Date: 8-18-06 Instructor: Brad Montgomery Phone No.: (205)652-3696 Office No.: 220 Athletic Training AH 331 Therapeutic Modalities in Athletic Training Laboratory TEXT: Quillen, William S. & Underwood, Frank. Laboratory Manual To Accompany Therapeutic Modalities, 5th Ed. Boston, MA: McGraw-Hill, 2003. CREDIT HOURS: 1 semester hour CO-REQUISITE: AH 330 COURSE DESCRIPTION: Assigned specific laboratory experiences in therapeutic modality application. Must be taken with AH 330 and serves as its laboratory. Students must attain ten hours clinical experience as a part of the total hours needed to be eligible to sit for the NATA-BOC certification examination. OBJECTIVES: At the conclusion of this course, the successful student will be able to: 1. Understand and recognize a systematic, sequential method of completing a physical agent modality application. 2. Understand and recognize the skillful manual techniques of application of assigned therapeutic modalities. 3. Understand and recognize the indications and contraindications of the use of therapeutic modalities practically. 4. Understand and recognize the independent ability to safely and effectively provide a physical agent modality to a patient. CONTENT OUTLINE: 1. Introduction To Therapeutic Modalities 2. Guidelines for Using Therapeutic Modalities 3. Patient Positioning 4. Infrared Modalities 5. Electrical Stimulating Current 6. Iontophoresis 7. Biofeedback 8. TEST 1 9. Ultrasound 10. Short-wave and Microwave Diathermy 11. Ultraviolet Therapy 12. Low Powered Lasers 13. Intermittent Compression Devices 14. Traction as a Specialized Modality 15. Therapeutic Massage 16. FINAL TEST Chapter 1 Chapter 2 (Quiz 1) Chapter 6 (Quiz 2) Chapter 3 Chapter 3(Quiz 3) Chapter 4 Chapter 9 (Quiz 4) Chapter 5 Chapter 7 Chapter 11(Quiz 5) Chapter 10 (if time allows) Chapter 12 (if time allows) COURSE REQUIREMENTS: 1. Meet at least 2/3 of all class meetings 2. Each student will participate fully in practical laboratory sessions 3. Five Quizzes 4. Two major practical examinations 5. Attain 10 contact hours towards total for NATABOC requirements EVALUATION: A. Two major practical examinations B. Five Quizzes C. Daily Class Participation D. 10 contact hours GRADE SCALE: TOTAL: 170 PTS. 153-170 136-152 119-135 102-118 101 and below 100 pts. (59%) 50 pts. (29%) 10 pts.: 1 pt. per day (6%) 10 pts. (6%) A B C D FPOLICIES A. Attendance: A student cannot receive credit for a course if he/she does not attend at least two-thirds of the class meetings, regardless of the reason for the absence. The attendance policy of the UWA ATEP program will also be followed as set by the Director of Sports Medicine in the Policy & Procedures Manual. B. Academic Misconduct: The academic misconduct policy of The University of West Alabama will be followed in this course as stated in the university catalogue. C. Request for Accommodation: The University of West Alabama strives its programs accessible to qualified persons defined as disabled under section 504 of the Rehabilitation Act of 1973 and the Americans With Disabilities Act. Students who have special needs that require accommodation are responsible for notifying instructors in each course in which they are enrolled and appropriate staff members, who intern will refer the student to the ADA Compliance Coordinator. Following verification of the student's status, the ADA Compliance Coordinator will work with the instructor or staff member in implementing an appropriate plan for accommodation for the student's needs. Support documentation of special needs from a physician or other qualified professional will be required if deemed necessary. For additional information, students should contact the Student Success Center, Foust Hall 7, (205) 652-3651 or the office of Student Life 311, Webb Hall, (205) 652-3581.. D. Discussion of Grades with Professor: Any student who receives failing grades during this course is urged to discuss this with the teacher. COMPETENCIES NECESSARY TO PASS (STATE RULES) These competencies will be covered in whole or in part as determined by the material. Acute Care Of Psychomotor 8Administers cryotherapy, elevation, and compression to a limb and/or joint. Injuries And Illnesses Domain Acute Care Of Affective 14 Supports the application of cryotherapy, elevation, and compression as primary care Injuries And Illnesses Domain for a non-threatening injury. Therapeutic Psychomotor 1. Utilizes assessment skills to determine a patient’s specific therapeutic modality Modalities Domain indications, contraindications, and precautions. Therapeutic Psychomotor 2. Measures limb edema and effusion using volumetric tank and anthropometric Modalities Domain measurements. Therapeutic Psychomotor 3. Takes into account patient specific indications, contraindications, and precautions when Modalities Domain applying a specific therapeutic modality (e.g., age, underlying pathology, disease processes). Therapeutic Psychomotor 4. Performs appropriate patient preparation and positioning for therapeutic modality Modalities Domain application. Therapeutic Psychomotor 5. Performs the appropriate set up for therapeutic modalities. Modalities Domain Therapeutic Psychomotor 6. Selects and applies appropriate therapeutic modality parameters (e.g., intensity, length Modalities Domain of time, duration, frequency), and modifies them as required. Therapeutic Psychomotor 7. Operates and applies contemporary therapeutic modalities (electrical stimulating Modalities Domain currents, thermotherapy, cryotherapy, diathermy, ultrasound, intermittent compression, cervical and lumbar traction, laser, EMG and biofeedback, soft tissue massage, and other contemporary therapeutic modalities) according to established guidelines. Therapeutic Psychomotor 8. Evaluates patient response to therapeutic modalities during and following the Modalities Domain application of therapeutic modalities. Therapeutic Psychomotor 9. Formulates progress notes and treatment outcomes that are relevant to the selection and Modalities Domain application of therapeutic modalities. Therapeutic Psychomotor 10. Inspects the therapeutic modalities and treatment area for potential safety hazards. Modalities Domain Proficiencies Subj Out area # AC 3-2-1H TM TM 5-1-1 5-1-2 TM 5-2-C1A TM 5-2-C1B TM 5-2-C1C TM 5-2-C1D TM 5-2-C1E TM 5-2-C1F TM 5-2-C1G Outcome demonstrate the ability to apply ice, compression, & elevation to an acute sprain, strain, or contusion perform a physical examination to identify the current inflammatory stage perform a physical examination & interview to identify the indications, contraindications, & precautions to various treatment protocols demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: cold whirlpool treatment demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: controlled cold therapy unit demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: ice pack demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: vapo-coolant spray demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: ice immersion demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: ice massage demonstrate the ability to select the appropriate parameters for & then prepare & Taught AH101 Covered Evaluated AH200, AH330-331 AH481 AH101, AH282 AH200, AH330-331 AH481 AH101, AH281 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM TM apply the following: cryokinetics 5-2-H1A demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: moist heat pack 5-2-H1B demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: paraffin treatment 5-2-H1C demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: contrast bath 5-2-H1D demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: warm whirlpool treatment 5-2-M1 demonstrate the ability to prepare & apply a massage treatment 5-2-E1A demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: sensory-level pain control treatment 5-2-E1B demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: noxious-level pain control treatment 5-2-E1C demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: motor-level pain control treatment 5-2-E1D demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: muscle re-education treatment 5-2-E1E demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: muscle pumping treatment 5-2-E1F demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: muscle atrophy retardation treatment 5-2-E1G demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: acute edema treatment 5-2-E1H demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: muscle splinting/spasm treatment 5-2-E1I demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: iontophoresis treatment 5-2-I1 demonstrate the ability to select the appropriate parameters for & then prepare & apply intermittent compression to the upper & lower extremities 5-2-M2A demonstrate the ability to properly perform the following therapeutic massage strokes: effleurage 5-2-M2B demonstrate the ability to properly perform the following therapeutic massage strokes: petrissage 5-2-M2C demonstrate the ability to properly perform the following therapeutic massage strokes: friction (circular, transverse) 5-2-M2D demonstrate the ability to properly perform the following therapeutic massage strokes: tapotement 5-2-M2E demonstrate the ability to properly perform the following therapeutic massage strokes: vibration 5-2-M3 demonstrate the ability to properly perform the following therapeutic massage strokes: myofascial release techniques 5-2-T1A demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: mechanical traction 5-2-T1B demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: manual traction 5-2-T1C demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: positional traction 5-3-U1A demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: thermal ultrasound treatment 5-3-U1B demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: non-thermal ultrasound treatment 5-3-U1C demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: combination electrical-stimulation/ultrasound treatment 5-3-U1D demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: phonophoresis treatment 5-3-U1E demonstrate the ability to select the appropriate parameters for & then prepare & apply the following: indirect application of ultrasound treatment (underwater, bladder) 6-2-E2A set-up & apply the following types of electrical stimulation units: monophasic stimulator (e.g., high volt stimulation) 6-2-E2B set-up & apply the following types of electrical stimulation units: biphasic stimulator (e.g., Transcutaneous Electrical Nerve Stimulation [TENS], Neuromuscular Electrical Stimulation [NMES]) 6-2-E2C set-up & apply the following types of electrical stimulation units: direct current (e.g., iontophoresis) 6-2-E2D set-up & apply the following types of electrical stimulation units: alternating current (e.g., interferential, NMES) 6-2-E2E set-up & apply the following types of electrical stimulation units: multifunction electrical stimulation devices AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH101 AH200, AH330-331 AH481 AH281 AH381 AH200, AH330-331 AH481 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH381 AH330-331 AH481 AH102 AH330-331 AH481 AH281 AH330-331 AH481 AH281 AH330-331 AH481 AH281 AH330-331 AH481 AH281 AH330-331 AH481 AH281 AH330-331 AH481 AH281 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 AH102 AH330-331 AH481 CALENDER: Students Will Not Attend Class During Assessment Day, Labor Day, & Thanksgiving (see times below) August 22 & 24 August 29 & 31 September 5 &7 September 12 & 14 September 19 & 21 September 26 & 28 September 20, 22, &24 October 3 & 5 October 10 & 12 October 17 & 19 October 24 & 26 October 31 & November 2 November 7 & 9 November 14 & 16, November 20-26 November 28 & 30 Decemeber 5 & 7 December 11 Introduction in the use of Therapeutic Modalities, Patient Positioning & Guidelines for Using Therapeutic Modalities Infrared Modalities (Cold) Infrared Modalities (Warm) (Quiz 1), Electrical Stimulating Current Electrical Stimulating Current (Quiz 2), Iontophoresis (Quiz 3), Biofeedback TEST 1 Ultrasound Assessment Day, Ultrasound(Quiz 4) Short-wave and Microwave Diathermy Ultraviolet Therapy Low Powered Lasers Intermittent Compression Devices(Quiz 5) Thanksgiving Break Traction as a Specialized Modality Massage FINAL TEST @ 8:00am