Upper-division Writing Requirement Review Form (12/1/08) I. General Education Review – Upper-division Writing Requirement Dept/Program Course # (i.e. ANTH HHP HHP 372 Subject 455) or sequence Course(s) Title Rehab of Athletic Injuries Description of the requirement if it is not a single course II. Endorsement/Approvals Complete the form and obtain signatures before submitting to Faculty Senate Office. Please type / print name Signature Instructor Valerie J. Rich Phone / Email Program Chair Scott Richter III Overview of the Course Purpose/ Description Date 2/6/09 2/6/09 The primary purpose of HHP 372 is to enhance communication skills, both written and oral. The course uses specific athletic injuries which serve as the basis for students to analyze and develop rehabilitation programs suitable for those injuries. Students are expected to provide clear rationales for developed rehab plans of care using evidence from current research and literature. This is accomplished daily in the classroom in group work and activities, as well as with two comprehensive writing assignments that require the students to develop these plans from start to finish (time of injury to the time of return to participation). IV Learning Outcomes: Explain how each of the following learning outcomes will be achieved. Students are provided two different case Student learning outcomes : studies in the semester which require Identify and pursue more sophisticated extensive research on the appropriate questions for academic inquiry treatment algorithm for the assigned injury/pathology. Students must collect a variety of resources on the assigned injury/case and synthesize current research to formulate a plan of care for that particular case. Students must write in detail each step of the rehabilitation process for that particular case study using the most current research. For the written assignments, students are Find, evaluate, analyze, and synthesize required to use multiple sources other than information effectively from diverse sources (see http://www.lib.umt.edu/informationliteracy/) internet sources. Textbooks, journals, and other peer-reviewed references are utilized. Throughout the class, students are presented Manage multiple perspectives as appropriate with current literature presenting multiple perspectives on the appropriate approach to rehabilitation. It is up to the student to determine which approach is most useful based on the information they are presented. Recognize the purposes and needs of discipline-specific audiences and adopt the academic voice necessary for the chosen discipline Use multiple drafts, revision, and editing in conducting inquiry and preparing written work Follow the conventions of citation, documentation, and formal presentation appropriate to that discipline Develop competence in information technology and digital literacy Journal articles that use AMA style of writing, which is discipline specific for athletic training, are used in class on a regular basis. Students are required to read assigned journal articles to help them synthesize current literature on associated athletic injuries. Students may use these articles as references for their plans of care Students are required to submit an outline, at least one draft, and a final paper for each plan of care. Students are told that they may submit multiple drafts for feedback. Students are provided with an AMA style reference guide on blackboard (PDF file posted) and are instructed to use that format for all writing assignments. Students are expected to use out-of-class resources to gather materials for their papers. The difference between questionable and legitimate resources is discussed the first day of class. Emphasis on finding legitimate resources to enhance life-long learning is critical for athletic training students who will be practicing as health care providers in the near future and must stay current on cutting-edge research on treating injuries. V. Writing Course Requirements Check list Is enrollment capped at 25 students? If not, list maximum course enrollment. Explain how outcomes will be adequately met for this number of students. Justify the request for variance. Are outcomes listed in the course syllabus? If not, how will students be informed of course expectations? Are detailed requirements for all written assignments including criteria for evaluation in the course syllabus? If not how and when will students be informed of written assignments? Briefly explain how students are provided with tools and strategies for effective writing and editing in the major. X Yes No X Yes No Yes X No Students are informed of course expectations in the first class meeting and again during individual meetings once the assigned case studies are provided to the students Students are allowed to submit multiple drafts of the paper to obtain feedback from the professor; students will meet individually with the professor to discuss writing strategies and editing; students are provided with an AMA style guide to format the paper appropriately for the athletic training major; students are also advised to seek additional help if necessary through the writing center on campus XYes No Students will submit each case study at several points in the writing process- outlines and multiple drafts will be accepted from each student Yes X No Students are informed of course expectations for information literacy during the first class meeting and during individual meetings VI. Writing Assignments: Please describe course assignments. Students should be required to individually compose at least 20 pages of writing for assessment. At least 50% of the course grade should be based on students’ performance on writing assignments. Clear expression, quality, and accuracy of content are considered an integral part of the grade on any writing assignment. Students are assigned two plan of cares, one Formal Graded Assignments surgical case and one non-surgical case in which the student is responsible for researching the most recent treatments for these particular cases and writing an extensive rehabilitation plan addressing short term goals, long term goals, phases of rehabilitation, specific exercises that are appropriate in each phase, specific return to play criteria, as well as precautions and contraindications of a variety of treatments. Each plan of care is worth 25% of the overall grade (total 50%); The typical length for each plan of care is 10-15 pages. Outlines, drafts, and revisions of each plan of Informal Ungraded Assignments care are ungraded assignments, but critical to the overall development of the final plan of care graded for the class. Students will receive extensive feedback on each of these ungraded assignments. VII. Syllabus: Paste syllabus below or attach and send digital copy with form. ⇓ The syllabus should clearly describe how the above criteria are satisfied. For assistance on syllabus preparation see: http://teaching.berkeley.edu/bgd/syllabus.html Will written assignments include an opportunity for revision? If not, then explain how students will receive and use feedback to improve their writing ability. Are expectations for Information Literacy listed in the course syllabus? If not, how will students be informed of course expectations? Paste syllabus here. REHABILITATION of ATHLETIC INJURIES HHP 372 Instructor: Valerie Rich PhD, ATC, CSCS Semester: Spring 2008 Campus: Missoula Office: McGill 238C Office Phone: 406-243-2703 Home Phone: 406-493-6351 Office Hours: Tuesday 11-12, Wednesday 11-12, 1-3, Friday 10-11, by appointment E-mail: valerie.rich@mso.umt.edu Class Meeting: Monday, Wednesday 10:10-11:00 McGill Hall 235 Course Prerequisites: Approval from program coordinator. Textbooks and Readings: 1) Prentice, W. Rehabilitation Techniques for Sports Medicine and Athletic Training. 4th ed. McGrawHill; New York: 2004. 2) Other readings will be assigned by the instructor Course Description: Theories and application methods of comprehensive therapeutic treatment and rehabilitation programs for injuries commonly sustained by the physically active. Course Objectives: A. Objectives: At the completion of the course students should be able to: 1) Identify components of a comprehensive plan of care for an injured athlete. • Communicate components using a voice consistent and appropriate to the audience (verbal and written) • Provide clear rationales for developed plans of care using evidence from current research and literature • Enhance organizational skills in developing plan of care (create a cohesive plan using appropriate transitions to connect ideas) • Use correct spelling, grammar and punctuation 2) Describe the effects of therapeutic exercise on the inflammatory response, soft tissue and bony repair and return to athletic participation. 3) Discuss all aspects of rehabilitation in relation to goals and goal setting 4) Describe the importance of case studies 5) Improve confidence with case studies to determine what is the most appropriate sequence of rehabilitation 6) Integrate characteristics of the inflammation phase, pain cycle, and the physical principles and physiological responses of an injury and develop a progressive therapeutic program. 7) Prepare and instruct patients in home programs of therapeutic exercise for specific sport related injuries. 8) Develop injury care plans for injuries to the foot, ankle, knee, hip, spine, shoulder, elbow, and hand. 9) Incorporate therapeutic exercise equipment within the rehabilitation process effectively. 10) Revise goals and objectives and develop criteria for progression and return to competition based of level of function and patient outcomes 11) Demonstrate and describe appropriate measurements and functional measurements 12) Describe indications, contraindications, theory, and principles for the incorporation and application of various contemporary therapeutic rehabilitation techniques 13) Further objectives are listed at the beginning of each chapter and will be highlighted during class. NATA Competencies and Laboratory Proficiencies: The NATA Educational Competencies and Proficiencies were established by the National Athletic Trainers’ Association identifying the minimum knowledge and skills to be mastered within an entry-level athletic training education program. These competencies are specific to this course and are arranged based on the twelve content areas that are the basis behind the Athletic Training Major. Each competency is further categorized within their behavioral objective (domain) and assigned the same numerical listing as defined by the NATA Competency document for accreditation referencing. Please see attached proficiency master list in the student handbook. Proficiencies will be completed via practical examination, projects, plans of care and clinical education. Teaching Methodology The primary method of instruction will be through lecture and demonstration/discussion. The lecture/demonstrations will be supplemented by directed laboratory experiences and discovery learning as it pertains to the development of skills necessary to perform rehabilitation of athletic injuries. Students should be practicing the skills learned in this class and completing appropriate proficiencies while in the clinical class and at their clinical setting. Evaluation of Student Outcomes: Written Examinations These examinations are intended to assess the student's awareness and understanding of the concepts covered by the course content. Items on these examinations will be derived from the text, discussions, course handouts. The content of each examination will usually mirror the content of the unit most recently studied. Examination methodology may include multiple choice, true-false, short answer, and essay questions. The final examination is cumulative. Quizzes Short quizzes will be given each Wednesday reviewing applied anatomy and related concepts. Students will be allowed to drop his/her lowest quiz score. Rehab Project 1 Groups of 2-3 students will design and create a product that may be used for therapeutic exercise and can be integrated into a rehabilitation program for a facility that has a small budget. Students will be responsible for the cost of the materials to design their product. Students will then create an infomercial video to present their product, demonstrate the function of the equipment, and advertise their product to classmates. Classmates will be providing feedback and will impact presentation grade. A project handout will be provided with more details. Rehabilitation Plans of Care Students will prepare two Plans of Care describing the rehabilitation of an injured athlete. Students will be randomly assigned 2 cases each- one that is an operative injury and the other that is non-operative injury. A brief history and evaluation findings will be provided for each case to guide each student in developing their plans of care. The following should be addressed for each plan of care: 1) The clinical findings and functional limitations that suggest the need for rehabilitative care in returning the athlete to competition, 2) A plan of care to address the needs of the injured athlete, 3) Short and long term clinical functional goals, 4) Estimated time required to achieve goals and the rationale for your selections, 5) Specific rehabilitation techniques you would use to achieve the goals and the rationale for your selections, 6) Contraindications/precautions you considered in devising your plan of care, and 7) Criteria for returning the athlete to practice and competition. All papers must be prepared on a computer/word processor and double-spaced. Reference to peer-reviewed medical literature related to pathology, medical management, surgical management and rehabilitation is required. References must be in AMA format (see Journal of Athletic Training). A minimum of 5 references is required, only 1 of which can be a book. The other 4 or more references must be peer-reviewed journals. The typical length of each plan of care is 10-15 pages. Attendance Mandatory - Prior arrangements should be made for excused absences to make-up work. For any unexcused absence, makeup work will not be accepted. Course Evaluation: 10% - Quizzes 20% - Rehab Project 1 15% - Midterm Exam (Written) 20% - Plan of Care- Operative Injury 20% - Plan of Care- Non-Operative Injury 15% - Final Exam (Written) 100% *All quizzes and exams are cumulative unless otherwise noted Scale: (percentage of total points) A = 93.50 – 100.00 A- = 90.00 – 93.49 B+ = 87.50 – 89.99 B = 83.50 – 87.49 C+ = 77.50 – 79.99 C = 73.50 – 77.49 D = 65.00 – 69.99 F = < 65 % B- = 80.00 – 83.49 C- = 70.00 – 73.49 American w/Disabilities Act (ADA): The University of Montana upholds the ADA by providing reasonable accommodations to individuals with disabilities. If any student requires reasonable accommodations to adequately perform the duties of the class, please see the instructor as soon as possible so that a plan can be made for specific modifications. Student Conduct Code: All students must practice academic honesty. Academic misconduct is subject to an academic penalty by the course instructor and/or a disciplinary sanction by the University. All students need to be familiar with the Student Conduct Code. The Code is available for review online at http//www.umt.edu/SA/VPSA/index.cfm/p REHABILITATION OF ATHLETIC INJURIES HHP 372 UNIVERSITY OF MONTANA COURSE OUTLINE/SPRING 2008 January 22 January 24 January 29 January 31 February 5 February 7 February 12 February 14 February 19 February 21 February 26 February 28 March 5 March 7 March 12 March 14 March 19 March 21 March 26, 28 April 2 April 4 April 9 April 11 April 16 April 18 April 23 April 25 Course Syllabi; Introduction to Therapeutic Rehabilitation Goals for Course; Designing a Rehabilitation Program; Designing a Rehabilitation Program; Review of Healing Process; Objective Measurement in Rehabilitation Due: Read Ch 1 and Ch 2 in Prentice Objective Measurement in Rehabilitation Rehabilitation of Foot and Ankle Injuries Quiz #1 Due: Read Ch 24 in Prentice Rehabilitation of Foot and Ankle Injuries Outline Plan of Care #1 Due Rehabilitation of Lower Leg Injuries Quiz#2 Due: Read Ch 23 in Prentice Rehabilitation of Knee Injuries Due: Read Ch 22 in Prentice Rehabilitation of Knee Injuries Quiz #3 President’s Day- No Class Rehabilitation of Knee Injuries Rehabilitation of Groin, Hip, Thigh Injuries Quiz #4 Due: Read Ch 21 in Prentice Draft POC #1 Due Group Presentations Rehab Project 1 Rehabilitation of Groin, Hip, Thigh Injuries Rehabilitation of Lumbar Spine Injuries Due: Read Ch 17 in Andrews, Harrelson, Wilk (will be distributed in class) Quiz #5 Finish Lumbar Spine; Review for Midterm exam Midterm Exam Due: Plan of Care #1 Rehabilitation of Shoulder Injuries Due: Read Ch 18 in Prentice Rehabilitation of Shoulder Injuries Quiz #6 SPRING BREAK NO CLASSES! Rehabilitation of Elbow Injuries Due: Read Ch 19 in Prentice Outline POC #2 Due Rehabilitation of Elbow Injuries Quiz #7 Rehabilitation of Wrist, Hand, and Finger Injuries Due: Read Ch 20 in Prentice Rehabilitation of Wrist, Hand, and Finger Injuries Quiz #8 Guest Lecturer: Joint and Soft Tissue Mobilizations Due: Read Ch 14 in Prentice Draft POC #2 Due Joint and Soft Tissue Mobilizations Quiz #9 Rehabilitation of Cervical and Thoracic Spine Injuries Due: Read Ch 18 in Andrews, Harrelson, Wilk (will be distributed in class) Rehabilitation of Cervical and Thoracic Spine Injuries Quiz #10 April 30 May 2 May 8 (Tuesday) Wrap up Upper Extremity Rehabilitation Due: Plan of Care #2 Review for Final Exam; Tie up loose ends Final Written Exam 10-12 HHP 372 TM-C9g Interpret physician notes, postoperative notes, and physician prescriptions as they pertain to a treatment plan. DI-C17 Describe the components of medical documentation (e.g. SOAP, HIPS and HOPS). AC-C33 Describe home care and self-treatment plans of acute injuries and illnesses. EX-C2 Describe the mechanical principles applied to the design and use of therapeutic exercise equipment and techniques (leverage, force, kinesiology and biomechanics). Describe common surgical techniques, pathology, and any subsequent anatomical alterations that may affect the implementation of a therapeutic exercise program. Describe the appropriate selection and application of therapeutic exercises taking the following into consideration: The physiological responses of the human body to trauma The physiological effects of inactivity and immobilization on the musculoskeletal, cardiovascular, nervous, and respiratory systems of the human body The anatomical and/or biomechanical alterations resulting from acute and chronic injury and improper mechanics The physiological adaptations induced by the various forms of therapeutic exercise, such as fast- versus slow-twitch muscle fibers The physiological responses of additional factors, such as age and disease Describe the indications, contraindications, theory, and principles for the incorporation and application of various contemporary therapeutic exercise equipment and techniques, including aquatic therapy, manual therapy and mobilization. Describe appropriate medical documentation for recording progress in a therapeutic exercise program. Explain the effectiveness of taping, wrapping, bracing, and other supportive/protective methods for facilitation of safe progression to advanced therapeutic exercises and functional activities. EX-C3 EX-C4 EX-C4a EX-C4b EX-C4c EX-C4d EX-C4e EX-C5 EX-C7h EX-C8 EX-C9 EX-P2 EX-P4 PS-C3 NU-C4 AD-P5 AD-P6 Describe manufacturer’s, institutional, state and federal guidelines for the inspection and maintenance of therapeutic exercise equipment. Obtain and interpret baseline and postexercise objective physical measurements to evaluate therapeutic exercise progression and interpret results. Demonstrate the appropriate application of contemporary therapeutic exercises and techniques according to evidence-based guidelines. Describe the motivational techniques that the athletic trainer must use during injury rehabilitation and reconditioning. Identify nutritional considerations in rehabilitation, including nutrients involved in healing and nutritional risk factors (e.g., reduced activity with the same dietary regimen and others). Use appropriate terminology and medical documentation to record injuries and illnesses (e.g., history and examination findings, progress notes, and others). Use appropriate terminology to effectively communicate both verbally and in writing with patients, physicians, colleagues, administrators, and parents or family members.