Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 Oklahoma State University Institute of Technology OPT 1204 Course Syllabus Upper Extremity Prosthetics - OPT 1204 This course provides an overview of the prosthetic management of transradial and transhumeral amputation. Students will study anatomy, biomechanics, and pathology of the upper extremity, and fabricate the following: two transradial prostheses, one transhumeral prosthesis with flexible inner socket and suction suspension, one Northwestern Figure of 8 harness, and one Bowden single control cable system. Hands-on projects and lab time constitute 70% of the 100 hours of this course. Students will also learn machine and lab safety, inventory control, component options, and material properties. Lectures will be given on all levels of upper extremity amputation, conventional components, principles of fabrication and harnessing, external power, repair techniques, and design criteria. Type of course: Theory/Lab Prerequisites: None Credit Hours: 4 Total hours per semester: 100 Instructor Name: Jennifer Block, M.S., CPO Office: Inside O&P department main entry Office Hours: Posted on office door email: jblock@okstate.edu Phone: (918) 293-5324 Division Name: Nursing and Health Sciences Division Phone: (918) 293-5337 Required Texts, References and Materials Required Texts: Sieg, Kay and Sandra Adams. Illustrated Essentials of Musculoskeltal Anatomy. Recommended Texts: Wilson Jr., Bennett. A Primer on Limb Prosthetics. Salter, Robert. Textbook of Disorders and Injuries of the Musculoskeletal System. Shurr, Donald and John Michael. Prosthetics and Orthotics. Required Materials: Provided by program Materials Fee: $300 Uniform/Tools: Tool kit and scrubs encouraged but not required. Estimated Cost for Uniform/Tools: Tool kit: $200.00 Scrubs $30.00/pair _____________________________ Jennifer Block M.S., CPO, Director ____________________________ Jana Martin, Division Chair Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 Course Objectives Identify bones of the upper extremity Utilize forms to assemble orthotic and prosthetic devices to correct measurements Use all machinery as described in the Machine Lab Safety Manual Utilize the appropriate personal protective equipment while using tools and hazardous materials Summarize the characteristics of various transradial socket designs Identify the parts and functions of a Northwestern Figure 8 harness Identify the components of a myoelectric control system Summarize the characteristics of the major categories of upper extremity terminal devices Bubble-form plastic over a prosthetic model with minimal wrinkles and artifacts Finish test socket with smooth trim lines and negligible damage to plastic Select and apply prosthetic textiles to a model Apply laminate to a prosthetic lay-up under vacuum Finish socket with negligible damage to lamination Construct a Northwestern Figure 8 harness Harness a transradial prosthesis to an upper extremity model Apply a Bowden single control cable system to a transradial prosthesis Assessment of Objectives Final Exam (F) Lab Project (F) Instructor Observation (F) Instructor Observation (F) Final Exam (S) Quiz (F) Final Exam (S) Quiz, Final Exam (F) Lab Project (F) Lab Project (F) Lab Project (F) Lab Project (F) Lab Project (F) Lab Project (F) Lab Project (F) Lab Project (F) Course Activities In this course students will: Develop communication skills required to function within a professional facility. Participate in lectures and class discussions. Participate in reading and research assignments. Conduct academic research (open UE prosthetic technical topic) and present research to the class. Understand and implement personal safety procedures within O/P lab. Comply with machine and chemical safety rules in the fabrication of UE prostheses. Demonstrate professional behavior in lab situations. Complete UE prosthetic fabrication projects safely and expediently. Construct UE prostheses in keeping with techniques and principles of fabrication presented. Recognize differing designs, materials and components available in prosthetic fabrication. Demonstrate ability to select appropriate material and components. Understand properties of materials and components relating to patient size and activity levels. Use vertical alignment fixture and associated tools to transfer and complete UE designs. Understand appropriate terminal devices for various needs and activities. Obtain negative wrap and produce positive model. Modify positive plaster models as dictated by specific project criteria. Demonstrate ability to determine appropriate lay-up constructs in socket fabrication. Practice appropriate adjustment and repair techniques to UE prostheses. Demonstrate appropriate check out of prosthesis prior to delivery. Demonstrate appropriate inventory control of the lab. Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 Student Conduct Students are expected to cooperate in maintaining a classroom environment conducive to learning. Courteous and respectful behavior will be expected from all students each day. All cellular phones and electronic media sources should be turned off. The use of tobacco in any form on University grounds is prohibited. Students are encouraged to read the OSUIT Guide to Student Rights and Responsibilities for a complete explanation of required student conduct: http://www.osuit.edu/academics/forms/student_rights_responsibility.pdf Attendance Policy for Face to Face Courses: A primary component of OSUIT's Mission is “to prepare and sustain a diverse student body as competitive members of a world-class workforce.” Regular and consistent attendance not only aids in academic success, dependable attendance is a requirement in today's real-world employment; therefore, regular and consistent attendance is a requirement in all OSUIT courses. Definitions: Absent: Failing to attend all or a significant portion of a class or lab session. A. Students may not be marked as absent if missing class for situations such as, but not limited to 1. participating in a required university activity such as a field trip; 2. fulfilling a military obligation; 3. a mandatory court appearance; 4. death in the immediate family; 5. extreme illness or accident to oneself or immediate family. Instructors, at their discretion, may require proof of such events. B. It is the responsibility of the student to contact and inform the instructor and/or department in advance of such excused absences whenever possible. Tardy: Arriving late to class as defined by the individual class instructor. Faculty, at their discretion, may equate three tardies to equal one absence. Procedures: Early Intervention A. Any student who misses 10% of an individual course (or earlier at faculty discretion) during a regular fifteen-week semester, or the equivalent portion of time in a shorter session, will have their name submitted by that course instructor to the OSUIT Early Alert System for retention intervention. B. At the point the Early Alert is issued, the student must meet with their assigned faculty advisor or designated faculty/staff member within seven (7) academic calendar days for counseling on how to improve their attendance and academic success. Excessive Absences A. The University reserves the right to administratively withdraw any student from an individual course who misses 20% of that course, whether excused or unexcused, and, in the opinion of the instructor, the student does not have a reasonable opportunity to be successful in the course. B. Students should be aware any of the following may impact their financial aid: 1. being administratively withdrawn from a course Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 2. dropping a course 3. their last date of attendance in a course Please see OSUIT Policy 2-021 for full details and procedures. Punctuality Class begins at 1:00 p.m. and roll is taken at that time. If you are not in class when roll is taken, you will be counted absent in accordance with the attendance policy above. If you arrive late, it is your responsibility to check with me and make sure your presence in class has been recorded. Punctuality is a professional skill required by both employers and our program. Consequently, excessive tardiness can affect your grade. If you are tardy 3 times, that will be counted as an absence. Please be on time to both lectures and open laboratory work sessions. If a quiz or exam is scheduled to be given, it will occur at the beginning of class. If a project, report or presentation is due, it must be submitted at the beginning of class. Due dates for all work are on the class outline provided to you. If you know that you will be absent on the day of a quiz or project submission, please speak to me in advance. Cell phones Use of cell phones in class is not allowed. This includes both lecture classes and open laboratory time. Please turn your cell phone to silent or vibrate during the entire 3 hours of class. Do not leave a lecture to make or receive calls unless it is an emergency. If you need to make or receive a call during laboratory time, please step outside the lab to do so. Grading Grading Scale The OSUIT grading scale is as follows: A: 90% - 100% B: 80% - 89% C: 70% - 79% D: 60% - 69% F: 59% and below Grade Calculation Your grade will be calculated in the following manner: 20% Quizzes UE Anatomy Terminal Devices/Wrist Units Figure 8 Harness 40% Fabrication Projects* Transradial Model Check Socket TR Dual Wall Laminated Socket Cable and Figure 8 Harness Single-Pivot Hinges Self-Suspending Socket TH Flexible Inner Socket TH Laminated Suction Socket Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 15% Homework and Participation Research assignments Homework assignments In-class activities 25% Exams Mid-term Final *Grades include adherence to safety procedures and cleaning up after each lab day. Grade Appeals Your instructor is responsible for adhering to departmental and university grading practices. If you believe those practices and procedures were not consistently and accurately followed in determining your final grade, you have the right to appeal the case to the Academic Appeals Board if informal discussions fail to resolve the issue. The deadline for filing grade appeals is no later than four months after the date the grades are officially due in the Registrar's office, or six weeks after the student begins a new semester, whichever comes first. Please see the following for more information: http://www.osuit.edu/campus_community/registrar/academic_performance_policy.html Submission of Late Work All work (projects, reports and presentations) must be submitted at the beginning of class on the day it is due. Due dates for projects and homework are on your outline, so there should be no surprises. No late work will be accepted after one week without prior arrangements. Work is considered late after the start of class on the day it is due unless I advise you otherwise, or you have an excused absence on the due date. I reserve the right to modify this policy depending on individual circumstances. Classroom and Lab Conduct An instructor or member of the OSUIT staff must be present when students are working in the lab. No work of any kind may occur in the labs during lunch or before/after classes unless an instructor is present. Only students in the program are allowed in the lab. Students must complete their Machine Safety Checkout before using the lab for the first time. Students may wear scrubs or casual clothing appropriate for working in the lab. No open toed shoe wear, high heels or sandals are allowed. All shirts must have sleeves. No ties, long necklaces or any other potentially dangerous items that could cause injury to the student or others are allowed in the lab. Hair longer than the collar must be tied back while working in the lab. Homework and Research You will be required to conduct light research in order to complete some of the homework assignments. Please make certain that you are familiar with OSUIT’s online databases and journals, and the process for conducting searches within our system. If you need help with conducting online research, please make an appointment with Jenny Duncan in the library. She is glad to help. Americans With Disabilities Act (ADA) According to the Americans with Disabilities Act, each student with a disability is responsible for notifying the University of his/her disability and requesting accommodations. If you think you have a qualified disability and need special accommodations, you should notify the instructor and request verification of eligibility for Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 accommodations from the Office of Academic Accommodations/LASSO Center. Please advise the instructor of your disability as soon as possible, and contact The LASSO Center, to ensure timely implementation of appropriate accommodations. Faculty have an obligation to respond when they receive official notice of a disability but are under no obligation to provide retroactive accommodations. To receive services, you must submit appropriate documentation and complete an intake process during which the existence of a qualified disability is verified and reasonable accommodations are identified. The LASSO Center is located on the 3rd floor of the Noble Center. You may call 918.293.4855 for more information or fax documentation to 918.293.4853. More information can be found in the access services handbook: http://www.osuit.edu/academics/forms/access_services_handbook.pdf Academic Dishonesty Academic dishonesty or misconduct is neither condoned nor tolerated at OSUIT. Any student found guilty of academic dishonesty or misconduct shall be subject to disciplinary action. Academic dishonesty and/or misconduct includes, but is not limited to, the following actions: (1) Plagiarism: The representation of previously written, published or creative work as one’s own; (2) Unauthorized Collaboration on Projects; (3) Cheating on Examinations; (4) Unauthorized Advance Access to Exams; (5) Fraudulent Alteration of Academic Materials; (6) Knowing Cooperation with Another Person in an Academically Dishonest Undertaking. For details, refer to Section X of the OSUIT Guide to Student Rights and Responsibilities: http://www.osuit.edu/academics/forms/student_rights_responsibility.pdf Dress Code (Required) Field trips, seminars and guest speakers: Casual Professional Lab: Scrubs or casual clothing. Shirts must have sleeves. Closed toe shoes required. No head covers. Lecture classroom: Scrubs or casual clothing. Internship: Scrubs or dress as dictated by your internship site. Course Outline See attached schedule. Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 OPT 1204: Upper Extremity Prosthetics T/R 1:00p.m. -- 4:20p.m. 9/01 Course Guidelines Upper Limb Anatomy Bones Landmarks Tool Kit/PPE/Machine Safety Lecture Lecture Upper Limb Anatomy Planes of Motion Muscles of the Forearm and Hand Upper Limb Pathology Amputation Levels Transradial Model Transradial Model Fabrication: Open Lab Lecture 9/08 Transradial Socket Designs Test Socket Fabrication Test Socket Fabrication: Open Lab Lecture Lecture/demo Lab 9/10 Terminal Devices/Wrist Units Test Socket Fabrication: Open Lab Lecture Lab 9/15 UE Anatomy Quiz Test Socket Due Transradial Socket Lamination Materials Lay-up Transradial Socket Lamination: Open Lab Quiz Project due Lecture/demo 9/17 Transradial Socket Lamination: Open Lab Lab 9/22 Transradial Alignment Double-wall Lamination Foaming and Shaping Outer Lamination Transradial Socket Lamination: Open Lab Lecture/demo Lecture/demo Transradial Socket Lamination Due Transradial Suspension Flexible Hinges Figure 8 Harness Outer Lamination/Harnessing: Open Lab Project due Lecture Terminal Devices/Wrist Units Quiz Transradial Cabling Outer Lamination/Harnessing: Open Lab Quiz Lecture/demo Lab 9/03 9/24 9/29 Lecture Lecture Lecture/demo Lab Lab Lab Lab Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 OPT 1204: Upper Extremity Prosthetics T/R 1:00p.m. -- 4:20p.m. 10/01 Outer Lamination/Harnessing: Open Lab Lab 10/06 Outer Lamination Transradial Cabling: Open Lab Project Due Lab 10/08 Figure 8 Harness Quiz Transtibial Cabling: Open Lab Quiz Lab 10/13 Harness Due Midterm Exam Review Humeral Cuff and Cabling Humeral Cuff and Cabling: Open Lab Project Due Lecture Lecture/Demo Lab 10/15 Transradial Socket 1 Due Single Pivot Hinges Upper Limb Anatomy Muscles Proximal to Elbow Humeral Cuff and Cabling: Open Lab Project Due Lecture Lecture Mid-Term Exam Self-Suspending Socket Designs Northwestern Meunster Otto Bock S.P. Hinges Model Fabrication: Open Lab Exam Lecture HW Assigned: Prosthetic Principles Single Pivot Hinges Fabrication Alignment Joint Spacer Single Pivot Hinges: Open Lab Lecture Lecture/demo 10/27 Single Pivot Hinges: Open Lab Lab 10/29 Single Pivot Hinges Fabrication Contouring Outer Lamination Single Pivot Hinges: Open Lab Lecture/demo 11/03 HW Due: Prosthetic Principles Single Pivot Hinges: Open Lab Homework Due Lab 11/05 Single Pivot Hinges: Open Lab Lab 10/20 10/22 Lab Lab Lab Lab Instructor: Jennifer Block OPT 1204: Upper Extremity Prosthetics Fall 2015 OPT 1204: Upper Extremity Prosthetics T/R 1:00p.m. -- 4:20p.m. 11/10 Upper Limb Anatomy Quiz Transhumeral Amputation Socket Design Suspension TH Flexible Inner Socket Fabrication Single Pivot Hinges: Open Lab Quiz Lecture 11/12 Single Pivot Hinges Due TH Flexible Inner Socket: Open Lab Project Due Lab 11/17 TH Flexible Inner Socket: Open Lab Lab 11/19 TH Flexible Inner Socket Due TH Laminated Socket TH Laminated Socket: Open Lab Project Due Lecture/Demo Lab 11/24 UE Prosthetics Final Exam Review TH Laminated Socket: Open Lab Lecture Lab 11/26 Thanksgiving No Class 12/01 Assembling the TH Prosthesis TH Laminated Socket: Open Lab Lecture/Demo Lab 12/03 UE Prosthetics Final Exam TH Laminated Prosthesis: Open Lab Exam Lab 12/08 TH Laminated Prosthesis: Open Lab Lab 12/10 TH Laminated Prosthesis Due Project Break-down and Cleaning Project Due Lab Lecture/Demo Lab