Management of Neurological Disorders Syllabus for 2013-2014
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Instructor Information

Office Location

West Campus Allied Health 160A

Office Hours

Course Information

Recording Policy

Disability Statement

Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.

Statement for Mental Health and Advocacy & Resource Center:

As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

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Administrative Drop Policy

N/A

Student Withdrawal Procedures

N/A

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Course

PTHA-2431-002 Management of Neurological Disorders

Prerequisites

Course Description

Comprehensive rehabilitation techniques of selected neurological disorders.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(4 sem hrs; 3 lec, 3 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

Physical Rehabilitation: Assessment and Treatment by O’Sullivan and Schmitz, 6th ed.


Case Studies in Rehabilitation by Ghikas

Improving Functional Outcomes in Physical Rehabilitation by O'Sullivan and Schmitz, 1st ed.

 

 

Supplies

\  1 scantron for each major exam

Student Performance

\ COURSE DESCRIPTION:    Advanced course integrating previously learned and new skills/techniques into the comprehensive rehabilitation of selected long-term pathologies.
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\ STATEMENT OF PURPOSE:  This course is designed to give the student the knowledge needed to treat patients with long term and chronic disabilities.  It also provides the student the opportunity to pull together all of their knowledge of treatment approaches from previous courses.

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\ COURSE GOALS AND OBJECTIVES:
\ a.    Goals: Given the course textbook, personal notes, handouts, and other material, the student should:
\ i.    Demonstrate effective verbal and nonverbal communication skills.
\ ii.    Demonstrate a commitment to meeting societal expectations for healthcare providers.
\ iii.    Demonstrate understanding of the plan of care established by the physical therapist.
\ iv.    Demonstrate competence with components of selected treatment interventions.
\ v.    Perform selected data collection skills.
\ vi.    Understand causes/implications/characteristics of chronic disabilities as well as specific treatment indications.
\ vii.    Within the plan of care, discuss alternatives to treatment interventions.
\ viii.    Identify changes in patient status that prohibit intervention.
\ ix.    Discuss appropriate ways to report changes in patient status to the supervising physical therapist.
\ x.    Review current physical therapy literature.
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\ The student will know that these goals have been successfully completed if he or she earns a final grade of “C” or higher as evaluated by the faculty of the department.
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\ B.    Objectives:
\ a.    Given the course textbook, personal notes, handouts, and other material, the student should be able to do each of the following on a written and/or practical examination with an accuracy of 75% or higher as evaluated by faculty of the department:
\ i.    Goal #1
\ 1.    Demonstrate understanding of language and terminology appropriate to physical therapy.
\ 2.    Demonstrate appropriate nonverbal communication skills (i.e. touch and facial expressions) with simulated patient/therapist interactions.
\ 3.    Demonstrate appropriate verbal communication skills with simulated patient/therapist interactions.
\ 4.    Present oral presentation(s) to classmates.
\ ii.    Goal #2
\ 5.    Ensure patient, personal, staff, and environmental safety.
\ iii.    Goal #3
\ 6.    Explain the rationale and effectiveness of delegated interventions.
\ iv.    Goal #4
\ 7.    Observe the patient’s basic performance level in self-care and home-management skills with/without equipment.
\ 8.    Observe the individual using assistive or adaptive devices for intended effects and benefits.
\ 9.    Learn to use developmental sequence as a basis for treating neuromuscular disorders.
\ 10.    Observe effect of neuromuscular disorders on gait and balance.
\ 11.    Recognize the safety of a patient while using a device.
\ 12.   Begin to perform wheelchair management and mobility training with specialized patient populations (i.e. patients with hemiplegia and spinal cord injuries)
\ 13.    Demonstrate understanding of techniques to teach balance/coordination training to specialized patient populations.
\ 14.    Demonstrate understanding of techniques to teach breathing exercises and coughing techniques to specialized patient populations.
\ 15.    Demonstrate understanding of techniques for conditioning/reconditioning for specialized patient populations.
\ 16.    Demonstrate understanding of techniques for ROM with specialized patient populations.
\ 17.    Demonstrate understanding of techniques for stretching with specialized patient populations.
\ 18.    Demonstrate understanding of techniques for strengthening with specialized patient populations.
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\ v.    Goal #5
\ 19.    Classify patients according to the Rancho Los Amigos Cognitive Scale and determine appropriate treatment interventions for patients at each level of the scale.
\ 20.    Classify patients according to the Glasgow Coma Scale.
\ 21.    Differentiate between different states of arousal (i.e. coma, persistent vegetative state, stupor, delirium)
\ 22.    Identify changes in muscle tone and potential causes for each type of change.
\ 23.    Describe chest wall expansion and excursion.
\ vi.    Goal #6
\ 24.    Explain the philosophy of rehabilitation.
\ 25.    Contrast the differences between acute and chronic disabilities.
\ 26.    State etiology and pathology of cerebral vascular accidents.
\ 27.    Identify the various synergies associated with CVA’s.
\ 28.    Describe traditional and non-traditional approaches to the treatment of CVA.
\ 29.    Identify the various synergies associated with CVA’s.
\ 30.    Describe traditional and non-traditional approaches to the treatment of CVA’s.
\ 31.    List etiology and pathology of multiple sclerosis, and Parkinsonism.
\ 32.    Describe the PT management of multiple sclerosis, and Parkinsonism.
\ 33.    List etiology and pathology of spinal cord injuries and identify special problem areas associated with SCI’s.
\ 34.    Outline the disabilities associated with lesions at various segments of the spinal cord and describe PT management of SCI.
\ vii.    Goal #7
\ 35.    List alternatives to treatment interventions.
\ viii.    Goal #8
\ 36.    Demonstrate awareness of patient symptoms that prohibit treatment.
\ ix.    Goal #9
\ 37.    Demonstrate awareness of what changes need to be reported to the supervising physical therapist as well as techniques to report those changes.
\ x.    Goal #10
\ 38.     Submit  at least one abstract from a peer-reviewed journal for each case study.

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

\ Learners must attend, prepare and study to be successful. Learners are expected to be present for all classes and are responsible for all information presented, assigned, and tested over in order to be successful in this course. It is the learner’s responsibility for turning in all assigned work, completing all projects, and completing all assigned readings for the course. It is the learner’s responsibility to read, understand and keep in possession a copy of the course syllabus.
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\ Students are to read the Amarillo College "Student Rights and Responsibilities" information with emphasis placed on the Academic Information, Student Conduct and Responsibilities, Alcohol and Drug Abuse Education/Prevention Program sections. 
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\ Learners will not use pagers or cell phones in the classroom. All such devices must be placed on silent mode. Texting in class will result in the student being asked to leave the class and being counted absent for the lecture/lab.
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\ When asked, the student will attend class in professional dress including black, navy, or khaki pants for men and women or skirt for women, shirt with collar, shirt able to be tucked into pants at waist upon request, and closed toe white tennis shoe or colored dress shoe with heel not exceeding 1 inch with socks or hosiery to compliment pant/skirt. Amarillo College Badge/ID's are also part of the professional dress to be worn and are expected whenever the student is participating in off-campus program-related activities.
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\ Jewelry and cologne are to be kept to a minimum. No tattoos are allowed to be seen or show at off-campus activities. Piercings allowed are a single pair of ear studs for women only. All other piercings on men and women must be removed prior to entering off-campus sites. If professional dress code is not followed the student will receive a 0 grade for the day, will not be allowed to accompany the class on assignment and will not have an option to makeup the assignment.
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\ Courtesy and respect are expected between the learner and instructor. Learners are expected to be attentive to instructor and guests and oral presentations of other learners. Learners are to extend highest respect to patients/clients/others when making off campus contact. Lack of regard to this expectation at any time by any single learner or group of learners may result in immediate dismissal of the learner/s from the situation by the instructor, guest lecturer, or patient/client/other.
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\ Dishonesty in the classroom or in completing any assignment will not be tolerated.  Students demonstrating academic dishonesty as defined in the "Student Rights and Responsibilities" publication will receive a grade of "F" in the course and will be subject to all PTA Program policies regarding course failure.
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\ Student Grievance: A student who has a problem with the course or course instructor should make every attempt to resolve the problem with the course instructor.  If that is not successful, the student may appeal the decision of the instructor to the program director, Allied Health Dean, Dean of Instruction, and the Amarillo College President - IN THAT ORDER.

Grading Criteria

GRADING CRITERIA:
Quizzes                5%                                                                                                                   

Skills Checks      5%

Case Studies      10%

Fact Sheets        10%                

Tests                  20%

Lab Practicals**  20%

Final                   30%


Students are responsible for correctly completing their scantron sheets.  Once the scantron is turned into the instructor, no changes will be allowed on the scantron.  Therefore, we strongly recommend you are careful with imprinting your responses.

** Students who do not meet minimum proficiencies during the lab practical will be required to re-test until proficiencies are met before the course is completed.  The first test grade the student attains is the recorded grade.

In addition to passing the above tests, the student will be required to complete all assigned case studies.  If these items are not submitted, the student will receive an "F" for the semester.

GRADING SCALE:
A = 100-92.5
B = 92.4-83.5
C = 83.4-74.5
F=74.4-0

Note: A grade of C or better is required to complete the PTA major.
 

MAKE-UP POLICY: There will be NO make-ups on quizzes.  Make-up tests and practicals will be scheduled at the mutual convenience of the student and instructor during the week of finals.  The make-up exam may vary in format from the original exam and a five-point penalty will be subtracted from the score of the make-up test or practical.
 

 

Attendance

\ ATTENDANCE: Regular attendance is necessary for satisfactory achievement.  Therefore, it is the responsibility of the learner to attend class.  At the beginning of each lecture and lab, learners will be expected to sign the roster provided by the instructor.  Failure to sign in will result in the learner being marked absent for attendance purposes even if he/she is present in class and seen by the instructor.  

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\ Each learner will be allowed only one absence for lecture only courses and two absences for lecture/lab courses.  After the absence(s), a penalty of five (5) points will be deducted from the final course grade for each subsequent absence.  For example, a learner who misses three (3) lectures will have five (5) points deducted from the final grade for the course.

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\ Full attendance of class time is also expected.  A learner will be counted as "absent" if the learner is out of class more than 20 minutes of a class time.  For example, if in a given day a learner arrives 10 minutes late to class, takes an extra 5 minutes for break and leaves class for 5 minutes for any reason (phone calls, appointments, bathroom breaks, illness), that is considered an "absence" for the day.  This type of absence counts in the total number of absences resulting in lowering of the final course grade.  

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\ Following an absence, the student is responsible for getting missed notes/assignments/copies of handouts, etc. from classmates.  The student is also responsible for getting any needed clarification of missed information from the course instructor. 

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Calendar

 

Management of Neurological Disorders

Tentative Fall 2013 Schedule

 

Week 1           Lecture            Problems with persistent reflexes

                                                Sensory Processing Disorder

Lab                  Reflexes – O’Sullivan Ch. 13

Week 2           Lecture            Sensory Integration

Lab                  Sensory Integration

Week 3           Lecture           Constraint-Induced Therapy (Improving Functional Outcomes - Chapter 10)

                                                Therapeutic Guiding

                        Lab                  NDT

                                                Quiz #1

Week 4           Lecture            PNF

                                                Body Weight Support

                        Lab                  PNF  

                                                Quiz #2

Week 5           Lecture            Neonates/Infants

Lab                  TEST #1/ PRACTICAL #1

Week 6           Lecture            Down Syndrome

                                                Cerebral Palsy

                        Lab                  Neonate/Infants

                                                Quiz #3

Week 7           Lecture            Cerebral Palsy

                                                Myelomeningocele

                        Lab                  Pediatrics

                                                Quiz #4

Week 8           Lecture            TBI– O’Sullivan Ch. 19

                                                SCI – O’Sullivan Ch. 20

                        Lab                  TBI

                                                Quiz #5

Week 9           Lecture            SCI

                                                CVA – O’Sullivan Ch. 15

Lab                  SCI

                        Quiz #6

Week 10          Lecture           CVA

                                                TEST #2

                        Lab                  CVA

                                                Quiz #7

Week 11         Lecture            Parkinson’s Disease– O’Sullivan Ch. 18

                                                Multiple Sclerosis – O’Sullivan Ch. 16

                        Lab                  Parkinsons

                                                Quiz #8

Week 12         Lecture            Amyotrophic Lateral Sclerosis – O’Sullivan Ch. 17

                                                Post-Polio

                        Lab                  Degenerative Diseases

                                                Quiz #9

Week 13         Lecture            TEST #3/PRACTICAL #2

Mental Health – O’Sullivan Ch. 26

Week 14         Lecture            Dementia

Lab                  SKILLS PRACTICAL

                        FACT SHEET FOLDER DUE

Week 15         Lecture            Vestibular – O’Sullivan Ch. 21

                        Lab                  Vestibular

                                                Quiz #10

Week 16         FINAL

Additional Information

If a student receives a failing grade on a practical or exam, the student must complete and turn in an Examination Analysis Form within one week of receiving the failing grade.  Failure to submit the Examination Analysis Form to the instructor will result in an additional 5 point deduction from the practical or exam grade.

FACT SHEETS

The student is expected to bring a completed fact sheet for each diagnosis as assigned by the course instructor.  The fact sheet must be typed and is due at the beginning of the assigned class period.  If the student does not arrive at class with the completed fact sheet on the designated day, he/she will be asked to go to the computer lab during the class period to create a fact sheet which will be due by the end of that class period.  Fact sheets will be kept together in a folder by the students for the duration of the semester and are to be readily accessible during all class/lab meeting times.  At the end of the semester, the fact sheet folder will be turned in to the instructor for a grade.  The grading rubric for the fact sheets will be provided to the student by the course instructor.

CASE STUDIES

Students will be assigned case studies to complete utilizing the Ghikas textbook.  Case studies due dates will be provided by the instructor.    To complete the case study the student will be required to post a 30 minute treatment plan designed to treat the patient at his/her current functional level in the setting indicated by the text.  Posts will be made using the discussion threads established by the course instructor in Blackboard.  Students need to respond tactfully, succinctly, and meaningfully to at least two other students treatment plans as they  answer questions about the treatment plan.  Due dates as well a grading rubric for the discussion postings will be provided by the course instructor.

 

If you are in need of additional help throughout the semester, please visit the following site https://www.actx.edu/resources/

Syllabus Created on:

11/30/-1 12:00 AM

Last Edited on:

11/30/-1 12:00 AM