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PTA 173

COURSE LEARNING OUTCOMES (CLOs)

1.

Given a skeletal or muscle model, locate bony structures, joints, muscles and ligaments.

2.

On a body, palpate all the major bones and their landmarks, joints, ligaments, and muscles.

3.

Demonstrate competence in performance of limb length measurements.

4.

Demonstrate open and closed chain positions for different joint movements.

5.

Exhibit competence in performance of passive range of motion.

6.

Demonstrate competence in the performance of measurement of joint range of motion functionally and with a goniometer.

7.

Demonstrate competence in the performance of manual muscle testing.

8.

Perform correct assessments for measuring the different phases of respiration.

9.

Implement special tests to measure muscle length and other joint motion.

10.

Demonstrate ways to assess functional range of motion and strength.

11.

Perform gross manual muscle test and range of motion.

Course Outline

I.

Palpation

A.

Axial skeleton

B.

Appendicular skeleton upper extremity

C.

Lower extremity

II.

Demonstrate terms of movement

A.

Upper extremity

B.

Lower extremity

C.

Axial skeleton

D.

Open and closed chain movements

III.

Passive range of motion- implements program of flexibility/joint range of motion exercises within the treatment

A.

Neck

B.

Shoulder

C.

Elbow

D.

Wrist

E.

MCP

F.

Fingers

G.

Thumb

H.

Hip

I.

Knee

J.

Ankle

K.

Toes

IV.

Functional range of motion and goniometry

A.

Lower extremity

B.

Upper extremity

V.

Measure joint range of motion lower extremity

A.

Position patient in preferred position

B.

Exposes the joint and its landmarks

C.

Maintains correct alignment of the goniometer

D.

Reads the scale at the beginning and end of the range

E.

Eliminates substitutions by appropriate stabilization

F.

Records measurements using correct notation

G.

Lower extremities

1.

Hip

2.

Knee

3.

Ankle

H.

Upper extremities

1.

Shoulder

2.

Elbow

3.

Wrist and hand

I.

Spine

VI.

Special tests

A.

Leg length measurements

B.

Thomas test

C.

Hamstring length

D.

Ober’s test

VII.

Manual muscle testing

A.

Positions patient appropriately

B.

Passively determines available range

C.

Instructs patient to perform desired motion

D.

Assures desired motion is completed correctly

E.

Palpates/observes muscle for evidence of contraction

F.

Eliminates substitutions by appropriate stabilization

G.

Correctly applies resistance (location and amount)

H.

Records strength using correct notation

I.

Lower extremities

1.

Hip

2.

Knee

3.

Ankle

J.

Upper extremities

1.

Shoulder

2.

Scapula

3.

Elbow

K.

Spine

VIII.

Performs gross manual muscle testing

A.

Upper extremity

B.

Lower extremity

IX.

Respiration measurements

A.

Inspirometer

B.

Diaphragm strength

C.

Chest excursion

X.

Dynamometer/pinchmeter

A.

Selects appropriate procedure

B.

Prepares area/equipment/supplies

C.

Gives adequate explanation, instructions and commands to patient before and during procedure

D.

Correctly administers procedures, making modifications as necessary

E.

Accurately assesses the patient’s performance/status

F.

Records measurement with correct notation

G.

Grip & finger strength measurements

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