SYLLABUS Course Number: PTA 201 Course Title: Procedures II Credits: 5 Contact Hours: 5 hours/week lecture/activity, 4 hours/week lab. TUE 10:00-12:00 a.m. 2:00-4:00p.m. (lab) TH 11:00-12:00 a.m. 2:00-4:00p.m. (lab) Location: Massage Therapy Lab Instructor: Darin Jernigan, MPT Office Hours: By appointment Telephone: 208-282-4742 (work) Email: jerndari@isu.edu (most efficient way to reach me!) Course Description: A continuation of Procedures I, including; electrical stimulation theory and techniques for applying variations of electrical current, iontophoresis, phonophoresis, combining US & e-stim, ESTR (electrical stimulation for tissue repair), biofeedback, electromagnetic radiation and other miscellaneous modalities, external compression, prosthetics and orthotics, traction, tilt table & wheel chair management, pulmonary hygiene. Will continue to work on improving communication and documentation skills. Prerequisites: *Must be second year student in good standing. PTA 105, PTA 106, PTA 107, PTA 210. Text Books: Physical Agents in Rehabilitation, Cameron Physical Rehabilitation, Assessment and Treatment, 4 th Edition, O Sullivan Suggested References: Physical Agents: Theory and Practice for the Physical Therapy Assistant, Behrens and Michlovits Therapeutic Modalities for Physical Therapists, 2 nd Edition, Prentice Clinical Electrotherapy, Nelson &Currier Performance Objectives: 1. Describe the physiological reaction during specific types of human muscular contractions. 2. Understand the theories of application of electrical currents for physical therapy. 3. Understand electrical safety and the importance of periodic equipment testing.
4. Explain the rationale behind and demonstrate proper hand washing technique before and after each skills check. 5. Discuss & explain the physiological effects of low volt, high volt, and interferential electrical stimulation, transcutaneous electrical nerve stimulation (TENS), and microcurrent devices on human tissue and list the indications/contraindications/precautions. 6. Apply low volt, high volt, interferential, TENS, Russian and microcurrent electrical stimulation devices to selected patients using safe technique. 7. Describe the physiological rationale for the use of ESTR in physical therapy to heal wounds and list the indications/contraindications/ precautions for ESTR. 8. Apply ESTR to selected patients in the physical therapy practice setting using appropriate and safe techniques. 9. Explain the neurophysiological effects of neuromuscular electrical stimulation (NMES) used in physical therapy and list the indications/contraindications/precautions for the application of NMES. 10. Apply NMES to selected patients in the physical therapy practice setting using safe techniques. 11. Discuss the physiological rationale for the use of biofeedback in physical therapy and list the indications/contraindications/precautions for biofeedback. 12. Use biofeedback on selected patients in the physical therapy practice setting using safe technique. 13. Discuss the physiological effects of and rationale behind using iontophoresis and phonophoresis in the physical therapy setting and list the indications/contraindications/precautions for each. 14. Demonstrate application of iontophoresis and phonophoresis to selected patients in a physical therapy practice setting using appropriate and safe techniques. 15. Compare the uses of electrical currents in physical therapy for osteogenesis, edema reduction and the pelvic floor rehabilitation.
16. Given a selected patient problem, explain the rationale for using specific electrical current modalities for treatment and document the use of therapeutic electricity and the patient s response to treatment in accordance with professional guidelines. 17. Assess and identify Discharge issues with the supervising PT and educate the patient/family/staff as per the supervising PT discharge plan. 18. Explain the physiological principles and effects of diathermy, laser, ultraviolet (UV) and infrared devices used in physical therapy, list the indications /contraindications/precautions of each modality and document their use and pt response appropriately and professionally. 19. Given a selected pt scenario, set up diathermy, UV and infrared devices appropriately and professionally and document pt responses accordingly. 20. Describe the physiological effects and rationale behind manual and mechanical traction used to treat physical therapy pt populations, list the indications /contraindications /precautions. 21. Demonstrate proper technique, parameters and documentation for cervical and lumbar traction devices when given selected patients in a physical therapy setting. 22. Define orthostatic hypotension, apply appropriate positioning and drainage techniques. Demonstrate appropriate assisted coughing techniques and respiratory exercises for selected pulmonary pts, demonstrate and document proper tilt table technique given a pt scenario. 23. Explain the physiological effects and use of external compression in the physical therapy setting, list indications/ contraindications / precautions. 24. Demonstrate proper and safe application of external compression to a selected pt in a physical therapy practice setting, document use and pt response appropriately. 25. Describe the principles of pre- and post-rehabilitation of the upper and lower extremity amputee treated in the physical therapy practice setting. Demonstrate proper BKA and AKA residual limb wrapping. 26. Discuss common gait problems of above-knee and below-knee amputees and list the considerations for proper prosthetic fit for these patients.
27. Define orthoses and describe common orthoses used for the spine, and for the upper and lower extremities. 28. Identify the effects of lower extremity orthotics and prosthetics on gait. 29. Describe the different types of wheelchairs available for use in pt populations, demonstrate educating a pt in the management of his/her wheelchair and adjust wheelchair as needed given a selected scenario, setting or surface and document application and pt responses appropriately. 30. Understand that modality use should be used in conjunction with other therapeutic techniques to achieve optimal pt outcomes and be able to demonstrate appropriate communication skills (including documentation) to peers and potential patients, family members and other health care professionals. 31. Demonstrate Knowledge of how to handle basic first aid emergencies in physical therapy scenarios. 32. Monitor vital signs appropriately with all procedures listed above 33. Describe how procedures taught in this class must be adjusted for the groups categorized as pediatrics, adults and geriatrics. 34. Describe the basic principles of normal development and how these principles relate to physical therapy treatment 35. Discuss some of the common pathologies found in physical therapy patients in the categories pediatric, adult and geriatric. Discuss how these pathologies relate to the procedures taught in this class. 36. Identify different breathing patterns (abdominal, chest, segmental, accessory) in selected clients. Course requirements: 1. Attend all scheduled class sessions. 2. Complete all reading assignments. 3. Complete all examinations on the scheduled dates. 4. Achieve a C or better (73%). 5. Complete Skills Check Competency List Attendance policy: Attendance in this class is mandatory. You are allowed three absences from class without penalty. The fourth absence with result in an automatic reduction
of one letter grade. The fifth absence will drop another letter grade, and the sixth will indicate automatic dismissal from the program. Students are considered late for class after ten minutes past starting time. Three episodes of being late will be equal to one absence. Students arriving forty minutes late will be considered absent for the class. If you know in advance that you will be absent, please be courteous and talk to your instructor. Obtaining materials in advance facilitates the learning process and allows your instructor to rearrange lab activity for those attending class. Instructor absence: Make-up class sessions will be scheduled in the event the instructor is absent due to illness or unforeseen circumstances. Evaluation: Students will be evaluated based on performance via assignments, exams, and skills/ spot checks. Participation in the affective/professional review is required but will not be graded. Cognitive Domain: 70% Exams: Exam I (20%) Midterm (20%) Final Exam (comprehensive 25%) ( 65% ) Assignments: #1. Wheelchair Experience assignment (Pass/Fail) #2. Research Paper/Lit review/presentation (5%) Psychomotor Domain: 30% Practical Exams (with documentation) Skills checks (3) (Pass/Fail) Skills Checks Final (1): Comprehensive with Documentation ( 30%) Total: 100%
Skills Check Critical Components: All students participating in skills checks will be responsible for demonstrating / performing / verbalizing these critical components in all scenarios on both real and or student patients. 1. Hand Washing/Universal Precautions 2. Use of gait belt with any transfers or gait training activities 3. Contraindications/Indications for each specific skill/technique covered 4. Appropriate Patient Clinician communication, including introduction, education, family training, documentation etc. 5. Demonstrate knowledge of PTA rules and regulations as it relates to the Idaho PT Practice act, or APTA guidelines. The first (3) Skills Check Exams (SCE) are scored on a pass/fail basis. Minimum scores for passing individual as well as comprehensive SCE are 73%. The Final Comprehensive Skills Check will be graded independently and given a letter grade. The Final Comprehensive Skills Check is worth 30% of the students final grade. Any violation of the above mentioned critical components will result in a retake of the particular Skills Check. Students may request to retake a skills check with another instructor in the program if they wish. A student who fails to pass a skills check the second time may take it a third time with the presence of a practicing clinician (usually a Physical Therapist or Physical Therapist Assistant who qualifies as one of our affiliate faculty members). Failure of a third skills check results in dismissal from the PTA program. A student who is dismissed from the PTA program may petition to return the following year. Petitions are made through student services in the college of technology. **note emphasis on passing final comprehensive skills check Affective Domain: Participation is required but will not be graded in this course. Grading policy: A = 92-100 Excellent C- = 70 72 Failing A- = 90 91 D+ = 67 69 B+ = 87 89 D = 63 66 B = 83-86 Above average D- = 60 62 B- = 80 82 F = 0 59 C+ = 77 79 W Withdrawal C = 73-76 Passing I Incomplete
*Each student must achieve a grade of C or better to remain in the physical therapist assistant program. Make-up examinations are given solely at the discretion of the instructor. Failure to complete an examination on the assigned date may result in 0 (zero) points for that exam. Skills Check Exams: There will be 4 graded skills check exams throughout the semester. Skills checks will be by appointment. Each student has 3 attempts to pass individual skills check exams. The first skills check exam will be for a letter grade, the 2 nd and 3 rd attempts will be pass/fail (73%). Students unable to pass a skills check exam in 3 attempts results in automatic class failure. Withdrawal: Withdrawal from this course effectively withdraws the student from the PTA program. Incomplete: A grade of I (incomplete) will only be issued if special permission by the instructor is granted and a contract form is completed by the student and the instructor. *If you have a disability or think you have a disability (physical, learning disability, hearing, vision, psychiatric) which may need a reasonable accommodation, please contact the ADA & Disabilities Resource Center located in Gravely Hall, Room 123, 282-3599 as early as possible. The instructor will make available modification for special circumstances as directed by the office managing ADA.