Upper Extremity Prosthetics - OPT 1204

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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
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