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 |
| | |
|WEEK 1 | |
| | |
|Learning Objective(s): |1, 2, 4, 6-11 |
| | |
|Assigned Reading: |Chapters 3-6 |
| | |
|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 |
| | |
|Evaluation: |Pre-Test, Written Examination and/or Quizzes or projects/presentations/papers/homework as |
| |determined by the instructor. Competencies 1 |
| | |
|WEEK 2 | |
| | |
|Learning Objective(s): |1-11 |
| | |
|Assigned Reading: |Chapters 6, 10, 11, 12 |
| | |
|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 |
| |
|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. |
| |
|Print Name: ____________________________________________ |
| |
|Signature: _____________________________________________ |
| |
|Date: __________________________________________________ |
| |
|Instructor: _____________________________________________ |
| |
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