Therapeutic Exercise Syllabus for 2017-2018
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Course

PTHA-2409-001 Therapeutic Exercise

Prerequisites

<p>Prerequisite: PTHA 1413, PTHA 1301 and PTHA 1405</p> <p>Corequisite: PTHA 1431</p>

Course Description

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

Student ResourcesStudent Resources Website

Department Expectations

Occupational License Disclaimer

Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:

Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact your advisor, the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.

Hours

(4 sem hrs; 3 lec, 4 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

REQUIRED TEXTS:        

 Therapeutic Exercise: Foundations and Techniques by Kisner, Colby, and Borstad, 7^th edition

Supplies

ADDITIONAL SUPPLIES:

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

Laptop computer

Student Performance

COURSE OBJECTIVES:

1. Recognize the different types of therapeutic exercise and the physiological effects of each on the human body.
2. Compare the physiological effects and principles of isometric, isotonic, concentric, eccentric, and progressive resistive strengthening exercises.
3. Recognize the parameters, principles, indications, and contraindications for the following:

• Passive, active, and active assistive range of motion
• Strengthening exercises
• Stretching exercises
• Balance exercises
• Coordination exercises
• Aerobic conditioning and endurance training
• Proprioceptive Neuromuscular Facilitation

4. Demonstrate the ability to competently perform PROM for the extremities.
5. Demonstrate the ability to competently perform strengthening and stretching exercises for the trunk and extremities.
6. Demonstrate the ability to perform common balance and coordination exercises.
7. Compare the effects of aerobic and anaerobic exercise on the cardiovascular, musculoskeletal, and respiratory systems.
8. Identify the components of normal and abnormal posture.
9. Recognize the components of normal and abnormal alignment of the trunk and extremities at rest and during activities.
10. Demonstrate the ability to perform a postural assessment competently.
11. Describe common therapeutic exercises utilized to improve posture.
12. Recognize normal and abnormal vital sign changes during exercise.
13. Demonstrate the ability to assess vital signs, rate of perceived exertion, thoracoabdominal movements, and respiratory patterns during exercise.
14. Recognize and monitor responses to positional changes and activities during exercise.
15. Recognize activities that aggravate or relieve edema, pain, dyspnea, or other symptoms (ventilation, respiration, and circulation examination).
16. Describe the safe progression of patients involved in balance activities.
17. Differentiate between normal and abnormal joint movement.
18. Recognize the parameters, indications, and contraindications for peripheral joint mobilization.
19. Demonstrate the ability to competently perform Grade I-II peripheral joint mobilization.
20. Differentiate the indications and effects of open and closed chain exercises.
21. Identify adverse reactions to exercise, including modification of the treatment session from within the physical therapist’s plan of care.
22. Demonstrate the ability to modify interventions from within the plan of care established by the physical therapist in response to patient indications and to report this information to the supervising physical therapist.
23. Recognize when an intervention should not be performed due to changes in the patient’s status.
24. Recognize when the direction to perform an intervention is beyond that which is appropriate for a physical therapist assistant.
25. List alternatives to treatment interventions that fall within the plan of care established by the PT.
26. Compose a home exercise program from within the physical therapist’s plan of care, utilizing appropriate evidence-based resources to support the inclusion of certain interventions.
27. Demonstrate the ability to educate a mock patient in a home exercise program.
28. Demonstrate appropriate teaching strategies to enhance exercise compliance in a role play situation.
29. Accurately compose a SOAP note documenting a treatment session utilizing therapeutic exercise.
30. Demonstrate appropriate professional behaviors in all interactions with classmates and instructors by displaying all Professional Behaviors at the developing level.

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

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. Unauthorized use of cell phones 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. Laptop computers will be used frequently for testing situation, but more frequent use of laptops in class will be at the discretion of the instructor.

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:

                Quizzes/ Assignments                         10%   

                Lecture/Final Exams                           70%

                Practical Exams                                  20%                                       

The student's lowest Quiz/Assignment grade will be automatically dropped. The lecture exam grades and final exam grade will be averaged to create one test average. This average must be at least 74.5% for the student to successfully pass the course. In addition to passing the lecture/final exams, the student must successfully complete all assignments and meet course objectives in order to pass the course.

** 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.

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

LAB DRESS CODE:MANDATORY during each lab for participation:

Females: shorts, halter/swimsuit top/sports bra (fasteners need to be in the back), sweat/athletic wear for a cover-up (no jeans)

Males: shorts, T-shirts, sweat/athletic wear for a cover-up (no jeans)

LAST DATE TO DROP/WITHDRAW: April 20, 2018 – Any student not withdrawn by April 20, 2018 will receive the grade earned.

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:

Call 9-911 for an ambulance

Call Amarillo College Police at (806)371-5163.

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.

If you have:

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.

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

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

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

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

Diabetes/hypoglycemia– bring medication and snacks as needed

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

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

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