clinical care in addition to her role as educator. Since graduating from the University of Connecticut in 1991, Beth has belonged to the American Physical Therapy Association and has achieved certification as a Clinical Specialist in Orthopedic Physical Therapy. In January 2006, she graduated from Boston University with a Doctor of Physical Therapy degree. Additional certifications include Certified STOTT Pilates™ instructor and Master Instructor for the Burdenko Method.


Beth not only provides continuing education for health care professionals, she is an adjunct faculty in the San Diego Mesa College PTA program, teaching Orthopedic Rehabilitation and Introduction to Pathology courses. She also provides the learning module/instruction on aquatic therapy to the University of St. Augustine San Diego Campus DPT program.


Terri Mitchell, BA, PTA, ATRIC, has been involved with aquatic fitness since 1982. She is a Training Specialist with the Aquatic Exercise Association, a Licensed Physical Therapist Assistant (PTA) specializing in aquatic therapy, and instructor of a variety of aquatic fitness classes to persons of all ages and abilities. Terri holds certifications from AEA, ATRI, and IAR. Terri is a Certified Personal Trainer for both land and water. She is co-author of “Applications of PNF Techniques in the Aquatic Setting” manual and co-producer of “PNF in the Pool” video. She is the 2001 recipient of ATRI’s Dolphin Award and the 2010 recipient of the ATRI Professional Award.