Heartland Community College Master Course Syllabus Division HHS PTA 221 Rehabilitation Techniques DATE PREPARED: 2/13/2013 DATE REVIEWED: DATE REVISED: PCS/CIP CODE: 12-510806 EFFECTIVE DATE OF FIRST CLASS: Fall 2015 CREDIT HOURS: 2 CONTACT HOURS: 4 LECTURE HOURS: 0 LABORATORY HOURS: 4 CATALOG DESCRIPTION: Prerequisites: Admission to PTA program, completion of PTA 100, PTA 101, PTA 102, PTA 110, PTA 111, PTA 120, PTA 121 & PTA 140 with a grade of C or better and completion with a C or better, or concurrent enrollment in PTA 210, PTA 211, PTA 220 & PTA 230. This course allows students to apply the rehabilitative techniques discussed in PTA 220. Data collection, exercise interventions along with education/instruction on ergonomics and body mechanics are performed for the patient with spinal disorders. The course shifts to treatment of patients with simulated neurological conditions; interventions consisting of pregait, balance activities, and gait training are utilized or employed. Clinical decision making is emphasized throughout the course with presentation of the material in a clinical case format with an expectation that students will be able to select and modify interventions within the physical therapist’s plan of care. TEXTBOOKS: REQUIRED: Kisner, C. & Colby, L. (2012). Therapeutic Exercise Foundations and Techniques Sixth Edition. Philadelphia, PA: FA Davis. Martin, S. & Kessler, M. (2007). Neurologic Interventions for Physical Therapy Second Edition. St. Louis, MO: Saunders Elsevier. RELATIONSHIP TO ACADEMIC DEVELOPMENT PROGRAMS AND TRANSFERABILITY: PTA 221 was designed to meet the specific needs of an Associate of Applied Science degree and not necessarily as a transfer course, particularly in relation to the Illinois Articulation Initiative. This course may transfer to various institutions in a variety of ways. Please see an academic advisor for an explanation concerning transfer options. LEARNING OUTCOMES: After successfully completing the course, students should be able to: Course Outcomes General Program Range of Education Outcomes Assessment Outcomes (POs) Methods 1. Display professional behaviors 6 Throughout the complimentary to the profession semester, the and within the guidelines of the following assessment APTA’s Standard of Ethical methods may be used Conduct. to measure the course Gen Ed & 2. Utilize proper body mechanics 2 POs learning throughout physical therapy outcomes: treatment to minimize injury to patient and clinician. Skill check offs 3. Review the physical therapist 4 Practical Exams examination/evaluation and plan of Homework care, determine if intervention(s) CT1 Writing Assignments is/are appropriate for the PTA to Presentations perform and prepare for patient treatment. 4. Communicate with the physical 1,4 therapist to gain clarification, discuss changes in patient status and /or interventions or request a reexamination. 5. Demonstrate effective interview 1,3 skill in collecting patient CO3 information. 6. Determine and utilize appropriate 3 method for data collection based on patient deficit(s). 7. Determine if the selected 2,4 intervention(s) outlined by physical therapist is/are safe to perform, and then sequences the interventions CT1 and selects appropriate treatment to best accomplish goals of physical therapy. 8. Recognize indications, 2,4 precautions, and contraindications for interventions outlined in the physical therapist’s plan of care. 9. Educate the patient on diagnosis, 1,5 purpose of PT intervention, and expected outcome. 10. Instruct in exercise to improve postural deficits. 11. Perform and/or instruct individual in appropriate exercise(s) for spinal condition based on identified limitation(s) in strength, flexibility, pathology, and patient’s response or tolerance within the physical therapist’s plan of care. 12. Instruct in injury prevention to include proper posturing, body mechanics and ergonomics to patients with spinal disorders. 13. Instruct and facilitate proper transfer for individuals with simulated neurological injury. 14. Select appropriate orthotic device based on patient deficits and diagnosis, within the physical therapist plan of care and correctly dons & doffs the device. 15. Instruct and facilitate proper gait for individuals with simulated neurological injury. 16. Utilize proper positioning to inhibit tone and facilitate movement/functional ability. 17. Determine appropriate physical therapy intervention to perform based on patient’s goals, level of function, stages of motor control and within the physical therapist’s plan of care on patients with simulated neurological deficits. 18. Demonstrate proper manual contacts and verbal cueing during intervention. 19. Monitor patient during selected interventions and make modifications within the physical therapist plan of care to ensure patient safety, comfort or improve physical therapy outcomes. 2,4 2,4 1,5 2,4 2,4 2,4 2,4 2,4 2,4 2,4 PS4 20. Instruct and facilitate PT interventions for patients with coordination problems with balance deficits. 21. Determine if the intervention provided was effective in progressing towards the goals established by the physical therapist. 22. Demonstrate ability to wrap residual limb of individual with a transfemoral or transtibial amputation. 23. Efficiently and accurately document all sections of a SOAP note. 24. Demonstrate ability to instruct patient and/or caregiver in functional activities as directed in the physical therapist’s plan of care. 1,5 2 2 1,3 CO2 1,5 General Education Learning Outcome Statement: CO2-Students effectively deliver a message via various channels/modalities CO3-Students listen in order to comprehend information, critique and evaluate a message, show empathy for the feelings expressed by others and/or appreciate a performance. CT1- Students gather knowledge, apply it to a new situation, and draw reasonable conclusions in ways that demonstrate comprehension. PS4- Student analyzes the situation, explores different outcomes from multiple frameworks, applies the appropriate situation, analyzes the results, and refines the situation. COURSE/LAB OUTLINE: Posture Assessment and Treatment Cervical Assessment and Treatment Thoracic and Lumbar Assessment and Treatment Stability and Mobility Exercises for the Spine Physical Therapy Interventions for patient with SCI Proprioceptive Neuromuscular Facilitation (Diagonals) Stages of Motor Control Pre Gait Activities for low level patient Pre Gait Activities for moderate to high level patients Gait training for patient with low tone Gait Training for patients with high tone METHOD OF EVALUATION (Tests/Exams, Grading System): Instructors may determine the most appropriate methods of evaluation for their course. These methods of evaluation might include but are not limited to exams, homework, term papers, and oral reports. To facilitate attainment of professional behavior, students will also be graded on a conduct rubric. This rubric will be completed by the instructor at the end of the semester and has the potential to add or deduct one point from his/her course average. GRADING SCALE: 93-100% 84-92% 75-83% 67-74% Below 67% A B C D F REQUIRED WRITING AND READING: On average, students will be expected to read 40 pages per week* and complete three 1-2 page writing assignments throughout the course. *estimate is based on a 16 week course schedule. Please note if your class is not a 16 week class your weekly reading assignment will be increased.