PHTA 2160 Syllabus

Subject Code

PHTA

Course Number

2160

Course Title

Rehabilitation II

Prerequisites

PHTA 2110 with a grade of C or higher, PHTA 2120 with a grade of C or higher, PHTA 2130 with a grade of C or higher

Corequisites

Terms Offered

Offered Fall

Credit Hours

(1-6-3)

Course Description

This course provides continued instruction in exercises and rehabilitation techniques commonly utilized by physical therapist assistants. Topics include rehabilitation of the neurological patient; rehabilitation of the pediatric patient; cardiac rehabilitation and chest physical therapy techniques; prosthetic and orthotic training; and the assessment of arousal, attention, and cognition.

Course Outcomes

Assessment of Arousal, Attention and Cognition


Order


Description

1

Recognize the eight levels in the Ranchos Los Amigos Cognitive Functioning Scale.

2

Explain the Glascow Coma Scale.

3

Discuss behavioral and cognitive problems frequently observed in the patient with traumatic brain injury.

4

Assess the role of physical therapy in head injury rehabilitation.

5

Explain the impact of behavioral and cognitive changes on clinical care and function.

Rehabilitation of the Neurological Patient


Order


Description

1

Define terms associated with the pathology and management of CVA.

2

Relate the etiology and physiology of a stroke.

3

Recognize assessment techniques commonly associated with a stroke.

4

Compare the rehabilitative techniques for stroke patients including PNF techniques, NDT techniques, Brunstrom, Swiss gymnastic ball, and road techniques.

5

Apply the above listed rehabilitation techniques in the lab.

6

Define paraplegic, quadraplegic, paraparetic, and quadraparetic.

7

Articulate the etiology of spinal cord injury (SCI).

8

Determine  the clinical signs and symptoms of SCI.

9

Differentiate the functional significance of the various levels of SCI including reference to muscle strength.

10

Characterize the precautions to take with spinal cord patients regarding skin care, prevention of contractures, bladder care, respiratory care, and edema.

11

Define orthostatic hypotension and  determine  how it relates to SCI.

12

Develop and demonstrate appropriate exercises after reading a physical therapy evaluation.

13

Interpret the purpose of each exercise and how its related to progressing patient towards maximum level of independence regarding strength, mobility, and ADL activities

14

Point out various architectural barriers for the wheelchair patient.

15

Examine significant factors that should be considered when assessing and treating individuals with head injury.

16

Assess the role of physical therapy in head injury rehabilitation.

17

Demonstrate proper techniques for balance and coordination training.

18

Demonstrate proper treatment techniques of neurologic conditions.

19

Recognize and monitor responses to positional changes and activities.

20

Effectively collect data to quantify the patient's response to interventions.

21

Safely progress the patient interventions through the plan of care.

Rehabilitation of the Pediatric Patient


Order


Description

1

Discuss the neurodevelopmental sequence.

2

Demonstrate proper treatment techniques of pediatric conditions.

3

Discuss proper treatment techniques for CP patients.

4

Discuss proper treatment techniques used on patients with muscular dystrophy.

5

Demonstrate proper developmental and neuromotor techniques used in treating pediatric patients.

6

Instruct family members in correctly handling children with neurological disorders.

7

Effectively collect data to quantify the patient's response to interventions.

8

Safely progress the patient interventions through the plan of care.

Cardiac Rehabilitation


Order


Description

1

Review anatomy and function of the heart.

2

Point out the four valves of the heart and the coronary arteries.

3

Explain a cardiac rehabilitation program.

4

Determine the goals of cardiac rehabilitation.

5

Differentiate between aerobic and anaerobic metabolism.

6

Discuss short term effects of exercise including energy consumption, heart rate, cardiac output, stroke volume, and pulmonary ventilation.

7

Discuss long term effects of exercise including energy consumption, heart rate, cardiac output, stroke volume, blood pressure, and capacity/efficiency.

8

Classify phase one of cardiac rehabilitation program.

9

Classify phase two of cardiac rehabilitation program including goals, exercise testing, and purpose of stress test.

10

Classify phase three of cardiac rehabilitation program including goals, "target rate," formula for obtaining this figure and rate pressure product, reconditioning exercise program, purpose for warm-up phase, and cool-down phase.

11

Explain the "training effect."

12

Recognize benefits of a conditioning program.

13

Perform techniques of cardiac rehabilitation including review of vital signs monitoring.

14

Effectively collect data to quantify the patient’s response to interventions.

15

Safely progress the patient interventions through the plan of care.

Chest Physical Therapy Techniques


Order


Description

1

Review respiratory anatomy including skeletal and muscle components.

2

Review respiratory physiology.

3

Describe chest physiotherapy (chest PT).

4

Classify methods of chest PT.

5

Compare indications and contraindications for chest PT.

6

Discuss importance and goals of breathing exercises.

7

Characterize the positions for diaphragmatic breathing exercises.

8

Perform breathing exercises in the laboratory.

9

Instruct a fellow classmate in deep breathing exercises.

10

Observe and monitor thoracoabdominal movements and breathing patterns with activity.

11

Relate the function of coughing.

12

Discuss ways of teaching a patient to cough.

13

Determine contraindications for vigorous coughing.

14

Describe postural drainage.

15

Relate ideal positions to drain various segments of the lungs and state length of time patient should remain in the drainage position for optimum results.

16

Explain the purpose of percussion and vibration.

17

Perform percussion and vibration techniques in the laboratory.

18

Explain the importance of sputum assessment.

19

Instruct a fellow student in proper coughing techniques in the laboratory.

20

Auscultate breath sounds with a stethoscope.

21

Perform a complete postural drainage treatment in the laboratory including auscultating breath sounds, proper positioning to drain indicated lung area, proper percussion technique, proper vibration technique, and proper coughing technique.

22

Demonstrate suctioning technique.

23

Instruct family member in proper postural drainage positions and chest physiotherapy.

24

Effectively collect data to quantify the patient's response to interventions.

25

Safely progress the patient interventions through the plan of care.

Prosthetic and Orthotic Training


Order


Description

1

Discuss the purpose of prosthetics.

2

Characterize prosthetic devices and their components.

3

Define "Prosthetic checkout."

4

Examine procedures for fitting prosthetics.

5

Define orthotics.

6

Explain the purpose of bracing.

7

Compare types of braces.

8

Examine the principles of and reasons for bracing.

9

Classify the Milwaukee brace and other back braces.

10

Explain the purpose of each.

11

Recognize various components of lower extremity bracing.

12

Effectively collect data to quantify the patient's response to interventions.

13

Safely progress the patient interventions through the plan of care.