6222 W. 9th Rm. 171
PO Box 447
Amarillo, TX 79178
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PTHA-1431-002 Physical Agents
Biophysical principles, physiological effects, efficacy and application of physical agents.
Student Resources Student Resources Website
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:
Melodie Graves
Justice Involved Advocate
Student Service Center 117
mgraves24@actx.edu
806-371-5995
Make appointment at https://melodiegraves.youcanbook.me
You can also contact 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.
(4 sem hrs; 3 lec, 3 lab)
On Campus Course
REQUIRED TEXTS:
Cameron M. Physical Agents in Rehabilitation: An Evidence-Based Approach to Practice 6th Ed., 2023. ISBN: 9780323761949
ADDITIONAL TEXTS FROM PREVIOUS COURSES: (These will be integrated into the course.)
Mansfield and Neumman. Essentials of Kinesiology for the Physical Therapist Assistant, 3rd ed. Elsevier, 2019.
Reichert B. Palpation Techniques: Surface Anatomy for Physical Therapists, 2nd ed. Thieme, 2015.
Access to the AC Library Ebooks as detailed in Reading Assignments
Laptop Computer
COURSE DESCRIPTION
This course is designed to help students develop the knowledge and clinical reasoning needed to treat patients with acute and chronic conditions using therapeutic exercise interventions. You will also have opportunities to combine skills learned in previous PTA courses with new content introduced in this course.
Successful completion of the Amarillo College PTA Program and earning a passing score on the National Physical Therapy Examination (NPTE) makes graduates eligible to apply for licensure as a Physical Therapist Assistant in all 50 U.S. states.
By the end of this course, students will be able to demonstrate competency in the following areas:
I. General Considerations for Physical Agents
Students will be able to:
Demonstrate effective teaching strategies for patient-centered education, including:
disease/condition education
treatment interventions
home exercise program (HEP) instruction
(demonstrated in role-play situations)
Implement and modify treatment sessions based on patient status using the:
Bio-Psychosocial Model
ICF Model (International Classification of Functioning, Disability and Health)
while following the physical therapist’s plan of care and communicating modifications appropriately.
Apply current knowledge, theory, and clinical judgment to select appropriate physical agents as described in the plan of care.
Integrate evidence-based resources to support clinical decision-making for modality selection.
Identify normal and abnormal integumentary changes related to the use of physical agents.
Assess patients for absent or altered sensation prior to applying physical agent modalities.
Use proper draping techniques to protect patient privacy during physical agent application.
Recognize activities that aggravate or relieve:
edema
pain
dyspnea
other symptoms related to ventilation, respiration, and circulation
Recognize when an intervention should be withheld due to changes in patient status and communicate those changes to the physical therapist.
Recognize when an intervention is beyond the PTA’s scope of practice or skill level.
II. Physical Agent Interventions: Safety & Application
Students will be able to identify indications, contraindications, and precautions for the following interventions:
Direct contact, immersion, and ultrasound
Hydrotherapy (whirlpool, aquatic pool)
Compression therapies (Intermittent Compression, Game Ready)
Hot packs
Cold packs and ice massage
Paraffin
Phonophoresis and iontophoresis
Contrast baths/packs
Lumbar traction
Cervical traction
Laser / Ultraviolet / Infrared
Diathermy
Fluidotherapy
Students will demonstrate the ability to competently perform the following:
Direct contact, immersion, and ultrasound
Compression therapies (Intermittent Compression)
Hot packs
Cold packs and ice massage
Paraffin
Phonophoresis and iontophoresis
Lumbar traction
Cervical traction
IV. Electrotherapy: Safety, Parameters, and Performance
Students will be able to identify indications, contraindications, and precautions for the following electrotherapy interventions:
TENS
Interferential Current
Biofeedback
NMES
Iontophoresis
High Volt
Students will demonstrate the ability to competently perform:
TENS
Interferential Current
NMES
High Volt
V. Science, Theory, and Clinical Decision-Making
Students will be able to:
Compare the mechanisms of heat transfer and how they relate to physical agent application.
Identify the laws of physics related to the use of physical agents.
Identify the physical principles of water related to aquatic therapy.
Compare the physiological effects of different physical agents.
Describe the properties of electricity, including:
conductance
resistance
capacitance
related to electrotherapy application.
VI. Aquatic Therapy
Students will be able to:
Design a treatment session (within the physical therapist’s plan of care) for a patient treated in a therapeutic pool.
VII. Clinical Goals, Parameters, and Documentation
Students will be able to:
Recognize common treatment goals for using biophysical agents.
Explain the rationale for selecting physical agents based on clinical goals and patient responses.
Identify appropriate parameters needed to achieve treatment goals using physical agents.
Describe possible adverse responses to physical agents.
Accurately write a SOAP note summarizing a treatment session using a physical agent.
VIII. Massage & Soft Tissue Techniques
Students will be able to:
Identify indications, contraindications, and precautions for therapeutic massage and soft tissue mobilization.
Compare physiological effects of different massage and soft tissue mobilization techniques.
Demonstrate the ability to competently perform therapeutic massage.
IX. Pain Science and Symptom Management
Students will be able to:
Identify mechanisms of pain reception and transmission using various pain theories.
Discuss pain management using:
physical agents
therapeutic exercise
pharmacological approaches
X. Mobility Restrictions and Healing
Students will be able to:
Identify common tissues and patterns that cause motion restrictions.
Recognize activities, positioning, and posture that:
aggravate pain
relieve pain
alter sensation
Explain stages of healing in:
musculoskeletal disorders
neurological disorders
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".
Welcome to the PTA Program! These guidelines will help you develop the professional skills and habits you'll need as a healthcare provider. Your success is our priority, and we're here to support you every step of the way.
Why it matters: Building strong academic habits now prepares you for your healthcare career.
What we expect:
Academic integrity: Any form of cheating results in course failure. Individual assignments must be completed independently.
Our support system:
Purpose: Looking professional builds confidence and earns respect from patients and colleagues.
Please refer to handbook and program faculty instructions for any specific requirements.
Daily standards:
Field trips/professional events:
Lab activities:
Exams:
If dress code isn't followed, you may miss activities for that day.
Stay connected:
Required: Wi-Fi laptop for all coursework and testing
During class: Cell phones and Bluetooth devices stored unless specifically needed for learning activities
Healthcare is collaborative! We expect you to:
Need accommodations? Speak with your instructor privately so we can work together to meet your learning needs.
We're invested in your success! If you're struggling academically, professionally, or personally, please reach out early. Asking for help shows professional maturity.
This program will challenge you and prepare you for a meaningful career helping others. We're here to guide you every step of the way.
Questions? Ask during class or email me directly. Your success matters to us!
GRIEVANCE POLICY
A student who has a problem with the course or the 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 PTA Program Director, Dean of Health Professions/Division Committee, Associate Vice President of Academic Affairs, Vice President of Academic Affairs, and the President – IN THAT ORDER.
Your final course grade will be calculated using the following weighted categories:
Participation / Assignments / In-Class Quizzes* — 10%
Research Presentation — 5%
Lecture Exams — 40%
Final Exam* — 20%
Lab Practicals** — 25%
Assignments and quizzes may be completed before class or during lecture/lab.
Some assignments may be graded using a check-mark system for satisfactory completion.
Check-Mark Policy
If a submission is not acceptable, it will be returned for revision.
Once returned, the student has 1 week to resubmit an acceptable version.
After 1 week, a 5-point deduction will be applied to that assignment grade.
Important
Failure to complete any single assignment to satisfactory performance may result in a zero for the Participation/Assignments/Quizzes category, which will be calculated into the final grade based on instructor weighting.
Students will complete a research-based presentation as assigned by the instructor.
Details, rubric, and submission expectations will be provided in class.
Lecture exams make up 40% of the final grade.
Exam Averaging
Your lecture exam grades are averaged to determine your lecture exam portion of the course grade.
" Lowest Exam Drop Policy
The lowest lecture exam grade MAY OR MAY NOT be dropped.
This decision is at the discretion of the instructor.
The final exam is comprehensive (covers the full semester).
Final exam grades cannot be dropped, even if it is the lowest exam grade.
All students must successfully pass all lab practical exams.
Minimum Proficiency Standard
A score of 75% or higher is required to pass each practical.
Retest Policy
If a student scores below 75% on a lab practical:
The student will be allowed one retest opportunity
Retesting will occur as soon as possible based on the instructor’s schedule
The highest possible retest grade is 75%
The student must score at least 75% on the retest to pass
Failure Consequence
Failure of the second attempt results in failure of the course and dismissal from the program.
Critical Safety Requirement
Students must demonstrate proficiency in ALL critical safety elements to pass the course.
" Absence on Practical Day
If a student is absent on the day of a practical exam:
The highest grade allowed may be 75%, except in extenuating circumstances as determined by the instructor.
To successfully pass the course:
The student must earn an overall course average of 75.0% or higher
The student must successfully complete all assignments
The student must meet all course objectives
Any student who scores 79% or lower on an exam or practical is required to complete remediation.
Required Steps:
Contact the instructor to discuss remediation
Schedule the session yourself
It is the student’s responsibility to schedule this session.
Attend tutoring at an Amarillo College tutoring center
Tutoring locations: https://www.actx.edu/tutoring/
" The number of required tutoring sessions will be determined by the instructor.
Students must provide verification of tutoring attendance to the instructor.
Final course grades are assigned as follows:
A = 100 – 92.0
B = Less than 92.0 – 84.0
C = Less than 84.0 – 75.0
F = Less than 75.0
Program Requirement:
A grade of C or better is required to continue in the PTA major.
Late work is not accepted unless:
The student submits a written request, and
The student receives written permission with a revised due date from the instructor
" Important Note:
The instructor may not be able to grant extensions depending on course/program requirements.
Quizzes will not be rescheduled
Missed quizzes cannot be made up unless otherwise stated by the instructor
Missed lecture or practical exams may be rescheduled only if all conditions are met:
To qualify for a makeup exam, the student must:
Submit a written request for a makeup exam
Provide verification of the reason the exam was missed
Receive written permission from the instructor
" Makeup exams will be scheduled based on instructor availability.
If permission is not granted, the student will receive a grade of 0.
A 10-point penalty will be assessed for a makeup exam due to an unexcused absence
Students must attend class on scheduled exam days or they may not be allowed to test
Students should expect to take the makeup exam on the day they return to class, unless otherwise notified.
At the instructor’s discretion:
Exam grades and/or practical grades may be dropped
However:
Practical failures still follow the required retest policy
A practical retest is allowed one time only, with a maximum earned grade of 75%
Failure of the retest results in an F in the course
Last date to drop/withdraw: April 23, 2026
Any student not withdrawn by this date will receive the grade earned.
Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend class in accordance with the requirements of the course as established by the
instructor. (Amarillo College Student's Rights and Responsibilities Publication). Absences and tardiness will be monitored and evaluated in the Student Engagement Portal to determine a student's final course grade.
Students are expected to be present for the entire class/lab time. Students must report any anticipated class/lab absence to the instructor. Habitual late arrivals after the scheduled start time of class, extended breaks during class, or early departures are disruptive to the class. The student must directly report the reason for any tardiness to the instructor.
To minimize absences and lecture/lab disruptions, the student will earn points that will affect the final course grade. Upon earning 4 points, the final course grade will be dropped one letter grade. Points are earned as follows:
** The student is "late" to class if the student is not in the seat when class begins.
A student who plans to succeed in this course should also plan to regularly attend all lecture and laboratory sessions. Cases of excessive tardiness and absence will be handled on an individual basis and will require a formal counseling session. Following this session, a departmental counseling form will be placed in your file. The purpose of this form is to document that the student has been made aware that excessive absences are jeopardizing successful completion of this course.
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 and will have an additional assignment.
Following an absence, the student is responsible for obtaining missed notes, assignments, copies of handouts, etc. from classmates. The student is also responsible for obtaining any needed clarification of missed information from the course instructor.
If there is a period where remote access to classes is required because of public health situations, the attendance policies will be revised.
Physical Agents (96 Contact hours)
Lecture Tuesday 12:30-3:30 pm Allied Health Rm 130
Lab- Thursday 8:00-11:00 Rm 165
Spring 2024-Tentative schedule-Lead instructor reserves the right to make changes as necessary.
| Week | Lecture | Lab | Additional Information (Bring a computer and earphones to lab and lecture.) |
| Week 1 | Syllabus Review Chapters 1, 2, & 3 from Cameron | Lab orientation Positioning and draping Massage and Soft Tissue | Class handouts will be given to supplement the text information on soft tissue mobilization and massage techniques. Bring Reichert book to Lab. |
| Week 2 | Chapters 4, 5, 6 from Cameron | Massage and Soft Tissue | Bring Reichert book to Lab. |
| Week 3 | Chapter 7 & 8 in Cameron | Application of Hot Packs, Ice packs, Ice Massage, Contrast baths, and Paraffin | Bring Cameron book to Lab. |
| Week 4 | Chapter 18 and 20 in Cameron | Application of Compression and Hydrotherapy | Bring Cameron book to lab. |
| Week 5 | Exam 1 (90 minutes) Lecture begins at 2:15 PM Chapter 9 in Cameron | Application of Ultrasound and Skills Check for practical | Bring Cameron book to lab. |
| Week 6 | Chapter 9 and 10 in Cameron | Lab practical 1 | Bring Cameron book to lab. |
| Week 7 | Chapter 11 and 12 in Cameron | Application of Electrical Stimulation | Bring Cameron book to lab. |
| Week 8 | Chapters 13 and 14 in Cameron | Application of Electrical Stimulation | Bring Cameron book to lab |
| BREAK | SPRING BREAK | ||
| Week 9 | Exam 2 (90 minutes) Lecture begins at 2:15 Chapter 15 in Cameron | Application of Electrical Stimulation | Bring Cameron book to Lab. |
| Week 10 | Chapters 16 and 17 in Cameron | Lab Practical #2 | Bring Cameron book to Lab. |
| Week 11 | Chapter 19 in Cameron | Application of Laser and Light Therapy (IR, UV), Application of Traction | Bring Cameron book to Lab. |
| Week 12 | Billing and Documentation | Application of Laser and Light Therapy (IR, UV), Application of Traction; Skill Checks | Bring Cameron book to Lab. |
| Week 13 | Research Presentations | Practical Practice | |
| Week 14 | Exam 3 (90 minutes) Practical Practice and Skills Checks | Lab Practical #3 | |
| Week 15 | Review | Review | |
| Week 16 | FINALS WEEK | PTHA Physical Agents Final
WC-D 104 |
LAST DATE TO DROP/WITHDRAW: April 23.2026 – Any student not withdrawn by this date 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.
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