Rehabilitation Techniques

Comprehensive rehabilitation of selected diseases and disorders.  Thirty-two lecture hours and ninety-six lab hours per semester.

Course Learning Objectives

Describe the physical therapy management of patients with selected diseases and disorders; demonstrate rehabilitation techniques for diseases and disorders; and demonstrate communication skills.

After completing this course, the student should be able to:

  1. Understand the process of finding and securing a job.
  2. Understand the roles of selected providers in the treatment of athletic injuries.
  3. Understand energy conservation consistent with the physical therapy plan of care
  4. Understand the effects of aging on individuals and the rehabilitation process.
  5. Understand the role of physical therapy in the treatment of cardiac conditions.
  6. Understand the role of physical therapy in the treatment of respiratory conditions.
  7. Understand the classification and characteristics of burns and the physical therapy component of burn management.
  8. Understand the role of physical therapy in women’s health.
  9. Understand the role of physical therapy in treatment of patients with diabetes.
  10. Understand the role of physical therapy in the treatment of amputees.
  11. Understand the function and use of selected orthotics.
  12. Understand the characteristics of normal and abnormal development and their impact on the rehabilitation process.
  13. Understand the requirements and components of occupational rehabilitation programs and physical therapy techniques typically used in the rehabilitation of injured workers.

Student Learning Outcomes

  1. Understand the process of finding and securing a job. (F1, F2, F11, C5, C6, C7)
    1. Describe the essential elements of an effective résumé and cover letter.
    2. Prepare a résumé for submission to potential employers.
    3. Describe effective interview strategies.
  2. Understand the roles of selected providers in the treatment of athletic injuries
    1. Identify and describe typical components of a sports medicine program.
    2. Identify characteristics of sports injuries.
    3. Describe the role of the athletic trainer.
    4. Identify precautions and safety concerns for the application and use of supportive taping.
    5. Perform selected athletic taping procedures.
    6. Describe patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    7. Describe / discuss the role of athletic taping procedures in achieving short and long term goals within the plan of care.
  3. Understand energy conservation consistent with the physical therapy plan of care. (F1, F2, F11, C5, C6, C7)
    1. Describe various principles of energy conservation consistent with the physical therapy plan of care.
  4. Understand the effects of aging on individuals and the rehabilitation process. (F1, F9, F11, C5, C7)
    1. Identify and describe normal and pathological physiological aspects of aging that impact the provision of physical therapy.
    2. Identify and describe psychosocial aspects of aging that impact the provision of physical therapy.
    3. Describe the rationale for modifications in the provision of physical therapy to geriatric patients.
    4. Identify and describe typical modifications for geriatric physical therapy interventions.
    5. Identify safety factors and precautions specific to geriatric physical therapy interventions.
    6. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
  5. Understand the role of physical therapy in the treatment of cardiac conditions. (F1, F9, F11, C5, C7)
    1. Identify and describe selected cardiac pathologies and their clinical manifestations.
    2. Describe the rationale for cardiac rehabilitation.
    3. Identify and describe important components of a cardiac rehabilitation program.
    4. Identify safety factors and precautions specific to a cardiac rehabilitation program.
    5. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    6. Explain the role of physical therapy interventions for cardiac rehabilitation in achieving short and long term goals within the plan of care.
  6. Understand the role of physical therapy in the treatment of respiratory conditions. (F1, F9, F11, C5, C7)
    1. Identify and describe selected respiratory pathologies and their clinical manifestations.
    2. Describe the rationale for physical therapy in the treatment of respiratory conditions.
    3. Identify and describe basic techniques for examination of the respiratory patient to include cough and sputum characteristics, chest wall expansion and excursion, recognition of cyanosis, thoracoabdominal movements and breathing patterns with activity, and activities that affect symptoms.
    4. Identify and describe important components of a physical therapy program for respiratory conditions.
    5. Identify safety factors and precautions specific to a physical therapy program for respiratory conditions.
    6. Explain and/or demonstrate performance of selected respiratory physical therapy interventions to include breathing exercises and coughing techniques.
    7. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    8. Explain the role of respiratory physical therapy interventions in achieving short and long term goals within the plan of care.
  7. Understand the classification and characteristics of burns and the physical therapy component of burn management. (F1, F9, F11, C5, C7)
    1. Identify critical aspects of acute burn care.
    2. Describe the rationale for physical therapy intervention in burn care.
    3. Identify and describe important components of a physical therapy program for burn injury.
    4. Identify safety factors and precautions specific to a physical therapy program for burn injury.
    5. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    6. Explain the role of physical therapy interventions for burn care in achieving short and long term goals within the plan of care
  8. Understand the role of physical therapy in women’s health. (F1, F2, F11, C5, C6, C7)
    1. Describe how prenatal and postnatal exercise can be of benefit to patients.
    2. Identify treatment considerations for the pregnant patient.
    3. Define urinary incontinence.
    4. Identify treatment considerations for urinary incontinence.
    5. Identify common women’s health problems in physical therapy today.
    6. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
  9. Understand the role of physical therapy in treatment of patients with diabetes. (F1, F2, F11, C5, C6, C7)
    1. Identify risk factors associated with diabetes.
    2. Identify the different types of diabetes from a pathophysiologic perspective.
    3. Describe the diabetic exercise mode based on current evidence.
    4. Identify precautions related to physical therapy treatment for the diabetic patient.
    5. Identify common foot deformities for the patient with diabetes.
    6. Given a plan of care and under the supervision and direction of a licensed physical therapist, develop a treatment plan for a patient with diabetes.
  10. Understand the role of physical therapy in the treatment of amputees. (F1, F9, F11, C5, C7)
    1. Identify and describe various causes and levels of amputation and describe their functional implications.
    2. Describe the rationale for physical therapy intervention in amputee care.
    3. Identify and describe typical components of a pre-prosthetic and a prosthetic physical therapy program.
    4. Identify safety factors and precautions specific to pre-prosthetic and prosthetic physical therapy programs.
    5. Identify and explain typical prosthetic care instructions to be given to patients/caregivers.
    6. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    7. Explain the role of physical therapy interventions for amputees in achieving short and long term goals within the plan of care.
  11. Understand the function and use of selected orthotics. (F1, F9, F11, C5, C7)
    1. Describe the rationale for use of orthotics.
    2. Identify the function of various types of orthotics.
    3. Identify safety factors, precautions and application guidelines for proper use of selected orthotics.
    4. Identify and explain typical orthotic care instructions to be given to patients/caregivers.
    5. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    6. Explain the role of orthotics in achieving short and long term goals within the plan of care.
  12. Understand the characteristics of normal and abnormal development and their impact on the rehabilitation process. (F1, F9, F11, C5, C7)
    1. Identify and describe the normal sensorimotor developmental sequence from birth to three years.
    2. Identify and describe selected neonatal reflexes and righting and equilibrium reactions.
    3. Explain the interrelationship between the developmental sequence and neonatal and postural reflexes.
    4. Describe the relevance of developmental activities to the provision of physical therapy
    5. Describe the rationale for modifications in the provision of physical therapy to pediatric patients.
    6. Identify and describe typical modifications for pediatric physical therapy interventions.
    7. Identify safety factors and precautions specific to the provision of physical therapy to pediatric patients.
    8. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
  13. Understand the requirements and components of occupational rehabilitation programs and physical therapy techniques typically used in the rehabilitation of injured workers. (F1, F9, F11, C5, C7)
    1. Describe the requirements for occupational rehabilitation programs in Texas.
    2. Describe the rationale for occupational rehabilitation and differences between occupational rehabilitation and other rehabilitation programs.
    3. Identify and describe typical components of occupational rehabilitation programs.
    4. Identify and explain patient responses that necessitate immediate action or adjustments within the plan of care and communication with the supervising physical therapist.
    5. Explain the role of physical therapy interventions for occupational rehabilitation in achieving short and long term goals within the plan of care.
Required Textbooks

Textbooks:              Neurologic Intervention for Physical Therapy; 2nd Edition; Martin & Kessler; Saunders, 2007                  

Course Packet:      PTHA 2435 Course Packet for Fall 2015 (available in Moodle classroom)

Evaluation Standards

In order to receive credit for this course, all students must:

1.    Complete all unit exams.

2.    Complete all laboratory sessions and worksheets.

3.    Complete all assigned projects and class presentations.

4.    Complete the final exam.

Grade Compilation

Tests                                      65%

Lab/Projects/Assignments    5%

Final Exam                             30%

Grading Scale

A        90-100%

B        80-89%

C       70-79%

F        <70

Professional Behavior

Professional behavior is absolutely essential both while the individual is a student in this program as well as after graduation.  The Professional Behaviors Assessment form provides a standard for behavior and a mechanism for self-assessment by the student as well as assessment by faculty during the academic component of the program.  If a faculty member observes consistent failure to demonstrate acceptable professional behavior by a student, the faculty member will utilize the assessment form as a tool for counseling the student.  Failure to respond appropriately to counseling regarding professional behaviors will result in dismissal from the program.

Course Progression
  1. BURN MANAGEMENT
    1. Incidence of Burn Injuries in the U.S.
    2. Etiology of Burns
    3. Classification by Depth
    4. Classification by Severity
    5. Complications of Severe Burns (more than 10% TBSA)
    6. Wound Care
    7. Splinting / Positioning
    8. Scar Management
    9. Ambulation and Exercise
  1. OCCUPATIONAL REHABILITATION PROGRAMS
  1. Definition (as defined by the TWCC Medical Fee Guideline (2003) and CARF: The Rehabilitation Accreditation Commission)
  2. Terminology
  3. The Concept: How does it compare with traditional approaches?
  4. Who benefits from Occupational Rehabilitation Programs?
  5. Client Eligibility
  6. Provider Responsibility
  7. Program Content
  8. Personnel Issues
  9. Program Termination
  10. CARF (Commission on Accreditation of Rehab Facilities) Accreditation
  1. RÉSUMÉS AND INTERVIEWS
  1. Attitude is Everything
  2. Finding the Right First Job
  3. Preparing Your Résumé
  4. Cover Letter
  5. Interviewing Skills
  6. Negotiating Salary
  1. RÉSUMÉ AND COVER LETTER ASSIGNMENT
     
  2. CARDIAC REHABILITATION
  1. Cardiovascular disease
  2. Risk Factors
  3. Angina (stable or unstable)
  4. MI (Myocardial Infarction)/Heart Attack
  5. CHF - Congestive Heart Failure
  6. Arrhythmias and Ectopic Beats
  7. Cardiac Medications
  8. Cardiac Rehabilitation
  1. GERIATRICS
  1. Introduction
  2. Aging Changes
  3. Rehabilitation
  4. Geriatric Pharmacology
  1. CHEST PHYSICAL THERAPY
  1. Introduction
  2. Assessment
  3. Techniques
  4. Palpation and Breath Sounds
  1. WOMEN’S HEALTH
    1. Introduction
    2. Anatomy
    3. Pregnancy
    4. Incontinence
    5. Voiding Dysfunction
    6. Pelvic Pain
    7. Dyspareunia
  2. DIABETES
    1. Risk Factors
    2. Pathophysiology
    3. Exercise
    4. Precautions
    5. Foot Deformities
    6. Treatment Plan
  3. ENERGY CONSERVATION
    1. Principles
    2. Conditions
  4. PEDIATRICS
  1. Introduction
  2. Terminology
  3. Reflexes
  4. Postural Reactions
  5. Developmental Sequence (Chronological Motor Development or Developmental Milestones)
  6. Normal Sensorimotor Development
  7. Prenatal & Perinatal
  8. Environment
  9. Disabled child
  10. Normal Development - to 3 years
  11. General Sequence
  12. Example of complex interplay of reflexes, reactions & practice
  1. AGES AND STAGES
  1. Ages – various classification systems
  2. Generally
  3. Childhood
  4. Adolescence
  5. Adulthood
  1. AMPUTEES, PROSTHETICS & ORTHOTICS
  1. Orthotics
  2. Prosthetics
  3. Amputations
  4. Surgical Considerations
  5. Post-op Treatment
  6. Prosthetic Training
  7. Gait Deviations
Absences

Regular attendance at lecture and lab is essential and has a direct effect on the final grade that a student earns in class.  Non-attendance on the part of a student may result in grade penalty or may lead to dismissal from the program.

A student should attend all lecture and laboratory sessions.  Habitual or patterned absenteeism in lecture or lab will not be tolerated.  As soon as such a problem is identified, the student will be required to meet with the faculty to determine a course of action and, if the problem is not corrected, the student will be subject to dismissal from the program.  Absences in laboratory sessions are particularly problematic because of the lost opportunity to practice skills; therefore, students will be penalized for missing more than one lab session per semester.  Should a student miss more than one lab session, one point for each missed session will be deducted from the final course grade.

All absences must be reported to the appropriate faculty member prior to the start of class.  If the faculty member cannot be reached directly, a voice mail message may be left.  Failure to notify the faculty prior to an absence will affect the student’s Professional Behaviors Assessment.

Acceptance of Late Assignments

Projects or outside assignments are due at the beginning of class on the assigned due date.  Late papers will receive a 5% per day grade penalty.  This penalty will continue to be assessed each day the assignment is not turned in.

Missing an Exam

Exams are defined as formally scheduled examinations covering a major portion of the course content and cumulatively comprising a relatively large percentage of the overall grade for a course.  Every effort should be made by the student to be present for all exams.  If it is necessary for a student to miss an exam, the instructor must be notified prior to the scheduled exam time and arrangements must be made for make-up.  It is the instructor’s option to give the same exam as the one missed or a different exam over the same content.  If arrangements to make up the exam are not made within one class day, a 5% per day penalty will be assessed each day the exam is not taken.

Instructional Methods

Lectures, laboratory activities, reading assignments, individual and/or group projects and assignments.  Some components of this course will be computer based.  Student access to a computer/printer will be required for completing assignments.  Computers are available to students in the Academic Support Center in the Mineral Wells Education Center.

Disabilities

ADA Statement:

Any student with a documented disability (e.g. learning, psychiatric, vision, hearing, etc.) may contact the Office on the Weatherford College Weatherford Campus to request reasonable accommodations. Phone: 817-598-6350 Office Location: Office Number 118 in the Student Services Building, upper floor. Physical Address: Weatherford College 225 College Park Drive Weatherford, TX.

Academic Integrity
Academic Integrity is fundamental to the educational mission of Weatherford College, and the College expects its students to maintain high standards of personal and scholarly conduct. Academic dishonesty of any kind will not be tolerated. Academic dishonesty includes, but is not limited to, cheating on an examination or other academic work, plagiarism, collusion, and the abuse of resource materials including unauthorized use of Generative AI. Departments may adopt discipline specific guidelines on Generative AI usage approved by the instructional dean. Any student who is demonstrated to have engaged in any of these activities will be subject to immediate disciplinary action in accordance with institutional procedures.
Hope Statement
Any student who faces challenges securing basic resources such as food, clothing, or housing and believes this may affect their performance in their course of study is urged to contact the Director of Student Resources, Dr. Deborah Cregger, for support at (817) 598-6444. Her office is on the first floor of Student Services. If the student prefers, they may contact their instructor, who can reach out on their behalf. Weatherford College also provides the Coyote Pantry. The Pantry maintains boxed and canned foods for students in need. The location of the Coyote Pantry is two blocks west of the Weatherford campus at the Baptist Student Ministry (118 E. Park Ave., Weatherford). Pantry hours are Mon-Thurs. 8:30 am-4:30 pm and Fri. 8.30 am-12:00 pm (817-599-6586).
SCANS

The Secretary’s Commission on Achieving Necessary Skills (SCANS) identified Competencies in the area of Resources, Interpersonal, Information, Systems, and Technology; and foundation skills in the areas of Basic Skills, Thinking Skills, and Personal Qualities. This course is part of a program in which each of these Competencies and skills are integrated. The specific SCANS Competencies that are recognized throughout this course are noted at the end of the appropriate competencies or task listed.

SCANS COMPETENCIES

Foundation Skills

Workplace Competencies

Basic Skills: Reads, writes, performs arithmetic & mathematical operations, listens, and speaks

Resources: Identifies, organizes, plans & allocates resources

F1

Reading: Locates, understand, & interprets written information in prose & in documents such as manuals, graphs, & schedules

C1

Time & Selects goal-relevant activities, ranks them, allocates time, & prepares & follows schedules

F2

Writing: Communicates thoughts, ideas, information, & messages in writing; & creates documents such as letters, directions, manuals, reports, graphs, & flow charts

C2

Money & Uses or prepares budgets, makes forecasts, keeps records, & makes adjustments to meet objectives

F3

Arithmetic: Performs basic computations ; uses basic numerical concepts such as whole numbers, etc.

C3

Material & Facilities & Acquires, stores, allocates, & uses materials or space efficiently

F4

Mathematics: Approaches practical problems by choosing appropriately from a variety of mathematical techniques

C4

Human Resources & Assesses skills & distributes work accordingly, evaluates performance & provides feedback

F5

Listening: Receives, attends to, interprets, & responds to verbal messages & other cues

Information: Acquires & uses information

F6

Speaking: Organizes ideas & communicates orally

C5

Acquires & evaluates information

Thinking Skills: Thinks creatively, makes decisions, solves problems, visualizes, knows how to learn, & reasons

C6

Organizes & maintains information

F7

Creative Thinking: Generates new ideas

C7

Interprets & communicates information

F8

Decision Making: Specifies goals & constraints, generates alternatives, considers risks, & evaluates & chooses best alternative

C8

Uses computers to process information

F9

Problem Solving: Recognizes problems & devises & implements plan of action

Interpersonal: Works with others

F10

Seeing Things in the Mind’s Eye: Organizes, & processes symbols, pictures, graphs, objects & other information

C9

Participates as a Member of a Team: Contributes to group effort

F11

Knowing How to Learn: Uses efficient learning techniques to acquire & apply new knowledge & skills

C10

Teaches others new skills

F12

Reasoning: Discovers a rule or principle underlying the relationship between two or more objects & applies it when solving a problem

C11

Serves Clients/Customers: Works to satisfy customers’ expectations

Personal Qualities: Displays responsibility, self-esteem, sociability, self-management, integrity, & honesty

C12

Exercises Leadership: Communicates ideas to justify position, persuades & convinces others, responsibly challenges existing procedures & policies

F13

Responsibility: Exerts a high level of effort & perseveres towards goal attainment

C13

Negotiates: Works toward agreements involving exchange of resources, resolves divergent interests

F14

Self-Esteem: Believes in own self-worth & maintains a positive view of self

C14

Works with Diversity: Works well with men & women from diverse backgrounds

F15

Sociability: Demonstrates understanding, friendliness, adaptability, empathy, & politeness in group settings

Systems: Understand complex interrelationships

F16

Self-Management: Assesses self accurately, sets personal goals, monitors progress, & exhibits self-control

C15

Understands Systems: Knows how social, organizational, & technological systems work & operates effectively with them

F17

Integrity/Honesty: Chooses ethical courses of action

C16

Monitors & Corrects Performance: Distinguishes trends, predicts impacts on system operations, diagnoses systems’ performance & corrects malfunctions

 

 

C17

Improves or Designs Systems: Suggests modifications to existing systems & develops new or alternative systems to improve performance

 

 

Technology: Works with a variety of technologies

 

Revised Spring 2021

C18

Selects Technology: Chooses procedures, tools or equipment including computers & related technologies

 

 

C19

Applies Technology to Task: Understands overall intent & proper procedures for setup & operation of equipment

 

 

C20

Maintains & Troubleshoots Equipment: Prevents, identifies, or solves problems with equipment, including computers & other technologies.