Rehabilitation Techniques Syllabus for 2016-2017
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Course Information

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Administrative Drop Policy

Students who do not attend class on or prior to the census date will be administratively dropped. Effective Fall, 2016

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Course

PTHA-2435-002 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

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 and Clopper

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

Therapeutic Exercise by Kisner & Colby, 6^th ed.

 

Supplies

 Laptop computer

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 integrate their knowledge of treatment approaches from previous courses with new information.

COURSE GOALS AND OBJECTIVES:
A.    Goals: Given the course textbooks, 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:   Given the course textbooks, 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:

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

29. Define balance and coordination terminology
30. Identify treatment strategies to improve balance and coordination

Exercise Progression & Transitional Movements

31. Demonstrate techniques to improve patient independence with transitional movements
32. 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

35. 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
36. Describe the characteristics of cough and sputum
37. Detect signs and symptoms of respiratory distress
38. Demonstrate correct performance of three breathing strategies
39. Demonstrate correct performance of two coughing techniques
40. Describe PT management of the patient diagnosed with Cystic Fibrosis.
41. Describe PT management for the patient with COPD and for the pre-op and post-op respiratory patient.
42. Identify and describe selected cardiac pathologies and their clinical manifestations.
43. Describe the rationale for cardiac rehabilitation.
44. Identify and describe important components of a cardiac rehabilitation program.
45. Identify safety factors and precautions specific to a cardiac rehabilitation program

Vascular, Lymphatic, & Integumentary Systems

46. Describe the function of the vascular and lymphatic systems.
47. Identify and describe vascular and lymphatic pathologies and their clinical manifestations
48. 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

51. Recognize viable and nonviable tissue
52. Demonstrate sterile technique with wound care.

Amputations

53. List techniques for management of the residual limb
54. Identify and demonstrate components of a pre-prosthetic amputation rehab program
55. Demonstrate appropriate treatment programs for patients with an amputation based on the plan of care for a given case

Prosthetics

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

Orthotics

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

Wheelchairs

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

Arthritis

71. List etiology and pathology of arthritis.
72. Describe the PT management of arthritis.

Cancer

73. Identify signs/symptoms of various types of cancer
74. Describe PT management of patients with cancer

Adaptive Equipment

75. Examine various types of adaptive equipment
76. Identify patient populations that might benefit from adaptive equipment
77. Discuss procedures for helping patients/clients obtain adaptive equipment

Chronic Pain

78. Identify characteristics of chronic pain syndromes
79. Discuss PT management of patients with various types of chronic pain

Gender Health

80. List and define diagnoses specific to males and females
81. Describe PT management of gender specific conditions
82. Describe pre and postnatal programs.

Geriatrics

83. Identify characteristics of aging
84. Discuss what effects aging might have on physical therapy interventions

Health and Wellness

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

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

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.

 

Students will not use cell phones in the classroom. All such devices must be placed on silent mode and kept stored.  If a student expects that there may be some type of emergency situation, the student should inform the instructor prior to the beginning of class.  Texting in class will result in the student being asked to leave the class and being counted absent for the lecture/lab.

 

Student participation is a required element during Lecture and Lab classes.  If a student refuses to participate actively in a discussion or activity, the student will be asked to leave class and will be counted absent for the day.

 

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 shoes 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.

 

Jewelry and cologne are to be kept to a minimum. No tattoos are allowed to be seen 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.

 

Courtesy and respect are expected between the learner and instructor. Learners are expected to be attentive to instructor, guests, and other students during presentations. Learners are required 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.

 

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.

 

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
Fact Sheets, Case Studies	10%
Quizzes*	5%
Tests	30%
Lab Practicals	30%
Final*	25%

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

** Students who do not meet minimum proficiencies during a lab practical will be given one opportunity to re-test before the course is completed.  The first test grade the student attains is the recorded grade. Students are required to demonstrate proficiency in ALL critical safety elements before being allowed to pass the course.  Any student scoring a 79 or lower on a test or practical is REQUIRED to contact the instructor to schedule a remediation session.  IT IS THE STUDENT’S RESPONSIBILITY TO SCHEDULE THIS SESSION.

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.  

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.

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.  

If a student is asked to leave a class due to disruption or lack of participation, the student will be counted absent for that entire class.

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. 

Calendar

Additional Information

The 3 hour lab for this course meets on Wednesdays from 12:30-3:30 pm.  Lecture meets Tuesdays from 12:30-3:00 pm and is taught by the PTA department.

 As previously stated, tutorials are mandatory if a student a score of 79 or lower on a practical or exam but will be optional for all other students in the course.

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.  Due dates as well a grading rubric for the discussion postings will be provided by the course instructor.

FACT SHEETS

Fact sheets should be fully completed with APA style citations as appropriate. The student is expected to combine all fact sheets in a 3 ring notebook with labels to separate each fact sheet.