PTAS 1170 - Physical Therapy Procedures 2-Lecture

Credit Hours: 2.00

Objectives: The student will:

1. Define/discuss the role of gravity, length-tension, and posture in therapeutic exercise.
2. Define/discuss aerobic and aerobic energy systems muscle fiber types.
3. Define/discuss the role of muscle spurt and GTOs in exercise programs.

Outcome 2: Upon completion of this course, students will be able to identify the role of therapeutic exercise related to the prevention and treatment of pathology and the achievement of patient outcomes in selected conditions.

Objectives: The student will:

1. Describe and discuss the PT patient management model.
2. Describe the ICF model of disablement and its role in patient management
3. Discuss the role of their exercise in wellness.
4. Describe the role of therapeutic exercise in the geriatric and medically complex patient.
5. Describe the role of therapeutic exercise for post-surgical patients including THA, TKA, TSA and ORIF and the phases of postoperative rehabilitation.
6. Describe the role of therapeutic exercise for patients with acute and chronic impairments of the spine.
7. Describe the role of therapeutic exercise for patients with balance and coordination impairments.
8. Identify impairments amendable to PT treatments.

Outcome 3: Upon completion of this course, students will be able to describe identified therapeutic exercise techniques and discuss rationale for their use.

Objectives: The student will:

1. Define/discuss passive and active and self-stretching techniques.
2. Define/Discuss stress/strain curves as it related to therapeutic exercise.
3. Define/describe passive/active assisted and active ROM programs.
4. Define/describe resistive exercise programs.
5. Describe the process of establishing a therapeutic exercise program including PRE, isokinetics, closed and open chain exercise program.

Outcome 4: Upon completion of this course, students will be able to discuss the principles, goals and rationale for the use of mechanical traction.

Objectives: The student will:

1. Identify impairments amenable to treatment with mechanical traction.
2. Discuss the physiological effects of mechanical traction.
3. Identify indications and contraindications to the use of mechanical traction.
4. Monitor the patient record for changes in patient status that may impact PT interventions
5. Use data to compare patient status to previously documented status.
6. Describe the relationship between data collection and patient progression.

Outcome 5: Upon completion of this course, students will be able to discuss the role of the PTA in the implementation and progression of a comprehensive therapy treatment.

Objectives: The student will:

1. Identify the role of the PTA in patient data collection.
2. Discuss the rationale for and method of progressing an exercise program within a plan of care.
3. Identify the contraindications and precautions for implementation of an exercise program.
4. Use current knowledge and clinical judgement while considering individual patient needs based on the PT plan of care established by the physical therapist

Outcome 6: Upon completion of this course, students will be able to develop comprehensive documentation (SOAP format) and home exercise program for therapeutic exercise/treatment session.

Objectives: The student will:

1. Document an exercise program in a daily progress note using the SOAP format.
2. Design, teach and illustrate an outcome based home exercise program as part of an intervention plan developed by PT.
3. Demonstrate written communication skills appropriate for patients, third-party payors and others that reflects respects individual learning needs

Outcome 7: Upon completion of this course, students will be able to relate principles of manual muscle testing and identify role of the physical therapist assistant in manual muscle testing.

Objectives: The student will:

1. Describe the history and purpose of manual muscle testing.
2. List and describe manual muscle testing grades.
3. Describe the role of manual muscle testing in clinical decision-making.
4. Relate manual muscle testing grades to functional activity.

Outcome 8: Upon completion of this course, students will be able to discuss the role of evidence based practice in PT.

Objectives: The student will:

1. Define evidence based practice.
2. Describe components of a research based journal article.
3. Read and critique a researched based article accessed via electronic database.
4. Describe statistical methods related to research in physical therapy
5. Describe the relationship between current evidence in PT and clinical decision making
6. Describe methods for obtaining current evidence in physical therapy.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. The Guide to PT Practice and the Patient Management Model
   1. Nagi Disablement Model
   2. Exercise and function
2. Concepts of Therapeutic Exercise
   1. Strength
   2. ROM
   3. Endurance
   4. Wellness
   5. Balance/Coordination
3. ROM
   1. Passive, Active Assisted, Active
   2. Benefits. Limitations, Precautions
   3. End-feels
   4. Contractures
   5. Protocols - indications/continuity
4. Strength
   1. Hypertrophy
   2. Work, Power, Strength
   3. Gravity & Resistance
   4. Protocols - indications/continuity
5. Stretching
   1. Passive stretch
   2. Active stretch
   3. Physiological principles
   4. Indications/contraindications
6. Post-Surgical Patients
   1. THA, ORIF of Hip
   2. TKA
   3. Soft tissue repair
   4. Maximum protection, subacute, return to function phases of rehabilitation
7. Balance and Coordination
   1. Etiology of balance disorder
   2. Etiology of coordination deficits
   3. Therapeutic exercise programs frequently used in the management of balance/coordination deficits
8. Posture and Spine
   1. Acute spinal pain
   2. Chronic spinal pain
   3. Biomechanical and postural deficits
   4. Exercise indications including spinal stabilization
9. Evidence-based Practice
   1. Reading professional literature
   2. Basic research methods and statistics
   3. Using evidence effectively
   4. Sources of evidence
10. Geriatric and Medically Complex Patients
    1. Age related changes
    2. Special precautions in therapeutic exercise for senior adults
    3. Safety for patients with multiple comorbidities