Rehabilitation Techniques PTHA 2435 Semester: Course Dates:

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1 Rehabilitation Techniques PTHA 2435 Semester: Course Dates: Course Description: A continued study of the principles and practices of therapeutic exercise as it pertains to specific patient treatment. The student gains increased technical skills related to ambulation exercises, mat programs and gait drills and patterns. Additionally, the student will attain entry level skills in cardiopulmonary rehabilitation, management of vascular disorders. Prerequisites: PTHA 2205, PTHA 2409 and PTHA 1431 Credit: Four (4) semester hours (3 lecture and 3 laboratory) Purpose: This course is intended for fourth semester physical therapist assistant students. Application of therapeutic exercise will be stressed with specific units on gait, proprioceptive neuromuscular facilitation, chest therapy, vascular disorders, cardiac rehabilitation, arthritis, prenatal/post-partum care, gait training, wound care, amputee and prosthetics care. Textbooks: Required Cameron, Michelle H., Physical Agents in Rehabilitation: From Research to Practice, 3rd Edition, Saunders: Elsevier Science, St. Louis, Missouri, Kisner, C., Colby, L.A., Therapeutic Exercise: Foundations and Techniques, 5th Edition, FA Davis Company, Philadelphia, O Sullivan, S., Schmidt T., Physical Rehabilitation: Assessment and Treatment, 5th Edition, FA Davis Company, Philadelphia, Course Time/Location: Instructors: Office Hours/Location Phone: Website: Arranging conferences/appointments Course Schedule/Assignments: See handout provided on first class date and posted to Blackboard. Program student learning outcomes 1. Upon completion of the second clinical course, the student will demonstrate completion of all 12 entry level skills in the professional behaviors section of the PTA MACS (Mastery Assessment of Clinical Skills) 2. Upon completion of the third and final clinical course, the student will demonstrate completion of the entry level skills in the data collection section of the PTA MACS (Mastery Assessment of Clinical Skills) 3. Upon completion of the third and final clinical course, the student will demonstrate completion of the entry level skills in the intervention section of the PTA MACS (Mastery Assessment of Clinical Skills) 4. Upon completion of the third and final clinical course, the student will be assigned a score of entry level or better on the final progress report of the PTA MACS (Mastery Assessment of Clinical Skills). 5. Upon completion of the third and final clinical course, the student will demonstrate the skills necessary to synthesize research literature and present an inservice to clinical faculty following evidence-based practice guidelines Course Objectives: Upon successful completion of this course, the student will be able to: PTHA 2435 Syllabus Page 1 of 6

2 1. Define and give the goals, indications, contraindications, and various techniques of therapeutic exercises, including both general and specific exercise regimes (with and without equipment). 2. Identify the equipment generally found in a Physical Therapy Clinic and correctly demonstrate its use. 3. Demonstrate safety consciousness in the clinical setting with patients, self and equipment. 4. Integrate information from previous PTA courses in the application of therapeutic exercise, i.e. MMT, Goniometry, basic patient care, surface and functional anatomy. 5. Utilize a variety of exercise techniques within the established treatment plan as indicated by the Physical Therapist. 6. Perform specific passive, active, and/or resistive exercises, as discussed in class, to improve or maintain muscular strength, range of motion, and/or endurance without use of equipment by: a. utilizing a variety of therapeutic exercise techniques to meet the established goals b. using hand placement to stabilize, support, and guide the body part to obtain desired response while insuring joint protection c. varying speed, intensity and/or amount of assistance/resistance according to the cause and degree of impairment, presence of spasticity and patient response or progress. d. exercising patients within their physiological limits (e.g. pain, fatigue, cardiovascular status, medical status, etc.) 7. Perform specific exercise treatments, as discussed in class, to improve or maintain muscular strength and/or endurance using therapeutic equipment to assist or resist motion by: a. familiarizing him/herself with equipment not previously utilized in patient treatment. b. selecting equipment designed to achieve the specific purpose. c. preparing the equipment and treatment area. d. giving clear, concise instructions to the patient about the correct use of the equipment and demonstrating the use of the equipment if necessary. e. monitoring the use of equipment to insure patient safety. f. adjusting the intensity of exercise based on his/her observations of the patient s response. 8. Recognize a variety of common treatment methods for the diagnosis discussed in class and modify the treatment program within the established treatment plan, as indicated by the physical therapist by: a. planning a variety of treatment methods to accomplish the established goals. b. selecting an efficient and effective method to meet each goal. c. including patient education in the overall treatment program. d. monitoring the overall treatment program to determine the rate and extent of progress toward goals. e. comparing patient s progress towards goals with identified standards. f. identifying need for progression or modification of treatment when goals have been reached. g. modifying treatment program within the established treatment plan. 9. Identify normal and abnormal gait patterns through gait analysis and suggest exercises to correct and deviations. 10. Demonstrate the correct techniques used for pre-gait and gait training. 11. Define and give the goals, indications, contraindications, and various techniques used in cardiopulmonary physical therapy. 12. Define and give the goals, indications, contraindications, and various techniques used in prenatal and postpartum therapeutic exercise. 13. Demonstrate an understanding of the stages of burn/wound healing and the principles of wound care. 14. Demonstrate an understanding of amputee management in pre-prosthetic and prosthetic phases. 15. Demonstrate proper infection control techniques at all times. 16. Document patient s performance and response to all clinical skills attained in this course 17. Exhibit an understanding of social, economic, and demographic factors as they relate to clinical skills attained in this course. 18. Demonstrate the ability to include patient/family education in all clinical skills attained in this course. 19. Review and report on current medical literature. 20. Accept responsibility for professional behavior and professional growth. PTHA 2435 Fall 2009 Syllabus Page 2 of 6

3 SCANS: The following SCANS competencies will be addressed in this course (See PTA Student Handbook for clarification): Students will have multiple opportunities to: identify, organize, plan and allocate resources (Resources); exercise leadership, participate as a team, teach others and develop skills in cultural competency (Interpersonal) acquire and use information using oral, written and multi-media methods (Information); work with a variety of technologies (Technology); read, write, perform mathematical operations, listen and speak to groups (Basic Skills); think creatively, make decisions, solve problems, visualize, use varied learning techniques, analyze underlying principles of relationships and ethics (Thinking Skills); display responsibility, self-esteem, sociability, self-management, integrity and honesty (Personal Qualities). Course Outline: I. Gait A. Normal/Abnormal B. Analysis C. Pre-Ambulation Activities D. Assistive devices II. Proprioceptive Neuromuscular Facilitation (PNF) III. Peripheral Vascular Disease (PVD) IV. Wound Care/Burn management V. Amputee Management VI. VII. VIII. IX. Chest Physical Therapy/Pulmonary Hygiene A. Anatomy and Physiology B. Principles C. Terminology D. Postural Drainage E. Breathing Exercises Cardiac Rehabilitation Arthritis A. Pathology B. Treatment Princples Prenatal and Post-partum Programs A. Principles B. Technique Facilities and Equipment: Class will be held in rooms 9301 and 9307 on the Eastview Campus. Any student wishing to use lab equipment anytime other than regular class hours must make arrangements with the PTA Faculty or Department Chair. The PTA offices are located in Building 9000, Rooms 9304 and 9314 on the Eastview Campus. The Department Chair s office is located in Any questions or concerns should be directed to the instructors of record. Instructional/Classroom Methods: The material will be presented in lecture/demonstration format with performance of specific techniques in the laboratory following the lecture. Guest lectures and field trips will be incorporated to enhance the classroom material, and audio-visual materials will be utilized whenever possible. Attendance: see PTA Student Handbook. Policy for absences/tardiness will be enforced. Assignments and Completion of Assignments: All assignments are due at the beginning of class on the scheduled due date. In the event of an absence, submit any written assignment electronically at the beginning of class or any time before the beginning of class. Students must complete all assignments in order to complete the course. If assignments are not completed by the day that grades are due, the student will receive and incomplete in the course and will not be allowed to continue progression in the program until a grade of C or better is assigned. Students may not take mid-term and or final lab exams until all required checkoffs have been successfully mastered. All unit exams must be completed in order for the student to sit for the mid-term or final exam respectively. PTHA 2435 Syllabus Page 3 of 6

4 Laboratory: All students must be prepared for laboratory sessions at all times. Lab clothes consist of shorts and T- shirt for the men and shorts and a halter top for women. Wear lab clothes for all lecture and lab sessions. Written Exams: a maximum of one and one half hours will be allotted for all written exams; this includes the written final exam. Lab Practical Retake Policy: In order to have a successful completion of a lab practical, a score of 73 is required and all essential criteria points must be attained. If this is not achieved, the student has one opportunity to retake the examination for successful completion. Regardless of the lab practical score, if a student does not attain all the points in the essential criteria categories, the lab grade assigned will not be higher than a 72. If the overall score is lower than a 72, that score will be taken for the initial attempt. The score issued on the first attempt and the score on the retake lab practical will be averaged together to give the student their recorded lab practical grade. The grading instructor decides scheduling of the retake lab practical. Quizzes and Homework: The quizzes will cover material presented in class or material student is assigned to read. Homework assignments are counted as quizzes. Homework assignments depend on the completion of class tasks; therefore, they are not listed on the class calendar. Students are responsible to contact instructor if quiz or homework is missed to schedule a make up quiz or homework. Grade Complication: Written Exams 36% Projects and Abstracts 16 % Written Final 10% Homework and Quizzes 10 % Midterm Lab Exam 12 % Professional Development 2% Final Lab Exam 12 % Community Service and Leadership 2% Total: 100% A student must have a C (73%) or above on written exam and laboratory exam averages for the course at the time of completion. Any student receiving a D or F must withdraw from the program, but may reapply for readmission the following year as outlined in the Student Handbook. Projects, class participation and homework will not be included for a course grade calculation if either exam average is less than a 73. All lab skills must be checked off for successful completion of this course. Professional Development Assessment: Each student will complete the Professional Development Assessment prior to their mid-term advising session. The faculty will meet to review the student assessment, make comments and assign a Professional Development Assessment grade at midterm. The grade at final may improve based on student performance. Community Service and Leadership: Attend community services or college activities, documenting the activities on student profile. Grade is determined by the number of activities completed. Exam retake policy: The most important goal of any course is content mastery. In an effort to facilitate achievement of this goal, all students will have an opportunity to retake a shortened version of any unit exam after that exam is graded. After your exam is returned you may study the concepts you missed and within two days take the makeup exam. You are encouraged to meet with lab assistants and course faculty to clarify concepts and facilitate your learning. The exam will be the same for the entire class and will emphasize important concepts that were missed. If you have scored less than 84 on any unit exam, the retake exam is required. If you have scored 84 or above on the unit exam then the retake exam is optional. The number of points added back to the original grade will depend on the scores on the original exam. The number of questions on the exam will vary from 5 to 10 or somewhere near that range. The best time to take the exam is before class. The maximum time limit for the exam is 15 minutes. Statement on Students with Disabilities: Each ACC campus offers support services for students with documented disabilities. Students with disabilities who need classroom, academic or other accommodations must request them through the Office for Students with Disabilities (OSD). Students are encouraged to request accommodations when they register for courses or at least three weeks before the start of the semester, otherwise the provision of accommodations may be delayed. PTHA 2435 Fall 2009 Syllabus Page 4 of 6

5 Students who have received approval for accommodations from OSD for this course must provide the instructor with the Notice of Approved Accommodations from OSD before accommodations will be provided. Arrangements for academic accommodations can only be made after the instructor receives the Notice of Approved Accommodations from the student. Students with approved accommodations are encouraged to submit the Notice of Approved Accommodations to the instructor at the beginning of the semester because a reasonable amount of time may be needed to prepare and arrange for the accommodations. Additional information about the Office for Students with Disabilities is available at Academic Freedom: Institutions of higher education are conducted for the common good. The common good depends upon a search for truth and upon free expression. In this course the professor and students shall strive to protect free inquiry and the open exchange of facts, ideas, and opinions. Students are free to take exception to views offered in this course and to reserve judgment about debatable issues. Grades will not be affected by personal views. With this freedom comes the responsibility of civility and respect for a diversity of ideas and opinions. This means that students must take turns speaking, listen to others speak without interruption and refrain from name calling or other personal attacks. Withdrawal: It is the responsibility of each student to ensure that his or her name is removed from the roll should he or she decide to withdraw from the class. The instructor does, however, reserve the right to drop a student should he or she feel it is necessary. If a student decides to withdraw, he or she should also verify that the withdrawal is submitted before the Final Withdrawal Date. The student is also strongly encouraged to retain their copy of the withdrawal form for their records. Students who enroll for the third or subsequent time in a course taken since Fall, 2002, may be charged a higher tuition rate, for that course. State law permits students to withdraw from no more than six courses during their entire undergraduate career at Texas public colleges or universities. With certain exceptions, all course withdrawals automatically count towards this limit. Details regarding this policy can be found in the ACC college catalog. Incompletes: An instructor may award a grade of I (Incomplete) if a student was unable to complete all of the objectives for the passing grade in a course. An incomplete grade cannot be carried beyond the established date in the following semester. The completion date is determined by the instructor but may not be later than the final deadline for withdrawal in the subsequent semester. Statement on scholastic dishonesty: A student attending ACC assumes responsibility for conduct compatible with the mission of the college as an educational institution. Students have the responsibility to submit coursework that is the result of their own thought, research, or self-expression. Students must follow all instructions given by faculty or designated college representatives when taking examinations, placement assessments, tests, quizzes, and evaluations. Actions constituting scholastic dishonesty include, but are not limited to, plagiarism, cheating, fabrication, collusion, and falsifying documents. Penalties for scholastic dishonesty will depend upon the nature of the violation and may range from lowering a grade on one assignment to an F in the course and/or expulsion from the college. See the Student Standards of Conduct and Disciplinary Process and other policies at: Student rights and responsibilities: Students at the college have the rights accorded by the U.S. Constitution to freedom of speech, peaceful assembly, petition, and association. These rights carry with them the responsibility to accord the same rights to others in the college community and not to interfere with or disrupt the educational process. Opportunity for students to examine and question pertinent data and assumptions of a given discipline, guided by the evidence of scholarly research, is appropriate in a learning environment. This concept is accompanied PTHA 2435 Syllabus Page 5 of 6

6 by an equally demanding concept of responsibility on the part of the student. As willing partners in learning, students must comply with college rules and procedures. Safety statement: Austin Community College is committed to providing a safe and healthy environment for study and work. You are expected to learn and comply with ACC environmental, health and safety procedures and agree to follow ACC safety policies. Additional information on these can be found at Because some health and safety circumstances are beyond our control, we ask that you become familiar with the Emergency Procedures poster and Campus Safety Plan map in each classroom. Additional information about emergency procedures and how to sign up for ACC Emergency Alerts to be notified in the event of a serious emergency can be found at Please note, you are expected to conduct yourself professionally with respect and courtesy to all. Anyone who thoughtlessly or intentionally jeopardizes the health or safety of another individual will be dismissed from the day s activity, may be withdrawn from the class, and/or barred from attending future activities.you are expected to conduct yourself professionally with respect and courtesy to all. Anyone who thoughtlessly or intentionally jeopardizes the health or safety of another individual will be immediately dismissed from the day s activity, may be withdrawn from the class, and/or barred from attending future activities. Use of ACC All College communication to students will be sent solely to the student s ACCmail account, with the expectation that such communications will be read in a timely fashion. ACC will send important information and will notify you of any college related emergencies using this account. Students should only expect to receive communication from their instructor using this account. Likewise, students should use their ACCmail account when communicating with instructors and staff. Instructions for activating an ACCmail account can be found at PTHA 2435 Fall 2009 Syllabus Page 6 of 6