Therapeutic Exercise Syllabus for 2014-2015
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Instructor Information

Course Information

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Course

PTHA-2409-002 Therapeutic Exercise

Prerequisites

Corequisite: PTHA 1413, PTHA 2301 and BIOL 2402

Course Description

Concepts, principles and application of techniques related to therapeutic exercise and functional training.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

REQUIRED TEXTS:        

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  Musculoskeletal Interventions: Techniques for Therapeutic Exercise 3^rd ed. by Hoogenboom, Voight, and Prentice

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     Clinical Kinesiology and Anatomy 5^th ed. by Lippert

Supplies

ADDITIONAL SUPPLIES:

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Security device for student locker(some type of lock).

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3x5 index cards

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PTA program student supply pack

Student Performance

COURSE GOALS AND OBJECTIVES:

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Goals: Given the course textbook, personal notes, handouts, and other material, the student should:

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Demonstrate effective verbal and nonverbal communication skills.

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Demonstrate a commitment to meeting societal expectations for healthcare providers.

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Demonstrate understanding of the plan of care established by the physical therapist.

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Demonstrate competence with components of selected treatment interventions.

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Perform selected data collection skills.

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Perform exercises safely and effectively with various categories of diagnoses.

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Recognize adverse reactions to exercise and respond appropriately.

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Within the plan of care, discuss alternatives to treatment interventions.

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Demonstrate techniques for education of pt-related information.

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Demonstrate effective documentation skills.

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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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Objectives:

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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 74.5% or higher as evaluated by faculty of the department:

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Goal #1

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Demonstrate understanding of language and terminology regarding therapeutic exercise appropriate to physical therapy.

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Define therapeutic exercise, strength, endurance, isometric, isotonic, eccentric, concentric, relaxation, motor control, motor coordination, passive motion, active motion, active-assistive motion, resistive motion, progressive resistive exercises, and stretching exercises.

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Demonstrate appropriate nonverbal communication skills (i.e. touch and facial expressions) with simulated patient/therapist interactions.

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Demonstrate appropriate verbal communication skills with simulated patient/therapist interactions.

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Present oral presentation(s) to classmates.

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Goal #2

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Ensure patient, personal, staff, and environmental safety.

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Goal #3

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Explain the rationale and effectiveness of delegated interventions.

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Goal #4

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Explain normal developmental sequence.

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Explain principles of motor learning and motor control

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Explain the differences between passive, active, active-assistive, and resistive range of motion.

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Demonstrate an ability to perform exercises for passive, active, active-assistive, and resistive range of motion.

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Explain and demonstrate exercise techniques used to develop endurance.

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Explain and demonstrate exercise techniques used to teach coordination.

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Explain and demonstrate exercise techniques used to teach balance.

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Describe the effects of exercise on the cardiovascular, respiratory, and musculoskeletal systems.

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Explain the exercise techniques used to improve posture.

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Demonstrate the exercise techniques used to improve posture.

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Demonstrate stretching exercises.

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Explain and demonstrate exercise techniques used to develop strength.

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Goal #5

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Monitor vital signs while performing various exercise techniques.

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Recognize and monitor responses to positional changes and activities during exercise.

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Observe and monitor thoracoabdominal movements and breathing patterns with activity.

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Describe safety, status, and progression of patients engaged in balance activities.

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Differentiate between normal and abnormal joint movement.

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Identify changes in muscle tone.

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Recognize gross motor milestones.

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Recognize fine motor milestones.

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Recognize activities, positions, and postures that aggravate or relieve pain or altered sensations.

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Identify resting posture in any position.

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Recognize alignment of trunk and extremities at rest and during activities.

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Identify activities that aggravate or relieve edema, pain, dyspnea, or other symptoms.

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Goal #6

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Explain indications and contraindications for exercise.

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Explain the theory behind and identify basic positions for exercise.

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Describe, demonstrate, and explain the theory behind hand placement for exercise.

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Explain the causes for muscle pain and soreness during and following exercise.

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Demonstrate and explain the differences between isometric, isotonic, eccentric, and progressive resistive exercises.

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Explain and demonstrate exercise techniques used to teach relaxation.

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Explain the difference between Jacobson and Schultz relaxation techniques.

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Explain and demonstrate exercise techniques used to maintain mobility.

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Explain and demonstrate exercise techniques used for patients with fractures, neck and trunk injuries, shoulder girdle problems, shoulder involvement, elbow involvement, forearm involvement, hip and femur injuries, knee involvement, ankle injuries, foot injuries, hand injuries, wrist injuries, tendon transfers, facial nerve injuries, CVA’s.

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Explain and demonstrate the basic principles of PNF.

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Explain the basic principles of joint mobilization on the peripheral joints.

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Differentiate between and demonstrate open and closed chain exercises.

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Explain the basic principles of neural flossing

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Goal #7

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Identify adverse reactions to exercise and respond appropriately.

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Goal #8

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List alternatives to treatment interventions that fall within the plan of care established by the PT.

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Goal #9

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After being given the plan of care, establish appropriate home exercise programs per given diagnosis.

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Goal #10

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 Demonstrate appropriate techniques for documenting therapeutic exercise interventions.

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Goal #11

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Each student will submit research articles/case reports/case studies from professional literature.

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Students Rights and Responsibilities

Student Rights and Responsibilities

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In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

\ ACADEMIC DISHONESTY: Students demonstrating academic dishonesty as defined in the “Student Rights and Responsibilities” handout will receive a grade of “F” in the course and will be subject to all PTA program policies regarding course failure.  CUEING ANOTHER PERSON DURING AN EXAM, APPLICATION, OR SKILLS CHECK-OFF WILL BE CONSIDERED CHEATING.

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\ STUDENT GRIEVANCE PROCEDURE: 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, Dean of Health Sciences Division, VP of Academic Affairs, and the President – IN THAT ORDER.

Grading Criteria

GRADING CRITERIA:

                Quizzes                                                             5%

                Skills Checks                                                     5%          

                (3)Tests                                                             30%

                (3) Practicals                                                     30%                                       

                Final                                                                  30%

The lowest quiz grade in the course will automatically be dropped.

If the midterm grade is failing as indicated by the grade report, the student must contact the course instructor to schedule a planning meeting.  At this meeting, the student will be expected to work with the instructor to develop an action plan for successful completion of the course.  This action plan should include a detailed study schedule, should identify any areas of weakness in understanding course content, and must include methods/strategies that will be used to correct the learning deficit.  If the student does not develop an action plan with the course instructor, the student will receive 3 “0” quiz grades.

THE INSTRUCTOR WILL NOT BE RESPONSIBLE FOR REMINDING STUDENTS OF THEIR RESPONSIBILITY TO COMPLETE THE REMEDIATION PROCESS.  THE INSTRUCTOR WILL TREAT ALL STUDENTS AS ADULTS AND WILL THEREFORE EXPECT THE STUDENT TO APPROACH THE INSTRUCTOR TO DISCUSS ANY CLARIFICATION OF THESE GUIDELINES.

Test/application exams will be available for review for one week following the return of the graded exam/application. The exam/applications will be kept in the instructor’s office; each student will need to schedule an individual time to review the materials with the instructor.

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.

MAKE-UP POLICY: There will be NO make-ups on quizzes.  Absence(this includes tardiness of a student) of a test or application exam results in a five-point deduction from the earned grade.  All absences (tardiness) will be treated equally, regardless of the reason.  The make-up test or make-up application exam may vary in format from the original examination/application. The student should expect to take the make-up exam/application on the day the student returns to class, unless otherwise notified by the instructor.

GRADING SCALE:

A = 100-92.5

B = 92.4-83.5

C = 83.4-74.5

F = 74.4-0

 

Attendance

\ ATTENDANCE: Attendance is required for successful completion of all lectures and labs in the Physical Therapist Assistant program.  At the beginning of each lecture and lab, students will be expected to sign the roster provided by the course instructor.  Even if a student is present in class and seen by the instructor, failure to sign in will result in the student being marked absent for attendance purposes.  If a student signs in another student, both students will be counted absent.  Each student will be allowed only one absence for lecture only courses and two absences for lecture/lab courses.  After the first absence for lecture courses and second absence for lecture/lab courses, a penalty of five points will be deducted from the student’s final course grade for each subsequent absence.  For example, a student who misses 3 lectures in a lecture only course will have 10 points deducted from the his/her final grade in that course.  A student will be considered “tardy” if he/she arrives to class 1-10 minutes late or leaves before class has been dismissed.   Two “tardies” will be considered one absence.  Students arriving to class after 10 minutes will not be permitted to enter the lecture or lab until the next course begins.  Exceptions to this policy will only be made under extenuating circumstances and only if the course instructor receives the appropriate written documentation to support the event within 5 days of the absence. While in attendance of each lecture class and lab, cell phones are to be turned off (during lab cell phones are to be placed in the locker area), unless otherwise permitted by the instructor.

Calendar

Additional Information

DURING TESTING CELL PHONES ARE PROHIBITED FROM THE TESTING AREA.

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ASSIGNMENTS: All assignments are due AT THE BEGINNING OF CLASS TIME on the assigned due date.  NO LATE HOMEWORK/WORK WILL BE ACCEPTED.

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REQUIRED READING: The student is expected to complete all reading assignments. This information is testable material, which may not be covered in the lecture/lab portion of the class.

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LAB DRESS CODE:MANDATORY during each lab for participation

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                Females: shorts, halter/swimsuit top/sports bra (fasteners need to be in the back), sweat/athletic wear for a cover-up

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                Males: shorts, tee shirts, sweat/athletic wear for a cover-up

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

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LAST DATE TO DROP/WITHDRAW: April 23, 2015 – Any student not withdrawn by April 23, 2015 will receive the grade earned.

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SAFETY PROCEDURES: In case of an emergency, the student needs to call the Safety and Security department at 9-371-5163.  In an emergency situation, use the nearest phone that is available.  The student should also know in case of a medical emergency, the following procedure should be performed and in the order written:

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call 9-911 for an ambulance

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call safety and security

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PHYSICAL RESTRICTIONS: The activities presented in this course may have physical restrictions.  It is the responsibility of the student to let the instructor know if any of these restrictions apply to you.  All students are to avoid doing the VALSALVA maneuver during exercises and to exercise within your tolerance and speed.

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If you have:

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Asthma, cardiac problems, high blood pressure– avoid doing the Valsalva maneuver during exercises and monitor your pulse and blood pressure on a regular basis during exercises in lab.  Exercise within your tolerance and speed.

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Pregnancy– do not do any exercise that emphasizes abdominal strengthening.  Precaution needs to be taken when stretching due to ligament laxity.  All exercise is contraindicated if you have incompetent cervix, vaginal bleeding, placenta previa, rupture of the membrane, premature labor, maternal heart disease, hypertension, intrauterine growth retardation, and uncontrolled diabetes

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Rheumatoid Arthritis– when in the inflammatory state, certain exercises are contraindicated.  It is recommended to rest and use splints to protect your joints during the appropriate activities as prescribed by your doctor

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Thermoregulatory problems – clothing may need to be adjusted to accommodate the temperature of the environment.  If necessary, a misting bottle may be brought to lab

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Thrombophlebitis– exercise is contraindicated.  Medical care is mandatory and a release to resume any activities is required.

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Diabetes/hypoglycemia– bring medication and snacks as needed

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Latex sensitivity– latex gloves during sterile techniques are to be avoided.  Notify the instructor by the 3rd day of classes so that alternative gloves can be provided

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Amarillo College Resource Link: http://www.actx.edu/resources

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The instructor reserves the right to assign “entry ticket” projects throughout the semester.  If an “entry ticket” project is assigned, the student will be expected to complete and turn the project in before starting the designated class/lab.  If a student has not completed the “entry ticket”, they will be asked to leave the class/lab and return once the “entry ticket” is complete.

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The student will be required to demonstrate proficiency in all Quick Check skills.  If the student does not make a passing grade on a Quick Check, a “0” will be recorded in the grade book until the student is able to demonstrate proficiency in the skills tested during the Quick Check.  After the student is able to demo skill proficiency, the instructor will replace the grade book “0” with the student’s original Quick Check grade.

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THE LEAD INSTRUCTOR RESERVES THE RIGHT TO MODIFY THE SYLLABUS AS NEEDED DURING THE SEMESTER.  ANY MODIFICATIONS WILL BE ANNOUNCED IN CLASS.