FALL. Instructor Contact Information: Instructor: [Instructor] Office Location: [Location] Office Hours: [Office Hours] Phone: [Phone] [ ]

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1 FALL Course: PTA.111 Therapeutic Exercise Lab ([syn #]) Meeting Days, Times, Location: [Day, time, location] Course Start/End Dates: [Start and end dates] Credit Hours: 2 Contact Hours: 6 Prerequisite(s): Admission to the Program Co-requisite(s): PTA 105, PTA 106, PTA 110, PTA 115, PTA 116 Instructor Contact Information: Instructor: [Instructor] Office Location: [Location] Office Hours: [Office Hours] Phone: [Phone] [ ] Required/Recommended Textbook(s) and materials Pierson & Fairchild s Principles & Techniques of Patient Care, 5 th Edition, Sheryl L. Fairchild, ISBN: (Required). Fundamental Orthopedic Management for the Physical Therapist Assistant, 3 rd Edition, Gary A. Shankman, ISBN: (Required). Additional materials in Moodle. Course Description This lab is coordinated with the lectures presented in Therapeutic Exercise. Students practice basic therapeutic exercise and fitness techniques. Students implement flexibility, strength, endurance, relaxation, and coordination programs. Students will also practice patient mobility with transfer techniques, wheelchairs, and assistive devices. Posture assessment and proper body mechanics are emphasized. Learning Outcomes Upon completion, the student will meet the following learning outcomes. Information in parentheses identifies the associated Commission on Accreditation in Physical Therapy Education (CAPTE) Standards and Required Elements. 1. Competently and safely perform the following physical therapy interventions or assessments: 1.1. Body mechanics (7D23D) 1.2. Lifting, reaching, pushing, and pulling techniques (7D23D) 1 PTA.111 Therapeutic Exercise Lab 1/17 amw

2 1.3. Normal posture assessment and training (7D23D/7D24J/7D24K) 1.4. Wheelchair mobility (7D24D/7D24E) 1.5. Bed mobility (7D24D) 1.6. PROM/AAROM/AROM/RROM including PNF diagonals (7D23E/7D24G) 1.7. Basic exercise and manual resistance exercise (7D23H) 1.8. Stretching techniques (7D23H) 1.9. Transfer techniques (7D23D) ROM and exercise equipment (7D23H) Gait training with assistive devices (7D23B/7D23E/7D24D) Aerobic endurance training, vital signs monitoring, and rating of perceived exertion assessment (7D23H/7D24A) 2. Write an accurate illustration of the student performing proper body mechanics and posture during physical therapy interventions. 3. Explain comprehensively the treatment interventions the student plans to provide based on POC and the expected positive effect toward goals. (7D17) 4. Appropriately recognize when an intervention should not be performed due to clinical indications or when the direction to perform the intervention is beyond what is appropriate for the PTA. (7D21) 5. Engage in accurate wheelchair assessment. (7D24E) 6. Practice identifying wheelchair components properly. 7. Describe accurately the potential adverse patient effects of an improper wheelchair fit. (7D24D /7D24F) 8. Choose the proper type of wheelchair for a given patient scenario. (7D23D7D24E) 9. Write safe and accurate instructions for the following patient education: (7D7/7D12/7D23G/7D27) 9.1. Posture (7D24K) 9.2. Body mechanics (7D23D) 9.3. Lifting (7D23D) 9.4. Pushing and pulling (7D23D) 9.5. Transfers (7D23D) 10. Correctly write spinal movements to avoid during lifting activities. (7D23D) 11. List correct positions of body alignment in proper posture. (7D24K) 12. Practice proper use of hospital and patient equipment. (7D23B/7D23D/7D24D) 13. Describe the appropriate progression of physical therapy interventions. 14. Perform the appropriate progression of physical therapy interventions per plan of care established by the physical therapist. (7D9/7D19) 15. Express and list the precise indications, precautions, and contraindications for physical therapy interventions in a patient scenario. (7D21) 16. Monitor the response and correctly adjust interventions within a treatment session according to the POC using current knowledge and clinical judgment. (7D9/7D19) 17. Report accurate progress or change in status during treatment sessions to the instructor. (7D20) 18. Engage in safe and independent wheelchair mobility in a community setting. (7D23B/7D23D) 19. Reflect on and relate the impact of wheelchair use on a patient/client in the community. 20. Compose accurate documentation reporting on physical therapy treatment sessions for a given patient scenario. (7D25) 21. Locate and clearly report on emergency equipment and procedures including safety hazards within the building. (7D25/7D27) 22. Appropriately describe aspects of possible emergent situations and the appropriate response. (7D26) 23. Describe and clearly differentiate between concentric and eccentric exercise. (7D23H) 24. Describe and accurately differentiate between open and closed kinetic chain exercise. (7D23H) 25. Implement an appropriate exercise program, per POC, explain the rationale and progression for each exercise. (7D7/7D12/7D23G/7D23H) 2 PTA.111 Therapeutic Exercise Lab 1/17 amw

3 26. Predict the correct outcomes resulting from exercises the student has chosen for a patient scenario. 27. Accurately calculate a target heart rate for aerobic endurance and conditioning exercise session, using the Karvonen Method. 28. Engage in accurate assessment of vital signs as part of an aerobic endurance and conditioning exercise session and tilt table activities. (7D24A) 29. Correctly estimate heart rate using the Borg Rating of Perceived Exertion scale. 30. Determine rightly whether or not vital signs demonstrated a normal response to exercise. (7D24A) 31. Concisely list the steps for, and check, the safety of equipment and environment prior to using with a student. 32. Using proper procedures, practice preambulation activities with the following: (7D23F) Tilt table Parallel bars Ambulation assistive devices 33. Recite and describe an effective plan for the treatment and progression of interventions per POC to achieve short and long term goals and intended outcomes. (7D17) 34. Communicate a treatment plan in an appropriate and effective manner, with consideration for a patient s differences and preferences. (7D8) 35. Prepare and effectively deliver an accurate media presentation on an assigned pathological or musculoskeletal condition. (7D7) 36. Correctly practice relaxation techniques with classmates. (7D26) Teaching Methods: demonstration and facilitated lab practice, discussion, problem solving activities and activities. Master Course Proficiencies for PTA 111 MMCC Students: The master course proficiencies of the lecture course PTA 110 are directly tied to the corresponding lab course PTA 111. Master Course Proficiencies for PTA 111 MMCC Students: Specialized Knowledge: (Competencies/lab practicals) 1. Students will demonstrate competency in performance of basic exercise and patient care. Intellectual Skills: (Competencies/lab practicals) 1. Students will use hospital and assistive device equipment safely in physical therapy interventions, monitor student s responses, and modify exercise or transfer interventions as needed. (Analytic Inquiry) 2. Students will demonstrate the proficiencies of communication according to discipline specific content. (Communicative Fluency) Applied and Collaborative Learning: (Competencies/lab practicals) 1. Student will demonstrate competency in performance of basic exercise and patient care. Delivery Modes: this is a hands-on lab class offered at specific scheduled times. Academic Integrity Statement Students have an obligation to abide by accepted standards of academic honesty which dictate that all scholastic work shall be original in nature. As a point of academic integrity, students are required to submit original material of their own creation. Plagiarism of any material and cheating are serious offenses and can result in failure of the course or dismissal from the College. 3 PTA.111 Therapeutic Exercise Lab 1/17 amw

4 Academic Dishonesty No student shall: 1. Share or obtain exam questions or material not authorized by the instructor. 2. Complete exams or performance elements of a course for another student or have someone else complete it for them. Plagiarism Plagiarism is using another s ideas as one s own. Plagiarism has two forms, unintentional and intentional. Unintentional plagiarism is usually the result of students being unfamiliar with the academic conventions of citation and documentation. Intentional plagiarism is the result of students knowingly submitting the work of others as their own. This includes, but is not limited to: 1. Copying someone else s work. 2. Using exact quotations without proper citation. 3. Buying papers (e.g. on the internet). 4. Including paraphrased material without acknowledging its source. All acts of plagiarism and academic dishonesty will first be dealt with by the instructor. Penalties may range from revision to failing the assignment or the course. Instructors must report all acts of intentional dishonesty or plagiarism, or any penalty resulting in a failure of the course, to the Registrar. Repeated violations may result in further discipline, up to and including dismissal. Students may appeal any grade affected by a charge of academic dishonesty or plagiarism through the Grade Grievance Procedure. ADA Statement State and federal laws prohibit discrimination against individuals with disabilities. Mid Michigan Community College s Office of Human Resources coordinates the College s compliance with these state and federal nondiscrimination laws, including the Federal Vocational Rehabilitation Act of 1973, the Federal Americans with Disabilities Act, and the amended Michigan Handicappers Civil Rights Act. The Office of Human Resources is also the grievance office designated to handle any complaints or concerns regarding the College, its programs, procedures or employees. If you believe that a violation or potential violation of these state or federal nondiscriminatory laws has occurred, is occurring, or will occur, please notify the Department of Human Resources, Mid Michigan Community College, 1375 S. Clare Avenue, Harrison, MI 48625; or by phone at (989) Support Services Refer to the Mid Michigan Community College Catalog or web site at for support services available for students. It is recommended that students take advantage of the resources available to assist them in being successful in their program of study. Student Responsibilities 4 PTA.111 Therapeutic Exercise Lab 1/17 amw

5 Students are bound by all policies of Mid Michigan Community College and should familiarize themselves with these through reading the catalog and student handbook. Students are expected to be adequately prepared for each class session. It is reasonable to expect at least two hours of outside study for every hour spent in the classroom. Students are expected to assist in maintaining a classroom environment that is conducive to learning. Therefore, free discussion, inquiry, and expression are encouraged. Behavior that interferes with the instructor s ability to conduct the class or the ability of students to benefit from that instruction is not acceptable. Scheduled Class Meeting Times The state of Michigan dictates minimal contact hour requirements that are rigidly upheld by the College. Some of that instructional time is used for tests. The college s expectation is that classes will meet for the entire assigned time. Class Preparedness This is the responsibility of the student. Students are expected to read the assigned chapters prior to or following the lecture. Professional Behavior, Attendance & Promptness There are 25 points for professional behavior, attendance and promptness provided at the beginning of the course. If a student is late or absent, it is their responsibility to call/ the instructor to report the absence or tardiness, and it is the student s responsibility to refer to the syllabi and/or Moodle for assignments/class material(s) and complete their work by the due date. Three (3) points will be deducted for an absence episode without telephone call/ to the instructor; two (2) points will be deducted for an absence episode with telephone call/ , and one (1) point will be deducted for a tardy beyond 10 minutes of class start time. Two (2) points will be deducted for a student leaving early without an approved excuse and one (1) point for a student leaving early with an approved excuse. All students must abide by the Values-Based Behaviors for the Physical Therapist Assistant and the APTA Standards of Ethical Conduct for the Physical Therapist Assistant. Three (3) points per infraction will be deducted for lack of compliance with these behaviors and a Professional Development Plan (PDP) will be required. **Lack of compliance with the Values-Based Behaviors for the Physical Therapist Assistant and the APTA Standards of Ethical Conduct for the Physical Therapist Assistant is at the discretion of your instructor. Assignments All assignments must be turned in on the due date. Instructions for each assignment will be given either verbally from each instructor, via , or posted in Moodle. Details on how each assignment will be turned in are dependent on the instructor and will be included in the instructions. If assignments are to be turned in at the beginning of each class, they are considered late 10 minutes after the class begins. If assignments are to be uploaded on Moodle, they are considered late 10 minutes after the specified due date and time. If a student is late or absent, it is the student s responsibility to refer to the syllabi and/or Moodle for assignments/class material(s). Late assignments will receive a 10% point reduction of total point value 5 PTA.111 Therapeutic Exercise Lab 1/17 amw

6 per week beginning 10 minutes after the assignment is due. After two weeks, students will be given a 0 for a late assignment, and it will no longer be accepted for grading. Post-Exam Review Process Students that wish to challenge an exam question will complete the Exam Review Form without input from others. Students will have one week to return the form to the instructor providing rationale and references to support the challenge. The instructor will review the forms, make decisions, and inform the students. If a student requires further assistance, attendance at office hours or time by appointment may be arranged to discuss the material in person to promote lifelong learning. Make-Up Policy This requires the student to make arrangements with the instructor to take the exam/quiz at a later date. A 10% reduction of total points will be taken off the exam/quiz score when taken late. Classroom Behavior Students are expected to follow the following classroom rules: 1. Cell phones off. You can make calls and check messages during your breaks. 2. Courtesy and mutual respect is required. If the instructor or another classmate is talking, please listen to them. Please save your private comments and conversations for outside of class. 3. Laptops are permitted in class for note taking only. Surfing the web is not permitted unless directed to do so by the instructor. 4. Please refrain from leaving the class unless absolutely necessary you may miss vital information. 5. Please ask questions. If you are uncomfortable asking aloud, please write it down, and questions will be taken at the end of class. 6. No food will be allowed in the PTA Skills Lab, only water bottles or covered drinks. 7. The College s and the PTA Program s policies for inappropriate student conduct and disciplinary action will apply to the classroom. Competencies Students have three opportunities to pass each competency. If a student fails a second time, a Professional Development Plan (PDP) will be developed with faculty in order to ensure competence in the skill and in clinic. Once the PDP is developed and implemented, the student will have one week to re-take the competency for the third and final time. If at this point the student does not pass, the student will fail the course. All competencies must be passed in order to receive a passing grade for the class and be allowed to advance to the next semester s classes. Competencies are graded pass/fail; see individual rubric for pass/fail requirement of each competency. Partners will be randomly drawn just prior to performance of the competency. Critical Safety Element(s) Critical safety element(s) with an asterisk (*) must be passed individually for each competency and lab practical. Failure to perform a critical safety element will result in automatic failure of the competency/lab practical. 6 PTA.111 Therapeutic Exercise Lab 1/17 amw

7 Lab Practical Each lab practical must be passed with an 80%. If students do not individually pass the critical safety element(s) and/or pass the lab practical with an 80%, the lab practical must be retaken. Students have two opportunities to pass each lab practical. If you do not pass the second and final time, you will fail the course. All lab practicals will have a time limit to ensure interventions/skills are performed with effective time management skills and to simulate clinical education situations. This will be determined by each instructor and for each lab practical. The time limit and practical grading rubric will be provided to the student at least one week prior to the lab practical. Two points will be deducted from the student s score for each minute over the time limit. Partners for lab practicals will be randomly drawn at least one week prior when times are assigned. Final Attempt Competencies/Lab Practicals During the final attempt (competency third attempt, lab practical second attempt), two instructors will be present and grade for that attempt. The instructors will use the provided rubric to determine pass/fail for competencies. o On the final attempt, both instructors must grade the student as passing for the competency o to pass and continue in the course. If the student fails a competency for the third time, the student will not be allowed to continue in that course and will receive an F in that course. The instructors will use the provided rubric to determine a grade for the lab practical. o Students must have an 80% graded by both instructors on the final lab practical attempt and pass all safety elements to continue in the course. o o Students will be awarded an 80% for a grade of the lab practical. The rubrics will be scored for all practical attempts to provide adequate documentation and feedback to the student, but an 80% is the maximum grade awarded if a lab practical is taken twice. If the student fails a lab practical for the second time, the student will not be allowed to continue in that course and will receive an F in that course. 7 PTA.111 Therapeutic Exercise Lab 1/17 amw

8 Grading Criteria: Assessments Points Case Study 50 Homework 25 Presentation 25 Midterm Lab Practical 100 Final Lab Practical 100 Professional Behavior, Attendance & Promptness 25 Competencies Pass/Fail Total Points: 325 Grading Scale: Percent Grade A A B B B C C C D D D- 59 & below F NOTE: A B- is required to pass this course and proceed to the next semester. 8 PTA.111 Therapeutic Exercise Lab 1/17 amw

9 PTA THERAPEUTIC EXERCISE LAB SCHEDULE WEEK TOPICS PRE-ASSIGNMENT ACTIVITIES DUE Week 1 Posture Body Mechanics Chapter 21 of Clinical Kinesiology and Anatomy Chapter 4 (Principles) Standing/sitting posture, lifting, pushing/pulling, and reaching assessments Week 2 Wheelchair Assessments Speaker: Roger Boylan, CRTS Saginaw Medical Supply Chapter 7 pp (Principles) Wheelchair assessments, confirmation of fit, and use of components Week 3 Wheelchair Mobility FIELD TRIP TO WALMART Chapter 7 pp (Principles) Wheelchair assessments continued, wheelchair mobility on ramps, through doors, and in/out elevators. Scavenger hunt for retail items Week 4 Wheelchair Mobility cont. Safety Scavenger Hunt PROM demonstration Chapter 6 (Principles) Presentation assigned Scavenger hunt for fire extinguishers, AEDs, evacuation routes, pull stations, emergency procedures. Intro to PROM. Week 5 PROM/AAROM/AROM PNF Diagonals OKC and CKC Chapter 6 (Principles) Chapter 4, pp (Fundamental) Case Study assigned PROM/AAROM/AROM Ex., PNF Diagonals, OKC and CKC UE and LE Week 6 Bed Mobility and Transfers in Nursing CSC and PTA lab Chapter 8 (Principles) Week 7 Transfers continued Isometrics Isotonics Concentric/Eccentric Openand Closed-Kinetic Chain Isometrics Chapter 6 (Principles) and Chapter 4 (Fundamentals) on Isotonic/Isometric Isometrics Isotonics concentric/eccentric Patient scenarios 9 PTA.111 Therapeutic Exercise Lab 1/17 amw

10 Week 8 Endurance, Vital Signs, and Endurance Exercise Prescription Chapter 5 (Fundamental) Chapter 3, pp (Principles) Treadmill, NuStep, HR/BP/RR measures, Borg RPE, Karvonen Method for THR calculation CASE STUDY 10 PTA.111 Therapeutic Exercise Lab 1/17 amw

11 Week 9 MIDTERM LAB PRACTICAL MIDTERM LAB PRACTICAL Week 10 Manual Resistance Exercise Readings in Moodle Manual resistance with concentric, eccentric, and PNF diagonals exercises Week 11 Assistive Devices, Tilt Table and Gait Patterns Chapter 9 (Principles) Tilt table; gait training with walkers, crutches, canes, while managing oxygen lines/tanks, IV lines/poles and urinary catheters Week 12 Research Presentations Assignment RESEARCH PRESENTATI ON Week 13 FIELD TRIP TO MCLAREN Week 14 Flexibility, Stretching & Relaxation Techniques Chapter 3 (Fundamental) Readings in Moodle Manual stretching techniques Relaxation techniques ASSIGNMENT Week 15 Patient Scenarios SPA Certificates Practice for lab practical Practice patient treatment sessions in exercise/gait selection, exercise progression, and assessment for meeting goals Week 16 FINAL LAB PRACTICAL FINAL LAB PRACTICAL,, AND RE- TAKES Reservation Statement The instructor reserves the right to make adjustments to this syllabus as needed. 11 PTA.111 Therapeutic Exercise Lab 12/16 amw