Advising Notes
Montgomery College, Takoma Park Campus
Date reviewed: October, 2004
Discipline:
Health Information Technology [PT110]
Physical
Therapist Assistant Advisor
PT110, THERAPEUTIC
PROCEDURES II Credit Hours: 2 Semester Hours Clock Hours: 15 hours lecture 30 hours lab Required Text: 1. C. Kisner and A. Colby. Therapeutic Exercise, Foundations and Techniques. F. A. Davis Publisher, 4th Edition 2. Hazel Clarkson and Gail Gilewich Musculoskeletal Assessment Joint Range of Motion and Manual Muscle Strength, Williams & Wilkins Publisher. COURSE DESCRIPTION Therapeutic Procedures I incorporates basic principles of therapeutic exercises as applied to physical therapy. The student will utilize principles of anatomy, physiology, and kinesiology to develop skills in performing various exercise techniques. During this course, the student is expected to develop skills in goniometric measurements of joint motion, analyze the gait cycle, and develop the ability to analyze normal and abnormal posture. COURSE OUTLINE 1. Therapeutic Exercise - PT 110 a. Goals: strength, endurance, cardiovascular fitness, mobility, flexibility, stability, relaxation, coordination, balance, functional skills. b. Identification c. Developments d. Application e. Physiological Effects: fitness, oxygen consumption, energy systems, cardiovascular response, respiratory response, metabolic changes.
2. Basic types of exercise programs
3. Posture
4. Gait
5. Post surgical exercise protocols
6. Goniometry
PHYSICAL THERAPIST ASSISTANT PROGRAM PT 110 THERAPEUTIC PROCEDURES II COURSE OBJECTIVES Upon completion of this course, the student will be able to: 1. Discuss the basic principles of exercise and describe physiological effects of exercise. 2. Identify goals of exercise and apply them to specific case studies. 3. Define concepts and terms relating to exercise and identify and perform different types of basic exercise programs: a. Passive b. Active Assistive c. Active d. Resistive/strengthening e. Passive Stretching
4. Demonstrate the ability to perform the various exercise techniques and relate the type of exercise to specific case studies. 5. Describe principles as relates to posture and identify normal and abnormal posture. 6. Identify components of normal gait and the gait cycle and understand the implications of disease and disability as relates to gait. 7. Explain and demonstrate exercise protocols following a variety of post surgery conditions. 8. Understand grades and basic techniques of peripheral joint mobilization. 9. Understand joint anatomy and degrees of motion of joints of the body. 10. Develop skill in performing goniometric measurements of joints of the neck, trunk, upper extremities, and lower extremities and skill in documentation of the same. 11. Understand implications of goniometry as relates to patient progress, exercise, and ambulation abilities. 12. Demonstrate understanding of total patient care as applied to discharge planning and total patient care.
COURSE TEACHING METHODS Teaching methods employed will include lectures, audiovisual presentations, question and answer sessions, demonstrations, patient situation discussions, and supervised and independent laboratory practice. COURSE REQUIREMENTS On time attendance of all lecture and laboratory sessions are mandatory. Two unexcused absences will result in a decrease of the final grade by one letter. (An "A" becomes a "B," etc.) The Skills taught and practiced in this course are essential to physical therapist assistant practice; therefore, three or more absences will result in failure of this course. Students must pass the didactic part of the course & the practical exams prior to entering into their clinical affiliation. ATTIRE Proper laboratory attire is mandatory and consists of flat comfortable non-skid shoes, loose fitting shorts and a bikini or halter top for females. Males and females may wear a T-shirt which would be removed during practice sessions. Laboratory attire must be available for all class sessions unless otherwise informed by the instructor. Students will not be admitted to lab without proper attire and this absence will count as unexcused. Lab attire is not to be worn during lectures or outside of the laboratory in the hallways. Visitors are not allowed in the labs without permission of the instructor before class begins. Visitors are not allowed in the labs during independent practice sessions. During labs, long hair must be fastened up off the neck. Rings and earrings must be conservative. Necklaces should not be worn. Poor hygiene will not be acceptable. Good to excellent hygiene, with groomed hair, and groomed short nails is expected of men and women.
GRADING POLICY EXAM I 30% 90 100 A QUIZZES ..30% 80 89 ..B Final Exam 40% 75 - 79 . C Three (3) Practical Examinations, including a final practical, all of which are on a Pass/Fail basis and all of which must be passed in order to pass the course, regardless of written exam scores. Detailed criteria for each laboratory practical will be available prior to each checkout. PRACTICAL MAKE-UP POLICY If the student does not pass a practical, he/she will be allowed to repeat it one time only. HOUSEKEEPING All students are responsible for putting equipment away, keeping equipment clean and in order at the end of each class session. Students are expected to report unsafe and/or broken equipment to the instructor. It is not necessary to report who is responsible for breaking the equipment. Students are responsible for washing, drying, folding, and putting away linen; a washer and dryer with detergent are available across the hall from the lab. Walking on mats or mat tables with shoes on is not allowed. Drinking or eating in the classroom and laboratory is not allowed at any time. CLASSROOM BEHAVIOR Each and every student is expected to behave in ways which promote a teaching and leaning atmosphere. Students have the right to learn; however, they do not have the right to interfere with the freedom of the faculty to teach or the rights of other students to learn. Students will be treated respectfully in return for respectful behavior. All in class discussions should be carried out in a way that keeps the classroom environment respectful of the rights of others. This means that, for example, students should not interrupt someone else who is talking regardless of whether that person is the instructor or another student. Students should not monopolize class time by repeatedly interrupting and asking questions in a manner which hinders the learning process of others. Students are also expected to conduct themselves in ways which create a safe learning and teaching environment that is free from such things as violence, intimidation, and harassment. Please make sure that you obtain and read a copy of the current Student Handbook which contains the Student Code of Conduct. Also, see page 79. Additionally, students are responsible for Withdrawal from the course, if necessary. Students with special needs should make appointment with the counselor and bring any needs statement to the faculty. COURSE SCHEDULE THERAPEUTIC PROCEDURES II Course Number: P.T. 110 DATE TOPIC READING
January 28 Physiological Effects of Exercises Text: Kisner & Colby Basic Principles of Exercise Identification of basic types of exs, Application to specific case studies.
Performance of Passive ROM Exs. Text: Kisner & Colby Active Assistive Exs. Techniques. Instruction skills for Active Exs. .
February 4 Range of Motion/Combined Patterns Mechanical Assistance Principles of Aerobic Exercises
February 11 Types of Resistive Exs. Principles and Text: Kisner & Colby Techniques of Applying Manual Resist Ex. Progressive Resistive Exs: variables, specific regimes, isokinetic techniques.
February 18 Principles & Techniques for use of Text: Kisner & Colby Equipment for Resistive Exs: dumbbell Weights, pulleys, cuff weights, quad. weight boot, exercise bicycle, cybex.
February 25 Stretching Principles & Techniques, Text: Kisner & Colby Passive & active stretching Flexibility, Contractures
March 3 Stretching in Anatomical Planes Active Inhibition Techniques
March 10 MID-TERM EXAM Practical Exams I and II : ROM Exs. Performance of Various Resistive Exs Techniques. Streching, Active Inhibition
March 15 21 SPRING BREAK
March 24 Application of Therapeutic Exercise Text: Kisner & Colby To regions of the body, Post Surgery Protocols.
March 31 Dynamics of Posture: Structure & Text: Kisner & Colby Function Of the Spine. Postural Problems.
Scoliosis: Measurement techniques; Text: Kisner & Colby Exercises Linear and Girth Measurements. Leg length Discrepancy measurements
April 7 Goniometry: Techniques and Procedures Text: Clarkson Review of Axes & Planes, End Feels Accurate reading, correct positioning, Stabilization, location of landmarks, recording Goniometry of the Head, Neck, and Trunk
April 14 Goniometry of the Upper Extremity Text: Clarkson
April 21 Goniometry of the Lower Extremity Text: Clarkson Implications of Goniometric Measurements
April 28 Review of Goniometirc Measurements Measure All joints and record ranges
Clinical Affiliation: Objectives, Behavior Attendance, Code of Conduct, Uniforms, Withdrawal, Assignments, Syllabus, PTA Student Hndbook, Student performance Insturment.
May 5 & 7 FINAL EXAM Practical Examination II: Goniometry of the Upper & Lower Extremities. TBA Re-Take of Practical Exams I and II |