Management of Neurological Disorders Syllabus for 2017-2018
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Course

PTHA-2431-001 Management of Neurological Disorders

Prerequisites

<p>Prerequisites: PTHA 1260, PTHA 1301, PTHA 1405, PTHA 1413, PTHA 1431, PTHA 2301, PTHA 2305, and PTHA 2409.</p> <p>Corequisites: PTHA 1321 and PTHA 2435.</p>

Course Description

Comprehensive rehabilitation techniques of selected neurological disorders.

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, 3 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

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

Improving Functional Outcomes in Physical Rehabilitation by O'Sullivan and Schmitz, 2^nd. ed.

Therapeutic Exercise: Foundations and Techniques by Kisner and Colby, 6^th ed.

Neurorehabilitation for the Physical Therapist Assistant by Umphred and Lazaro, 2^nd 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 neurological pathologies.

PTHA 2431 Management of Neurological Disorders

COURSE 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 accuracy of 74.5 or higher as evaluated by faculty of the department:

1. Outline the impairments, activity limitations, and participation limitations utilizing the ICF model for a patient with a neurological diagnosis.
2. Demonstrate the ability to perform muscle strength and muscle tone assessment techniques for a patient with a neurological condition.
3. Develop a physical therapy treatment session and progression for a scenario study utilizing interventions from within the physical therapist's plan of care, supported by at least one peer-reviewed journal article.
4. Assess the statistical and clinical significance of peer-reviewed journal articles regarding treatment interventions for neurological patient populations.
5. Demonstrate appropriate teaching strategies for a patient with a neurological diagnosis regarding disease/condition, treatment interventions, and home exercise program in a role play situation.
6. Identify stages for exercise progression within the established physical therapy plan of care for a given example of a patient with a neurological diagnosis..
7. Identify situations where the supervising physical therapist should be consulted due to change in status or lack of progress of a neurological patient.
8. Recognize when the direction to perform an intervention for a patient with a neurological condition is beyond that which is appropriate for a physical therapist assistant.
9. Describe the safety, status, and progression of patients with neurological conditions while engaged in gait, balance, wheelchair management, and mobility activities.
10. 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 for a patient with a neurological diagnosis.
11. Compose a home exercise program for a patient with a neurological disorder utilizing interventions from within the supervising physical therapist's plan of care.
12. Demonstrate the ability to perform NDT techniques related to basic neurodevelopmental sequencing and identify abnormal patterns of movement
13. Demonstrate the ability to perform common PNF interventions for patients with neurological conditions
14. Demonstrate the ability to modify treatment from within the physical therapist’s plan of care due to changes in patient status and accurately document these changes for a patient with a neurological diagnosis
15. Demonstrate appropriate education techniques for a patient with a neurological disorders while addressing safety and functional issues
16. Compose a clear and concise SOAP format note documenting various physical therapy interventions from within the physical therapist’s plan of care
17. Recognize orthopedic disabilities common to pediatric and adult patients with neurological conditions
18. Recognize the common use of orthotic devices and assistive devices for pediatric and adult patients with neurological conditions
19. Recognize common balance, gait, and functional instruments used by physical therapists to assess patients with neurological conditions.
20. Recognize common strategies for the treatment of a patient with a Cerebrovascular Accident (CVA)
21. Demonstrate the ability to progress a mock patient through a basic treatment progression as stated in the physical therapist’s plan of care for a patient with a CVA
22. Identify the eight levels of recovery following Traumatic Brain Injury (TBI) as identified in the Ranchos Los Amigos Cognitive Rating Scale and how these levels effect physical therapy treatment
23. Recognize common strategies for the treatment of a patient with a TBI
24. Recognize common strategies for the treatment of a patient with a spinal cord injury (SCI) including therapeutic exercise and activities of daily living training.
25. Demonstrate the ability to educate a patient with a spinal cord injury on balance, bed mobility, home exercise, transfers, range of motion, skin care and respiratory management
26. Compare the different theories of treatment related to upper and lower motor neuron lesions
27. Recognize common assessment techniques and treatment interventions used for patients with neurological conditions
28. Recognize activities, positioning, postures, assistive devices, and adaptive devices that can produce associated skin trauma in patients with neurological conditions
29. Identify changes in a patient’s arousal, attention, mentation, and cognition
30. Demonstrate the ability to assess arousal, orientation, cognition, attention, and memory.
31. Identify common pediatric conditions treated in physical therapy
32. Recognize common physical therapy assessment tools and interventional strategies used for the treatment of pediatric patients
33. Given a case scenario, create a functional training program for domestic, education, work, community, social, and civic life
34. Outline the disabilities associated with lesions at various segments of the spinal cord
35. Identify characteristic signs/symptoms of various mental health disorders
36. Identify characteristics and physical therapy implications of dementia

Students Rights and Responsibilities

Student Rights and Responsibilities

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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.

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 dark tennis shoes or colored dress shoe with heel not exceeding 1 inch with socks or hosiery to compliment pants/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

Assignments/Quizzes*	5%
Lab Practicals	25%
Lecture Exams/Final Exam	70%

The student's lowest Assignment/Quiz 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. 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) classes 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

Lecture meets on Monday and Wednesday from 10:30 -11:45 am. Lab meets on Thursday 8:30 - 11:30 am.

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.