1 PTA.125 Measurement Techniques SEMESTER Course: PTA.125 Measurement Techniques ([syn #]) Meeting Days, Times, Location: [Day, time, location] Course Start/End Dates: [Start and end dates] Credit Hours:1 Contact Hours: 1 Prerequisite(s): PTA.105, PTA.106, PTA.110, PTA.111, PTA.115 & PTA.116 Co-requisite(s): PTA.126, PTA.130, PTA.131 & PTA.140 Instructor Contact Information: Instructor: [Instructor] Office Location: [Location] Office Hours: [Office Hours] Phone: [Phone] E-Mail: [Email] Required/Recommended Textbook(s) and materials: Measurement of Joint Motion, 4th Edition, Cynthia C. Norkin and D. Joyce White, ISBN: 978-0-8036-2066-7. (Required). Daniels and Worthingham s Muscle Testing, 9th Edition, Helen J. Hislop and Jacqueline Montgomery ISBN: 978-1455706150. (Required). Additional materials in Moodle. Course Description Students are presented with the assessment techniques most commonly used in physical therapy. Treatment plans are based upon the objective findings of this data collection. Techniques of goniometry, muscle testing, sensory assessments, gait analysis and balance assessment are presented. 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. Choose accurately the definition of validity and reliability. 2. Properly recall palpation techniques for the upper extremity, lower extremity, and/or spine. 3. Correctly identify supporting structures (ligaments, tendons, joint capsules, etc) of the upper extremity, lower extremity and spine.
4. Choose accurate anatomical alignment of upper extremity, lower extremity and/or spine. (7D24K) 5. Describe how to accurately assess functional range of motion of the upper extremity, lower extremity, and spine. (7D24L) 6. Recall proper goniometric principles to ensure accurate data collection. (7D24L) 7. Identify the best placement and procedures for measuring range of motion via a goniometer/cervical range of motion (CROM) of the upper extremity, lower extremity and spine. (7D24L) 8. Correctly identify normal plane and axis of motion for goniometric/crom measurements of the upper extremity, lower extremity and spine. 9. Accurately select the normal range of motion ranges for the upper extremity, lower extremity, temporomandibular joint (TMJ) and spine. (7D24L) 10. Recall proper manual muscle testing principles to ensure accurate data collection. (7D24H) 11. Select appropriate patient positioning for manual muscle testing of upper extremity, lower extremity and spine. (7D24H) 12. Recall accurately the agonist muscles and their desired motion of the upper extremity, lower extremity and spine. 13. Determine appropriate muscle grade based upon description of data collection results. (7D24H) 14. Accurately identify nerve innervation for upper extremity, lower extremity and spine muscles. 15. Recognize correctly compensation/substitution, which affects manual muscle testing. (7D24H) 16. Define normal and abnormal endfeels clearly. (7D24G) 17. Accurately recall normal endfeels for the upper extremity, lower extremity and/or spine. (7D24G) 18. Recognize correctly the normal loose and closed pack positions of the upper extremity, lower extremity and/or spine. (7D24G) 19. Identify accurately the definition of capsular and noncapsular patterns. 20. Recognize accurately normal capsular patterns of the upper extremity, lower extremity and/or spine. 21. Correctly identify key components of normal gait phases. (7D24E) 22. Precisely recall key characteristics of abnormal gait patterns. (7D24E) 23. Clearly identify the classification of wounds and structures of skin involved. (7D24F) 24. Accurately recall the signs of infection. (7D24F) 25. Properly recognize procedures for assessment of a wound. (7D24F) 26. Correctly delineate between normal and abnormal integumentary changes and/or assessments, including viable versus nonviable tissue. (7D24F) 27. Correctly recall the procedures for estimation of burn size. (7D24F) 28. Estimate accurately the involvement area of a burn. (7D24F) 29. Clearly identify the risk factors for abnormal integumentary changes. (7D24F) 30. Correctly define normal muscle tone. (7D24H) 31. Recognize accurately abnormal changes in muscle tone. (7D24H) 32. Accurately define normal and abnormal muscle length. (7D24H) 33. Properly identify the dermatomes of the upper extremity, lower extremity and/or spine. 34. Correctly select the myotomes of the upper extremity, lower extremity and/or spine. 35. Choose how to collect with proper technique anthropometrical characteristics (height, weight, length and girth). (7D24B) 36. Recall clearly relevant physiological structure(s) involved in coordination. 37. Identify accurately the proper procedures and/or guidelines for the following tests and measures: 37.1. Balance (7D24E) 37.2. Coordination 37.3. Muscle length (7D24H) 37.4. Girth (7D24B) 37.5. Reflexes 37.6. Sensation testing (7D24F) 2 PTA.125 Measurement Techniques
37.7. Leg length discrepancy (7D24B) 38. Identify correctly the measures/components of the grading scale for: 38.1. Balance (7D24E) 38.2. Reflexes 38.3. Muscle tone (7D24H) 38.4. Wounds (7D24F) 39. Appropriately assess the results of the tests and measures to determine appropriate rating/numerical data: 39.1. Reflexes 39.2. Balance (7D24E) 40. Appropriately select balance assessment measures and strategies. 41. Identify accurately specials tests and their test procedures. 42. Correctly analyze the special test results, of the upper and lower extremity, to determine clinical implications. 43. Compose accurate documentation of tests and measures. (7D25) 44. Given a patient scenario: 44.1. Summarize concisely treatment provided 44.2. Formulate accurate and concise documentation (7D25) 44.3. Assess clear progress towards goals set by PT in POC 44.4. Appropriately recommend modifications to interventions within POC based upon patients response and assessment findings (7D19) 44.5. Correctly report a situation where assessment finding(s) should be reported to the PT. (7D20) 44.6. Appropriately describe an action plan to report suspected cases of abuse of vulnerable populations. (7D2) 44.7. Clearly describe the action plan to report suspected cases of fraud and abuse related to the utilization and payment for physical therapy. (7D3) 44.8. Write a clear plan of action, including sound moral reasoning, based on professional ethics and values in response to an ethical situation. (7D6) 45. Recognize when appropriate to report assessment findings to the PT. (7D20) 46. Accurately identify the basic concepts in professional literature, including validity, reliability and level of statistical significance. (7D10) Teaching Methods: lecture, discussion, audiovisuals, demonstration and assignments. 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. 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. 3 PTA.125 Measurement Techniques
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) 386-6621. Support Services Refer to the Mid Michigan Community College Catalog or web site at www.midmich.edu 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 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. 4 PTA.125 Measurement Techniques
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/e-mail 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/e-mail to the instructor; two (2) points will be deducted for an absence episode with telephone call/e-mail, 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 E-mail, 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 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. 5 PTA.125 Measurement Techniques
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. Grading Criteria: Assessments Points Homework (2 @ 20 points each) 40 Case Studies (2 @ 30 points each) 60 Quizzes (3 @ 10 points each) 30 Midterm Exam 120 Final Exam 150 Professional Behavior, Attendance & Promptness 25 Total Points: 425 *Quizzes will be given throughout the semester, as directed by the instructor. Grading Scale: Percent Grade 95-100 A 90-94 A- 87-89 B+ 84-86 B 80-83 B- 77-79 C+ 74-76 C 70-73 C- 67-69 D+ 64-66 D 60-63 D- 59 & below F NOTE: A B- is required to pass this course and proceed to the next semester. 6 PTA.125 Measurement Techniques
MEASUREMENT TECHNIQUES TOPIC SCHEDULE and ASSIGNMENTS Lecture Tuesday (ROM) Homework Thursday (MMT) Homework Week 1 Chapters 1/3/4: Introduction Shoulder/ Shoulder Girdle/Reliability & Validity Chapters 1/2/5: Introduction Shoulder/ Shoulder Girdle Week 2 Chapters 5/6/7: Elbow/Forearm/ Wrist Week 3 Week 4 Finish Up: Chapters 5/6/7: Hand Sensory/Reflexes/ Anthropometric Testing/Basic Concepts of Professional Literature Finish Shoulder/Shoulder Girdle Chapter 5: Elbow/Forearm/ Wrist Finish Up: Chapter 5: Hand Review for Exam Week 5 Exam #1 Review Lecture Exam/Lab Practicals Week 6 Chapters 8/9: Hip/Knee/ Homework Chapter 6: Hip/Knee Muscle Length Testing 1 Due Week 7 Chapter 10: Ankle/Foot Chapter 6: Ankle/Foot Physical Agents Chapter 5: Muscle Tone Week 8 TBD Presentations in Lab Case Study 1 Due SPRING BREAK SPRING BREAK Week 9 Chapter 11/12/13: Chapters 3/4: Trunk Trunk/TMJ Week 10 Gait /LLD Coordination/ Balance Week 11 Wounds Review for Final Exam Patient Scenarios Case Study 2 Due Week 12 Final Exam Comprehensive Homework 2 Due Final Lab Practicals Reservation Statement The instructor reserves the right to make adjustments to this syllabus as needed 7 PTA.125 Measurement Techniques