Campus Location: Georgetown, Wilmington Course Number and Title: OTA 130 – Kinesiology for the OTA Prerequisites: OTA 120, BIO 123, SSC 100 Course Credits and Hours: 2 Credit hours 1 Lecture hour/week 2 Lab hours/week Course Description: This lecture/laboratory course includes the study of joint motion and muscle function. Students learn to analyze functional movement involved in occupational performance. Required Text(s): Obtain current textbook information at www.dtcc.edu/student-resources/bookstores or www.dtcc.edu/allschedules or by visiting the Bookstore. You will need to know the course number and section to purchase or obtain information. Additional Materials: All Campus Program and Policy Manuals Method of Instruction: Face-to-Face Disclaimer: Effective Date: 201751 Page 2 Core Course Performance Objectives: 1. Demonstrate professional behaviors in the classroom and during laboratory experiences. (CCC 3, 4; PGC 5) 2. Extrapolate how general principles of kinesiology and biomechanics relate to occupational therapy. (CCC 2, 7; PGC 1) 3. Demonstrate the functional kinesiology of the shoulder girdle. (CCC 2; PGC 1) 4, Demonstrate the functional kinesiology of the shoulder joint. (CCC 2; PGC 1) 5. Demonstrate the functional kinesiology of the elbow and forearm complex. (CCC 2; PGC 1) 6. Demonstrate the functional kinesiology of the wrist. (CCC 2; PGC 1) 7. Demonstrate the functional kinesiology of the hand. (CCC 2; PGC 1) 8. Determine how posture impacts participation in occupational performance. (CCC 2; PGC 1) 9. Apply key concepts and demonstrate goniometric measurements and manual muscle testing procedures. (CCC 1, 2, 4, 7; PGC 1, 2, 3, 4) 10. Develop and provide instruction in an intervention plan incorporating preparatory methods, purposeful activities, and occupation-based interventions. (CCC 1, 2, 3; PGC 1, 2, 3, 4) 11. Integrate laboratory and didactic principles in order to analyze motions and muscular activity involved in occupational performance. (CCC 1, 2, 7; PGC 1, 2) See Core Curriculum Competencies (CCC) and Program Graduate Competencies (PGC) at the end of the syllabus. Course objectives are coded to the competency(cies) they develop. Measurable Performance Objectives Upon completion of this course, the student will: 1. Demonstrate professional behaviors in the classroom and during laboratory experiences. 1.1 Demonstrate appropriate classroom behaviors. 1.2 Demonstrate basic ability to self-assess. 2. Extrapolate how general principles of kinesiology and biomechanics relate to occupational therapy. 2.1 Discuss the relationship of the field of kinesiology to client factors and dynamics of occupation and activity as applied to the Occupational Therapy (OT) practice framework. 2.2 Define commonly used anatomic and kinesiologic terminology. 2.3 Demonstrate the anatomical position and define the directional terms that describe the movements of the human body. 2.4 Define and give examples of the planes and axes used to describe movements of the human body. 2.5 Provide the name and demonstrate the different movements that occur around the joints. 2.6 Describe how force, torque, and levers affect biomechanical movements. 2.7 Define the terms active and passive insufficiency and describe the relationship to muscle contraction. 2.8 Analyze how muscular lines of pull produce specific biomechanical motions. Page 3 2.9 2.10 Describe how muscular force vectors are used to describe movement. Describe types of normal and abnormal end feels. 3. Demonstrate the functional kinesiology of the shoulder girdle. 3.1 Describe the major landmarks of the scapula, clavicle, and sternum. 3.2 Define the major landmarks that are part of the shoulder girdle and the role of each in joint stability. 3.3 Identify the movements that occur around the shoulder girdle. 3.4 Describe the impact of scapula immobility on Upper Extremity (UE) movements. 3.5 Describe the muscular interactions involved with active shoulder abduction. 3.6 Describe the scapulohumeral rhythm. 3.7 Explain the force-couple that occurs to produce upward rotation of the scapula. 3.8 Identify the primary muscles involved with dynamic stabilization of the glenohumeral joint. 3.9 Describe and demonstrate techniques to strengthen the shoulder girdle muscles. 3.10 Demonstrate techniques to facilitate scapula mobility. 4. Demonstrate the functional kinesiology of the shoulder joint. 4.1 Identify all the movements of the shoulder joint. 4.2 Discuss the actions of the muscles that surround the shoulder joint. 4.3 Discuss the importance of the rotator cuff muscles. 4.4 Discuss how an injury might impair shoulder musculature and occupational performance. 4.5 Compare and contrast stability/mobility movements within common activities of daily living (ADL) tasks. 4.6 Describe the interactions between the internal and external rotators of the shoulder during a throwing motion. 5. Demonstrate the functional kinesiology of the elbow and forearm complex. 5.1 Describe the structure and function of the four main joints within the elbow and forearm complex. 5.2 Perform the primary actions of the muscles of the elbow and forearm complex. 5.3 Explain the primary muscular interactions involved on performing a pushing and pulling motion. 5.4 Explain the primary muscular interactions involved in completing an ADL task. 6. Demonstrate the functional kinesiology of structure and function of the wrist. 6.1 Identify the bones and primary features relevant to the wrist complex. 6.2 Perform the primary actions of the wrist. 6.3 Describe how compressive forces are transferred from the hand through the wrist. 6.4 Explain the function of the wrist extensor muscles when grasping. 6.5 List the structures that are involved in the carpal tunnel. Page 4 6.6 6.7 6.8 Describe the symptoms and causes associated with carpal tunnel or cumulative trauma syndrome and their effects on functional performance. Explain the synergistic action between the muscles of the wrist and radial and ulnar deviation. Explain the primary muscular interactions in completing an ADL task. 7. Demonstrate the functional kinesiology of the hand. 7.1 Identify the carpometacarpal, metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints of the hand. 7.2 Perform and describe the specific motions for digits 2-5. 7.3 Perform and describe the specific motions of the thumb. 7.4 Perform the primary actions of the muscles of the hand. 7.6 Describe the primary mechanism that causes an ulnar drift deformity. 7.7 Describe the arches of the hand and their relationship to functional movement of the hand. 7.8 Describe and demonstrate various prehension patterns and their impact on occupational performance. 7.9 Identify which active motions are lost or severely weakened following a cut of the median nerve at the level of the wrist. 7.10 Explain why an injury to the radial nerve would reduce the effectiveness and strength of one’s grasp. 8. Determine how posture impacts participation in occupational performance. 8.1 Describe the basic concepts of posture evaluation and the application ergonomic principles. 8.2 Describe the four major posture types. 8.3 Describe postural issues across the life span and their impact on occupational performance. 8.4 Explain the concepts and practices of postural education and exercises. 8.5 Explain how one’s body is dependent upon the relationship of the center of gravity with the base of support. 8.6 Describe the factors that are inherent in maintaining balance. 8.7 Define static and dynamic sitting and standing balance. 8.8 Using the concept of occupation as a means, provide examples of treatment intended to increase static and dynamic sitting and standing balance. 9. Apply key concepts and demonstrate goniometric measurements and manual muscle testing procedures. 9.1 Describe client psychological, psychosocial, environmental, and skeletal factors that influence ROM. 9.2 Describe how weakness and limitations in ROM impact performance in areas of occupation. 9.3 Apply key concepts of goniometry, manual muscle testing, and edema measurement. 9.4 Adhere to precautions and contraindications for measuring joint ROM and muscle strength of UE muscle groups. 9.5 Demonstrate goniometric measurements and manual muscle testing of the UEs in a simulated role-play scenario adhering to safety precautions. Page 5 10. Develop and provide instruction in an intervention plan incorporating preparatory methods, purposeful activities, and occupation-based interventions. 10.1 Develop an intervention plan in collaboration with the registered occupational therapist (OTR) including descriptions, justifications, modifications, grading of activities, and precautions. 10.2 Demonstrate the intervention plan in a role play scenario. 11. Integrate laboratory and didactic principles in order to analyze motions and muscular activity involved in occupational performance. 11.1 Define the starting position for this activity and the major phases of analyzing the occupation. 11.2 Determine the appropriate anatomical landmarks to use to calculate the range of motion of the upper extremities. 11.3 Determine the muscles that are the prime movers at each key joint. Evaluation Criteria/Policies: Students will demonstrate proficiency on all measurable performance objectives at least to the 75 percent level to successfully complete the course. The grade will be determined using the College Grading System: 92 – 100 = A 83 – 91 = B 75 – 82 = C 0 – 74 = F Students should refer to the Student Handbook for information on Academic Standing Policy, Academic Honesty Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress. Core Curriculum Competencies: (The competencies every graduate will develop.) 1. 2. 3. 4. 5. 6. 7. Communicate clearly and effectively both orally and in writing. Demonstrate effective problem solving and reasoning skills. Work effectively in groups of people from diverse backgrounds. Demonstrate ethical and professional understanding and conduct. Apply appropriate information literacy skills to locate, evaluate and use information effectively. Use computer technology appropriate to the field. Use scientific and mathematical reasoning appropriate to the technology. Page 6 Program Graduate Competencies: (The competencies every graduate will develop specific to the major.) 1. 2. 3. 4. 5. Demonstrate knowledge related to the occupational therapy assistant including patient/client interactions, therapeutic treatments, activity analysis, documentation, safety techniques, and therapeutic equipment. Exhibit effective nonverbal, verbal and written communication in patient/client and family interventions and education and in professional relationships. Perform competently a full range of occupational therapy skills with patients/clients and various populations as occupational beings. Exercise independent judgment and critical thinking in performance of occupational therapy, according to the profession’s standards of practice. Demonstrate professional patterns of behavior consistent with the profession's code of ethics.