Therapeutic Exercise Syllabus for 2021-2022
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Instructor Information

Course Information

COVID-19 Protocols

Recording Policy

Disability Statement

If you have a disability (learning, mental, physical) that affects your ability to participate effectively and have access to any program or service at Amarillo College please contact Disability Services at (806) 345-5639 . Our offices are located in the Student Service Center office 112. More information may be found at www.actx.edu/disability.
Disability Services facilitates access to all programs and services according to the ADA, Americans with Disabilities Act and Section 504 of the Rehabilitation Act, as well as other federal and state laws.

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If you find you are unable to access material in an accessible format please contact the Disability Services Office at (806) 345-5639 . This office will work in conjunction with other campus resources to address and accommodate your issue in a timely manner.

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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:

The Tutoring for Success policy applies to any student whose grade or performance in the course falls below a departmentally determined minimum threshold. In either of those cases, the instructor will direct the student to the appropriate tutoring service, which may be faculty-led, discipline-specific, and/or general. Under this policy, the instructor will follow specific departmental guidelines governing the use, duration, and grade component of the tutoring need.

Administrative Drop Policy

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

Student Withdrawal Procedures

Students who wish to withdraw from a course must complete all steps indicated on the Academic Withdrawal Request form by the course withdrawal deadline.

NOTE: Students who are attending Texas institutions of higher education, for the first time fall 2007 and later, may not withdraw from more than six courses during their academic career. This withdrawal limitation does not include dual credit or developmental classes (Senate Bill 1231 Rule 4.10.) For more information on Drop and Withdrawal Policies, please visit the Registrar's Office Web site.

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-2409-001 Therapeutic Exercise

Prerequisites

Prerequisite: PTHA 1413, PTHA 1301 and PTHA 1405 Corequisite: PTHA 1431

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:

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.

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 shall 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, unless the instructor allows use for a specific activity. 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.

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 an issue 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/Attendance     5%   

                Lecture Exams                                     55%

                Final Exam                                           20%

                Practical Exams                                   20%                                       

Assignments and quizzes will be completed prior to or within the classroom or lab meeting. If the submission is not acceptable for a check mark, the submission will be returned to the student until an acceptable submission meets the approval of the instructor. The student will have 1 week from the time that the original submission is returned to submit an acceptable submission. After 1 week, a 5-point deduction is applied to the attendance assignment grade.

The lecture exam grades will be averaged from lecture exam portion (55%) of the final grade. The lowest lecture exam grade MAY OR MAY NOT be dropped for the calculation of the lecture exam portion of the final grade. This is solely at the discretion of the instructor.

The final exam is comprehensive for the semester and is not eligible to be dropped even if it is the lowest grade performance.

The student must successfully pass all practicals. Students are required to demonstrate proficiency in ALL critical safety elements before being allowed to pass the course.

Students who do not meet minimum proficiencies and achieve a grade of 76 during the lab practicals will be given one opportunity to re-test as soon as possible based on the instructor's schedule. The highest grade which can be granted for a re-test is 76 and the student must obtain at least a score of 76. Please note that failing the second re-test for a practical results in failure of the class.

Any student scoring a 79 or lower on an exam or practical is REQUIRED to contact the instructor to discuss remediation. IT IS THE STUDENT’S RESPONSIBILITY TO SCHEDULE THIS SESSION. The student will be required to schedule and attend tutoring at one of AC’s tutoring centers. Locations for tutoring can be found at https://www.actx.edu/tutoring/. The required number of tutoring sessions will be determined at the discretion of the instructor. The student will be required to bring verification of attendance at tutoring to the instructor.

MAKE-UP POLICY: There will be NO make-ups on quizzes or final exam.  Absence for a test or practical exam results in a five-point deduction from the earned grade.  All absences (tardiness) will be treated equally, regardless of the reason. The make-up test or make-up application exam may vary in format from the original examination/application. The student should expect to take the make-up exam/application on the day the student returns to class, unless otherwise notified by the instructor.

GRADING SCALE:
A = 100 - 92.0
B = 91.9 - 84.0
C = 83.9 - 76.0
F = 75.9 - 0

Note: A grade of C or better is required to complete the PTA major.

Attendance

 Regular attendance is necessary for satisfactory achievement. Therefore, the student is responsible for class attendance. The student is expected to be seated and prepared to begin class at the designated time. At the beginning of each lecture and lab, attendance will be recorded by the instructor or a sign-in sheet will be available. 

Each absence in lecture or lab classes results in a grade of "0" for attendance in the gradebook; likewise, a tardy (more than 10 minutes) results in a grade of "50" in the gradebook. Timely attendance results in a "100." Habitual late arrivals (more than 3) below the 10-minute penalty mark, extended breaks during class, or leaving class early are disruptive to the class and will be addressed by the instructor and can result in additional penalties.  The attendance grade is calculated in the course grade as weighted by the instructor.

Full attendance of class time is also expected. A student will be counted as "absent" if the student is out of class more than 20 minutes of a class time. For example, if in any given day a student arrives 15 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.

The rules above apply to all unplanned and unexcused absences. Prior approval of absence and approval of excused absence are solely at the discretion of the faculty based on the circumstances and reasons for absence. Written validation is required for any absence that is considered excused and exempt from this policy.  Excused absences are allowed in the following circumstances: campus-directed quarantine through the health services of AC, personal illness supported by a primary health care provider's note or excuse, and death or funeral within immediate family. Other circumstances may be considered for approval upon submission of a written request by the student. This will be determined by an ad hoc committee of the 3 faculty members. 

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.

The purpose of the remote access to class is directed toward the person placed in quarantine or person with personal illness validated by documentation from a primary health care provider with full opportunities to complete quizzes and assignments due for that class period. Other students who are absent but do not meet the criteria for excused may participate in the class remotely but will obtain a "0" for any assignment or quiz during that session. 

When participating in an online virtual class, the student should be in a lighted quiet space with minimal distractions, preferably at a desk or table. The student should be in appropriate clothing for the classroom. The student’s face should be visible on camera at all times with the microphone kept muted when verbal interaction is not required. Log in for class on time and limit chat messages to material that is relevant to the class.

Calendar

Additional Information

LAB DRESS CODE: MANDATORY during each lab for participation.  The student will be asked to leave lab if he/she is not wearing appropriate attire. If the absence exceeds 20 minutes, the student will be counted absent for that class.

Females: shorts, halter/swimsuit top/sports bra (fasteners need to be in the back), sweats/athletic wear can be used for a cover up (no jeans).  Long hair must be up off the shoulders.

Males: shorts, T-shirts, sweats/athletic wear can be used for a cover-up (no jeans).

Jeans, leggings, yoga pants or tights of any kind are NOT proper attire.

LAST DATE TO DROP/WITHDRAW: April 21, 2022– 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.