OTAS 1230 - Introduction to Physical Rehabilitation-Lab

Credit Hours: 2.00

Outcomes and Objectives: Upon completion of this course, the student will be able to demonstrate acquired competency through:

Outcome 1: Apply screening and evaluation as they relate to occupational performance and participation.

Objectives:

1. Explain the purpose, describe application, and demonstrate biomechanical principles as they relate to human body motion and occupation-based performance.
2. Explain the purpose, describe the application, and demonstrate basic body mechanics for clinician and client.
3. Explain the purpose, describe the application, and demonstrate basics of functional range of motion (ROM), including
   1. Active range of motion (AROM)
   2. Passive range of motion (PROM)
   3. Active assistive range of motion (AAROM)
   4. Self range of motion
   5. Demonstrate a simulation of wellness groups through OT leadership.
4. Explain the purpose, describe the evaluation process, demonstrate basic use of goniometry tools, and document findings accurately.
5. Explain the purpose, describe the evaluation process, demonstrate basics of functional manual muscle testing, and document findings accurately.
6. Explain the purpose, describe the evaluation process, demonstrate basic use of pinch gauge and dynamometer, and document findings accurately.
7. Explain the purpose, describe, and demonstrate basic strengthening interventions.

Outcome 2: Screen and evaluate functional mobility required in the environment and needed for occupational performance and participation.

Objectives:

1. Demonstrate safe operation and application of the various types of wheelchairs.
2. Demonstrate safe operation and application of the various types of walkers.
3. Demonstrate safe operation and application of the various types of canes.

Outcome 3: Demonstrating safe transfer techniques.

Objectives:

1. Demonstrate safe physical transfers with clients from various surfaces utilizing standing pivot, modified standing pivot, modified bent pivot, sliding board, and total dependent and mechanical lift.
2. Demonstrate safe physical transfers with clients in/out of bath tub, toilet, and commode.

Outcome 4: Applying various activities of daily living, specifically dressing, bathing, and the use of assistive devices for occupational performance and participation.

Objectives:

1. Demonstrate different methods of safe instruction based on client-specific needs.
2. Explain the purpose, describe the application, and demonstrate the use of upper extremity dressing and bathing devices.
3. Explain the purpose, describe the application, and demonstrate the use of lower extremity dressing and bathing devices.
4. Explain the purpose and demonstrate the use of assistive devices and adaptive techniques for upper and lower extremity dressing and bathing.

Outcome 5: Explain the concept, use, and value of standard precautions and transmission based precautions.

Objectives:

1. Identify and apply methods of infection control, universal precautions, and isolation techniques for safety throughout the treatment process.

Outcome 6: Explain the rationale for the need to measure, monitor, and record a client’s vital signs.

Objectives:

1. Describe, define and accurately measure/record a client’s blood pressure, pulse and heart rates, respiration rate, and determine a client’s sense of pain.
2. Describe the expected normal and abnormal changes in blood pressure, heart rate and respiration rate resulting from exercise/occupation-based activities.
3. Explain to a client or caregiver the significance of measuring and monitoring vital signs.

1. Anatomy Terminology
   1. Major body zones
   2. Cardinal planes
   3. Degrees of freedom
   4. Bones and joints
   5. Body movements
2. Range of Motion (ROM)
   1. Principles
   2. Types of ROM
      1. PROM
      2. AROM
      3. AAROM
      4. Self ROM
3. ROM Measurement and Movement
   1. Styles of goniometers
   2. Screening and evaluation for measuring all joints of the upper extremity
   3. Individual and group intervention
   4. Application to occupational performance and participation
4. Muscle Testing and Strengthening
   1. Muscle grades
   2. Manual muscle testing
   3. Functional muscle testing
   4. Grip and pinch testing
   5. Types of strengthening exercises
   6. Steps in grading resistive activities/exercises
   7. Resistive activities/exercises appropriate for muscle grades
   8. Application to occupational performance and participation
5. Functional Mobility and Moving Safely in the Environment
   1. Wheelchair introduction/sensitivity activity
   2. Types of wheelchairs
   3. Wheelchair parts, operation, and adjustment
   4. Environmental barriers for wheelchairs
   5. Modifications needed to eliminate barriers
   6. Types of walkers and demonstration of use/adjustment
   7. Types of canes and demonstration of use/adjustment
   8. Other functional mobility devices
   9. Application to occupational performance and participation
6. Transfer Training and Technique
   1. Bed mobility
   2. Standing pivot
   3. Modified bent pivot
   4. Sliding board
   5. Dependent
   6. Mechanical lifts
   7. Toilet
   8. Tub
7. Activities of Daily Living (ADL)
   1. Best Practice Methods of instruction
      1. Strategies incorporated to client factors, context, performance patterns, performance skills, and occupational profile
         1. Verbal instruction
         2. Kinesthetic instruction
         3. Demonstration
   2. Specific techniques
      1. Dressing/undressing upper body
         1. Onehanded technique
         2. Compensatory techniques
         3. Hip precautions
      2. Dressing/undressing lower body
         1. Onehanded technique
         2. Compensatory techniques
         3. Hip precautions
      3. Bathing body parts
         1. Onehanded technique
         2. Compensatory techniques
         3. Hip precautions
8. Assistive Devices for Dressing/Bathing/Transfers
   1. Reacher
   2. Dressing stick
   3. Sock aid
   4. Long handled shoe horn
   5. Long handled bath sponge
   6. Button hook
   7. Shoe tying
   8. Tub bench/shower chair
   9. Long handled shower hose
   10. Toilet railings
   11. Raised toilet seat
   12. Sliding board
9. Standard Precautions
   1. Barriers for protection against bodily fluids
   2. Hand hygiene
   3. Sharps/needles
   4. Soiled client care equipment
   5. Miscellaneous
10. Transmission Based Precautions
    1. Isolation precautions
       1. Contact precautions
       2. Droplet precautions
       3. Airborne precautions
11. Assessment of Vital Signs
    1. Pulse
    2. Blood Pressure
    3. Heart Rate
    4. Respiration Rate
    5. Oxygen Saturation Rate
    6. Pain