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Fall 2012

Physical Therapist Assistant Courses:

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PTA102 - Physical Therapy Assistant 2
Credits: 5

Catalog Description: Acquires cognitive and psychomotor skills in orthopedics, therapeutic exercises, traction, intermittent compression, ultrasound and hydrotherapy. Integrates knowledge of clinically relevant pathological conditions into treatment of orthopedic patients with co-morbidities. Three class hours, four lab hours. Prerequisites: BIO 105 or BIO 152, PTA 101 and PTA 106 each with a grade of `C' or higher. Corequisite: PTA LB2.

Lecture: 3 hrs.
Lab: 4 hrs.

Course Student Learning Outcomes (CSLOs):
At the completion of this course, the student will be able to:

1. Demonstrate the use of sterile techniques, universal precautions, and isolation procedures by responding appropriately to a case study scenario and demonstrating at least 90% competency in a lab exam format.
2. Discuss in writing the methods of transmission and impact on health care of the following diseases: HIV, Hepatitis A, B, and C, TB.
3. Demonstrate correct assessment and documentation of heart rate, respiratory rate, blood pressure, various arterial pulses, cyanosis and absent or diminished sensation during a lab practical with 90% accuracy.*
4. Discuss in writing factors that affect vital signs (age, gender, physical activity, disease conditions).
5. Discuss factors leading to edema and pressure ulcers (disease processes, post surgery), and discuss 4 principles of edema management and wound care (patient education, positioning, mechanical management, diet) on a written exam.
6. Demonstrate effective edema management and/or wound care using compression wraps, intermittent compression, dressings and hydrotherapy on a lab exam earning a grade of at least 90%. Student must demonstrate the ability to adjust the intervention within the plan of care in response to patient feedback.
7. Identify precautions to the removal of dressings, identify viable and non-viable tissue and abnormal integumentary changes while viewing slides during a written exam.
8. Discuss in writing 3 principles of sound propagation as they apply to the therapeutic use of ultrasound. (thermal vs. non-thermal, 3 Mhz vs. 1 Mhz, and penetration, reflection, absorption).
9. Demonstrate a safe and effective ultrasound treatment giving rationale and contraindications in a lab exam formal earning a grade of at least 90%. Student must demonstrate the ability to adjust the intervention within the plan of care in response to patient feedback.
10. Give 3 reasons why aquatic physical therapy might be beneficial when used as an adjunct to therapeutic exercise in PT treatment.
11. Discuss in writing 3 types of therapeutic exercise which might be used to address each of the following: endurance, strength, range of motion (identifying capsular patterns) or balance issues.
12. Design exercises programs which will address balance, coordination, endurance (including conditioning), strength or range of motion deficits including abnormalities in muscle length in a lab exam with at least 90% competency.
13. Discuss in writing the physiology of skeletal muscle contraction, types of muscle fibers, and factors impacting muscle performance including force velocity, length-tension, muscle fatigue and age.
14. Demonstrate proper technique in manual muscle testing and in designing appropriate exercise routines based on the MMT grade. Assessment is through a lab exam with at least 90% competency. Student must demonstrate the ability to adjust the intervention within the plan of care in response to patient feedback.
15. Discuss in writing the difference between acute, chronic and referred pain, and the different pain assessment tools which are available (VAS, standardized questionnaires and graphs).
16. Discuss in writing 3 factors involved in exercise dosage and progression within the role of the PTA.
17. Demonstrate recognition of postural alignment deficiencies in standing and sitting while assessing a surrogate patient's posture on a lab exam with a grade of at least 90%.
18. Discuss in writing the 3 phases of healing for connective tissue injuries.
19. Describe in writing basic mechanics of the lumbar and cervical spine, and all peripheral joints, and identify at least 3 common pathologies for each joint.
20. Demonstrate skill in mechanical traction of the cervical and lumbar spine on a lab practical with at least 90% competency. Student must demonstrate the ability to adjust the intervention within the plan of care in response to patient feedback.
21. Discuss in writing the fundamental theories underlying the practice of peripheral joint mobilization including the convex-concave rule, spin, roll and glide, distraction, types of mobilization, indications and contraindications.
22. Using health care literature (electronic and hard copy), prepare a presentation addressing a current orthopedic topic.
23. Provide sound, physiological rationale for modification of treatment sessions to produce optimal results with orthopedic patients who have secondary diagnoses involving the metabolic, endocrine, gastrointestinal and multi-system involvement with at least 80% competency on written exams.

* This course objective has been identified as a student learning outcome that must be formally assessed as part of the Comprehensive Assessment Plan of the college. All faculty teaching this course must collect the required data and submit the required analysis and documentation at the conclusion of the semester to the Office of Institutional Research and Assessment.

Content Outline:
Topic #1: Disease Precautions / Transmission - Vital signs, Sterile technique, and Wounds.

Topic #2: Modalities - Ultrasound, Whirlpool, Intermittent Compression, Wound Care.

Topic #3: Spine / Orthopedics - Posture, Traction, Pain Assessment, and Mobilizations.

Topic #4: Therapeutic Exercise - Strengthening, flexibility, endurance, and progression.

Effective Term: Fall 2012