PHT 1261c Tests and Measurements - Week 1
| KEISER UNIVERSITY |
|Course Control Document |
| | |
|Course Title: |Tests and Measurements |
|Course Number: |PHT1261C |
|Prerequisites: |PHT1251C |
|Credit Hours: |4.0 semester credit hours |
|Contact Hours: |100 |
|Lecture/Credit hours: |40 lecture hours/2 semester credit hours |
|Laboratory/Credit Hours: |60 laboratory hours/2 semester credit hours |
|Textbook Title: |Physical Rehabilitation: Assessment and Treatment, 5th edition |
| |PTA MACS—Fort Lauderdale Campus Only. |
| |Fundamentals of Musculoskeletal Assessment Techniques, 2nd Edition |
|Publisher’s Name: |F.A. Davis |
| |Texas Physical Therapy Association |
| |Lippincott, Williams & Wilkins |
|Author’s Name: |O’Sullivan, S., Schmitz, Thomas |
| |Texas Alliance of PTA educators |
| |Palmer and Epler. |
|ISBN: |9780803612471 |
| |N/A |
| |9780781710077 |
|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 skills necessary to perform physical therapy test and measurement procedures. Emphasis is on |
| |manual muscle testing, muscle tone, muscle length, limb length, volume and girth, sensation, |
| |coordination and balance, activities of daily living, architectural barriers, pain, reflexes, gait and |
| |posture. In addition theories of development and developmental sequence, prehension, life span changes |
| |in the body systems, posture development throughout the life span, primitive reflexes, righting |
| |reactions. |
| | |
|Course Topics: |Limb length, girth, volume |
| |Height, weight |
| |Sensation testing |
| |Manual muscle testing |
| |Muscle length testing |
| |Muscle tone |
| |Coordination testing |
| |Balance testing |
| |Pain |
| |Deep tendon reflexes (purpose only) |
| |Righting reactions |
| |Primitive/developmental reflexes |
| |Gait/including abnormal |
| |Posture/including abnormal |
| |Clinical documentation of measurement/assessment |
| |Theories of development |
| |Developmental sequence |
| |Prehension |
| |Life span changes in body systems |
| |Posture development – life span |
| |Locomotion development – life span |
| | |
|Course Objectives: |Upon completion of the course, students are able to: |
| |Demonstrate an understanding of the purposes for the assessment based on the plan of care established by|
| |the physical therapist, and if appropriate, any advantages, disadvantage, indications, |
| |contraindications, precautions and normal values for collection of data, including: |
| |limb length |
| |strength (MMT) |
| |limb volume |
| |muscle length |
| |limb girth |
| |height |
| |weight |
| |gait |
| |posture |
| |pain |
| |primitive/developmental reflexes |
| |muscle tone |
| |coordination |
| |sensation |
| |equilibrium/righting reactions/balance |
| |deep tendon reflexes (purpose only) |
| |administration of standardized questionnaires to patients and others for self-care, home management, and|
| |community or work re-integration |
| |Demonstrate competency in performing components of data collection skills essential for carrying out the|
| |plan of care established by the physical therapist, including: |
| |demonstrating the ability to recognize both gross and fine motor milestones. |
| |demonstrating the ability to recognize righting and equilibrium reactions. |
| |Discuss the rationale for performing assessment procedures utilizing the standard manner so the results |
| |are useful and meaningful and how it relates to the effectiveness of the delivery of physical therapy |
| |services. |
| |Demonstrate knowledge and use of various methods of questioning/communication to elicit pertinent |
| |information from patients. |
| |Identify and apply the components of a muscle test that produce a valid and reliable assessment |
| |including the five grades and the plus and minus system used in manual muscle testing. |
| |Demonstrate competency in performing components of data collection skills essential for carrying out the|
| |plan of care established by the physical therapist including: using standard procedure in an effective, |
| |accurate, safe, and timely manner using correct body mechanics and appropriate patient |
| |positioning/draping for: |
| |limb length |
| |strength (MMT) |
| |limb volume |
| |muscle length |
| |limb girth |
| |height |
| |weight |
| |gait |
| |posture |
| |pain |
| |primitive/developmental reflexes |
| |muscle tone |
| |coordination |
| |sensation |
| |equilibrium/righting reactions/balance |
| |deep tendon reflexes (purpose only) |
| |administration of standardized questionnaires to patients and others for self-care, home management, and|
| |community or work re-integration |
| |Communicate an understanding of the plan of care developed by the physical therapist to achieve short |
| |and long term goals and intended outcomes with reference to human development, including: |
| |defining the periods of development from prenatal to older adulthood. |
| |explaining the components of gross motor development including major motor milestones. |
| |explaining the components of fine motor skills, including fine motor milestones. |
| |describing the development of locomotion including rolling, crawling and creeping, erect walking, |
| |running, galloping, hopping and skipping. |
| |demonstrating an understanding of the role of reflexes in development of normal motor control. |
| |Maintain appropriate communication with the PT 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. |
| |explaining the role of the physical therapist assistant in the participation 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. |
| |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, appropriate and capable manner. This includes an appropriate introduction of self as an|
| |SPTA. |
| |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. |
| |identifying continuing education courses that could be taken by a physical therapist assistant to |
| |promote career development and lifelong learning opportunities. |
| |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 consumers of |
| |healthcare and those providing healthcare, through safe, ethical, legal and knowledgeable performance. |
| |explaining the role of the physical therapist assistant with regards to social responsibility, |
| |citizenship and advocacy to the community which involves participation in community/service |
| |organizations and activities as well as participation in the clinical education of physical therapist |
| |assistant students. |
| | |
|Scope and Sequence |
| | |
|WEEK 1 | |
| | |
|Learning Objective(s): |1-4, 6-12 |
| | |
|Assigned Reading: |O’Sullivan: Chapters 5,8, 28; Palmer: Chapter 3 |
| | |
|Suggested Learning Activities: |Syllabus Review, Pre-test |
| |Lecture: Developmental Reflexes; Developmental Sequence (1) |
| |Readings: O’Sullivan: Chapter 8; Handouts |
| | |
| |Lecture: Prehension; Human Development Across the Lifespan (1) |
| |Readings: Handouts |
| | |
| |Lecture: Limb length, girth and volume (2) |
| |Lab: Limb length, girth, and volume |
| |Readings: Handouts |
| | |
| |Lecture: Sensation (2) |
| |Lab: Limb length, girth and volume; sensation |
| |Readings: O’Sullivan: Chapter 5 (sensation) |
| | |
| |Lecture: Pain, Deep Tendon Reflexes [DTRs] (2) |
| |Lab: Sensation, Pain |
| |Readings: Handouts; O’Sullivan: Chapter 8, 28; Palmer: Chapter 3 |
| | |
|Evaluation: |Pre-Test, Written Exam and/or Quizzes or projects/presentations/papers/homework as determined by the |
| |instructor. |
| | |
|WEEK 2 | |
| | |
|Learning Objective(s): |1-4, 6, 8-12 |
| | |
|Assigned Reading: |O’Sullivan: Chapters 7, 8, 10; Palmer: Chapters 2, 5-7, Handouts |
| | |
|Suggested Learning Activities: |Competencies 1-2 (limb length, girth/volume, sensation, pain) |
| |Lecture: Muscle tone (3) |
| |Readings: O’Sullivan: Chapter 8 |
| |Lecture: Balance (3) |
| |Lab: Balance |
| |Readings: O’Sullivan: Chapter 8 |
| |Lecture: Coordination (3) |
| |Lab: Finish balance, begin coordination (3) |
| |Lecture: Gait (4) |
| |Readings: O’Sullivan: Chapter 7, 10, Handouts |
| |Lab: Continue coordination, gait |
| |Readings: Handouts; Weaver: Chapter 12 |
| |Lecture: Muscle length (4) |
| |Lab: UE Muscle length (4) |
| |Readings: Palmer: Chapter: 2, 5-7, Handouts |
| | |
|Evaluation: |Written Exam and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. |
| |Competencies 1-2 |
| | |
|WEEK 3 | |
| | |
|Learning Objective(s): |1, 3-6, 8-12 |
| | |
|Assigned Reading: |Palmer: Chapters 2, 5-7, 9, 10, 12-14 |
| | |
|Suggested Learning Activities: |Competencies 3 (balance and coordination) |
| |Lab: LE/Spine muscle length |
| |Readings: Palmer: Chapters 9, 10, 12-14; Handouts |
| |Lecture: MMT (5) |
| |Lab: UE MMT (5) |
| |Readings: Palmer: Chapters 2, 5-7 |
| |Competencies 4 (muscle length) |
| |Lab: Continue UE MMT |
| |Readings: Palmer: Chapters 2, 5-7 |
| |Lab: LE MMT |
| |Readings: Palmer: Chapters 12-14 |
| | |
|Evaluation: |Written Exams and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. |
| |Competencies 3-4 |
| | |
|WEEK 4 | |
| | |
|Learning Objective(s): |1, 3-6, 8-12 |
| | |
|Assigned Reading: |Palmer: Chapters 4, 5-7, 9, 10, 12-14, Handouts |
| | |
|Suggested Learning Activities: |Lab: Continue LE MMT, begin spine MMT |
| |Readings: Palmer: Chapters 9, 10, 12-14 |
| |Competency 5 (Upper Extremity MMT) |
| |Lab: Finish spine MMT |
| |Readings: Palmer: Chapters 5-7 |
| |Lab: Review LE/Spine MMT |
| |Readings: Palmer: Chapters 9, 10, 12-14 |
| |Competencies 6 (LE and Spine MMT) |
| |Lab: Posture |
| |Readings: Palmer: Chapter 4 |
| |Final Exam, Post-Test |
| | |
|Evaluation: |Final Exam and/or Quizzes or projects/presentations/papers/homework as determined by the instructor. |
| |Post-Test, Competencies 5-6 |
Course Evaluation Strategies (Methodologies)
|Lecture | |
|60 % |Exams |
|10 % |Projects/Presentations/Papers/ Homework/Quizzes |
| |(individual assignment or multiple assignments determined by instructor) |
| 5% |Post-Test |
|14 % |Final Exam |
|Laboratory | |
| 6 % |6 Competencies (1% each) |
| |Each competency examination must be passed with a 70% or higher in order to pass the|
| |course. |
|Professionalism | |
|5% |Professionalism rubric |
| | |
| 100.0% |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
A final grade is determined using the following grading scale
|90-100% |A |
|80-89.99% |B |
|70-79.99% |C |
|Less than 70% |F |
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.
Competencies for this class include:
Competency 1:
• UE limb length
• UE girth and volume
Competency 2:
• UE/LE superficial sensation assessment
• UE/LE deep and cortical sensation assessment
• Pain questionnaire/scales
Competency 3:
• Balance assessment
• Coordination assessment
Competency 4:
• UE muscle length
• LE/spine muscle length
Competency 5:
• UE manual muscle testing shoulder/shoulder girdle
• UE manual muscle testing elbow/wrist/hand
Competency 6:
• LE manual muscle testing hip/knee
• LE manual muscle testing ankle/foot/spine
| |
|KEISER UNIVERSITY |
|Course Control Document – Evidence of Understanding |
|Course: PHT1261C Tests and Measurements |
| |
|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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