• Required Text: O’Sullivan, S.B. and Schmitz, T.J.: Physical Rehabilitation
• Assessment and Treatment 4^th Edition, F.A. Davis (Publisher).
• O’Sullivan, S.B. and Schmitz, T.J.: Physical Rehabilitation
• Laboratory Manual 1^st Edition, F.A. Davis (Publisher).
• Suggested Video: Videotapes for Functional training for Physical
• Rehabilitation by Susan B. O’Sullivan and Mitch Shuldman. F.A. Davis Pubilsher. ISBN# 080360457-2

In the bookstore or telephone: 1-800-323-3555

This course will acquaint the student with rehabilitation of patients with specific diseases and disabilities. Included are techniques used for spinal cord injuries and cerebrovascular accidents. Care of other neurological disorders, amputees, prosthetics and orthotics, burn care, pediatrics, and chest physical therapy are studied. The student will be introduced to Geriatric rehabilitation as well as rehabilitation necessary for sports related injuries.

PREREQUISITE: PT 208 and PT 209

Upon completion of the course, the student will be able to demonstrate through written and practical examinations and clinical practice:

1. Describe, demonstrate and teach physical therapy procedures for patients with CHI (Closed Head Injury).
2. Describe, demonstrate and teach physical therapy procedures for patients with SCI (Spinal Cord Injury)
3. Describe, demonstrate and teach physical therapy procedures for patients with CVA (Cerebral Vascular Accident).
4. Describe and demonstrate basic principles of neuromuscular treatment techniques

1. Brunnstrom
2. Rood – Sensory Stimulation
3. Bobath – Neurodevelopment Techniques
4. Proprioceptive Neuromuscular Facilitation
5. Ayers – sensory integration

1. Describe and demonstrate treatment of amputees
2. Identify and explain the function of components of prosthesis and identify improper fit.
3. Identify and explain the principles of orthotics and identify improper fit
4. Explain pulmonary disabilities
5. Perform chest physical therapy procedures appropriate for pulmonary disabilities.
6. Discuss and demonstrate physical therapy procedures for Cardiac Rehabilitation patients
7. Describe selected orthopedic and sport injuries and principles of othopedic treatment and demonstrate physical therapy procedures for the selected injuries.
8. Describe neuro-muscular and postural changes of aging.
9. Identify causes and classifications of burns and demonstrate the physical therapy procedures used in the management of burns cases.
10. Describe the principles of pediatric rehabilitation, and demonstrate physical therapy procedures for the pediatric patient.
11. Explain the significance of architectural barriers and environmental modifications as it relates to disability.
12. Discuss total patient care.

COURSE OTULINE

1. Describe muscular and neuromuscular disorders

1. Disorders

1. Muscular dystrophy
2. Charcot-Marie-Tooth disease

1. Management

1. Etiology
2. Signms and Symptoms
3. Prognosis
4. Treatment

1. Medical
2. Physical therapy

1. Describe CNS disorders

1. Disorders

1. CVA
2. Cerebral Palsy
3. Cerebellar ataxia
4. Parkinson’s Disease
5. Multiple Sclerosis
6. Spina Bifida with myelomeningocele
7. Tabes dorsalis
8. Guillan-Barre syndrome
9. Amyotrophic lateral sclerosis
10. Traumatic head injury

1. Management

1. Etiology
2. Signs and Symptoms
3. Prognosis
4. Treatment

1. Medical
2. Physical Therapy

1. Discuss rehabilitation of patients with SCI

1. Paraplegic
2. Quadriplegic
3. Management

1. Causes
2. Prognosis
3. Treatment

1. Total Approach
2. Physical Therapy

1. Identify principles of neuromeusculary techniques

1. Brunnstrom
2. Rood-sensory stimulation
3. Bobath-Neurodevelopment treatment
4. PNF – proprioceptive neuromuscular facilitation
5. Ayers-sensory itegration

1. Describe treatment for the amputee patient

1. Common causes
2. Types of amputations

1. Upper extremity
2. Hemipelvectomy
3. Disarticulation
4. Symes amputation
5. Above knee amputation
6. Below knee amputation

1. Phantom limb pain and sensation

1. Causes
2. Treatment

1. Rehabilitation of the amputee patient

1. Positioning
2. Exercise
3. Stump management
4. Prosthetic Training
5. Gait training

1. Describe the various types of prosthesis

1. Upper extremity
2. Lower extremity
3. Terminal devices
4. Pylon limb
5. Quadrilateral socket
6. Suction socket
7. PTB Prosthesis
8. SACH foot
9. Symes prothesis
10. Canadian hip prosthesis

1. Explain principles of orthosis

1. Components of orthosis
2. Application for flaccid paralysis
3. Application for spastic paralysis
4. Application for structural insufficiencies
5. Types of orthosis

1. Long leg orthosis
2. Short leg orthosis
3. Coil spring orthosis
4. Klenzak orthosis
5. Milwaukee brace
6. AFO
7. Thomas Heel

1. Explain pulmonary disabilities

1. Physiological changes
2. Chronic obstructive pulmonary disease (COPD)

1. Etiology
2. Signs & Symptoms
3. Prognosis
4. Treatment

1. Medical
2. Physical Therapy

1. Perform physical therapy treatment for pulmonary disabilities

1. Breating exercises
2. Postural drianage
3. Percussion
4. Vibration

1. Describe treatment for burns, and demonstrate the physical therapy procedures for burn cases

1. Cause
2. Classifications
3. Medical treatment and concerns
4. Debridement
5. Grafting
6. Sterile technique
7. Therapeutic exercise
8. Emotional fractures

1. Explain the rationale for specialized treatment programs

1. Cardiac Rehabilitation
2. Sports injuries
3. Perinatal care
4. Geriatrics

1. Discuss total patient care

1. Physical Therapy procedures
2. Psycho-emotional aspect
3. Family role
4. Related hospital personnel
5. Discharge Planning

1. Improve personal and professional relations

1. Display ethics of the Physical Therapy Assistant in classroom and laboratory situations
2. Display constructive professional attitude towards fellow students
3. Display interest in PTA program

Teaching methods employed will include lectures, audiovisual presentations, question and answer sessions, demonstrations, patient situation, group analysis, and supervised laboratory practice.

REQUIREMENTS: Also, please refer to the PTA program Student Handbook.

Attendance & Students are expected to attend all scheduled classes. If a student is ill, or must be absent for other legitimate reasons, the student must notify the instructor within one hour of the scheduled class time. Failure to do so will result in an unexcused absence. More than two unexcused absence. More than two unexcused absences will result in a decrease of the final grade by one letter. (an "A" become a "B",etc.) When a student’s unexcused absences are about to equal or have equaled the number of class session per week, the instructor may issue a warning, if the student is absent again, the instructor may drop the student from the class. See the PTA program student handbook for what constitutes an unexcused absence and withdrawal from the class as it relates to withdrawal from the program.

Make-up policy: Make-up exams are negotiable at a point of discussion between the student and the professor before the scheduled exam period, but with excused absences only.

Academic Honesty: STUDENT CODE OF CONDUCT: Please refer to the Student Code of Conduct published in the Montgomery College Student handbook.

CHEATING: Copying answers to an examination from another student’s paper or from a hidden source is considered to be cheating. Any type of cheating is serious and detrimental to the student. Therefore, any student who is found cheating will be subject to the process as described in the Student Code of Conduct.

PLAGIARISM: Presenting the work of another as your own in a paper, exam, or other assignment is strictly prohibited.

Penalties: Refer to the PTA program student handbook and the Montgomery College Student Handbook.

Classroom Behavior: Each and every student is expected to behave in ways which promote a teaching and learning 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 class discussions should be carried out in a way that keeps the classroom environment respectful of the right 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 hinders the learning process of others. Students are also expected to conduct themselves in ways, which create a safe learning and teaching environment, which 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.

Grading Scale: 90 – 100 A

80 – 89 B

75 – 79 C

Below 75 Failure

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. Drinking or eating in the classroom and laboratory is not allowed at anytime.

Exams & Quizzes: There will be three 50 minute objective written exams. See course schedule for exam and quiz dates.

There are three practical exams. Students must pass each practical exam as a requisite to pass the class. Each student has ONE opportunity to re-take a practical exam. If a student fails a practical exam he/she must meet with the instructor and schedule a re-take. Unsuccessful completion of the retake practical exam means failure in the course. During the retake exam, student may be videotaped and evaluated by additional faculty members.

SUCCESSFUL COMPLETION OF THIS COURSE DEPENDS ON PASSING EACH PRACTICAL EXAM AND EARNING A 75% AVERAGE AMOUNG THE WRITTEN EXAMS AND QUIZZES.

Grade Distribution: Exam # 1: 30%

Exam # 2: 30%

Exam # 3: 30%

Case Study: 5%

Medical Disorder: 5%

Practical Exam #1: Pass/Fail

Practical Exam #2: Pass/Fail

Practical Exam #3: Pass/Fail

Attire: Proper laboratory attire is mandatory and consist of flat comfortable non-skid shoes, loose fitting shorts and a bikini or halter top for females. Males and females should wear a T-shirt which would be removed during practice sessions. Females should wear a sports bra under the T-shirt. Basically, the upper back muscles need to be visible for observation and examination. Examination gowns are available for those students without lab attire. Laboratory attire must be available for all class sessions unless otherwise informed by the instructor. Students will not be admitted to the 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 into 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 earring must be conservative. Good to excellent hygiene with groomed hair, and groomed short nails is expected of men and women.

 

COURSE SCHEDULE

 

Week # ACTIVITY

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