PTAS 2440 - Rehabilitation Techniques-Lecture

Credit Hours: 2.00

Objectives: The student will:

1. Describe the etiology, clinical picture and sequela of the traumatic spinal cord injury.
2. Describe the secondary complications related to spinal cord injury.
3. Describe the secondary complications related to spinal cord injury. Given a patient profile, identify and describe various rehabilitation treatment techniques/modalities citing appropriate rationale.
4. Describe the etiology, clinical picture, and sequela of MS, RA, and Parkinson’s disease.
5. Given a patient profile, identify and describe various rehabilitation treatment techniques/modalities used with the RA, MS, and Parkinson’s disease client.
6. Explain the rationale for the techniques utilized in the rehabilitation management of the RA, MS, and Parkinson’s client.
7. Describe the etiology and clinical picture of peripheral vascular disease and the role of diabetes.
8. Identify and describe various rehabilitation techniques/modalities used with the patient with peripheral vascular disease.
9. Describe possible emergency situations related to adult rehab patients and the appropriate response.
10. Identify the etiological factors involved in amputation.
11. Describe the levels of amputation and basic concepts in amputation surgery.
12. Describe post-operative management: positioning, skin care, bandaging, and exercise programs for patients with amputation.
13. State rationale for post-operative rehabilitation management techniques for amputees.
14. Describe the etiology, clinical picture, and sequela of burns and cancer.
15. Describe the management of the cancer patient.
16. Describe the guidelines for management of patients with cancer.
17. Describe aspects of wound care and wound healing following a burn injury.
18. Given a patient profile, identify and describe various rehabilitation techniques/modalities used with the burn patient.
19. Search and evaluate current clinical research material available through library resources as it relates to adult rehab.
20. Develop and present a group Capstone project.
21. Describe the effective use of the tilt table for the spinal cord patient.

Outcome 2: Upon completion of this course, students will be able to compare and contrast various types of orthotics, prosthetics, wheelchairs and other equipment stating rationale for selection and application within a treatment plan.

Objectives: The student will:

1. Identify and relate the rationale for the selection and application of orthotic devices.
2. Identify various types of orthotic devices and the principles for the use of selected orthotic devices.
3. Compare and contrast various orthotic devices.
4. Describe components of transtibial and transfemoral prosthesis.
5. Describe basic biomechanics of below-knee and above-knee prothesis.
6. Compare and contrast various types of prosthetic devices available and state the rationale for their use.
7. Understand and appropriately assess wheelchair alignment to match patient’s needs.

Outcome 3: Upon completion of this course, students will be able to discuss the principles of functional training including self-care, equipment, gait, and mobility training consistent with the role of the PTA.

Objectives: The student will:

1. Compare and contrast normal/abnormal gait.
2. Discuss the impact of selected diagnoses on gait.
3. Discuss the use of assistive devices to improve gait quality.
4. Describe effective methods of gait management and progression for patients using prostheses and/or orthotics including don/doff and care of prosthesis and orthotics.
5. Discuss the role of assistive/adaptive equipment in enhancing patient functional independently and safely in ADL and IADL.
6. Recognize changes in skin condition related to orthotic and prosthetic wear.
7. Recognize those signs/symptoms and changes in the adult rehab patient that require consultation with the physical therapist.
8. Describe effective equipment management by patients and caregivers.
9. Describe effective interaction between PTA’s and other health care providers.

Outcome 4: Upon completion of this course, students will be able to discuss and participate in discharge planning, community resource/home care referral and advocacy for individuals with disabilities as appropriate for the role of the PTA.

Objectives: The student will:

1. Discuss the role of the PTA in discharge planning recognizing legal, ethical and regulatory expectations.
2. Document a home exercise program consistent with a patient’s age, functional level, culture, and cognitive ability based on an established plan of care.
3. Discuss the Americans With Disability Act and describe its 4 sections.
4. Discuss the role of ADA in improving accessibility for individuals with disabilities.
5. Demonstrate an awareness of community and service agency organizations related to advocacy.
6. Describe the role of the PT and PTA in home care.

1. Orthotics
   1. Basic principles of orthotics and serial casting
   2. LE orthotics
   3. Spinal orthotics
   4. Seating the neurologically impaired client cushions
2. Rehabilitation of Spinal and Injured Client
   1. Etiology
   2. Functional levels
   3. Acute management
   4. Rehabilitation management
   5. Management of complications including respiratory, genitourinary, GI
3. Gait Analysis and Gait Training
   1. Basic review of normal gait and determinants of gait
   2. Common gait deviations
   3. Review of principles of gait training
4. Multiple Sclerosis, Rheumatoid Arthritis, Parkinson’s Disease
   1. Rheumatoid arthritis, multiple sclerosis and Parkinson’s disease
      1. Etiology and management of exacerbations/remissions
      2. Energy conservation
      3. Adaptive equipment
      4. Relaxation exercises
      5. Joint protection
      6. Coordination exercises
5. Prosthetics
   1. Prosthetics
      1. BK - biomechanics of prosthesis prosthetic
      2. AK - biomechanics of prosthesis prosthetic components
   2. Donning and doffing prosthesis
   3. Site visit to prosthetic lab
6. Peripheral Vascular Disease and Diabetes
   1. Introduction to arterial, venous, and lymphatic system
   2. Ulcer management (whirlpool, electric stimulation, casting)
   3. Skin care
   4. Shoe wear
7. Amputations
   1. Etiology, evaluation, levels of amputation
   2. Pre-operative instructions
   3. Post-operative instructions and teaching
   4. Skin care
   5. Positioning in bed and the wheelchair
   6. Early mobilization
   7. Edema control via stump wrapping or rigid dressing
8. Architectural Barriers: Community Accessibility Project
9. Burns and Cancer
   1. Oncology
      1. Intervention strategies, emotional aspects
      2. Treatment planning
   2. Burns
      1. Positioning
      2. Review of sterile technique
      3. Emergent management
      4. Acute management
      5. Rehabilitation management
10. Discharge Plan and Follow-up Care
    1. Types and uses of equipment available
    2. Home exercise program and patient/family instruction
11. The student is required to formulate and present a collaborative research paper on a noted clinical-diagnostic condition which is specifically focused on emphasizing rehabilitation care procedures and protocols
    1. Internet research
    2. Clinical practice research
    3. Speaking/presentation formulation style
    4. Use of different audio-visuals in your presentation
    5. Group dynamics in problem-solving and in preparing a collaborative based project
12. Americans with Disability Act (ADA): A Review