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Rehabilitation Techniques Syllabus for 2015-2016
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Instructor Information

Instructor

Kelly Jones (Curriculum Vitae)

E-Mail

kjjones@actx.edu

Phone

8063546043

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

Amarillo College Tutoring for Success Policy:

Administrative Drop Policy

N/A

Student Withdrawal Procedures

N/A

Privacy Statement

The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students.  If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .

Course

PTHA-2435-001 Rehabilitation Techniques

Prerequisites

Prerequisites: PTHA 1413 and PTHA 2409 Corequisite: PTHA 2431

Course Description

Comprehensive rehabilitation of selected diseases and 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.

Therapeutic Exercise by Kisner & Colby, 6th 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.

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.

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.

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.

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:

  1. Utilize correct medical terminology and abbreviations
  2. Predict the effect various neurological diseases/conditions will have on patient answers to the ICF checklist
  3. Describe the educational materials published by organizations focused on particular conditions, including intended audience
  4. Develop a treatment intervention supported by at least one peer-reviewed article that is consistent with plan of care for a given case example
  5. Analyze results from peer-reviewed journal articles about various treatment interventions
  6. Given case scenarios, use information from peer-reviewed journal articles to defend selection of given treatment interventions
  7. Demonstrate competence in implementing selected components of interventions (developmental activities, balance and coordination training, posture awareness training, range of motion exercises, stretching exercises, strengthening exercises, breathing exercises) identified in the plan of care established by the physical therapist
  8. Discuss the role of intervention as related to achievement of the goals in the plan of care
  9. Using patient-centered terminology, explain the rationale for selected interventions
  10. Demonstrate appropriate teaching strategies for patient-centered instruction regarding disease/condition, treatment interventions, and HEP in a role play situation
  11. Explain expected patient/client progress as a result of interventions
  12. Identify incremental stages for exercise progression within the established plan of care for a given example
  13. Describe the modifications required to ensure patient/client safety and comfort for a given example
  14. Describe situations where the physical therapist should be consulted due to lack of progress with patient/client interventions
  15. Apply the laws and regulations governing physical therapy practice to course-related skills
  16. Recognizes when intervention should not be provided due to changes in the patient’s status
  17. Recognizes when the direction to perform an intervention is beyond that which is appropriate for a physical therapist assistant
  18. Recognize changes in the direction and magnitude of patient’s state of arousal, mentation, and cognition
  19. Describe the safety, status, and progression of patients while engaged in gait, locomotion, balance, wheelchair management, and mobility
  20. Write a home exercise program that is consistent with the plan of care for a given case example
  21. Describe the instruction required to prevent further injury or deterioration for a given case example
  22. Identifies the individual’s and caregiver’s ability to care for a device (assistive devices, adaptive, orthotic, protective, supportive, and prosthetic devices)
  23. Recognizes changes in skin condition while using devices and equipment
  24. Recognizes safety factors while using a device
  25. Identify methods to produce or relieve trauma to the skin that may be caused by assistive, adaptive, orthotic, protective, supportive or prosthetic devices and equipment
  26. Given a case scenario, create a functional training program for domestic, education, work, community, social, and civic life
  27. Describe the impact of motivation on one’s ability and interest in learning by recalling a learning experience that was enjoyable and comparing it with a learning experience that was less enjoyable
  28. Identify generalized treatment responsibilities for members of the rehabilitation team in response to patient scenarios

Balance & Coordination

  1. Define balance and coordination terminology
  2. Identify treatment strategies to improve balance and coordination

Exercise Progression & Transitional Movements

  1. Demonstrate techniques to improve patient independence with transitional movements
  2. Demonstrate techniques to improve bed mobility, sitting balance, kneeling, standing balance, and gait

Post Surgical Rehab

33.Describe various orthopedic conditions

34.Identify treatment strategies used in orthopedic rehabilitation

Cardiopulmonary Rehab

  1. Describe changes in oxygen consumption, heart rate, blood pressure, blood flow to major organs, tidal volume, and breathing frequency in changes with cardiovascular and/or pulmonary disease
  2. Describe the characteristics of cough and sputum
  3. Detect signs and symptoms of respiratory distress
  4. Demonstrate correct performance of three breathing strategies
  5. Demonstrate correct performance of two coughing techniques
  6. Describe PT management of the patient diagnosed with Cystic Fibrosis.
  7. Describe PT management for the patient with COPD and for the pre-op and post-op respiratory patient.
  8. Identify and describe selected cardiac pathologies and their clinical manifestations.
  9. Describe the rationale for cardiac rehabilitation.
  10. Identify and describe important components of a cardiac rehabilitation program.
  11. Identify safety factors and precautions specific to a cardiac rehabilitation program

Vascular, Lymphatic, & Integumentary Systems

  1. Describe the function of the vascular and lymphatic systems.
  2. Identify and describe vascular and lymphatic pathologies and their clinical manifestations
  3. Describe medical and PT management of vascular, lymphatic, and integumentary conditions

Burns

49.Outline how degree and depth of burns are determined.

50.Describe medical and PT management of burns.

Wound Care

  1. Recognize viable and nonviable tissue
  2. Demonstrate sterile technique with wound care.

Amputations

  1. List techniques for management of the residual limb
  2. Identify and demonstrate components of a preprosthetic amputation program
  3. Demonstrate appropriate treatment programs for patients with an amputation based on the plan of care for a given case

Prosthetics

  1. Identify the function of various types of prosthetic components.
  2. Identify safety factors, precautions and application guidelines for proper use of selected prosthetics.
  3.  Identify and explain typical prosthetic care instructions to be given to patients/caregivers.
  4. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
  5. Explain the role of prosthetics in achieving short and long term goals within the plan of care

Orthotics

  1. Describe the rationale for use of orthotics.
  2. Identify the function of various types of orthotics.
  3. Identify safety factors, precautions and application guidelines for proper use of selected orthotics.
  4.  Identify and explain typical orthotic care instructions to be given to patients/caregivers.
  5. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
  6. Explain the role of orthotics in achieving short and long term goals within the plan of care

Wheelchairs

  1. Identify types and uses of wheelchairs.
  2. Describe steps necessary for proper wheelchair measurement, prescription, adjustment, repair, and maintenance
  3. Identify various accessories and their uses with wheelchairs.
  4. Begin to perform wheelchair management and mobility training with specialized patient populations (i.e. patients with hemiplegia and spinal cord injuries)

Arthritis

  1. List etiology and pathology of arthritis.
  2. Describe the PT management of arthritis.

Cancer

  1. Identify signs/symptoms of various types of cancer
  2. Describe PT management of patients with cancer

Adaptive Equipment

  1. Examine various types of adaptive equipment
  2. Identify patient populations that might benefit from adaptive equipment
  3. Discuss procedures for helping patients/clients obtain adaptive equipment

Chronic Pain

  1. Identify characteristics of chronic pain syndromes
  2. Discuss PT management of patients with various types of chronic pain

Gender Health

  1. List and define diagnoses specific to males and females
  2. Describe PT management of gender specific conditions
  3. Describe pre and postnatal programs.

Geriatrics

  1. Identify characteristics of aging
  2. Discuss what effects aging might have on physical therapy interventions

Health and Wellness

  1. Describe the difference between interventions focused on health and wellness and interventions designed to help restore/recover motor skills
  2. Discuss the role of the physical therapist assistant in health and wellness promotion



Students Rights and Responsibilities

Student Rights and Responsibilities

Log in using the AC Connect Portal

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

\ 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/Skills Checks                          5%                                                                                                                   

Case Studies/Fact Sheets                    5%   

Tests                                                    30%

Lab Practicals**                                   30%

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.
 

The student's lowest quiz grade will be automatically dropped.

** 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 or homework.  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

Rehabilitation Techniques

Tentative 2015 Schedule

Week 1          

8/25                 Lecture            Balance & Coordination Review/Gait Review – Read Physical Rehabilitation – Ch. 6, 7 & 11

8/26                 Lab    Workout             

Week 2           

9/1                   Lecture            Exercise Physiology /Normals Review

9/2                   Lab                  Exercise Progression & Transitional Movements – Read Improving Functional Outcomes – Ch. 3-9

 

Week 3         

9/8                   Lecture          Post-Surgical Rehab (Spine) – Therapeutic Exercise – Ch. 12,14-16   

9/9                   Lab                  Spine Protocols – HNP Fact Sheet Due 

Week 4          

9/15                 Lecture           Post-Surgical Rehab (UE) – Therapeutic Exercise – Ch. 17-19

9/16                 Lab                 UE Protocols –TOTAL SHOULDER REPLACEMENT FACT SHEET DUE, ROTATOR CUFF REPAIR FACT SHEET DUE

 

Week 5           

9/22                 Lecture            Post-Surgical Rehab (LE) – Therapeutic Exercise – Ch. 20-22

9/23                 Lab                  LE Protocols – TOTAL KNEE REPLACEMENT FACT SHEET DUE, TOTAL HIP REPLACEMENT FACT SHEET DUE, ACL REPAIR FACT SHEET DUE  

 

Week 6

9/29                 Lecture            Cardiopulmonary Rehab – Physical Rehabilitation – Ch. 12& 13

9/30                 Lab                  Cardiopulmonary Lab – Therapeutic Exercise – Ch. 6; COPD FACT SHEET DUE, MI FACT SHEET DUE

 

Week 7           

10/6                 Lecture            Vascular, Lymphatic, & Integumentary Systems – Physical Rehabilitation – Ch.14, Therapeutic Exercise – Ch.25; PVD FACT SHEET DUE

10/7                 Lab                 Burns & Wound Care – Physical Rehabilation – Ch.24;BURN FACT SHEET DUE

 

 

Week 8          

10/13                Lecture           Amputations/Preprosthetic Care – Physical Rehabilitation –      Ch. 22

10/14               Lab                TEST #1/PRACTICAL #1

 

 

Week 9           

10/20               Lecture           Prosthetics – Physical Rehabilitation – Ch. 31

 10/21              Lab                  Prosthetics

 

Week 10         

10/27               Lecture            Prosthetic Gait

10/28               Lab                  Prosthetic Gait

                 

Week 11        

11/3                 Lecture           Orthotics – Physical Rehabilitation- Ch.30

11/4                 Lab                 Wheelchairs – Physical Rehabilitation – Ch. 32

 

Week 12         

11/10               Lecture           Arthritis & Cancer – Physical Rehabilitation – Ch. 23;BREAST CANCER FACT SHEET DUE, PROSTATE CANCER FACT SHEET DUE

11/11               Lab                  Adaptive Equipment

Week 13         

11/17               Lecture           Gender Health – Therapeutic Exercise – Ch. 24

11/18               Lab                 Geriatrics

 

Week 14         

11/24               Lecture            Chronic Pain – Physical Rehabilitation – Ch. 25 – FIBROMYALGIA FACT SHEET DUE

 

11/25               Lab                  TEST #2/PRACTICAL #2