instructional package - Horry Georgetown Technical College

[pic] INSTRUCTIONAL PACKAGE
PTH 240 Therapeutic Exercise and Applications Effective Term
Spring/2015 INSTRUCTIONAL PACKAGE Effective Term: 201420
COURSE PREFIX: PTH 240 COURSE TITLE: Therapeutic Exercises and
Applications
CONTACT HOURS: 12 /week CREDIT HOURS: 5 RATIONALE FOR THE COURSE: Physical Therapist Assistants contribute to the
health, wellbeing, and rehabilitation of patient/clients with normal and
pathological conditions through the use of therapeutic exercise. This
course enables the student to give instruction on how to implement and or
modify a treatment plan established by a Physical Therapist, develop and
perform therapeutic exercise programs and procedures for selected patient
populations and identify precautions, indications and contraindications. COURSE DESCRIPTION: This course provides the practical application of
therapeutic exercise as a treatment intervention for a variety of
pathologies and body segments. PREREQUISITES: Received a grade of C or better in BIO 211, SPC 205, CPT
101, ENG 102, PTH 101, PTH 205, PTH and 221 REQUIRED MATERIALS: 1) Kisner, Carolyn and Colby, Lynn Allen. Therapeutic Exercise
Foundations and Techniques 6th Ed. 2012 F.A. Davis Company
2) Fairchild, Sheryl. Principles & Techniques of Patient Care 5th Ed.
2013 Elsevier Inc.
3) Roy, Serge H., Wolf, Steven L., and Scalzitti, David A. The
Rehabilitation Specialist's Handbook 4th Ed. 2013 F. A. Davis Company
4) VHI Exercise Ideas Book Series (Set of Five)
5) First Hand Student Kit American Physical Therapy Association
6) Lab Coat
ADDITIONAL REQUIREMENTS:
Watch with a second- hand or stop watch. TECHNICAL REQUIREMENTS:
None.
PROGRAM LEARNING OUTCOMES After successful completion of the Horry-Georgetown Technical College
Physical Therapist Assistant Program the graduate will be able to achieve
the program learning outcomes. The student is advised to view the program
learning outcomes in the student clinical handbook. Reviewing the outcomes
will assist the student in understanding how the terminal course objectives
achieve the program learning outcomes.
STUDENT TERMINAL LEARNING OUTCOMES
After successful completion of this course, the student will be able to
meet the following terminal behavior outcomes: 1. Communicate an understanding of the plan of care developed by the
Physical Therapist to achieve short and long term goals and intended
outcomes with the use of therapeutic exercise.
2. Demonstrate competency in implementing, supervising and modifying
selected components of therapeutic exercise interventions identified
in the plan of care established by the physical therapist.
3. Demonstrate competency in performing components of data collection
skills for carrying out the plan of care to assist the physical
therapist in monitoring the effects of therapeutic exercise
interventions.
4. Demonstrate proficiency in educating and teaching different
populations a home exercise or self-care program for therapeutic
exercise and prevention strategies to achieve patient outcomes based
on the physical therapist plan of care.
5. Recognize activities, positioning and postures that aggravate or
relieve pain.
6. Apply knowledge of a specific pathological condition to develop and
implement a comprehensive rehabilitation program with a patient, given
a mock PT evaluation and short and long term goals.
7. Identify indications, contraindications and precautions for certain
therapeutic exercises and procedures.
8. Gather subjective information in order to determine a patient's
response to therapeutic exercises and procedures.
9. Identify techniques and strategies to improve and progress patients
through safe exercises with a variety of pathologies.
10. Participate in the discharge planning and follow up care in patient
treatment as recommended by the Physical Therapist.
11. Communicate adequately and appropriately, both verbally and non-
verbally, in a manner that fosters confidence, and reflects an
understanding of socioeconomic, cultural, and psychological
differences during data collection procedures or therapeutic exercise
procedures on a mock patient scenario.
12. Demonstrate a commitment to meeting the needs of patients by
recognizing a patient's goals for physical therapy.
13. Comply with policy and procedures, safety and risk management
strategies for self, patient, and facility.
14. Demonstrate compliance with the scope of practice of a Physical
Therapist Assistant in both legal and ethical dimensions, by
demonstrating professional behaviors by behaving honestly, tactfully,
dependably, enthusiastically, cooperatively and industriously.
15. Accurately and timely documents components of data collection in SOAP
note format, including specific treatment parameters, application
techniques, and treatment outcomes with correct billing for
reimbursement.
16. Be proficient in CPR and emergency response, and recognize the need
for referral for other emotional and psychological conditions beyond
the scope of practice of physical therapy.
STUDENT UNIT LEARNING OUTCOMES
After successful completion of the classroom activity, the student will be
able to meet the following instructional objectives:
Unit 1. Chapters 1 and 2 Kisner and Colby and Chapter 3 Pierson and
Fairchild
Chapter 1: Kisner and Colby Therapeutic Exercise
Lecture Objectives:
1. Define therapeutic exercise and explain the role of the physical
therapist assistant in physical therapy practice.
2. Explain the role of the physical therapist assistant to educate
physical therapist assistant students in the progression of
therapeutic exercise within the parameters of the plan of care.
3. Identify interrelated components of physical function.
4. Describe the types of therapeutic exercise used in physical therapy
practice.
5. Describe the rationale for including vital sign measures in the
patient examination.
6. Describe the models of functioning and disability and compare the
terminology.
7. Explain the use of the disablement models in current practice and
research.
8. Explain the use of clinical decision-making in the diagnostic process
and the purpose of clinical prediction rules.
9. Explain how evidence based practice is used in physical therapy for
patient management.
10. Explain the patient management model and describe the five basic
components.
11. Explain how outcomes are used in physical therapy and how they are
assessed.
12. Describe effective exercise instruction strategies used in physical
therapy and the foundation of motor learning. Chapter 2: Kisner and Colby Prevention, Health and Wellness
Lecture Objectives:
1. Explain primary, secondary, and tertiary prevention as it relates to
Healthy People 2020.
2. Explain the purpose of identifying risk factors prior to performing
physical activity.
3. Identify the steps to develop and implement prevention, health,
wellness and fitness programs.
Chapter 3: Fairchild, Assessment of Vital Signs
Lecture Objectives:
1. Provide the rationale and need to measure, monitor and record a
patient's vital signs.
2. Describe the effect of exercise on vital signs.
3. Describe the expected normal and abnormal changes in blood pressure,
heart rate, and respiration rate resulting from exercise and other
factors.
4. Explain to a patient or family member the significance of measuring
and monitoring vital signs.
5. Describe pulmonary auscultation, breath sounds, and adventitious
breath sounds.
6. Describe the importance of monitoring a patient's pain during
therapeutic exercise.
Lab 1: Objectives
1. Locate and palpate your lab partner's arterial pulse at various sites.
2. Accurately measure and record your lab partner's blood pressure,
pulse, heart rate, respiration rate and body temperature at rest and
during exercise.
3. Perform auscultation of the lungs and be able to describe the lung
sounds.
4. Teach your lab partner breathing techniques and coughing techniques
for comprehensive management of impairments related to acute or
chronic pulmonary disorders.
5. Calculate BMI on your lab partner.
6. Review and acknowledge the HGTC PTA laboratory policy and procedures.
7. Review and acknowledge HGTC Campus Safety Policy and Procedure.
Unit 2: Chapter 3: Kisner and Colby
Lecture Objectives: Range of Motion
1. Discuss the structures that are affected when performing range of
motion (ROM) activities and explain how it is measured.
2. Define functional excursion.
3. Describe principles of active and passive insufficiency when
performing range of motion techniques.
4. Identify the types of ROM exercises.
5. Discuss the indications, goals and limitations of passive, active-
assistive and active ROM.
6. Identify precautions and contraindications to ROM exercises.
7. Identify extrinsic and intrinsic factors affecting the available range
of motion (ROM) at a synovial joint.
8. Identify key-factors affecting the application and performance of
passive, active assistive, and active ROM techniques.
9. Discuss the application and use of Continuous Passive Motion (CPM) to
move a joint through a controlled ROM.
10. Discuss the implications of m