PTAP 122 - Procedures II

5 Credits: (2 lecture, 6 lab)

Course Description
The second of four sequential courses, this course focuses on the patient with orthopedic pathology. Students will learn assessment of muscle and joint function, orthopedic pathologies, and treatment intervention for each major body segment. Electrotherapeutic modalities, electrical stimulation and biofeedback, will also be included.

Prerequisite PTAP 101, PTAP 135, and PTAP 121. Corequisite BIOL 132.

Hislop, Helen, and Jacqueline Montgomery. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination. 9th ed. Philadelphia: Saunders, 2014.

Kisner, Carolyn, and Lynn Allen Colby. Therapeutic Exercise: Foundations and Techniques. 7thed. Philadelphia: Davis, 2018.

Manske, Robert. Fundamental Orthopedic Management for the Physical Therapist Assistant. 4th ed. St. Louis: Mosby, 2016.

Norkin, Cynthia, and D. Joyce White. Measurement of Joint Motion: A Guide to Goniometry. 5th ed. Philadelphia: Davis, 2016.

Optional: Magee, David. Orthopedic Physical Assessment. 6th ed. Philadelphia: Saunders, 2014.

Objectives
The student will be able to

A. Demonstrate measurement of joint range of motion.

B. Demonstrate measurement of muscle function.

C. Identify common orthopedic pathologies associated with specific body regions.

D. Perform inspection and assessment techniques for specific regions and pathologies.

E. Demonstrate appropriate therapeutic interventions for patients with specific orthopedic pathologies.

F. Apply the various types and parameters of electrotherapeutic modalities.

G. Demonstrate appropriate communication skills with mock patients and caregivers

H. Document appropriate aspects of patient interactions.

Content
A. Fundamentals of goniometry and other measures of joint function

B. Fundamentals of Manual Muscle Testing and other measures of muscle function

C. Functional capacity assessment

D. Pathology and injury of bones and periarticular soft tissues

E. Orthopedic inspection, palpation, and assessment techniques

F. Therapeutic exercise and functional retraining for patients with orthopedic pathologies

G. Electrical stimulation and SEMG biofeedback

H. Aquatherapy

I. Spinal traction

J. Clinical documentation

Student Evaluation
The student will be evaluated on written examinations, practical examinations, case studies and worksheets, quizzes, and a PowerPoint presentation and customized treatment program for a specific musculoskeletal pathology.Bibliography
Bandy, William, and Barbara Sanders. Therapeutic Exercise for Physical Therapist Assistants: Techniques for Intervention. 2nd ed. Philadelphia: Lippincott, 2007. Print.

Behrens, Barbara, and Susan Michlovitz. Physical Agents: Theory and Practice. 2nd ed. Philadelphia: Davis, 2005. Print.

Belanger, Alain. Therapeutic Electrophysical Agents: Evidence Behind Practice. 2nd ed. Philadelphia: Lippincott, 2009. Print.

Brody, Lori, and Carrie Hall. Therapeutic Exercise: Moving Toward Function. 3rd ed. Philadelphia: Lippincott, 2011. Print.

Cameron, Michelle. Physical Agents in Rehabilitation: From Research to Practice. 3rd ed. St. Louis: Elsevier, 2009. Print.

Clarkson, Hazel. Joint Motion and Function Assessment: A Research-Based Practical Guide. Philadelphia: Lippincott, 2006. Print.

Donatelli, Robert, and Michael Wooden. Orthopaedic Physical Therapy. 4th ed. St. Louis: Elsevier, 2009. Print.

Field, Derek, and Jane Owen Hutchinson. Field’s Anatomy, Palpation, and Surface Markings. 4th ed. St. Louis: Elsevier, 2006. Print.

Hattam, Paul, and Alison Smeatham. Special Tests in Musculoskeletal Examination: An Evidence-Based Guide for Clinicians. St. Louis: Elsevier, 2010. Print.

Hertling, Darlene, and Randolph Kessler. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. 4th ed. Philadelphia: Lippincott, 2005. Print.

Hospital for Special Surgery. Handbook of Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician. St. Louis: Elsevier, 2009. Print.

Huber, Frances, and Chris Wells. Therapeutic Exercise: Treatment Planning for Progression. St.Louis: Elsevier, 2006. Print.

Kendall, Florence Peterson, et al. Muscles: Testing, and Function with Posture and Pain. 5th ed. Philadelphia: Lippincott, 2005. Print.

Knight, Kenneth and David Draper. Therapeutic Modalities: The Art and Science. Philadelphia: Lippincott, Williams, and Wilkins. 2008. Print.

Magee, David J., James E. Zachazewski, and William S. Quillen. Scientific Foundations and Principles of Practice in Musculoskeletal Rehabilitation. St. Louis: Elsevier, 2007. Print.

Michlovitz, Susan, James W. Bellew, and Thomas P. Nolan. Modalities for Therapeutic Intervention and Diagnosis. 5th ed. Philadelphia: Davis, 2011. Print.

Reese, Nancy. Muscle and Sensory Testing. 2nd ed. St. Louis: Elsevier, 2005. Print.

Reese, Nancy, and William Bandy. Joint Range of Motion and Muscle Length Testing. 2nd ed. St. Louis: Elsevier, 2009. Print.

Rieder, Bruce. The Orthopaedic Physical Exam. 2nd ed. St. Louis: Elsevier, 2005. Print.

Robertson, Val, Alex Ward, John Low, and Ann Reed. Electrotherapy Explained: Principles and Practice. 4th ed. St. Louis: Elsevier, 2006. Print.

Starkey, Chad, Sara D. Brown, and Jeffrey L. Ryan. Examination of Orthopedic and Athletic Injuries. 3rd ed. Philadelphia: Davis, 2009. Print.

Watson, Tim. Electrotherapy: Evidence-Based Practice. 12th ed. St. Louis: Elsevier, 2008. Print.