KEISER UNIVERSITY Course Control Document COURSE TITLE: COURSE NUMBER: PREREQUISITES: CREDIT HOURS: CONTACT HOURS: LECTURE/CREDIT HOURS: LABORATORY/CREDIT HOURS: TEXTBOOK TITLE: PUBLISHER’S NAME: AUTHOR’S NAME: ISBN: INSTRUCTOR QUALIFICATIONS: Tests and Measurements PHT1261C PHT1251C 4.0 semester credit hours 100 40 lecture hours/2 semester credit hours 60 laboratory hours/2 semester credit hours Physical Rehabilitation: Assessment and Treatment, 5th edition PTA MACS—Fort Lauderdale Campus Only. Fundamentals of Musculoskeletal Assessment Techniques, 2nd Edition F.A. Davis Texas Physical Therapy Association Lippincott, Williams & Wilkins O’Sullivan, S., Schmitz, Thomas Texas Alliance of PTA educators Palmer and Epler. 9780803612471 N/A 9780781710077 Physical Therapist or Physical Therapist Assistant licensed in Florida (or Florida eligible) and a minimum of two years of clinical practical experience. COURSE DESCRIPTION: Focuses on skills necessary to perform physical therapy test and measurement procedures. Emphasis is on manual muscle testing, muscle tone, muscle length, limb length, volume and girth, sensation, coordination and balance, activities of daily living, architectural barriers, pain, reflexes, gait and posture. In addition theories of development and developmental sequence, prehension, life span changes in the body systems, posture development throughout the life span, primitive reflexes, righting reactions. COURSE TOPICS: 1 Limb length, girth, volume Height, weight Sensation testing Manual muscle testing Muscle length testing PHT1261C Course Control Document Effective 10/28/2013 COURSE OBJECTIVES: Muscle tone Coordination testing Balance testing Pain Deep tendon reflexes (purpose only) Righting reactions Primitive/developmental reflexes Gait/including abnormal Posture/including abnormal Clinical documentation of measurement/assessment Theories of development Developmental sequence Prehension Life span changes in body systems Posture development – life span Locomotion development – life span Upon completion of the course, students are able to: 1. Demonstrate an understanding of the purposes for the assessment based on the plan of care established by the physical therapist, and if appropriate, any advantages, disadvantage, indications, contraindications, precautions and normal values for collection of data, including: a. limb length b. strength (MMT) c. limb volume d. muscle length e. limb girth f. height g. weight h. gait i. posture j. pain k. primitive/developmental reflexes l. muscle tone m. coordination n. sensation o. equilibrium/righting reactions/balance p. deep tendon reflexes (purpose only) q. administration of standardized questionnaires to patients and others for self-care, home management, and community or work re-integration 2. Demonstrate competency in performing components of data collection skills essential for carrying out the plan of care 2 PHT1261C Course Control Document Effective 10/28/2013 established by the physical therapist, including: a. demonstrating the ability to recognize both gross and fine motor milestones. b. demonstrating the ability to recognize righting and equilibrium reactions. 3. Discuss the rationale for performing assessment procedures utilizing the standard manner so the results are useful and meaningful and how it relates to the effectiveness of the delivery of physical therapy services. 4. Demonstrate knowledge and use of various methods of questioning/communication to elicit pertinent information from patients. 5. Identify and apply the components of a muscle test that produce a valid and reliable assessment including the five grades and the plus and minus system used in manual muscle testing. 6. Demonstrate competency in performing components of data collection skills essential for carrying out the plan of care established by the physical therapist including: using standard procedure in an effective, accurate, safe, and timely manner using correct body mechanics and appropriate patient positioning/draping for: a. limb length b. strength (MMT) c. limb volume d. muscle length e. limb girth f. height g. weight h. gait i. posture j. pain k. primitive/developmental reflexes l. muscle tone m. coordination n. sensation o. equilibrium/righting reactions/balance p. deep tendon reflexes (purpose only) q. administration of standardized questionnaires to patients and others for self-care, home management, and community or work re-integration 7. Communicate an understanding of the plan of care developed by the physical therapist to achieve short and long term goals and intended outcomes with reference to human development, including: 3 PHT1261C Course Control Document Effective 10/28/2013 a. defining the periods of development from prenatal to older adulthood. b. explaining the components of gross motor development including major motor milestones. c. explaining the components of fine motor skills, including fine motor milestones. d. describing the development of locomotion including rolling, crawling and creeping, erect walking, running, galloping, hopping and skipping. e. demonstrating an understanding of the role of reflexes in development of normal motor control. 8. Maintain appropriate communication with the PT including: a. determining situations in which treatment intervention should not be provided due to changes in patient status and reporting this to the physical therapist. b. explaining what changes in patient status would be reported to the supervising physical therapist and reporting those changes. c. identifying when the direction to perform an intervention is beyond that which is appropriate for a physical therapist assistant and initiating clarification with the physical therapist. d. explaining a patient’s normal and abnormal responses to treatment in order to adjust interventions within the plan of care established by the physical therapist in response to patient clinical indications and reporting this to the supervising physical therapist in a timely manner. e. explaining the role of the physical therapist assistant in the participation in discharge planning and follow-up as directed by the supervising physical therapist. 9. Complete thorough, accurate, logical, concise, timely, and legible documentation that follows guidelines and documentation formats required by state law, the practice setting and/or other regulatory agencies. 10. Demonstrate the ability to perform educational activities including: a. communicating verbally and non-verbally during simulation, with the patient (lab partner), the physical therapist (instructor), health care delivery personnel (instructor and/or another classmate) and others in an effective, appropriate and capable manner. This includes an appropriate introduction of self as an SPTA. b. participating in educating patients and caregivers as directed by the supervising physical therapist. c. providing patient-related instruction to patients, family 4 PHT1261C Course Control Document Effective 10/28/2013 members, and caregivers to achieve patient outcomes based on the plan of care established by the physical therapist. 11. Demonstrate knowledge of and apply safety procedures, including: a. safe use and maintenance of equipment b. appropriate cleaning of equipment and environment for infection control. c. ensuring the student is treating the correct lab partner through name identification d. ensuring the clinical environment is safe. e. identifying the appropriate action in an emergency situation 12. Demonstrate professional behavior by: a. applying the role of the physical therapist assistant in given situational activities using the appropriate standards of practice and ethics of the PTA. b. identifying continuing education courses that could be taken by a physical therapist assistant to promote career development and lifelong learning opportunities. c. recognizing and respecting individual and cultural differences of instructors and classmates and responding appropriately. d. exhibiting conduct that reflects a commitment to meet the expectations and needs of consumers of healthcare and those providing healthcare, through safe, ethical, legal and knowledgeable performance. e. explaining the role of the physical therapist assistant with regards to social responsibility, citizenship and advocacy to the community which involves participation in community/service organizations and activities as well as participation in the clinical education of physical therapist assistant students. Scope and Sequence WEEK 1 Learning Objective(s): 1-4, 6-12 Assigned Reading: O’Sullivan: Chapters 5,8, 28; Palmer: Chapter 3 Suggested Learning Syllabus Review, Pre-test Activities: Lecture: Developmental Reflexes; Developmental Sequence (1) Readings: O’Sullivan: Chapter 8; Handouts 5 PHT1261C Course Control Document Effective 10/28/2013 Lecture: Prehension; Human Development Across the Lifespan (1) Readings: Handouts Lecture: Limb length, girth and volume (2) Lab: Limb length, girth, and volume Readings: Handouts Lecture: Sensation (2) Lab: Limb length, girth and volume; sensation Readings: O’Sullivan: Chapter 5 (sensation) Lecture: Pain, Deep Tendon Reflexes [DTRs] (2) Lab: Sensation, Pain Readings: Handouts; O’Sullivan: Chapter 8, 28; Palmer: Chapter 3 Evaluation: Pre-Test, Written Exam and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. WEEK 2 Learning Objective(s): 1-4, 6, 8-12 Assigned Reading: O’Sullivan: Chapters 7, 8, 10; Palmer: Chapters 2, 5-7, Handouts Suggested Learning Competencies 1-2 (limb length, girth/volume, sensation, pain) Activities: Lecture: Muscle tone (3) Readings: O’Sullivan: Chapter 8 Lecture: Balance (3) Lab: Balance Readings: O’Sullivan: Chapter 8 Lecture: Coordination (3) Lab: Finish balance, begin coordination (3) Lecture: Gait (4) Readings: O’Sullivan: Chapter 7, 10, Handouts Lab: Continue coordination, gait Readings: Handouts; Weaver: Chapter 12 Lecture: Muscle length (4) Lab: UE Muscle length (4) Readings: Palmer: Chapter: 2, 5-7, Handouts Evaluation: Written Exam and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. Competencies 1-2 WEEK 3 Learning Objective(s): 1, 3-6, 8-12 6 PHT1261C Course Control Document Effective 10/28/2013 Assigned Reading: Palmer: Chapters 2, 5-7, 9, 10, 12-14 Suggested Learning Competencies 3 (balance and coordination) Activities: Lab: LE/Spine muscle length Readings: Palmer: Chapters 9, 10, 12-14; Handouts Lecture: MMT (5) Lab: UE MMT (5) Readings: Palmer: Chapters 2, 5-7 Competencies 4 (muscle length) Lab: Continue UE MMT Readings: Palmer: Chapters 2, 5-7 Lab: LE MMT Readings: Palmer: Chapters 12-14 Evaluation: Written Exams and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. Competencies 3-4 WEEK 4 Learning Objective(s): 1, 3-6, 8-12 Assigned Reading: Palmer: Chapters 4, 5-7, 9, 10, 12-14, Handouts Suggested Learning Lab: Continue LE MMT, begin spine MMT Activities: Readings: Palmer: Chapters 9, 10, 12-14 Competency 5 (Upper Extremity MMT) Lab: Finish spine MMT Readings: Palmer: Chapters 5-7 Lab: Review LE/Spine MMT Readings: Palmer: Chapters 9, 10, 12-14 Competencies 6 (LE and Spine MMT) Lab: Posture Readings: Palmer: Chapter 4 Final Exam, Post-Test Evaluation: Final Exam and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. Post-Test, Competencies 5-6 7 PHT1261C Course Control Document Effective 10/28/2013 Course Evaluation Strategies (Methodologies) Lecture 60 % Exams 10 % Projects/Presentations/Papers/ Homework/Quizzes (individual assignment or multiple assignments determined by instructor) 5% Post-Test 14 % Final Exam Laboratory 6 % 6 Competencies (1% each) Each competency examination must be passed with a 70% or higher in order to pass the course. Professionalism 5% Professionalism rubric 100.0% TOTAL possible score Students must earn a grade of 70% or higher in both the lecture section and the laboratory section; should a 70% in either section not be achieved the student will receive a final course grade of “F” and not be able to continue in the program. Grading Scale A final grade is determined using the following grading scale 90-100% A 80-89.99% B 70-79.99% C Less than 70% F Methods of Course Delivery: The subject matter in this course is presented in various forms which may include lectures, class discussion, demonstrations, collaborative activities, computer assignments, student projects and presentations, on-line research, guest speakers or field trips. Competencies for this class include: Competency 1: UE limb length UE girth and volume Competency 2: UE/LE superficial sensation assessment UE/LE deep and cortical sensation assessment Pain questionnaire/scales Competency 3: Balance assessment 8 PHT1261C Course Control Document Effective 10/28/2013 Coordination assessment Competency 4: UE muscle length LE/spine muscle length Competency 5: UE manual muscle testing shoulder/shoulder girdle UE manual muscle testing elbow/wrist/hand Competency 6: LE manual muscle testing hip/knee LE manual muscle testing ankle/foot/spine 9 PHT1261C Course Control Document Effective 10/28/2013 KEISER UNIVERSITY Course Control Document – Evidence of Understanding Course: PHT1261C Tests and Measurements By signing below, I affirm that I have received, read and understand the information provided in the above course control document; and the grade which I must achieve to pass the course. Print Name: ____________________________________________ Signature: _____________________________________________ Date: __________________________________________________ Instructor: _____________________________________________ 10 PHT1261C Course Control Document Effective 10/28/2013