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FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF HEALTH, PHYSICAL EDUCATION & RECREATION
Spring 2007 PET 4642C THERAPEUTIC MODALITIES
Course Syllabus
1. Course Information
a. Instructor Information:
b.
c.
d.
e.
f.
g.
h.
Jennifer L. Doherty-Restrepo, MS, LAT, ATC
E-mail: dohertyj@fiu.edu
Phone: 305-348-3398
Office: ZEB 251B
Office Hours: M-Th 1:30pm – 3:30pm (or by appointment)
GPA 122
TTh 8:00am – 9:15am
Clinical Education I for Athletic Training Majors
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$50.00, payable upon course registration
http://www.fiu.edu/~dohertyj
Classroom:
Class Time:
Co-Requisite:
Credit hours:
Course Fee:
Class Web Page:
Textbooks:
i.William E. Prentice. (2003). Therapeutic Modalities for Sports Medicine and
Athletic Training, 5th Ed., McGraw-Hill, Dubuque, IA.
ii.William S. Quillen and Frank B. Underwood. (2003). Laboratory Manual to
accompany Therapeutic Modalities for Sports Medicine and Athletic Training, 5th
Ed., McGraw-Hill, Dubuque, IA.
i. Lab Information:
i. Section 01 – M 8:00am – 10:45am in GPA 122
Instructors: Julie Frymyer and Cara Cordrey
2. Course Format
a. The course will be presented in traditional in-person lecture format with 3.0 contact
hours per week constituting the lecture component and separate sections scheduled
for 3.0 contact hours per week constituting the laboratory setting where clinical
proficiencies will be introduced and evaluated.
3. Course Objectives
a. The purpose of this course is to introduce students to the basic principles of theory
and application of various modalities encountered in athletic training practice,
including but not restricted to: thermotherapy, cryotherapy, ultrasound, electrical
stimulation, mechanical modalities, and hydrotherapy.
b. The purpose of the laboratory component of this course is to allow students to
apply the basic principles of theory and application of various modalities.
4. Course Fees
a. This course requires a fee of $50 for consumable products necessary for adequate
instruction of therapeutic modalities. The consumable products required to instruct
this class include ultrasound gel, electrical stimulation pads, elastic wraps, ice cups,
ice bags, hydrocollator packs, and alcohol pads. Due to the items required to instruct
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this course, a fee of $50 is assessed upon registration for PET 4642C: Therapeutic
Modalities.
5. Course Evaluation. Final grades will be based on:
3 Written Exams:
3 Clinical Proficiency Demonstrations
Completion of all required Clinical Proficiency Skills
Attendance/Assignments/Participation
40%
40%
10%
10%
6. Grading Scale
93-100
A
73-76
C
90-92
A70-72
C87-89
B+
67-69
D+
83-86
B
63-66
D
80-82
B60-62
D77-79
C+
0-59
F
Note: When the decimal is .4 or below the grade is rounded down to the nearest whole
number. If the decimal is .5 or above the grade is rounded up to the nearest whole
number
7. Course Policies
 *Attendance to all classes and labs is mandatory. Unexcused absences or
tardiness will result in point deductions from the final course grade.
Attendance is expected. More than two absences due to unavoidable
emergency situations is considered excessive. Excellent attendance and class
participation will affect borderline grades favorably. Poor attendance and not
arriving prepared for class may negatively affect grades.
 Exam absences:
o Any student unable to take an exam at the regularly scheduled time AND
is able to present an approved excuse for missing the exam, MUST notify
the course instructor or the department secretary PRIOR TO THE TIME
of the absence by voice mail message or email. Make-up exams will be
administered at the earliest convenience, or during finals week. Unexcused
absence or tardiness will result in point deduction from the exam grade.
 Exams
o Exams are written and practical type tests. The last exam is a unit test but
is given during finals week and will contain some cumulative material.
Exams are scheduled at logical breaks in the lecture material and dates are
tentative.
o Most of the material that will be on the exam will be covered in lecture.
There will be sections or even chapters that the student will be required to
read and may be on the exam.
o Material covered in the lecture or as part of an assignment is eligible to be
included on the exams.
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8. Course Schedule
Week
Format
Week #1
Lecture
Jan. 8 - 11
Week #2
Lab Activity
Lecture
Jan. 15 - 18
Week #3
Lab Activity
Lecture
Jan. 22 - 25
Lab Activity
Week #4
Lecture
Jan. 29 –
Feb. 1
Lab Activity
Topic
Course Introduction
Chapter 1: How are therapeutic modalities related to one another? pp.
2-17
 Lab Introduction and Overview
Chapter 2: Using Therapeutic Modalities to affect the healing process,
pp. 18-31
Chapter 3: Managing pain with therapeutic modalities, pp. 32-53
No Class – Martin Luther King Holiday
Chapter 3: Managing pain with therapeutic modalities, pp. 32-53
continued
Chapter 4: Infrared Modalities, pp. 54-94
 Lab Manual Chapter 1: Guidelines for using physical agent
modalities, pp. 1-6
 Lab Manual Chapter 2: Patient Positioning, pp. 7-9
Assignment: Guidelines for using physical agent modalities Worksheet
and Patient Positioning Worksheet
Chapter 4: Infrared Modalities, pp. 54-94 continued
Review for Test I
Due: Guidelines for using physical agent modalities Worksheet and
Patient Positioning Worksheet
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Week #5
Lecture
Feb. 5 - 8
Lab Activity
Week #6
Lecture
Feb. 12 - 15
Lab Activity
Lab Manual Chapter 6: Infrared Physical Agents – Thermotherapy,
Cryotherapy, and Hydrotherapy
Assignment: Thermotherapy Worksheet, Cryotherapy Worksheet,
Hydrotherapy Worksheet
Chapter 5: Therapeutic Ultrasound, pp. 95-138
Chapter 5: Therapeutic Ultrasound, pp. 95-138 continued
Due: Thermotherapy Worksheet, Cryotherapy Worksheet,
Hydrotherapy Worksheet
TEST I
Clinical Proficiency Demonstration I
Chapter 6: Shortwave and Microwave Diathermy, pp. 139-167
Chapter 14: Low-Power Lasers, pp. 342-363
 Lab Manual Chapter 9: Therapeutic Ultrasound
Assignment: Direct Coupling, Bladder Coupling Worksheet,
Underwater Coupling, Phonophoresis Worksheet
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Week #7
Lecture
Feb. 19 -22
Lab Activity
Chapter 15: Ultraviolet Therapy, pp. 364-379
Chapter 10: Therapeutic Sports Massage, pp. 256-281
Due: Direct Coupling, Bladder Coupling Worksheet, Underwater
Coupling, Phonophoresis Worksheet
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Week #8
Lecture
Feb. 26 –
March 1
Lab Activity
Assignment: Shortwave Diathermy, Low-Power Laser, and Ultraviolet
Therapy Worksheets
Chapter 11: Intermittent Compression Devices
Chapter 12: Spinal Traction, pp. 297-323
Due: Shortwave Diathermy Worksheet, Low-Power Laser, and
Ultraviolet Therapy Worksheets
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Week #9
Lecture
March 5 - 8
Lab Activity
Lecture
March 12 15
Week #11
Week #12
Lecture
March 26 29
Week #13
April 2 - 5
Lecture
Lab Manual Chapter 12: Massage, pp. 152-158
Assignment: Therapeutic Sports Massage Worksheet
Guest Speaker: Lili Molina (Licensed Massage Therapist)
Review for Test II
Due: Therapeutic Sports Massage Worksheet
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Week #10
Lab Manual Chapter 5: Shortwave Diathermy, pp. 47-53
Lab Manual Chapter 7: Ultraviolet Therapy, pp. 118-125
Lab Manual Chapter 8: Low-Power Laser, pp. 126-131
Lab Manual Chapter 11: Intermittent Compression, pp. 146-151
Lab Manual Chapter 10: Manual Traction, pp. 141-145
Assignment: Intermittent Compression Worksheet, Manual Traction
Worksheet
Chapter 7: Basic Principles of Electricity, pp. 168-189
Chapter 7: Basic Principles of Electricity, pp. 168-189 continued
Due: Intermittent Compression Worksheet, Manual Traction
Worksheet
TEST II
Clinical Proficiency Demonstration II
Spring Break
Chapter 8: Electrical Stimulating Currents, pp. 190-239
Chapter 8: Electrical Stimulating Currents, pp. 190-239 continued
Clinical Proficiency Evaluation Form Completion Day
Chapter 9: Iontophoresis, pp. 240-255
Chapter 13: Biofeedback, pp. 324-341
 Lab Manual Chapter 3: Electrical Stimulation –
o Analgesia, pp. 10-19
o Muscle Reeducation, pp. 20-26
o Muscle Strengthening (Edema control), pp. 27-33
Assignment: Electrical Stimulation – Analgesia Worksheet, Muscle
Reeducation Worksheet, and Muscle Strengthening (Edema control)
Worksheet
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Week #14
Lecture
April 9 - 12
Lab Activity
Review of Electrical Stimulation
Review of Electrical Stimulation
Due: Electrical Stimulation – Analgesia Worksheet, Muscle
Reeducation Worksheet, and Muscle Strengthening (Edema control)
Worksheet
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Week #15
Lecture
April 16 19
Lab Activity
Lab Manual Chapter 3: Electrical Stimulation – Iontophoresis, pp.
34-40
Lab Manual Chapter 4: Biofeedback, pp. 41-46
Assignment: Iontophoresis Worksheet and Biofeedback Worksheet
Clinical Proficiency Evaluation Form Completion Day
Clinical Proficiency Evaluation Form Completion Day
Due: Iontophoresis Worksheet and Biofeedback Worksheet
TEST III
Clinical Proficiency Demonstration III
9. Code of Academic Integrity
As a student of this university, you are expected to:
1. be honest in your academic endeavors.
2. not represent someone else’s work as your own.
3. not cheat, nor aid in another’s cheating.
All students are deemed by the University to understand that if they are found responsible
for academic misconduct, they will be subject to the Academic Misconduct procedures
and sanctions, as outlined in the Student Handbook.
Upon notification by the student or University administrators, accommodations will be
made for any person with a disability that needs special assistance.
The professor reserves the right to modify this course syllabus at any time. Students will
receive verbal notification of such modifications.
10. Course Outcomes
In order to demonstrate knowledge of the practice of athletic training, to think critically
about the practices involved in athletic training, including the ability to integrate
knowledge, skill and behavior, and to assume professional responsibility, the entry-level
certified athletic trainer must plan, implement, document, and evaluate the efficacy of
therapeutic modalities in the treatment of injuries to and illnesses of their patients.
The cognitive and psychomotor competencies and clinical proficiency should encompass
multiple methods of therapeutic modalities in the following categories:
a. Infrared modalities
b. Electrical stimulation modalities
c. Therapeutic ultrasound
d. Mechanical modalities
e. Massage and other manual treatment techniques
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Cognitive Competencies
1. Describe the physiological and pathological processes of trauma, wound healing
and tissue repair and their implications on the selection and application of
therapeutic modalities used in a treatment and/or rehabilitation program.
2. Explain the principles of physics, including basic concepts associated with the
electromagnetic and acoustic spectra (e.g., frequency, wavelength) associated
with therapeutic modalities.
3. Explain the terminology, principles, basic concepts, and properties of electric
currents as they relate to therapeutic modalities.
4. Describe contemporary pain-control theories.
5. Describe the role and function of the common pharmacological agents that are
used in conjunction with therapeutic modalities.
6. Explain the body’s physiological responses during and following the application
of therapeutic modalities.
7. Describe the electrophysics, physical properties, biophysics, patient preparation
and modality set-up (parameters), indications, contraindications, and specific
physiological effects associated with commonly used therapeutic modalities.
8. Identify appropriate therapeutic modalities for the treatment and rehabilitation of
injuries and illness.
9. Describe the process/methods of assessing and reassessing the status of the patient
using standard techniques and documentation strategies to determine appropriate
treatment and rehabilitation and to evaluate readiness to return to the appropriate
level of activity. This includes the ability to:
a. Describe and interpret appropriate measurement and assessment
procedures as they relate to the selection and application of therapeutic
modalities.
b. Interpret objective measurement results as a basis for developing
individualized therapeutic modality application and set-up (parameters).
c. Interpret the results of injury assessment and determine an appropriate
therapeutic modality program to return the patient to physical activity.
d. Determine the appropriate therapeutic modality program and appropriate
therapeutic goals and objectives based on the initial assessment and
frequent reassessments.
e. Determine the criteria for progression and return to activity based on the
level of functional outcomes.
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f. Describe appropriate methods of assessing progress when using
therapeutic modalities and interpret the results.
g. Interpret physician notes, postoperative notes, and physician prescriptions
as they pertain to a treatment plan.
h. Describe appropriate medical documentation for recording progress in a
therapeutic modality program.
10. Identify manufacturer’s, institutional, state, and federal standards for the operation
and safe application of therapeutic modalities.
11. Identify manufacturer’s, institutional, state, and federal guidelines for the
inspection and maintenance of therapeutic modalities.
Psychomotor Competencies
1. Assess patient to identify indications, contraindications, and precautions
applicable to the application of therapeutic modalities.
2. Obtain and interpret baseline and posttreatment objective physical measurements
to evaluate and interpret results.
3. Inspect the therapeutic modalities and treatment environment for potential safety
hazards.
4. Position and prepare the patient for the application of therapeutic modalities.
5. Select and apply appropriate therapeutic modalities according to evidence-based
guidelines.
6. Document treatment goals, expectations, and treatment outcomes.
Clinical Proficiency
Synthesize information obtained in a patient interview and physical examination
to determine the indications, contraindications and precautions for the selection, patient
set-up, and evidence-based application of therapeutic modalities for acute and chronic
injuries. The student will formulate a progressive treatment and rehabilitation plan and
appropriately apply the modalities. Effective lines of communication should be
established to elicit and convey information about the patient’s status and the prescribed
modality(s). While maintaining patient confidentiality, all aspects of the treatment plan
should be documented using standardized record-keeping methods.