KEISER UNIVERSITY - PHT 1227 Therapeutic Exercise I



|KEISER UNIVERSITY |

|Course Control Document |

| | |

|Course Title: |Therapeutic Exercise I |

|Course Number: |PHT1227C |

|Prerequisites: |PHT2801 |

|Credit Hours: |2.0 semester credit hours |

|Contact Hours: |50 |

|Lecture/Credit hours: |20 lecture hours/1 semester credit hours |

|Laboratory/Credit Hours: |30 laboratory hours/1 semester credit hours |

|Textbook Title: |Therapeutic Exercise Foundations and Techniques, 6th edition |

|Publisher’s Name: |F.A. Davis |

|Author’s Name: |Kisner C, Colby LA |

|ISBN: |9780803625747 |

|Instructor Qualifications: |Physical Therapist or Physical Therapist Assistant licensed in Florida (or Florida eligible) and a |

| |minimum of two years of clinical practical experience. |

| | |

|Course Description: |Focuses on the study of therapeutic exercise techniques, procedures and biofeedback. Emphasis is on |

| |various techniques used for strengthening, stretching, ROM, endurance, associated body mechanics and |

| |biofeedback. Specific exercises will then be applied to the upper extremity. |

| | |

|Course Topics: |Goals and general guidelines for therapeutic exercise |

| |Range of motion exercise |

| |Resistance exercise |

| |Stretching |

| |Therapeutic exercise applied to soft-tissue lesions, RA, osteoarthritis, fractures and post-surgical |

| |patients |

| |EMG, Biofeedback |

| |Progression of exercise programs |

| |Clinical documentation of therapeutic exercise |

| | |

|Course Objectives: |Upon completion of the course, students are able to: |

| |Demonstrate and communicate an understanding of the plan of care developed by the physical therapist |

| |to achieve short and long term goals and intended outcomes with regards to therapeutic exercise, |

| |including: |

| |explaining the importance of therapeutic exercise in the realm of treatment intervention |

| |identifying and applying the effects of decreased mobility and/or prolonged immobilization on |

| |muscles, tendons, ligaments, cartilage, the joint capsule, bone and skin |

| |identifying indications, contraindications, limitations, precautions, rationale and effectiveness of |

| |stretching, progressive resistance exercise and passive, active and active assistive range of motion |

| |Demonstrate an understanding of stretching, including: |

| |define and apply specific terms related to stretching including contracture, tightness, |

| |overstretching and selective stretching. |

| |define, explain and apply the different therapeutic techniques used in stretching. |

| |identify and apply general principles of relaxation used in preparation for stretching. |

| |Differentiate and apply to therapeutic exercise: |

| |strength, endurance and power. |

| |isotonic, isometric and isokinetic exercise. |

| |manual and mechanical resistive exercises. |

| |Based on the plan of care as established by the physical therapist, demonstrate competence in |

| |implementing and instructing patients (lab partner) in therapeutic exercises, with and without |

| |equipment as appropriate, for the shoulder and shoulder girdle, the elbow and forearm complex, the |

| |wrist and hand, and the lower extremities (PROM only) including: |

| |flexibility and stretching |

| |mobility (PROM, AAROM, and AROM) |

| |strength |

| |endurance |

| |body mechanics |

| |Demonstrate and apply an understanding of the plan of care developed by the physical therapist to |

| |achieve short and long term goals and intended outcomes through the interventions of range of motion,|

| |stretching, and strengthening based on the stage of healing for the upper extremity, including: |

| |explaining and applying the resting posture of a joint (open), the closed pack position and capsular |

| |patterns. |

| |identifying characteristics of soft-tissue repair during the stages of inflammation, healing and |

| |restoration of function. |

| |identifying and applying special considerations and understand the plan of care and treatment goals |

| |established by the physical therapist for intervention following fractures. |

| |identifying and applying special considerations and understand the plan of care and treatment goals |

| |established by the physical therapist for intervention following post-surgical conditions. |

| |identifying and applying special considerations and understand the plan of care and treatment goals |

| |established by the physical therapist for intervention of RA and osteoarthritis. |

| |explaining the basic principles, purpose, physiological and therapeutic effects, advantages, |

| |disadvantages, indications, contraindications, precautions, and parameters of EMG Biofeedback |

| |Maintain appropriate communication with the physical therapist including: |

| |determining situations in which treatment intervention should not be provided due to changes in |

| |patient status and reporting this to the physical therapist. |

| |explaining what changes in patient status would be reported to the supervising physical therapist and|

| |reporting those changes. |

| |identifying when the direction to perform an intervention is beyond that which is appropriate for a |

| |physical therapist assistant and initiating clarification with the physical therapist. |

| |explaining a patient’s normal and abnormal responses to treatment in order to adjust interventions |

| |within the plan of care established by the physical therapist in response to patient clinical |

| |indications and reporting this to the supervising physical therapist in a timely manner. |

| |participating in discharge planning and follow-up as directed by the supervising physical therapist. |

| |Complete thorough, accurate, logical, concise, timely, and legible documentation that follows |

| |guidelines and documentation formats required by state law, the practice setting and/or other |

| |regulatory agencies and understands the importance of documentation for reimbursement purposes. |

| |Demonstrate the ability to adapt and progress an exercise program to a patient’s condition in order |

| |to achieve the intended outcomes as developed by the physical therapist in the plan of care |

| |established by the physical therapist including: |

| |assessing a patient’s response to exercise and understanding a patient’s normal and abnormal |

| |responses. |

| |recognizing the difference in beginning to advanced exercises as used in exercise progression. |

| |identifying activities, positioning and/or postures that aggravate or relieve pain and/or altered |

| |sensation, or that can produce associated skin trauma |

| |identifying and promoting normal movement as well correcting abnormal joint movement for the upper |

| |extremity. |

| |demonstrating the ability to recognize alignment of the trunk and extremities both at rest and during|

| |therapeutic exercise activities. |

| |Demonstrate the ability to perform educational activities including: |

| |communicating verbally and non-verbally during simulation, with the patient (lab partner), the |

| |physical therapist (instructor), health care delivery personnel (instructor and/or another classmate)|

| |and others in an effective (voice tone, clarity, volume and speed), appropriate (use of layman’s |

| |terms for patients/families, medical terms for medical personnel) and capable manner. This includes |

| |an appropriate introduction of self as a student physical therapist assistant. |

| |participating in educating patients and caregivers as directed by the supervising physical therapist.|

| |providing patient-related instruction to patients, family members, and caregivers to achieve patient |

| |outcomes based on the plan of care established by the physical therapist. |

| |Demonstrate knowledge of and apply safety procedures, including: |

| |safe use and maintenance of equipment |

| |appropriate cleaning of equipment and environment for infection control. |

| |ensuring the student is treating the correct lab partner through name identification |

| |ensuring the clinical environment is safe. |

| |identifying the appropriate action in an emergency situation |

| |Demonstrate professional behavior by: |

| |applying the role of the physical therapist assistant in given situational activities using the |

| |appropriate standards of practice and ethics of the PTA. |

| |recognizing and respecting individual and cultural differences of instructors and classmates and |

| |responding appropriately. |

| |exhibiting conduct that reflects a commitment to meet the expectations and needs of those receiving |

| |healthcare, consumers of healthcare and those providing healthcare, through safe, ethical, legal and |

| |knowledgeable performance. |

| | |

|Scope and Sequence |

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|WEEK 1 | |

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|Learning Objective(s): |1, 2, 4, 6-11 |

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|Assigned Reading: |Chapters 3-6 |

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|Suggested Learning Activities: |Lecture: Pre-Test, Review syllabus, Introduction to Therapeutic Exercise, Effects of |

| |Immobilization |

| |Lab: UE PROM |

| |Lecture: ROM |

| |Lab: LE PROM |

| |Lecture: Stretching |

| |Lab: Stretching |

| |Lecture: Joint mobilizations |

| |Lab: Competencies 1 UE and LE PROM |

| |Lecture: Resistive exercise |

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|Evaluation: |Pre-Test, Written Examination and/or Quizzes or projects/presentations/papers/homework as |

| |determined by the instructor. Competencies 1 |

| | |

|WEEK 2 | |

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|Learning Objective(s): |1-11 |

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|Assigned Reading: |Chapters 6, 10, 11, 12 |

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|Suggested Learning Activities: |Lecture: continue resistive exercise |

| |Lab: Competency #2 – UE stretching; begin UE resistive exercise |

| |Lecture: Disorders of soft tissue, the musculoskeletal system, and surgical intervention |

| |Lab: continue resistive exercise |

| |Lecture: Treatment progression based on stage of injury |

| |Lab: Competency #3 – UE strengthening |

| |Lecture: Final Exam, Post-Test |

| | |

|Evaluation: |Written Examination and/or Quizzes or projects/presentations/papers/homework as determined by the |

| |instructor. Final Exam, Post-Test, Competencies 2-3 |

Course Evaluation Strategies (Methodologies)

Student performance is evaluated as follows:

|Lecture | |

|50 % |Exams |

|10 % |Projects/Presentations/Papers/ Homework/Quizzes |

| |(individual assignment or multiple assignments determined by instructor) |

|27% |Final Exam |

|5 % |Post-Test |

|Laboratory | |

|3 % |Competencies (1 % each) |

| |Each competency examination must be passed with a 70% or higher in order to pass the|

| |course. |

|Professionalism | |

|5% |Professionalism rubric |

| | |

| 100 % |Total possible score |

|Students must earn a grade of 70% or higher in both the lecture section and the laboratory section; should a 70% in either section |

|not be achieved the student will receive a final course grade of “F” and not be able to continue in the program. |

Grading Scale

|90-100% |A |

|80-89.99% |B |

|70-79.99% |C |

|Less than 70% |F |

Competencies in this course:

1. UE PROM/LE PROM

2. UE stretching

3. UE strengthening

Methods of Course Delivery: The subject matter in this course is presented in various forms which may include lectures, class discussion, demonstrations, collaborative activities, computer assignments, student projects and presentations, on-line research, guest speakers or field trips.

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|KEISER UNIVERSITY |

|Course Control Document – Evidence of Understanding |

|Course: PHT1227C Therapeutic Exercise I |

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|By signing below, I affirm that I have received, read and understand the information provided in the above course control document;|

|and the grade which I must achieve to pass the course. |

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|Print Name: ____________________________________________ |

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|Signature: _____________________________________________ |

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|Date: __________________________________________________ |

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|Instructor: _____________________________________________ |

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