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Fall 2012

Physical Therapist Assistant Courses:

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PTA208 - Physical Therapy Assistant 4
Credits: 5

Catalog Description: Explores principles of motor behavior in neurological rehabilitation, pediatrics and geriatrics. Emphasizes motor control, motor learning, and neurological therapeutic exercises. Addresses architectural barriers, training in daily living activities, orthotics and prosthetics. Integrates knowledge of clinically relevant pathological conditions into treatment of neurological patients with co-morbidities. Four lecture hours and six lab hours a week for a 12 week period, which is comparable to seven contact hours (3 lecture and 4 lab) over a regular sixteen week period. Prerequisite: PTA 203 with a grade of "C" or better. Corequisite: PTA 207

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 effective handling skills in moving a surrogate patient through the developmental sequence (from supine/prone) to standing) recognizing the following on a lab exam with at least 90% score:
a.Alignment of trunk & extremities in relation to center of gravity and base of support
b.Appropriate facilitation of the patient's weight shifting
c.Effective placement of therapist's hands (using proximal and/or distal key points of control)
d.Appropriate adjustment of amount of assistance in response to the patient's performance

2.Discuss therapeutically appropriate training strategies for the 3 phases of motor learning (cognitive, associative, autonomous) with at least 80% competency on a written exam.

3. Demonstrate appropriate therapeutic exercise techniques in the progression through a sequence of mat activities from stability, controlled mobility and skill that lead to a functional goal in a surrogate spinal cord injured patient for at least 1 developmental position at a minimum of 90% competency on a lab exam.*

4.Demonstrate safe and effective application of advanced therapeutic exercises in working towards a functional goal with a surrogate stroke patient at a minimum competency level of 90% on a lab exam. The neurological therapeutic exercises include selected aspects of the following techniques:
a.Proprioceptive Neuromuscular Facilitation (PNF)
c.Bobath (NDT)

5.Teach a surrogate patient with CNS dysfunction activities of daily living (ADL) at a minimum of 90% competency on a lab exam. Functional training includes balance/coordination training and patient/caregiver education in addressing the following ADL skills:
b.wheelchair management skills
c.gait and locomotion training
d.use of assistive/adaptive devices
e.use of prosthetics and orthotics
f.use of protective and supportive positioning devices

6.Recognize abnormal muscle tone, abnormal muscle length and changes in muscle tone of a person with CNS dysfunction with at least 80% accuracy during a clinical field trip, including the following skills:
a.apply appropriate inhibition techniques for effective stretching of a hypertonic muscle
b.recognize activities, positioning and postures that could cause changes in muscle tone
c.recognize synergistic movement patterns that are accompanied by abnormal muscle tone

7.Recognize changes in the direction and magnitude in the state of arousal, mentation and cognition in a person with CNS dysfunction with at least 80% accuracy during a clinical field trip.

8.Demonstrate at least 80% accuracy in recording observations from videotapes on a written lab assignment addressing the following aspects of neuromotor development :
a.gross motor milestones
b.fine motor milestones
c.righting reactions
d.equilibrium reactions

9.Identify and describe in writing (with at least 80% accuracy on an exam) a minimum of 10 safety precautions and 10 architectural barriers in each of the following settings: home, community and work environments.

10.Collect data for discharge planning with at least 80% accuracy on lab assignments that address administration of the following forms:
a.Patient questionnaire for environmental assessment
b.Home assessment form
c.Building survey form
d.Functional assessment forms (minimum of 2)

11.Applying principles of motor behavior (motor control, motor learning and
developmental progression) to case scenarios involving persons with CNS
dysfunction , justify the selection of at least 10 different neurological therapeutic exercises based on level of difficulty of the motor activities with at least 80% competency a written exams.

12. Provide sound, physiological rationale for modification of treatment session to produce optimal results with neurological patients who have secondary diagnoses involving 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. Principles of motor behavior in rehabilitation, pediatrics, and geriatrics
A. motor control
B. motor learning
C. developmental progression

II. Advanced therapeutic exercises
A. Bobath Techniques
B. Proprioceptive Neuromuscular Facilitation
C. Brunnstrom Techniques

III. Lead-up activities, transfers, ADL training, architectural barriers

IV. Principles of orthotics and amputee rehabilitation, prosthetic/orthotic fitting and training.

Effective Term: Fall 2012