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 | |

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|Learning Objective(s): |1-4, 6-12 |

| | |

|Assigned Reading: |O’Sullivan: Chapters 5,8, 28; Palmer: Chapter 3 |

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|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 |

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|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 |

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

| |Competencies 1-2 |

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|WEEK 3 | |

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|Learning Objective(s): |1, 3-6, 8-12 |

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|Assigned Reading: |Palmer: Chapters 2, 5-7, 9, 10, 12-14 |

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|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 |

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|WEEK 4 | |

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|Learning Objective(s): |1, 3-6, 8-12 |

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|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 |

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|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

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|KEISER UNIVERSITY |

|Course Control Document – Evidence of Understanding |

|Course: PHT1261C Tests and Measurements |

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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. |

| |

|Print Name: ____________________________________________ |

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|Signature: _____________________________________________ |

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|Date: __________________________________________________ |

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|Instructor: _____________________________________________ |

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