PTA 1392

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					PHTA 1392                                                                 Spring 2010

INSTRUCTORS:           Jeff Hammontree                 Carla Hinkle
        Office:        MC 353                         MC 532
       Phone:          595-7072                       595-7011

Office Hours: Posted on Instructor’s Office Door

 Lecture: T 1030 - 1120            Lab: W 0900 - 1150 for sections 23972 & 23973
                                        W 1300 - 1550 for section 23974
 Room: MP 416                     Room: MP 548

Chairperson: Jim Pickens     Office: MP 458              Phone: 595-7002

PTA 1203 and PTA 1303 with a grade of "C" or better, and concurrent enrollment in PTA

1. Lab clothes - shorts, t-shirts.

2. Physical Agents, Text Behrens B, Michlovitz S. Physical Agents Theory and Practice
for the Physical Therapist Assistant. F.A. Davis. Philadelphia, PA.

3. All previous PTA Program materials and texts.

None available for this course.

Principles and techniques of massage, hydrocollator packs and pulmonary rehabilitation.
Emphasis on physiological changes and effects in commonly seen diagnoses and in
response to treatments. Laboratory practice with emphasis on positioning and manual
skills. Lecture 1 hour. Laboratory 3 hours.

PHTA 1392 Clinical Procedures I
Syllabus revised 1/10
Upon completion of the course, with at least 70% accuracy on instructor prepared tests
and skill demonstration, the student will be able to:

 1. Describe the physiological responses to superficial heat and cold.

 2. List indications and contraindications to hot packs, paraffin and cryotherapy.

 3. Demonstrate the proper, safe application of hydrocollator packs, paraffin, cold
   pack, ice massage, contrast bath and infrared heating.

 4. Describe the basic physiology of muscle spasm and pain, and the relationship
    between the two (i.e. pain/spasm cycle.)

 5. List the various massage techniques and the rationale for the use of each.

 6. List the indications / contraindications for massage.

 7. List and describe the pathologic conditions commonly treated with massage.

 8. Appropriately select and apply a regimen of massage strokes using proper
    techniques, positioning and body mechanics that follow the PT’s plan of care.

 9. Define trigger points and myofascial pain.

10. Demonstrate safe and proper use of flourimethane spray in the treatment of trigger

11. Explain the rationale behind relaxation techniques, and select and apply them

12. Explain the rationale behind selected alternative treatment methods utilized in the
    practice of physical therapy.

13. Identify and review basic anatomical elements of the cardiopulmonary system.

14. Identify and explain the normal function of the cardiopulmonary system.

15. List and describe the pathologic conditions commonly treated with chest physical

16. Explain and demonstrate the techniques utilized in chest physical therapy when
treating patients with pulmonary disorders.

PHTA 1392 Clinical Procedures I
Syllabus revised 1/10
17. Properly position a patient for a complete regimen of postural drainage and apply
     percussion and vibration techniques.
18. Describe symptoms of various pulmonary disorders and how chest physical
therapy and postural drainage techniques are vital to the management of these
19. Demonstrate and teach techniques of simple gait patterns with crutches, walkers
     and canes.
20. Demonstrate appropriate safety measures for gait training.
21. Conduct one's self in a responsible, well-organized and professional manner in
    keeping with the list of generic abilities as presented in the PTA Student
Lecture: one hour per week, including discussion.
Laboratory: three hours per week including demonstration and practice of proper
application techniques.
Students are responsible for all material and assignments presented in class, including
assigned outside reading.

Written Exams: Three written exams will be given at approximately equal intervals
throughout the semester, with the third occurring during finals week.

Skill Check-outs: At least four of varying point value will be completed during the
semester. Students must bring appropriate skill sheets to checkouts in order to receive
credit. Skill checkout sheets have critical incidents which are in bold print and are
maintained through skill. Skills should meet entry level criteria for passing, if not a
second checkout will be given. If student is unable to pass checkout with entry level
competence, 80% of items, then student will not meet criteria for successful completion
of this course.
Extra credit may be available, but will only be applied at the end of the course in the
case where a student is already receiving a "C" or better in the course. Extra credit
points are awarded for learning enhancement, not to complete basic course
Total points earned will be compiled and grade equivalency established according to
the following scale:
                     90 - 100% = A
                     80 - 89 = B
                     70 - 79 = C
                     60 - 69 = D
                       < 59 = F
A grade of "C" or better is necessary to enroll in subsequent PTA courses.

PHTA 1392 Clinical Procedures I
Syllabus revised 1/10
Massage and other manual skills are learned skills. It is necessary to practice in order
to acquire a new skill. To ensure adequate practice time, supervised laboratory times
will be scheduled several times during the semester. Open Lab times will be posted in
the lab and generally fall on Friday's. An instructor will be present as a resource during
these events. Attendance at Open Lab is strongly suggested but not mandatory.

Regular attendance in class and laboratory sessions is considered good professional
behavior. Roll will not be taken. However, students should be advised that excessive
absence will likely affect performance. It is not necessary to call instructors to be
"excused" from class except for lab practicals and exams.

Assignments turned in late will be accepted at the discretion of the instructors with an
automatic reduction of 20% in awarded points. Exams and skill check-outs may be
made up if the instructor is notified of an absence in advance and is satisfied that the
absence is unavoidable. (Please call either of the instructors' offices to leave a

TCC provides a range of services to allow persons with disabilities to participate in
educational programs and activities. The responsibility for acquiring academic
accommodation services for any student with a disability rests with the individual
student. Advisers, faculty members, and administrators can help such students only if
a formal request is made and only if official certification of the disability is completed.
For information, contact the campus Counseling and Testing Office (disABLED Student
Resources Center, MC 331B, 595-7115).

The Physical Therapist Assistant Program faculty has determined that professional
abilities are equally important to the overall student's success as the mastery of
knowledge and skills in the area of physical therapy. Professional abilities are attributes
and behaviors that are not necessarily inherent to any profession's core of knowledge
but are required for success in the classroom, clinical and workplace. The professional
abilities determined to be "generic" to the field of physical therapy are: commitment to
learning, interpersonal skills, communication skills, effective use of time and resources,
use of constructive feedback, problem solving, professionalism, responsibility, critical
thinking and stress management. Students failing to demonstrate application and
generalization of these professional behaviors by the conclusion of this course will
result in a failing grade, regardless of the student's academic performance in the

PHTA 1392 Clinical Procedures I
Syllabus revised 1/10
                                       PHTA 1392
                                 CLINICAL PROCEDURES I
                              LABORATORY / LECTURE AGENDA

Jan 12 Lec      Introduction, Syllabus, Superficial Heat and Cold            Chap1-2 Physical Agents
    13 Lab      Application of Hydrocollator Packs, Paraffin, Cold Pack, Ice Massage,
                      Contrast Bath, Infrared Heat and Equipment Maintenance

      19 Lec    Physiology of Pain, Pain-spasm-pain Cycle                    Chap 3 Physical Agents
      20 Lab    Lab Continue Modality Techniques

Jan 26 Lec      Lec Pain PT intervention, pain scales                       Chap 2 Physical Agents
Jan 27 Lab      Check Out Hot/Cold


Feb 9 Lec       Massage                                                      Handouts
Feb 10          Lab  Massage

Feb 16          Exam I
    17          Lab    Effects of Massage;Basic strokes of Massage

       23       Lec     Trigger points, Myofascial Pain Syndrome             Handouts
       24       Lab     Cervical, Trunk & Facial Massage

Mar     2       Lec     Stress, Relaxation Techniques
        3      Lab      Massage of the Extremities, Fluori-methane Spray, Trigger Points

Mar    9        Lec     Myofascial Release                                   Handouts
       10       Lab     Myofascial Release

Mar 15 - 21     SPRING BREAK

       23       Lec   Anatomy Review: Heart & Lungs                          Chap 15 O’Sullivan
       24       Lab   Skill Check-out: #10
                Cervical, Facial, Trunk & Extremities Massage

Mar     30      Lec     Exam II
Mar     31      Lab     Pulmonary function & Breath sounds                   Chap 15 O’Sullivan

Apr     6       Lec     Cardiopulmonary Disorders
        7       Lab     Ventilators: "Beeps, Buzzes & Whistles"

Apr    13       Lec     Postural Drainage, Percussion & Vibration, Positioning
        14      Lab     Postural Drainage, Percussion & Vibration, Positioning

        20      Lec     Gait with Assistive Devices                          Chap 6&8 Pierson
        21      Lab     Gait with Assistive Devices

Apr     27      Lec     Alternative Forms of Treatment

PHTA 1392 Clinical Procedures I
Syllabus revised 1/10
        28      Lab    Skill Check-outs: #11 #30
                Postural Drainage and Breathing Exercises
                Gait with assitive Devices

May 1-7         FINAL EXAM (III)

PHTA 1392 Clinical Procedures I
Syllabus revised 1/10

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