Strands & Standards INTRODUCTION TO PHYSICAL THERAPY
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1 Strands & Standards INTRODUCTION TO PHYSICAL THERAPY COURSE DESCRIPTION This course introduces students to the field of physical therapy through the history, medical terminology, documentation, therapy treatments, and pertinent legal and ethical considerations of the profession. Healthcare for a diverse population begins its thread in this course. Students will participate in clinical observations. License Type CTE or Secondary Education 6-12 Required Endorsement Exercise Science/Sports Medicine Intended Grade Level: Units of Credit: 1.0 Core Code: Prerequisite: None Skill Certification: 000 Test Weight: 1.0 Revised August 2016 Page 1 of 9
2 Strands & Standards <COURSE TITLE> Students will explore the fundamentals of rehabilitation medicine. Standard 1 Explore the rehabilitation therapy pathway. Define rehabilitation therapy Identify careers in the rehabilitation therapy pathway Explain the educational requirements for careers in the rehabilitation therapy pathway Compare and contrast job descriptions for careers in the rehabilitation therapy pathway Standard 2 Investigate the profession of physical therapy. Examine the roles and responsibilities of a physical therapist (hospital setting, long-term care facility, clinic, etc.) Identify the members and roles of the physical therapy team: (surgeon/physician/physician assistant, nurse, physical therapist, physical therapy assistant, physical therapy aide, athletic trainer, chiropractor, massage therapist, etc.) Standard 3 Explore the history of physical therapy. Create a historical timeline of the significant contributors, modalities, and treatments in physical therapy Compare and contrast current and historical modality treatment Standard 4 Explore the modern profession of physical therapy. Explore current trends in physical therapy Analyze current issues in physical therapy Identify innovative approaches in physical therapy Standard 5 Explain the role of the American Physical Therapy Association (APTA). Identify the functions of APTA Outline the Standards of Practice as defined by the APTA Describe the importance of involvement in APTA to further career development Standard 6 Create a career development plan within the physical therapy field. Explore educational offerings to enhance career development Compare and evaluate different types of educational opportunities Describe the benefits of mentoring as a career development tool (job shadows/internships) Describe the importance of involvement in organizations such as APTA to further career development Explore specialty areas within the field of physical therapy as described by the American Board of Physical Therapy Specialties (ABPTS) Medical, Legal, & Ethical-Students will identify the medical, legal, and ethical issues governing the clinical practice of physical therapy. Standard 1 Identify the rules and regulations of individually identifiable health information. Examine the Health Insurance Portability and Accountability Act (HIPAA) Identify consequences of violating Health Insurance Portability and Accountability Act (HIPAA) Explain personal responsibilities within the parameters of Health Insurance Portability and Accountability Act (HIPAA) Standard 2 Discuss desirable attitudes and behaviors when providing healthcare to diverse patients. Revised August 2016 Page 2 of 9
3 Describe cultural sensitivity in relation to healthcare Explore ways to treat the underserved and under-represented populations Identify ways that people from different cultures and backgrounds are stereotyped Describe the importance of treating patients as individuals Standard 3 Describe the required documentation related to physical therapy visits and treatment. Analyze medical records used in a physical therapy setting Create a SOAP note for each of the following conditions: musculoskeletal, neuromuscular, cardiovascular, and integumentary Standard 4 Discuss the Utah Physical Therapy Practice Act and how it relates to the roles and relationship between the physical therapy team. Identify the scope of practice of a physical therapist, physical therapist assistant, and a physical therapy aide Summarize the five parts of the Utah Physical Therapy Practice Act and identify the legal terms and discuss Standard 5 Investigate the various types of health insurance and the reimbursement process for physical therapy. Describe health insurance plans (premium, copay, deductible, etc.) Compare and contrast government funded plans and private insurance plans in regards to the number of reimbursed physical therapy visits Professionalism-Identify professional standards and characteristics of a physical therapy team. Standard 1 Describe the characteristics of an effective healthcare provider in personal and professional terms. Examine productivity and time management strategies Discuss implications of dress and other personal behaviors within the healthcare setting Identify best practices in respect to client relations Standard 2 Explain effective communication strategies of a physical therapist with patients and all members of the physical therapy team. Demonstrate appropriate verbal communication skills in a healthcare setting Demonstrate appropriate nonverbal communication skills in a healthcare setting Standard 3 Describe stressors that occur in personal and work life and how they might affect your ability to meet the needs of clients. Identify personal and workplace stressors that may have an effect on you behavior Describe stress management techniques that can be utilized in your personal life and in the workplace Terminology-Identify medical terminology related to the profession of physical therapy. Standard 1 Describe positional terminology in regards to the human body. Describe anatomical position Identify body planes and directional terms (sagittal, mid-sagittal, coronal/frontal, transverse/horizontal, superior, inferior, anterior, posterior, medial, lateral, proximal, distal, superficial, and deep) Standard 2 Compare and contrast body movements. Revised August 2016 Page 3 of 9
4 Flexion, extension, and hypertension Adduction and abduction Pronation and supination Retraction and protraction Elevation and depression Rotation and circumduction External rotation and internal rotation Lateral flexion (side-bending left and right) Inversion and eversion Dorsiflexion and plantar flexion Radial deviation and ulnar deviation Opposition Standard 3 Define terms associated to physical therapy Activities of daily living (ADLs) Ataxia Base of support Bilateral Calcaneal valgum Calcaneal varum Cervical Contracture Core Deformity Dissociation Distal Dynamic Extension External rotation Fine motor Flexion Genu valgum Genu varum Gross motor Hamstrings Hyperextension Hypermobility Hypertonic Hypotonic Internal rotation Instability Kinesthesia Kyphosis Long-sitting Lordosis Lumbar Manual therapy Midline Motor control Motor planning Obliquity Pes planus Prone Proprioception Proximal Quadriceps Revised August 2016 Page 4 of 9
5 Range of motion Recurvatum Reflex Ring sitting Sacral Side-sitting Spasticity Static Supine Symmetrical Tactile defensiveness Tailor-sitting Thoracic Tone (muscle) Unilateral Vestibular stimulation Weight shift Musculoskeletal-Students will examine physical therapy principles and methods of healing for musculoskeletal conditions. Standard 1 Identify conditions and injuries associated with the musculoskeletal systems. General conditions (osteoarthritis, osteoporosis, fibromyalgia, TMJ dysfunction) Shoulder injuries (rotator cuff tear, dislocation, frozen shoulder, tendinitis, fracture, shoulder impingement, thoracic outlet syndrome) Elbow injuries (golfer s elbow, tennis elbow, sprain, strain, fractures) Wrist injuries (carpal tunnel syndrome, sprain, strain, fractures) Neck and low back injuries (sprain, strain, disc herniation, stenosis, muscle spasm, posture, SI joint dysfunction, coccygodynia) Hip conditions (acetabular labral tears, bursitis, IT band tightness/syndrome, tendinitis, total knee replacement) Ankle injuries (Achilles tendinitis, peroneal tendinitis, sprain, strain, fractures) Foot and toe injuries (plantar fasciitis, tarsal tunnel syndrome, bunionectomies, sprain, strain, fractures) Standard 2 Identify how to assess musculoskeletal conditions. Current concerns General health Life style/adls/functional status (employment, activity level, recent or past injuries) Joint inspection/rom Muscle strength ADL/functional abilities Activity tolerance Standard 3 Explain the progress of a patient through the phases of physical therapy for musculoskeletal conditions. Identify short- and long-term goals Control inflammation and pain Increase range of motion Increase strength and function Return to normal function Standard 4 Model therapeutic exercises and modalities used to treat musculoskeletal conditions and injuries. Revised August 2016 Page 5 of 9
6 Manual therapy (mobilization, myofascial release, soft tissue mobilization) Strengthening (therapeutic exercises, stabilization) Range of motion (stretching) Modalities (traction, e-stimulation, ultrasound, heat/ice) Patient education Home exercise program (HEP) Standard 5 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a child patient. Modify the assessment for a pediatric patient Modify the therapeutic exercises and modalities for a pediatric patient Standard 6 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a geriatric patient. Modify the assessment for a geriatric patient Modify the therapeutic exercises and modalities for a geriatric patient Neuromuscular-Students will examine physical therapy principles and methods of healing for neuromuscular conditions. Standard 1 Identify conditions and injuries associated with the neuromuscular system. Parkinson s disease Guillian-Barre Syndrome Polio Multiple sclerosis (MS) Chronic inflammatory demyelinating neuropathy West Nile virus Cerebral palsy ALS Head injuries Spinal cord injuries Arthritis Inflammatory myopathies (polymyositis, dermatomyositis, inclusion body myositis) Multiple fractures and injuries Crush injuries Collagen vascular diseases Standard 2 Identify how to assess neuromuscular conditions. Impact on life expectancy Involvement of organ systems Family, social, community roles Impact of daily functioning (ambulation, ADLs, communication, nutritional status, community mobility, work performance) Muscle strength Joint contractures Pulmonary function Cardiomyopathy Intellectual capacity Standard 3 Explain the progress of a patient through the phases of physical therapy for neuromuscular conditions. Identify short- and long-term goals Control inflammation and pain Increase range of motion Increase strength and function Return to normal function Revised August 2016 Page 6 of 9
7 Standard 4 Model therapeutic exercises and modalities used to treat neuromuscular conditions and injuries. Manual therapy (mobilization, myofascial release, soft tissue mobilization) Strengthening (therapeutic exercises, stabilization) Range of motion (stretching) Modalities (traction, e-stimulation, ultrasound, heat/ice) Patient education Home exercise program (HEP) Assistive and adaptive devices (crutches, prostheses, wheelchairs) Standard 5 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and child patient. Modify the assessment for a pediatric patient Modify the therapeutic exercises and modalities for a pediatric patient Standard 6 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a geriatric patient. Modify the assessment for a geriatric patient Modify the therapeutic exercises and modalities for a geriatric patient Cardiovascular-Students will examine physical therapy principles and methods of healing for cardiovascular conditions. Standard 1 Identify conditions and defects associated with the cardiovascular systems. Cardiomyopathy Heart failure Coronary artery disease Myocardial infarction Valvular disease Endocarditis Myocarditis Pericarditis Coronary artery-bypass graft (CABG) Valve replacement or repair Percutaneous transluminal coronary angioplasty Percutaneous coronary intervention Repair of atrial or ventricular septal defect Cox-Maxe procedure Trans myocardial laser revascularization Pericardiectomy Aortic aneurysm repair Radiofrequency ablation Pulmonary artery embolectomy Standard 2 Identify how to assess cardiovascular conditions. Onset and duration of symptoms Previous and ongoing medical and/or surgical treatment Lab results and diagnostic tests Social history Prior functional endurance level Home environment Family/caregiver support Family, professional, social, and community roles Patient s goals and expectations of returning to previous life roles Prior drug, tobacco, and alcohol use Current medications Revised August 2016 Page 7 of 9
8 Standard 3 Explain the progress of a patient through the phases of physical therapy for cardiovascular conditions. Exercises to improve mobility Determine cardiac responses to exercise and activity Increase flexibility Increase strength and function Increase aerobic exercise Independent exercise and conditioning Standard 4 Model therapeutic exercises and modalities used to treat cardiovascular conditions and defects. Standing and walking Low-impact aerobic exercises (treadmill, exercise bike, or rowing machine) Increase flexibility (ROM) Strength-training Standard 5 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a child patient. Modify the assessment for a pediatric patient Modify the therapeutic exercises and modalities for a pediatric patient Standard 6 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a geriatric patient. Modify the assessment for a geriatric patient Modify the therapeutic exercises and modalities for a geriatric patient Integumentary-Students will examine physical therapy principles and methods of healing for integumentary conditions. Standard 1 Identify conditions and injuries associated with the integumentary system. Burns Contusions Pressure ulcers Neuropathic ulcers Surgical wounds Vascular disease Abscess Traumatic injury Standard 2 Identify how to assess integumentary conditions. Patient history ADLs Ambulation (mobility) Strength Work/school activities Adequate mobility or dexterity to perform wound care Medical history Wound history System assessment Wound location and size Tunneling and undermining Wound characteristics (distinctness, thickness, attachment to the base of the wound, epithelialization/pigmentation) Standard 3 Explain the progress of a patient through the phases of physical therapy for integumentary conditions and injuries. Pain management Maximize movement and function (ROM and strengthening) Revised August 2016 Page 8 of 9
9 Facilitate wound healing (wound debridement and dressing application) Minimize scar/contracture development Standard 4 Model therapeutic exercises and modalities used to treat integumentary conditions and injuries. Hydrotherapy Thermotherapy Hyperbaric oxygen therapy Compression therapies (IPC, VAC) Electrotherapy Manual therapy (massage) ROM stretching Strengthening exercises Adaptive, protective, or assistive equipment Standard 5 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a child patient. Modify the assessment for a pediatric patient Modify the therapeutic exercises and modalities for a pediatric patient Standard 6 Compare and contrast assessment, therapeutic exercises, and modalities in an adult and a geriatric patient. Modify the assessment for a geriatric patient Modify the therapeutic exercises and modalities for a geriatric patient. Revised August 2016 Page 9 of 9
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