COLLEGE OF CHARLESTON ATEP 345 LABORATORY SPRING 2013 Meeting Time: Laboratory: MW 11:00am-12:30pm Meeting Location: Silcox Center, Rooms 146 Instructor: Katie Snyder, MS, ATC, SCAT, Visiting Professor Office Location: Silcox 150 Office Hours: M-R 12:00-1:00 or By appointment. Office Phone: 953-8240 Email: snyderk@cofc.edu Class On-line Management System: Hosted by OAKS Prerequisites: ATEP 245 Course Grading System: A, A-, B+, B, B-, C+, C, C-, D+, D, D-, F Course Description: This course focuses on the assessment of athletic injuries occurring to the extremities of the human body. Mechanisms and characteristics of athletic injuries commonly occurring to the joints of the human extremities will be discussed. Emphasis will be placed on the components of the comprehensive orthopedic physical examination (including: history, inspection, palpation, functional testing, and special evaluation techniques). The laboratory is designed to develop the student's psychomotor skills of orthopedic examination and assessment. Course Goals and Objectives Apply knowledge in order to: 1. Identify and explain the risk factors associated with common congenital and acquired abnormalities, disabilities, and diseases. (RM-C2) 2. Identify and explain the epidemiology data related to the risk of injury and illness related to participation in physical activity. (RM-C3) 3. Explain the importance and use of standard tests, test equipment, and testing protocol for the measurement of cardiovascular and respiratory fitness, body composition, posture, flexibility, muscular strength, power, and endurance. (RM-C11) 4. Identify the normal acute and chronic physiological and pathological responses (e.g., inflammation, immune response, and healing process) of the human body to trauma, hypoxia, microbiologic agents, genetic derangements, nutritional deficiencies, chemicals, drugs, and aging affecting the musculoskeletal and other organ systems, and musculoskeletal system adaptations to disuse. (PA-C4) 5. Describe the etiology, pathogenesis, pathomechanics, signs, symptoms, and epidemiology of common orthopedic injuries, illnesses and diseases to the body s systems. (PA-C5) 6. Describe common techniques and procedures for evaluating common injuries including taking a history, inspection/observation, palpation, functional testing, special evaluation techniques, and neurological and circulatory tests. (DI-C6) 7. Explain the relationship of injury assessment to the systematic observation of the person as a whole. (D1-C7) 8. Explain the roles of special tests in injury assessment. (D1-C10)
2 9. Describe strength assessment using resistive range of motion, break tests, and manual muscle testing. (D1-C12) 10. Describe the use of diagnostic tests and imaging techniques based on their applicability in the assessment of an injury when prescribed by a physician. (D1-C13) 11. Explain medical terminology and abbreviations necessary to communicate with physicians and other health professionals. (D1-C16) 12. Describe the components of medical documentation (e.g. SOAP, HIPS and HOPS). (D1-C7) Demonstrate ability to: 1. Instruct the patient how to properly perform fitness tests to assess his or her physical status and readiness for physical activity. Interpret the results of these tests according to requirements established by appropriate governing agencies and/or a physician. These tests should assess: flexibility & strength (RM-P1, RM-P1.1, RM-P1.2) 2. Obtain a medical history of the patient that includes a previous history and a history of the present injury. (D1-P1) 3. Perform inspection/observation of the clinical signs associated with common injuries including deformity, posturing and guarding, edema/swelling, hemarthrosis, and discoloration. (D1-P2) 4. Perform inspection/observation of postural, structural, and biomechanical abnormalities. (D1-P3) 5. Palpate the bones and soft tissues to determine normal or pathological characteristics. (D1-P4) 6. Measure the active and passive joint range of motion using commonly accepted techniques, including the use of a goniometer and inclinometer. (D1-P5) 7. Grade the resisted joint range of motion/manual muscle testing and break tests. (D1-P6) 8. Apply appropriate stress tests for ligamentous or capsular stability, soft tissue and muscle, and fractures. (D1-P7) 9. Apply appropriate special tests for injuries to the specific areas of the body as listed above. (D1-P8) 10. Document the results of the assessment including the diagnosis. (D1-P10) 11. Obtain a medical history of the patient that includes a previous history and a history of the present condition. (MC-P1) 12. Perform a visual observation of the clinical signs associated with common injuries and/or illnesses including deformity, edema/swelling, discoloration, and skin abnormalities. (MC-P2) 13. Palpate the bones and soft tissues, including the abdomen, to determine normal or pathological characteristics. (MC-P3) 14. Perform a functional assessment for safe return to physical activity. (EX-P7) 15. Use appropriate terminology and medical documentation to record injuries and illnesses (e.g., history and examination findings, progress notes, and others). (AD-P5) 16. Use appropriate terminology to effectively communicate both verbally and in writing with patients, physicians, colleagues, administrators, and parents or family members. (AD-P6) Required Texts 1. Starkey C, Brown S, and Ryan J. of Orthopedic and Athletic Injuries. (3 rd Edition) FA Davis Publishing (2009) 2. Konin J, Wiksten D, and Isear, J. Special Tests for Orthopedic (3 rd Edition). SLACK Publishing 3. Biel A. Trail Guide to the Body: A hands-on guide to locating muscles, bones, and more. (4th Edition) Books of Discovery Publishing Supplemental Texts
3 1. Arnheim & Prentice, Principles of Athletic Training. McGraw Hill (Eleventh Edition) 2. Clarkson HM. Musculoskeletal Assessment: Joint Range of Motion and Manual Muscle Strength (2 nd Edition). Lippincott, Williams, and Wilkins Publishing 3. Additional reading materials for this course may be posted in OAKS or may be provided by the instructor. Evaluation Criteria: Laboratory: (1 credit) s (2 x 100 pts) = 200 Skill Assessment (12 x 10 pts) = 120 Final = 100 = 420 Final Grade Calculation: One final grade will be assigned for ATEP 345, the lecture (3 credits) and one grade will be assigned for ATEP 345L, the laboratory (1 credit). Both final grades will be assigned based upon the total number of points earned. No other factors will be considered in the assigning of the final grade. The grades for ATEP 345 and ATEP 345L will be assigned according to the following table: GRADING SCALE: A 90-100% A- 88-89% B+ 85-87% B 80-84% B- 78-79% C+ 75-77% C 70-74% C- 68-69% D+ 66-67% D 64-65% D- 62-63% F <62% *IT IS IMPORTANT TO NOTE THAT ANY STUDENT DETERMINED BY THE COLLEGE OF CHARLESTON HONOR BOARD TO BE IN VIOLATION OF ANY ASPECT OF THE HONOR CODE WILL BE ASSIGNED AN "XF" AS THE FINAL GRADE IN THIS COURSE, INDICATING FAILURE OF THE COURSE DUE TO ACADEMIC DISHONESTY.
4 Details of Evaluation Criteria Laboratory s: Three oral/practical examinations will be given on the dates provided on the tentative laboratory schedule. Skill Assessments On designated laboratory sessions throughout the semester you will be given a 10 point test to assess your level of completing the current laboratory skills. The content of each skill assessment is based on current class topics. Skill assessments will be given on the dates provided on the tentative course schedule. Course Policies Policy You will be notified at least one week in advance if there is a change in a test date. Please note that if you miss a scheduled examination you will earn zero (0) points for that particular examination. No make-up examinations will be given for a missed examination. If extreme, unpreventable and unpredictable circumstances prevent you from attending an examination you should contact the course instructor as soon as possible. Consideration will be given on an individual case basis. If you know you will be unable to attend an examination due to an excused absence (ie: athletic participation, professional conference, etc.) you must notify the instructor at least ten days prior to the absence. Late Work Policy All assigned work should be turned in at the beginning of class on the respective due date. Work submitted past this time (even on the due date) will have 20 percent of the total available points deducted for each calendar day, including weekend and holiday days. Required Technology 1. Internet 3. Microsoft Powerpoint 2. OAKS 4. Microsoft Word All the technology listed above can be accessed in the College of Charleston computer labs throughout campus. If you do not know how to use any of these computer applications you should arrange an appointment with the course instructor for tutoring. Attendance You are expected to attend all lectures and laboratory meetings. If extreme circumstances necessitate an absence you will be held responsible for the class material covered during your absence. Quizzes missed due to unexcused absences will not be re-administered. YOU ARE RESPONSIBLE FOR
5 ALL INFORMATION COVERED AND REFERRED TO IN CLASS. If you know you will be missing a class it is your responsibility to make arrangements with the instructor in advance of the missed class. Personal Electronic Devices Personal electronic devices such as cell phones and other electronic devices are not permitted in class. Students needing to bring such devices to class must be sure the device is TURNED OFF (not set to vibrate) and secured inside a book-bag, purse, or pocket for the entire class time. Students using personal electronic devices during class time will be asked to leave the classroom for the remainder of the class meeting time. Disability Statement If there is a student in this class who has a documented disability and has been approved to receive accommodations through SNAP Services, the student should please feel free to come and discuss this with me during my office hours. Honor Code and Academic Integrity It is expected that each student in this class will conduct him or herself within the guidelines of the honor system. All academic work should be done with the highest level of honor and integrity that this institution demands. Cases of suspected academic dishonesty will be reported directly by the instructor and/or others having knowledge of the incident to the Dean of Students. A student found responsible by the Honor Board for academic dishonesty will receive a XF in the course, indicating failure of the course due to academic dishonesty. This grade will appear on the student s transcript for two years after which the student may petition for the X to be expunged. The student may also be placed on disciplinary probation, suspended (temporary removal) or expelled (permanent removal) from the College by the Honor Board. Students can find the complete Honor Code and all related processes in the Student Handbook at http://studentaffairs.cofc.edu/honorsystem/studenthandbook/index.php
6 COLLEGE OF CHARLESTON ATEP 345 Athletic Injury Evaluation I and ATEP 345L Athletic Injury Evaluation I Laboratory Tentative Semester Schedule: Spring 2013 Date Day Lecture Topic 8:00-8:50 AM January 9 W Introduction to Course and Review of Syllabus January 11 F Injury Pathology Nomenclature January 14 M Evidence Based Practice in the Diagnostic Process Laboratory Topic 11:00-12:30 PM (MW) Introduction to Course and Review of Syllabus The basic principles of diagnostic imaging and testing and their role in the diagnostic process To Prepare for Class Starkey: Chapter 4 Starkey: Chapter 3 Content Assessment (CA) #1 January 16 W The Injury Process SOAP Note: Acute Injury Evaluation and Electronic Injury Management Systems Starkey: Chapter 1 CA #2 January 18 F The Injury Process and the On-Field January 21 M MLK DAY: NO CLASS MLK DAY: NO LAB CLASS Starkey: Chapter 2 (34-40,43) January 23 W Elbow and Forearm Pathologies Clinical of the Elbow and Forearm: History, Observation/Inspection and Palpation January 25 F Clinical of the Elbow and Forearm January 28 M Clinical of the Elbow and Forearm January 30 W Clinical of the Elbow and Forearm Clinical of the Elbow and Forearm: Range of Motion, Goniometric Clinical of the Elbow and Forearm: Special Tests and On-field Starkey: Chapter 17 Biel: Chapter 3 (107-118, 127-148,160-162) CA #3 Starkey: Chapter 17 Biel: Chapter 3 (107-118, 127-148,160-162) Starkey: Chapter 17 Biel: Chapter 3 (107-118, 127-148,160-162) Starkey: Chapter 17 Biel: Chapter 3 (107-118, 127-148,160-162) February 1 F Knee Joint Pathologies Starkey: Chapter 10 Biel: Chapter 7(343-353, 366-368, 375, 392-397) CA #4 February 4 M EXAMINATION #1 Clinical of the Knee Joint: History, Observation/Inspection and What s Due? Journal Article Critical Thinking (JACT) #1 JACT #2 Skill Assessment #1 JACT #3 JACT #4
7 February 6 W Clinical of the Knee Joint February 8 F Clinical of the Knee Joint February 11 M Clinical of the Knee Joint Palpation Clinical of the Knee Joint: Range of Motion, Goniometric Clinical of the Knee Joint: Special Tests and On-field February 13 W Patellofemoral Joint Pathologies Clinical of the Patellofemoral Joint: History, Observation/Inspection and Palpation February 15 F Clinical of the Patellofemoral Joint Go To College Student Workshop February 18 M Clinical of the Patellofemoral Joint February 20 W Clinical of the Patellofemoral Joint February 22 F Lower Leg and Ankle Joint Pathologies February 25 M Clinical of the Lower Leg and Ankle Joints February 27 W Clinical of the Lower Leg and Ankle Joints March 1 F Clinical of the Lower Leg and Ankle Joints Clinical of the Patellofemoral Joint: Joint measurements and joint laxity assessment Clinical of the Patellofemoral Joint: Special Tests and On-field LAB PRACTICAL #1 Clinical of the Lower Leg and Ankle Joints: History, Observation/Inspection and Palpation Clinical of the Lower Leg and Ankle Joints: Range of Motion, Goniometric Assessment, and Manual Muscle Tests Starkey: Chapter 10 Biel: Chapter 7(343-353, 366-368, 375, 392-397) Starkey: Chapter 10 Biel: Chapter 7(343-353, 366-368, 375, 392-397) Starkey: Chapter 10 Biel: Chapter 7(343-353, 366-368, 375, 392-397) Starkey: Chapter 11 CA #5 Starkey: Chapter 11 JACT #5 Starkey: Chapter 11 Starkey: Chapter 11 Starkey: Chapter 9 Biel: Chapter 7 (343-347,354-391,398-405) CA #6 Starkey: Chapter 9 Biel: Chapter 7 (343-347,354-391,398-405) Starkey: Chapter 9 Biel: Chapter 7 (343-347,354-391,398-405) Starkey: Chapter 9 Biel: Chapter 7 (343-347,354-391,398-405) Skill Assessment #2 Review of Published Article Research Abstracts Skill Assessment #3 JACT #6 Skill Assessment #4
8 March SPRING BREAK SPRING BREAK 4-8 March 11 M EXAMINATION #2 Clinical of the Lower Leg and Ankle Joints: Special Tests and Onfield March 13 W Pathologies of the Foot and Toes Clinical of the Foot and Toes: History, Observation/Inspection and Palpation March 15 F Clinical of the Foot and Toes March 18 M Clinical of the Foot and Toes March 20 W Clinical of the Foot and Toes March 22 F Pathologies of the Wrist and Hand March 25 M Clinical of the Wrist and Hand March 27 W Clinical of the Wrist and Hand March 29 F Clinical of the Wrist and Hand Clinical of the Foot and Toes: Range of Motion, Goniometric Clinical of the Foot and Toes: Special Tests and On-field Clinical of the Wrist and Hand: History, Observation/Inspection and Palpation Clinical of the Wrist and Hand: Range of Motion, Goniometric April 1 M Shoulder Complex Pathologies Clinical of the Wrist and Hand: Special Tests and On-field April 3 W Clinical of the Shoulder Complex Clinical of the Shoulder Complex: History, Observation/Inspection and Palpation Starkey: Chapter 8 Biel: Chapter 7(346,354-365, 370, 378-391, 399-405) CA #7 Starkey: Chapter 8 Biel: Chapter 7(346,354-365, 370, 378-391, 399-405) Starkey: Chapter 8 Biel: Chapter 7(346,354-365, 370, 378-391, 399-405) Starkey: Chapter 8 Biel: Chapter 7(346,354-365, 370, 378-391, 399-405) Starkey: Chapter 18 Biel: Chapter 3(107-112,119-126,127-159, 163-166) CA #8 Starkey: Chapter 18 Biel: Chapter 3(107-112,119-126,127-159, 163-166) Starkey: Chapter 18 Biel: Chapter 3(107-112,119-126,127-159, 163-166) Starkey: Chapter 18 Biel: Chapter 3(107-112,119-126,127-159, 163-166) Starkey: Chapter 16 CA #9 Starkey: Chapter 16 April 5 F EXAMINATION #3 Lab Practical #2 Starkey: Chapter 16 JACT #7 Skill Assessment #5 Draft of Research Paper JACT #8 Skill Assessment #6 Peer Review of Research Paper
9 April 8 M Clinical of the Shoulder Complex April 10 W Clinical of the Shoulder Complex April 12 F Clinical of the Shoulder Complex Clinical of the Shoulder Complex: Range of Motion, Goniometric Clinical of the Shoulder Complex: Special Tests and On-field Starkey: Chapter 16 Starkey: Chapter 16 JACT #9 Skill Assessment #7 April 15 M Pathologies of the Hip Joint and Thigh April 17 W Clinical of the Hip and Thigh April 19 F Clinical of the Hip and Thigh April 22 M Clinical of the Hip and Thigh Clinical of the Hip Joint and Thigh: History, Observation/Inspection and Palpation Clinical of the Hip Joint and Thigh: Range of Motion, Goniometric Clinical of the Hip Joint and Thigh: Special Tests and On-field April 24 W Review for Final Lab Practical #3 April Final Time TBA - in Room 146 Starkey: Chapter 12 Biel: Chapter 6 (275-283,292, 295-299,302-336,339,341-342) CA #10 Starkey: Chapter 12 Biel: Chapter 6 (275-283,292, 295-299,302-336,339,341-342) Starkey: Chapter 12 Biel: Chapter 6 (275-283,292, 295-299,302-336,339,341-342) Starkey: Chapter 12 Biel: Chapter 6 (275-283,292, 295-299,302-336,339,341-342) Final Research Paper JACT #10 Skill Assessment #8 Final Exam Skill Assessment #9 April 25 th - April 27 th