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Fall 2012

Physical Therapist Assistant Courses:

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PTA203 - Physical Therapy Assistant 3
Credits: 5

Catalog Description: Explores principles of pain control, electrically induced exercise and cardiopulmonary rehabilitation. Develops treatment skills in clinical electrotherapy, ultrasound, ultraviolet radiation, chest physical therapy, and cardiac rehabilitation. Integrates knowledge of clinically relevant pathological conditions into treatment of cardiopulmonary patients with co-morbidities. Three class hours and four laboratory hours. Prerequisite: PTA 102 and BIO 106 or BIO 153 with grade of "C" or higher

Lecture: 3 hrs.
Lab: 4 hrs.

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

1. Discuss in writing (minimum of 75% competency) the physiological effects, indications and contraindications for implementation of the following physical agents:
a.Cold laser
b.Ultraviolet
c.Microcurrent electrical nerve stimulation
d.Transcutaneous electrical nerve stimulation
e.Neuromuscular stimulation
f.High Volt pulsed stimulation
g.Interferential current
h.Iontophoresis
i.Electromyographic biofeedback

2. Demonstrate at least 90% competency on a lab exam for safe and effective implementation of treatments using the following physical agents:
a.Cold laser
b.Ultraviolet
c.Microcurrent electrical nerve stimulation
d.Transcutaneous electrical nerve stimulation
e.Neuromuscular stimulation
f.High Volt pulsed stimulation
g.Interfernential current
h.Iontophoresis
i.Electromyographic biofeedback

3. Administer standardized questionnaires, graphs, behavioral scales or visual analog scales for pain and check for absent or altered skin sensation with at least 90% competency on a lab exam.

4. Demonstrate recognition of activities, positioning and postures that aggravate or relieve pain or altered sensations, or that can produce associated skin trauma with at least 90% competency on a lab exam.

5. Distinguish between viable and nonviable skin tissue and recognize normal and abnormal integumentary changes on colored slides/pictures with at least 75% accuracy on a written exam.

6. Measure chest wall expansion and excursion with at least 90% accuracy on a lab exam.

7. Observe and monitor thoracoabdominal movements and breathing patterns with activity demonstrating at least 90% accuracy on a lab exam.

8. Discuss in writing the description and clinical significance of cyanosis, cough and sputum characteristics demonstrating at least 75% competency on a written exam.

9. Instruct surrogate patients in breathing exercises and coughing techniques demonstrating at least 90% competency on a lab exam.

10. Demonstrate safe and effective postural drainage and percussion procedures on surrogate patients, including monitoring of vital signs and use of tilt table with at least 90% competency on a lab exam.*

11. Collect data to assess a surrogate patient's level of fitness (aerobic conditioning, % body fat, muscle tightness and weakness) and instruct the surrogate patient in therapeutic exercises to improve his/her level of fitness demonstrating at least 80% competency on written lab assignment.

12. Demonstrate safe and effective support skills associated with cardiac rehabilitation, including the ability to do the following during a class presentation:
a.instruct surrogate patients in designed therapeutic exercises and teach effective home programs
b.recognize activities that aggravate or relieve edema, pain, dyspnea or other cardiopulmonary symptoms
c.monitor blood pressure and heart rate
d.describe safety and emergency procedures

13. Adjust interventions within the plan of care in response to patient clinical indications and recognize when an intervention should not be provided due to changes in the patient's status by responding appropriately to case study scenarios on a written exam (minimum of 75% competency) and lab exam (minimum of 90% competency).

14. Provide sound, physiological rationale for modification of treatment session to produce optimal results with cardiopulmonary patients who have secondary diagnoses involving the metabolic, endocrine, gastrointestinal systems 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:
I. Physical Agents
A. Laser
B. Ultraviolet lamps

II. Clinical Electrotherapy
A. Microcurrent Electrical Nerve Stimulation (MENS)
B. Transcutaneous Electrical Nerve Stimulation (TENS)
C. Nerve and Muscle Stimulating Currents (NM, NMSC)
D. High Voltage Pulsed Galvanic Stimulation (HVPC)
E. Interferential Current (IF)
F. Iontophoresis
G. Electromyographic Biofeedback (EMG, EMGBFB)

III. Pulmonary Rehabilitation

IV. Cardiac Rehabilitation




Effective Term: Fall 2012