ATEP 345L Athletic Injury Evaluation I Lab Spring 2015
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1 ATEP 345L Athletic Injury Evaluation I Lab Spring 2015 Time: TR 9:25-10:40am (section 1) Place: PCTR 150 Instructors: Zach Adams, MS, ATC, SCAT Office Hours: By Appointment with Instructor /Office Phone: adamszd@cofc.edu / Course Description: This laboratory course focuses on the assessment of athletic injuries occurring to the extremities of the human body. Mechanisms and characteristics of athletic injuries commonly occurring to the joints of the human extremities will be discussed. Emphasis will be placed on the components of the comprehensive orthopedic physical examination (including: history, inspection, palpation, functional testing, and special evaluation techniques). The laboratory is designed to develop the student s psychomotor skills of orthopedic examination and assessment. Course Objectives: The student will: 1. Demonstrate appropriate preventative taping, wrapping, splinting and bracing techniques. 2. Understand and demonstrate appropriate triage and emergency care procedures including the supplies required to provide this care in accordance with OSHA precautions. 3. Understand and demonstrate appropriate management of a suspected cervical spine injury with and without protective equipment. 4. Understand and demonstrate the ability to obtain patient status through the components of a secondary survey. 5. Demonstrate selection and application of various patient transportation skills to include ambulatory aid and short-distance transport techniques. Prerequisites: ATEP 245 Grading: A, A-, B+, B, B-, C+, C, C-, D+ D, D-, F Required Texts: 1. Starkey C, Brown S, and Ryan J. Examination of Orthopedic and Athletic Injuries (3 rd Edition) 2. Konin J, Wiksten D, and Isear J. Special for Orthopedic Examination (3 rd Edition) 3. Biel A. Trail Guide to the Body: A hands-on guide to locating muscles, bones, and more. (4 th Edition)
2 Supplies: All supplies will be provided by the Athletic Training Education Program OAKS: This course will be administered using OAKS. Please refer to the course site on OAKS to obtain course information and materials. ATTENDANCE: Class attendance is vital to success in this course. Therefore, it is your responsibility as the student to attend all class meetings. If extreme circumstances necessitate an absence, you will be held responsible for the class material covered during your absence. Class activities, assignments or evaluations missed due to unexcused absences will result in a grade of zero (0) for that assignment. You are allowed one (1) unexcused absences without penalty (with the exception of assignments as noted above). Any additional unexcused absences will result in a five (5) points deduction from your final point total. Three (3) tardies is equal to one unexcused absence. Being tardy is considered reporting to class after the fifteen-minute grace period. It is your responsibility to see the instructor to ensure the absence is changed to a Tardy. If you enter class late and miss any graded quiz or assignment you will not be allowed to complete the assignment. Absences will be considered for excusal for the following: serious illness, hospitalization, death of a family member or close friend, or attendance at an event representing the College of Charleston (i.e. athletic team travel, gospel choir, WAVE, etc.) Appropriate documentation must be provided for an absence to be considered for excusal. You are responsible for any class content/assignments you miss due to an absence. Any assignment/exam missed due to an excused absence must be made up within one week to receive full credit. It is your responsibility to schedule make-up work with the instructor. Evaluation Criteria: Requirement Skill Assessment (12@ 10 pts) Examinations (2@ 100pts) Final Examination TOTAL POINTS Points Assigned 120 pts 200 pts 100 pts 420 PTS DESCRIPTION OF COURSE REQUIREMENTS: Skill Check-Off Sheets 10 pts ea): On designed laboratory sessions throughout the semester you will be given a 10 point test to assess your level of completing the current laboratory skills. The content of each skill assessment is based on current class topics. Skill assessments will be given on the dates provided on the tentative course schedule.
3 Examinations (2 Exams & Final 100 pts ea): Three oral/practical examinations will be given on the dates on the tentative laboratory schedule. EXAM POLICY: Notification will be provided well in advance (via class announcement and OAKS posting) of any change of an exam date. Please note that if you miss a scheduled exam you will earn zero (0) points for that particular examination. No make-up examinations will be given, unless written documentation is obtained. It is the instructor s prerogative to give an alternate exam if deemed necessary. If you know you will be unable to attend an examination due to an excused absence (i.e. athletic participation, religious holiday, etc.) you must notify the instructor at least one week prior to the absence so alternative arrangements may be made. GRADING SCALE: A % A % B % B 80-84% B % C % C 70-74% C % D % D 64-65% D % F <62% Honor Code and Academic Integrity Lying, cheating, attempted cheating, and plagiarism are violations of our Honor Code that, when identified, are investigated. Each instance is examined to determine the degree of deception involved. Incidents where the professor believes the student s actions are clearly related more to ignorance, miscommunication, or uncertainty, can be addressed by consultation with the student. We will craft a written resolution designed to help prevent the student from repeating the error in the future. The resolution, submitted by form and signed by both the professor and the student, is forwarded to the Dean of Students and remains on file. Cases of suspected academic dishonesty will be reported directly to the Dean of Students. A student found responsible for academic dishonesty will receive a XF in the course, indicating failure of the course due to academic dishonesty. This grade will appear on the student s transcript for two years after which the student may petition for the X to be expunged. The student may also be placed on disciplinary probation, suspended (temporary removal) or expelled (permanent removal) from the College by the Honor Board. It is important for students to remember that unauthorized collaboration--working together without permission-- is a form of cheating. Unless a professor specifies that students can work
4 together on an assignment and/or test, no collaboration is permitted. Other forms of cheating include possessing or using an unauthorized study aid (such as a PDA), copying from another s exam, fabricating data, and giving unauthorized assistance. Remember, research conducted and/or papers written for other classes cannot be used in whole or in part for any assignment in this class without obtaining prior permission from the professor. Students can find a complete version of the Honor Code and all related processes in the Student Handbook at ATHLETIC TRAINING COMPETENCIES: The following competencies are taught and evaluated in this course. These competencies meet requirements set forth by the CAATE (Commission for the Accreditation of Athletic Training Education Programs). 1) Identify and explain the risk factors associated with common congenital and acquired. (RM-C2) 2) Identify and explain the epidemiology data related to the risk of injury and illness related to participation in physical activity. (RM-C3) 3) Explain the importance and use of standard tests, test equipment, and testing protocol for the measurement of cardiovascular and respiratory fitness, body composition, posture, flexibility, muscular strength, power, and endurance. (RM-C11) 4) Identify the normal acute and chronic physiological and pathological responses of the human body to trauma, hypoxia, microbiologic agents, genetic derangements, nutritional deficiencies, chemicals, drugs, and aging affecting the musculoskeletal and other organ systems and musculoskeletal system adaptations to disuse. (PA-C4) 5) Describe the etiology, pathogenesis, pathomechanics, signs, symptoms, and epidemiology of common orthopedic injuries, illnesses, and diseases to the body s systems. (PA-C5) 6) Describe the common techniques and procedures for evaluating common injuries including taking a history, inspection/observation, palpation, functional testing, special evaluation techniques, and neurological and circulatory test. (D1-C6) 7) Explain the relationship of injury assessment to the systemic observation of the person as a whole. (D1-C7) 8) Explain the roles of special test in injury assessment. (D1-C10) 9) Describe strength assessment using resistive range of motion, brake test, and manual muscle testing. (D1-C12) 10) Describe the use of diagnostic tests and imaging techniques based on their applicability in the assessment of an injury when prescribed by a physician. (D1-C13) 11) Explain medical terminology and abbreviations necessary to communicate with physicians and other healthcare professionals. (D1-C16)
5 12) Describe the components of medical documentation. (C7) Demonstrate ability to: 1) Instruct the patient how to properly perform fitness tests to assess his or her physical status and readiness for physical activity. Interpret the results of these tests according to requirements established by appropriate governing agencies and a physician. These tests should assess flexibility and strength. (RM-P1,1.1,1.2) 2) Obtain medical history the patient that includes a previous history and history of the present injury. (D1-P1) 3) Perform inspection and observation of the clinical signs associated with common injuries including the deformity, posturing and guarding, edema/swelling, and discoloration. (D1-P2) 4) Perform inspection and observation of postural, structural, and biomechanical abnormalities. (D1- P3) 5) Palpate the bones and soft tissues to determine normal pathological characteristics. (D1-P3) 6) Measure the active and passive joint range of motion using commonly accepeted the techniques, including the use of a goniometer an inclinometer. (D1-P5) 7) Grade the resistive joint range of motion and manual muscle testing and break tests. (D1-P4) 8) Apply appropriate stress test for ligamentous or capsular stability, soft tissue muscle, and fractures. (D1-P7) 9) Apply appropriate special tests for injuries to the specific areas of the body as listed above. (D1- P8) 10) Document the results of the assessment including the diagnosis. (D1-P10) 11) Obtained a medical history of the patient that includes a previous history and history of the present condition. (MC-P1) 12) Perform a visual observation of the clinical signs associated with common injuries or illnesses including deformity, edema/swelling, discoloration, and skin abnormalities.(mc-p2) 13) Palpate the bones and soft tissues, including the abdomen, to determine normal pathological characteristics. (MC-P3) 14) Perform a functional assessment for safe return to physical activity. (EX-P7) 15) Use appropriate terminology and medical documentation to record injuries and illnesses. (AD-P5) 16) Use appropriate terminology to effectively communicate both verbally and in writing with patients, physicians, colleagues, administrators, and parents or family members. (AD-P6)
6 COURSE SCHEDULE: This schedule is tentative and subject to change based on class progress. Date Section 1 1/13(T) Introduction to Lab 1/15(R) The basic principles of diagnostic imaging and testing and their role in the diagnostic process 1/20(T) SOAP Note: Acute Injury Evaluation and Electronic Injury Management Systems 1/22 (R) Clinical Exam of the Elbow and Forearm: History, 1/27 (T) Clinical Exam of the Elbow and Forearm: Range of 1/29 (R) Clinical Exam of the Elbow and Forearm: Special 2/03(T) and On-Field Examination Clinical Examination of the Knee Joint: History, 2/05 (R) Clinical Examination of the Knee Joint: Range of Motion, Goniometric Assessment, and Manual Muscle 2/10 (T) Clinical Examination of the Knee Joint: Special and On-field Examination 2/12 (R) Clinical Examination of the Patellofemoral Joint: History, 2/17 (T) Clinical Examination of the Patellofemoral Joint: Range of 2/19 (R) Clinical Examination of the Patellofemoral Joint: Special and On-field Examination 2/24 (T) Lab Examination #1 2/26 (R) 3/03 (T) SPRING BREAK 3/05 (R) SPRING BREAK 3/10 (T) Clinical Examination of the Lower Leg and Ankle Joints: History, 3/12 (R) Clinical Examination of the Lower Leg and Ankle Joints: Range of Motion, Goniometric Assessment, and Manual Muscle 3/17 (T) Clinical Examination of the Lower Leg and Ankle Joints: Special and On-field Examination 3/19 (R) Clinical Examination of the Foot and Toes: History, 3/24 (T) Clinical Examination of the Foot and Toes: Range of 3/26 (R) Clinical Examination of the Foot and Toes: Special and On-field Examination 3/31 (T) Lab Examination #2 4/2 (R) Clinical Examination of the Shoulder Complex: History, 4/07 (T) Clinical Examination of the Shoulder Complex: Range of 4/09 (R) Clinical Examination of the Shoulder Complex: Special and On-field Examination
7 4/14 (T) Clinical Examination of the Wrist and Hand: History, Observation/ Inspection and Palpation 4/16 (R) Clinical Examination of the Wrist and Hand: Range of 4/21 (T) Clinical Examination of the Wrist and Hand: Special and On-field Examination 4/23 (R) 4/28 (T) 4/30 (R) 8:00AM- 11:00AM READING DAY Lab Examination #3
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