STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM

Transcription

1 STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM OTH 1014C FUNCTIONAL ANATOMY & KINESIOLOGY (AS) LEC. LAB CR COURSE DESCRIPTION: This course is designed to explore the analysis of human movement and its impact on function through the integration of biomechanics, kinesiology and applied anatomy. Principles of exercise, therapeutic use of occupation and activities are introduced. Manual muscle testing and goniometric measurement are examined and practiced. Principles are reinforced through a problem solving approach to increase the understanding of movement of the body and the relationship to occupational therapy intervention including the interaction of areas of occupation, performance patterns, activity demands, context(s) and environments and client factors. RELATIONSHIP TO THE CURRICULUM DESIGN: Functional Anatomy & Kinesiology is designed to explore the principles of kinesiology which are core to the understanding of occupational therapy treatment. This course will assist the student to apply principles from the biological sciences to the biomechanical principles of human movement utilized in the performance in areas of occupation. The focus is on performance skills, performance patterns, and the influence of context, activity demands and client factors. Students begin to experience how to be comfortable with the therapeutic use of touch and being touched by others. The laboratory experiences provide hands on experiences to further enhance student understanding and the applications of these principles using a problem based approach. PREREQUISITES: Admission to the OTA Program, satisfactory completion of BSC 2085C, Mathematics Area II, A.S, PSY REVISION: 6/07, 11/07, 3/08, 8/09, 6/11, 6/13, 6/15, 12/15 STUDENT LEARNING OUTCOMES: Upon satisfactory completion of the course, the student will be able to: 1.0 Describe the skeletal, muscular and neurological prerequisites of human movement. 1.1 Using appropriate kinesiological terminology describe musculoskeletal structures, specific joint motions, postural alignment and patterns of movement. 1.2 Correctly identify and name bones, key anatomical landmarks, and joints found on the human skeleton. 1.3 Classify joints according to structure, and explain the relationship between joint structure and function.

2 2 1.4 Describe the structure and properties of skeletal in relationship to cardiac and visceral muscles. 1.5 Identify the planes and axes of movement for each synovial joint. 1.6 Explain how the muscle line of pull and the muscle fiber arrangement affects the movement produced by the muscle. 1.7 Define the various roles muscles play in movement and explain the cooperative action of muscles in controlling movement during functional activities. 1.8 Describe the muscle attachments and innervations. 1.9 Demonstrate sensory testing for sterognosis, tactile localization, two point discrimination, vibration, proprioception, kinesthesia, temperature discrimination, sharp/dull discrimination and light touch. 2.0 Describe the biomechanics involved in human movement 2.1 Discuss the principles of biomechanics 2.2 Apply the basic principles of biomechanics to normal human movement. 2.3 Identify examples of levers in the human body. 2.4 Identify examples of Newton s laws of motion in every day activities. 2.5 Define and locate the center of gravity and base of support in the human body. 2.6 Relate the principles of stability to human movement. 3.0 Analyze the muscle activity required in the body during functional activities. 3.1 Relate principles of biomechanics to the function of the musculoskeletal system. 3.2 Name, locate and palpate muscles of the body. 3.3 Identify the primary actions of muscles as agonists, antagonists or stabilizers during movement. 3.4 Describe the roles and types of contractions performed by each muscle/muscle group involved. 3.5 Describe the internal and external forces acting on the joint during movement. 3.6 Differentiate between the concepts of joint mobility and stability and relate those concepts to normal movement. 4.0 Utilize principles of the biological sciences and research when utilizing standardized testing for manual muscle testing and goniometry. 4.1 Describe the parameters of normal range of motion for each joint. 4.2 Describe the factors that limit joint motion. 4.3 Explain the standard procedure for performing goniometric measurements for each joint. 4.4 Demonstrate standard goniometric measurements for each joint. 4.5 Define end feels related to range of motion limitations. 4.6 List six levels of the standard grading system for manual muscle testing and define each level. 4.7 Describe the correct method of manual muscle testing for each muscle/muscle group. 4.8 Demonstrate standard manual muscle testing procedures. 4.9 Describe the relationship of muscle strength to range of motion.

3 Demonstrate proficiency in the use of a dynamometer and pinch meter to determine hand strength Describe the relationship of muscle strength to the ability to perform activities of daily living Understand the difference between standardized and functional testing Describe the elements of reliability and validity utilized in standardized testing. 5.0 Correctly demonstrate techniques and instruction in therapeutic exercise, occupations and activities. 5.1 Discuss the goals of therapeutic exercise. 5.2 Discuss the principles of therapeutic exercise and relate these to the client s occupational profile and goals. 5.3 Differentiate between passive, active, active assisted and resisted range of motion. 5.4 Demonstrate techniques for passive, active, active assisted and resistive range of motion. 5.5 Differentiate between isometric, isotonic and isokinitic exercise. 5.6 Differentiate between anaerobic and aerobic exercise. 5.7 Discuss techniques for stretching, and the indications. 5.8 Identify indications and contraindications for each type of exercise discussed in class/lab. 5.9 Given case studies, correctly identify and demonstrate appropriate stretching and strengthening exercises, therapeutic use of occupation and activities Given a simulated clinical situation, demonstrate the ability to instruct a client in passive ROM, active ROM, active assisted ROM, and resisted ROM Document simulated patient care activities in a problem oriented, SOAP note format. 6.0 Demonstrate an understanding of the meaning and dynamics of occupation as it relates to function in daily activities including the interaction of areas of occupation, performance skills, performance patterns, activity demands, content(s) and environment and client factors. 6.1 Analyze daily living activities and discuss the component parts of the tasks. 6.2 Analyze the influence of context, activity demands and client factors on the performance of a functional activity. 6.3 Select and provide direct occupational therapy interventions to enhance safety, wellness and performance in areas of activities of daily living, instrumental activities of daily living, education, work, play, leisure, and social participation. 7.0 Demonstrate effective communication skills and professional behaviors when performing assessment and treatment techniques related to direct client care. 7.1 Discuss the importance of establishing positive professional relationships in the health care setting. 7.2 Discuss how to adapt communication skills to varied levels of understanding and cultural orientations to foster health literacy.

4 4 7.3 Discuss the roles of the supervisor and the student within the clinical environment. 7.4 Discuss the roles of the occupational therapist and occupational therapy assistant in the clinical environment. 7.5 Demonstrate correct technique for measuring vital signs related 7.6 Recognize the importance of respecting the individuality and dignity of each client. 7.7 Utilize the teaching learning process with clients, peers, family while engaging in assessment and interventions techniques. 8.0 Utilize sound judgment in regard to safety of self and others 8.1 Utilize good body mechanics during all activities 8.2 Adhere to standard precautions before, during and after interaction with others. TOPICAL OUTLINE 1. Skeletal, muscular and neurological prerequisites of human movement A. Orientation of the body B. Planes of the body and axes of motion C. The human skeleton D. Normal skeletal muscle components E. Structural classification of muscles based on fiber arrangements F. Terminology for muscle attachments G. Structure of skeletal muscle H. Skeletal muscle function I. Roles of muscles J. Contraction of a muscle and types of contractions K. Types of movements L. Active/Passive insufficiency M. Types and functions of joints N. Factors related to joint stability O. Central nervous system P. Peripheral nervous system Q. Autonomic nervous system R. Sensory receptors S. Motor unit T. Types of reflexes U. Volitional movement V. Reciprocal innervation and inhibition 2. Biomechanics A. Principles of levers B. Mechanical advantage C. Types of levers D. Center of gravity E. Types of motion F. Newton s Laws of motion G. Factors modifying motion

5 5 3. Analysis of muscular activity A. Muscle origin, insertion and innervations B. Types of contractions C. Primary actions of each muscle D. Forces acting on the joint during motion 4. Goniometry and Manual Muscle Test A. Movements active vs. passive B. End Feel C. Capsular pattern D. Inert tissue E. Loose packed vs. closed packed F. Palpation G. Grading system for MMT H. Positioning and stabilization I. Therapeutic touch J. Ability to modify test K. Effects of sensory loss L. Standard techniques for goniometry and MMT M. Influence of client on test 5. Therapeutic exercise A. Exercise programs B. Types of stretching C. Exercises for developing strength and endurance D. Exercises for developing ROM E. Contraindication to exercise F. Risk factors G. General exercise prescription guidelines. H. Open vs. closed chain exercises I. Concentric J. Eccentric K. Aerobic vs. anaerobic L. Isometric M. Isotonic 6. Relationship of analysis of movement to function A. Influence of context, activity demand and client factors on performance B. Grading and adaptation of occupations, activities and exercise. 7. Effective communication skills and professional behaviors A. Practical exam B. Case study C. Cultural factors D. Roles of the OTR, COTA and student E. Individuality and dignity of the client

6 6 8. Communication Skills A. Verbal and Nonverbal Communication B. Professional Relationships C. Listening Skills D. Communication With the Treatment Team and your Supervisor E. Use of teaching learning process in peer, client, family interaction. F. Health Literacy 9. Judgment and Safety A. Use of good body mechanics B. Standard Precautions TEACHING/LEARNING EXPERIENCES EVALUATION METHODS Lecture PowerPoint presentations Readings Videos CD ROM interactive tutorials Discussion large and small group Simulation and practice activities Inquiry/questioning Written Assignments Presentations Demonstration Role Playing Interpersonal Communication Written Exams Practical Exams Quizzes Quizzes and Assignments 15% Exams 35% Practical Exams 25% Final 25% Grading Scale: A = B = C = D = F = 59 or below A minimum grade of C is required in all occupational therapy assistant courses. Students who do not achieve a minimum grade of 70 in this course will not be able to progress to the OTA Program. State College of Florida, in accordance with the Americans with Disabilities Act, will provide classroom and academic accommodations to students with documented disabilities. Students are responsible for registering with the Disability Resource Center (DRC) in order to receive academic accommodations. Reasonable notice must be given to the DRC office (typically 5 working days) for accommodations to be arranged. It is the responsibility of the student to provide each instructor with a copy of the official Memo

7 7 of Accommodation. DRC Contact Information: Phone: Website: Statement of Nondiscrimination: State College of Florida, Manatee Sarasota (SCF) is an equal opportunity and access institution that does not discriminate on the basis of sex, race, religion, age, national origin/ethnicity, color, marital status, disability, genetic information, sexual orientation and any other factor prohibited under applicable federal, state, and local civil rights laws, rules and regulations in any of its educational programs, services or activities, including admission and employment. Initially developed 10/11/04 Revised based on ACOTE 2011 OTA Standards