AH322 Syllabus - University of West Alabama



Date: August 18, 2008 Professor: R. T. Floyd, EdD, ATC, CSCS

Phone: 652-3714 Off 652-6185 Hm Office: JH 219

Station #14, UWA, Livingston, AL 35470 rtf@uwa.edu

Athletic Training

AH 322

Evaluation of Athletic Injuries I

TEXT: Magee, David J. Orthopedic Physical Assessment. Philadelphia, PA. W.B. Saunders, 5th edition, 2007.

Hoppenfeld, Stanley. Physical Examination of the Spine and Extremities. New York, N.Y.: Appleton-Century-Crofts, 1976

Strongly Suggested References:

Booher, James M. & Gary A. Thibodeau. Athletic Injury Assessment. Dubuque, IA.: McGraw-Hill, 4th edition, 2000.

Hartley, Anne. Practical Joint Assessment: Upper Quadrant. St. Louis, MO.: Mosby, 2nd edition, 1995.

CREDIT HOURS: 3 semester hours

PREREQUISITE: AH 200

COURSE DESCRIPTION: Evaluation of specific injuries to the head, cervical spine, trunk, and upper extremities and related anatomy, etiology, signs, and symptoms.

Objectives: At the conclusion of this course and AH 322, the successful student will be able to:

1. Understand how to recognize and intelligently evaluate the nature and extent of athletic injuries/illnesses.

1. Manually & skillfully examine and evaluate athletic injuries/illnesses.

1. Understand medical referral and the indications for such injuries/illnesses.

1. Understand the importance of a complete evaluation, assessment, and plan for athletic injuries/illnesses.

Content Outline

A. The Unconscious Athlete

B. Head Injuries

C. Face Injuries

D. Throat, Chest, Abdomen, and Pelvic Injuries

E. Cervical Spine

F. Shoulder

G. Elbow & Forearm

H. Wrist & Hand

Course Requirements:

A. Meet at least 2/3 of all class meetings. Attendance at 100% of all class meetings is expected.

B. Utilization of email, the World Wide Web, and

C. Each student will participate fully in practical laboratory sessions

D. Four upper body projects on Head/Face, Cervical Spinal Column, Thorax/Abdomen/Urogenital organs, Shoulder/Upper Arm, Elbow, Forearm/Wrist/Hand

E. Attendance at UWA Sports Medicine Lectures during the semester

F. Review of related material from Goniometry CD (accessible only through computers in JH216). Related assignments to be announced throughout semester.

G. Review of related material from Manual Muscle Testing CD (accessible only through computers in JH216). Related assignments to be announced throughout semester.

H. Review of related material from Examination of Upper Extremity CD (accessible only through computers in JH216). Related assignments to be announced throughout semester.

I. Six Joint Evaluation Sheets, 25 points each, Due 9/3. 9/17, 10/1, 10/15, 10/29, & 11/19

J. Four to eight major objective examinations

K. Comprehensive final examination

Evaluation:

A. Upper body evaluation projects, 50 points each, Due dates Sept. 19, Oct. 3, Oct. 24, & Nov. 14, 2008 0 points awarded if not submitted by these dates, regardless of reason

B. Six Joint Evaluation Sheets, 25 points each, Due 9/3. 9/17, 10/1, 10/15, 10/29, & 11/19

C. Attendance at UA/DCH/UWA designated presentations, 50 points per presentation

D. Four to eight major objective examinations 400 -800 points

E. Comprehensive final examination 200 points

POLICIES

A. Attendance: Students are expected to attend all scheduled classes in this course. Emergencies, sickness, and official school business are treated as excused absences, but it is still the responsibility of the student to maintain standing in the course. A student cannot receive credit for a course if he/she does not attend at least two-thirds of the class meetings, regardless of the reason for the absences. University attendance policy will be enforced.

B. Academic Misconduct: All acts of dishonesty including plagiarism constitute academic misconduct. UWA policy addressing such conduct will be strictly enforced.

C. Discussion of Grades with Professor: Any student who receives failing grades during this course is urged to discuss this with the teacher.

D. All make up exams will be scheduled during the final examination period. Exceptions are at the professor's discretion.

E. Email: UWA students are required to use their UWA email accounts for all correspondence related to this course. Students should clean out their email accounts regularly. You should permanently delete items in the Deleted Items folder, and delete your emails in your Sent folder at the end of each term. If your mailbox is full, you will not receive important correspondence from your instructor.

F. Accommodation for Individuals with Disabilities: The University of West Alabama strives to make its programs accessible to qualified persons defined as disabled under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. Students who have special needs which require accommodation are responsible for notifying individuals from whom assistance may be required and informing instructors in each course in which they are enrolled. Students should contact the University’s Counseling Center following acceptance to the University to discuss the range of services or accommodations the University can provide. Support documentation of special needs from a physician or other qualified professional will be required if deemed necessary.

For additional information, contact the Counseling Center, Foust Hall, Room 7, (205) 652-3651 or the Office of Student Affairs, Room 323, Webb Hall, (205) 652-3581.

G. Honesty/Integrity: The University of West Alabama Academic Dishonesty Policy stated in the General Catalogue and the Student Handbook (available at ) will be followed.

The University of West Alabama reserves the right to use electronic means to detect and help prevent plagiarism. Students agree that by taking this course all course documents are subject to submission to . All materials submitted to will become source documents in 's restricted access database solely for the purpose of detecting plagiarism in such documents. Students may be required by the instructor to individually submit course documents electronically to .

H. The instructional schedule reflects expected class progress in course subject matter and is considered tentative. The schedule is subject to change in content and scope at the instructor's discretion.

COMPETENCIES and PROFICIENCIES: The following will be covered in part where applicable to course objectives, not necessarily as a whole.

|Competency Code |Competency |Course 1 |Course 1 Evaluated |Course 2 |Course 2 |

| | |Instructed | |Instructed |Evaluated |

|AC-C19 |Identify the signs and symptoms of head trauma, including loss of |AH 200 |AH 408 |AH 322 |  |

| |consciousness, changes in standardized neurological function, cranial nerve | | | | |

| |assessment, and other symptoms that indicate underlying trauma. | | | | |

|AC-C20 |Explain the importance of monitoring a patient following a head injury, |AH 200 |AH 408 |AH 322 |  |

| |including obtaining clearance from a physician before further patient | | | | |

| |participation. | | | | |

|AC-C21 |Define cerebral concussion, list the signs and symptoms of concussions, |AH 200 |AH 408 |AH 322 |  |

| |identify the methods for determining the neurocognitive status of a patient | | | | |

| |who sustains a concussion and describe contemporary concepts for the | | | | |

| |management and return-to-participation of a patient who sustains a | | | | |

| |concussion. | | | | |

|AC-C22 |Identify the signs and symptoms of trauma to the cervical, thoracic and |AH 200 |AH 408 |AH 322 |  |

| |lumbar spines, the spinal cord, and spinal nerve roots, including | | | | |

| |neurological signs, referred symptoms, and other symptoms that indicate | | | | |

| |underlying trauma and pathology. | | | | |

|AC-C29 |Identify the signs, symptoms, and treatment of patients suffering from |AH 322 |AH 323 |AH 300 |AH 408 |

| |adverse reactions to environmental conditions. | | | | |

|AC-C30 |Identify information obtained during the examination to determine when to |AH 200 |AH 322 |AH 322 |AH 408 |

| |refer an injury or illness for further or immediate medical attention. | | | | |

|DI-C1 |Demonstrate knowledge of the systems of the human body. |AH 322 |AH 408 |AH 200 |  |

|DI-C2 |Describe the anatomical and physiological growth and development |AH 322 |AH 408 |AH 324 |  |

| |characteristics as well as gender differences across the lifespan. | | | | |

|DI-C3 |Describe the physiological and psychological effects of physical activity and|AH 322 |AH 408 |AH 324 |  |

| |their impact on performance. | | | | |

|DI-C6 |Describe common techniques and procedures for evaluating common injuries |AH 322 |AH 408 |AH 324 |  |

| |including taking a history, inspection/observation, palpation, functional | | | | |

| |testing, special evaluation techniques, and neurological and circulatory | | | | |

| |tests. | | | | |

|DI-C7 |Explain the relationship of injury assessment to the systematic observation |AH 322 |AH 408 |AH 324 |  |

| |of the person as a whole. | | | | |

|DI-C8 |Describe the nature of diagnostic tests of the neurological function of |AH 322 |AH 408 |AH 324 |  |

| |cranial nerves, spinal nerves, and peripheral nerves using myotomes, | | | | |

| |dermatomes, and reflexes. | | | | |

|DI-C9 |Assess neurological status, including cranial nerve function, myotomes, |AH 322 |AH 408 |AH 324 |  |

| |dermatomes and reflexes, and circulatory status. | | | | |

|DI-C10 |Explain the roles of special tests in injury assessment. |AH 322 |AH 408 |AH 324 |  |

|DI-C11 |Explain the role of postural examination in injury assessment including gait |AH 322 |AH 408 |AH 324 |  |

| |analysis. | | | | |

|DI-C12 |Describe strength assessment using resistive range of motion, break tests, |AH 322 |AH 408 |AH 324 |  |

| |and manual muscle testing. | | | | |

|DI-C13 |Describe the use of diagnostic tests and imaging techniques based on their |AH 322 |AH 408 |AH 324 |  |

| |applicability in the assessment of an injury when prescribed by a physician. | | | | |

|DI-C14 |Describe the clinical signs and symptoms of environmental stress. |AH 322 |AH 408 |AH 324 |  |

|DI-C15 |Describe and identify postural deformities. |AH 322 |AH 408 |AH 324 |  |

|DI-C16 |Explain medical terminology and abbreviations necessary to communicate with |AH 322 |AH 408 |AH 324 |  |

| |physicians and other health professionals | | | | |

|DI-C17 |Describe the components of medical documentation (e.g. SOAP, HIPS and HOPS). |AH 322 |AH 281 |AH 324 |AH 408 |

|EX-C4c |The anatomical and/or biomechanical alterations resulting from acute and |AH 340 |AH 408 |AH 322 |  |

| |chronic injury and improper mechanics | | | | |

|MC-C3 |Describe common techniques and procedures for evaluating common medical |AH 300 |AH 322 |AH 322 |AH 408 |

| |conditions and disabilities including taking a history, | | | | |

| |inspection/observation, palpation, functional testing, special evaluation | | | | |

| |techniques (e.g., assessing heart, lung and bowel sounds), and neurological | | | | |

| |and circulatory tests. | | | | |

|MC-C4 |Describe and know when to refer common eye pathologies from trauma and/or |AH 300 |AH 408 |AH 322 |  |

| |localized infection (e.g., conjunctivitis, hyphema, corneal injury, stye, | | | | |

| |scleral trauma). | | | | |

|MC-C5 |Describe and know when refer common ear pathologies from trauma and/or |AH 300 |AH 408 |AH 322 |  |

| |localized infection (e.g., otitis, ruptured tympanic membrane, impacted | | | | |

| |cerumen). | | | | |

|MC-C6 |Describe and know when to refer common pathologies of the mouth, sinus, |AH 300 |AH 408 |AH 322 |  |

| |oropharynx, and nasopharynx from trauma and/or localized infection (e.g., | | | | |

| |gingivitis, sinusitis, laryngitis, tonsillitis, pharyngitis). | | | | |

|MC-C7 |Describe and know when to refer common and significant respiratory |AH 300 |AH 408 |AH 322 |  |

| |infections, thoracic trauma, and lung disorders. (e.g., influenza, pneumonia,| | | | |

| |bronchitis, rhinitis, sinusitis, upper-respiratory infection (URI), | | | | |

| |pneumothorax, hemothorax, pneumomediastinum, exercise-induced bronchospasm, | | | | |

| |exercise-induced anaphylaxis, asthma). | | | | |

|MC-C8 |Explain the importance and proper use of a peak flowmeter or similar device |PE 444 |AH 408 |AH 322 |  |

| |in the evaluation and management of respiratory conditions. | | | | |

|MC-C17 |Describe and know when to refer common neurological medical disorders from |AH 300 |AH 408 |AH 322 |AH 400 |

| |trauma, anoxia, drug toxicity, infection, and congenital malformation (e.g., | | | | |

| |concussion, postconcussion syndrome, second-impact syndrome, subdural and | | | | |

| |epidural hematoma, epilepsy, seizure, convulsion disorder, meningitis, spina | | | | |

| |bifida, cerebral palsy, chronic regional pain syndrome [CRPS], cerebral | | | | |

| |aneurysm). | | | | |

|MC-C21 |Describe and know when to refer common injuries or conditions of the teeth |AH 300 |AH 408 |AH 322 |  |

| |(e.g., fractures, dislocations, caries). | | | | |

|MC-C22 |Explain the importance and proper procedures for measuring body temperature |AH 300 |AH 408 |AH 322 |  |

| |(e.g., oral, axillary, rectal). | | | | |

|PA-C5 |Describe the etiology, pathogenesis, pathomechanics, signs, symptoms, and |AH 300 |AH 408 |AH 322 |  |

| |epidemiology of common orthopedic injuries, illnesses and diseases to the | | | | |

| |body’s systems. | | | | |

|PD-P3 |Develop and present material (oral, pamphlet/handout, written article, or |AH 322 |AH 322/AH 324 |AH 324 |AH 350 |

| |other media type) for an athletic training-related topic. | | | | |

|RM-C19 |Explain the basic principles and concepts of home, school, and workplace |AH 322 |AH 408 |AH 324 |  |

| |ergonomics and their relationship to the prevention of illness and injury. | | | | |

|RM-C20 |Recognize the clinical signs and symptoms of environmental stress. |AH 322 |AH 408 |AH 323 |AH 400 |

CALENDAR: This calendar is designed to be only a guideline of planned topics which may be changed based on time needed to adequately address each topic.

|Mon | |Wed | |Fri | |

|8/18 |The Unconscious Athlete |8/20 |The Unconscious Athlete |8/22 |The Unconscious Athlete |

|8/25 |The Unconscious Athlete |8/27 |Head |8/29 |Head |

|9/1 |Labor Day Holiday |9/3 |Head |9/5 |Head |

|9/8 |Head |9/10 |Face |9/12 |Face |

|9/15 |Face |9/17 |Face |9/19 |Test 1 Eval. Proj. Due |

|9/22 |Face // |9/24 |Throat, Chest, Abd, & Pelvis |9/26 |Dental (Darrell Hoggle, DMD) |

|9/29 |Throat, Chest, Abd, & Pelvis |10/1 |Throat, Chest, Abd, & Pelvis |10/3 |Throat, Chest, Abd, & Pelvis Eval. Proj. Due |

|10/6 |Throat, Chest, Abd, & Pelvis |10/9 |Cervical Spine |10/10 |Cervical Spine |

|10/13 |Cervical Spine |10/15 |Cervical Spine |10/17 |Cervical Spine // |

|10/20 |Test 2 |10/22 |Shoulder |10/24 |Shoulder Eval. Proj. Due |

|10/27 |Shoulder |10/29 |Shoulder |10/31 |Shoulder |

|11/3 |Shoulder |11/5 |Elbow & Forearm |11/7 |Elbow & Forearm |

|11/10 |Elbow & Forearm |11/12 |Elbow & Forearm |11/14 |Wrist & Hand Eval. Proj. Due |

|11/17 |Wrist & Hand |11/19 |Wrist & Hand |11/21 |Wrist & Hand // |

|11/24 |Thanksgiving Holiday |11/26 |Thanksgiving Holiday |11/28 |Thanksgiving Holiday |

|12/1 |Test 3 |12/3 |Wrap up |12/5 |Final Exams Begin |

| |12/9 |Final Examination 2:00-4:00 PM | | | |

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