OTH2125C - Therapeutic Modalities and Lab

2 hours Lecture, 2 hours Lab, 3 credit(s)

Lower-Division College Credit

Prerequisite(s): OTH 2420C

Corequisite(s): OTH 1019C

AA Elective: No

Academic Dean’s Contact Information

LAKELAND DEAN’S OFFICE: LLC 2255 PHONE: (863) 297-1024
WINTER HAVEN DEAN’S OFFICE: WSC 101 PHONE: (863) 297-1020

Course Description:
This lecture and laboratory course provides an overview of the neurophysiological, musculoskeletal, and cardiovascular bases for the application of therapeutic exercises. The course introduces various types of exercises, exercise equipment, general exercise protocols, and Physical Agent Modalities (PAMs) such as paraffin, moist heat, and electric stimulation.

Polk State College Mission and Program Outcomes

Polk State College, a quality-driven institution serving Polk County and beyond, transforms students’ lives through the power of teaching and lifelong learning by providing access to affordable associate and baccalaureate degrees, career certificates, and workforce employment programs, delivered through various modalities and innovative technologies and by diverse, qualified faculty and staff. In line with this purpose, Polk State’s Associate in Science and baccalaureate degree programs develop competence in various career-related skills. This course focuses on the development of competencies related to the following program outcomes:

1.   Respond to request for services in accordance with service agency’s policies and procedures.
2.   Assist with data collection and evaluation under the supervision of an OTR.
3.   Develop treatment goals under the supervision of an OTR.
4.    Implement and coordinate intervention plan under the supervision of an OTR.
5.    Provide direct service that follows a documented routine and accepted procedure under the supervision of an OTR.
6.    Adapt intervention, environment, tool, materials, and activities according to the needs of the individual and his/her socio-cultural context under the supervision of an OTR.
7.    Communicate and interact with other team members and the individual’s family or caregivers in collaboration with an OTR.
8.    Maintain records and documentation required by work settings under the supervision of an OTR.
9.    Follow policies and procedures required in a setting.
11. Maintain treatment area, equipment, and supply inventory as required.
15. Function according to the AOTA Code of Ethics and Standards of Practice.

Course Objectives:

1. Structure & Function of the Human Body
2. Normal & Abnormal Conditions Across Life Span
3. Logical & Critical Thinking
1.    Review and recall basic anatomy, kinesiology, and physiology as applied to therapeutic exercise techniques. (2-6).

4. OT Theory & Practice
5. Professional Roles and Behaviors
2.    Explain the collaborative role of the COTA with the OTR in the process of developing, implementing, and monitoring therapeutic modalities (1-9, 11, 12, 15)
3.    Examine the impact and benefits of therapeutic exercises and PAMs on occupational performance (3-6)

3. Logical & Critical Thinking
6. Screening & Assessment
4.    Describe the basic components of an evaluation with specific attention to functionally based goals for which therapeutic exercise techniques are directed. (2-4)

3. Logical & Critical Thinking
6. Screening & Assessment
7. Treatment Interventions & Implementation
8. Written, Oral, and Non-verbal Communication
5.    Demonstrate the ability to accurately monitor and record vital signs including, heart rate irregularity, systolic & diastolic blood pressure, respiration rate and depth. (1, 2, 8-9, 12)
6.    Identify typical responses of vital signs to exertion and training. (2-6)
7.    Explain and demonstrate basic knowledge of proper techniques and bases for therapeutic exercises commonly used in rehabilitation settings including but not limited to: (3-6, 9, 12)
     - PNF techniques
     - Exercise for neuromuscular, musculoskeletal, balance & coordination, cardiopulmonary, and psychological aspects of training.
     - Exercises for enhancement of gait with and without assistive devices
8.    Apply learned exercise techniques to commonly encountered diagnoses, pathologies, and functional limitations. (4-6)
9.    Demonstrate the ability to plan a basic exercise program based on the established plan of care under the supervision of an Occupational Therapist. (4-8, 9, 15)
     - proper preparation/instruction of the patient
     - proper preparation of equipment
     - clear and concise use of verbal instructions/commands
     - proper techniques for exercise by the patient
     - proper positioning of the patient and OTA to maximize safety and efficiency for both parties
     - responsiveness to changes in patient status and treatment needs
     - awareness of importance of communication of the Occupational Therapist
     - appropriate documentation of exercises and patient responses, including home exercise instruction
10. Recognize common contraindications, relative contraindications, and indications for various therapeutic exercise techniques. (2-6, 9)
11. Recognize the appropriate placement of therapeutic exercise techniques in consideration of other aspects of treatment, such as modalities (2-6, 9, 12, 15)
     - in a single treatment session
     - in different phases of rehabilitation including the initial acute phase of care, intermediate phases of care, and latter or minimal protection phases of care where functional aspects of rehabilitation are emphasized.
12. Describe basic aspects of amputee rehabilitation and progression of amputee rehabilitation (2-6).
13. Describe major physiological systems affecting balance, the importance of functional balance in therapeutic exercise training, and basic strategies to emphasize balance during purposeful activities (2-6, 9, 15).
14. Explain benefits and indications/contraindications of physical agent modalities (PAMs) i.e. hot/cold packs, paraffin, electric stimulation, contrast baths. (2-7, 9, 15)
15. Demonstrate procedures for application/removal of physical agent modalities in a safe and correct manner (PAMs); i.e. hot/cold packs, paraffin, electric stimulation, contrast baths. (2-6, 9, 12, 15)

8. Written, Oral, and Non-verbal Communication
9. Management of OT Services
16. Demonstrate basic competence in computer use and information literacy (1-9, 11, 12, 15).
17. Perform infection control and after-care procedures properly as assigned (5, 11).

Textbook and Other Requirements

Textbook information is provided in the course syllabus, at the campus bookstore, on the campus bookstore website (www.polk.bncollege.com), or via the “Shop Textbooks” button on the PASSPORT schedule of classes.

College-Level Communication and Computation Skills

State Rule 6A-10.030 does not apply to this course.

Student Help

The professor is available for help during posted hours and by appointment during other non-class hours. Each student is encouraged to seek assistance from the professor. To further the educational process, the Learning Resources Centers, comprised of the campus Teaching/Learning and Computing Centers (TLCCs), JDA Student Success Center, and campus libraries, are available for student use. Each resource provides qualified staff and up-to-date equipment and facilities to promote academic success. The TLCCs and JDA Student Success Center provide tutoring services, computing resources, and other instructional support. The library provides information resources, individual and group study space, research assistance, information literacy instruction, and computing resources. Each facility provides free wireless access to the Internet. The Polk State College Library, Student Success Center, and TLCC hours of operation and tutoring schedules are posted at each facility and on the College website.

Withdrawing From a Course

A student may officially withdraw from a course during any given term, provided he or she follows the appropriate policy and procedure. Following the conclusion of the Drop period, students may officially withdraw without receiving a grade from any course, provided they do so no later than the published withdrawal deadline. The published deadline reflects approximately (but no more than) 70% of the term, based upon the course’s scheduled duration. It is the student’s responsibility to submit these withdrawal forms; failure to do so may result in a grade of F in the course. Under the Forgiveness Policy, a student is allowed only three attempts in any one course: one initial enrollment and two repeats. A student is not allowed to withdraw from a third course attempt. Limited admission programs may have specific guidelines regarding course withdrawal that vary from this policy; these guidelines are listed in the specific program handbooks. If a student stops attending class, the grade earned, usually an F, is assigned and posted. Prior to withdrawing from a course, the student should consult with the Financial Aid Office to determine what impact, if any, withdrawal from the course will have on his or her financial aid status. A student cannot use course withdrawal to avoid academic dishonesty penalties. A student who has been penalized for academic dishonesty in a course is not eligible to withdraw from the course.

Repeating a Course

Under the Forgiveness Policy, a student is allowed only three attempts in any one college credit course: one initial enrollment and two repeats. Under certain circumstances, a student may petition to repeat a credit course beyond the third attempt. Limited admission programs may have specific guidelines regarding repeating courses that vary from this policy; these guidelines are listed in the specific handbooks. The student should be aware that repeating a course may result in a higher course cost. A course cannot be repeated unless the previously earned grade is a D, F, or W (the Polk State Catalog provides further details regarding this process). Prior to repeating a course, the student should consult with the Financial Aid Office to determine what impact, if any, repeating the course will have on his or her financial aid status.

Academic Dishonesty

Each student is responsible for his or her work. It is assumed that each student is honest and will abide by this standard; however, in the event that there is an indication or suspicion of cheating or plagiarism, the situation shall be dealt with in accordance with the published College policy. Copies of this policy are available in the Student Services Office. More specific information can be found in the Course Syllabus.

Information Technology Access/Use Policy

The information technology resources provided by Polk State College (this includes, but is not limited to, telephones, computers, the Polk State Local Area and Wide Area Networks, and the Internet) must be used for academic purposes only. Use of these resources is a privilege, not a right. Inappropriate use can result in revocation or suspension of this privilege.

Equal Access/Opportunity

Polk State College is an equal access/equal opportunity institution committed to excellence through diversity in education and employment. The College complies with all state and federal laws granting rights to students, employees, and applicants for employment or admission to the College. Polk State College does not discriminate on the basis of race, color, national origin, ethnicity, sex, age, religion, sexual orientation, marital status, veteran status, genetic information, disability, or pregnancy in its programs, activities, or employment.

The following person has been designated to handle inquiries regarding the non-discrimination policies:
Valparisa Baker
Director, Equity and Diversity (Title IX Coordinator)
999 Avenue H NE
Winter Haven, FL 33881
Office: WAD 227
Telephone: (863) 292-3602
e-mail: vbaker@polk.edu

Equal Opportunity For Students With Disabilities

The College complies with The Americans with Disabilities Act and provides equal educational opportunity for qualified individuals. A student with a disability who requires special accommodations or auxiliary aids under The Americans with Disabilities Act (ADA) should contact the Coordinator or Director of Disability Services. Note: Limited admission programs may have performance restrictions that apply. Restrictions (where applicable) are outlined in each program’s student handbook.

Evaluative Criteria:

The grading scale is as follows:
93-100 % = A
84-92 %    = B
75-83 %    = C
66-74 %    = D
66 or less = F

A grade of “C” (75%) or above is required to pass this course.

How your grade will be determined:
4 Lecture Exams—————————–15%
4 Lab Exams———————————-15%
Quizzes or assignments ——————-10%
1 Final Lecture Exam ———————–25%
1 Final Lab Exam —————————-25%
Professional Behaviors ———————10%
Total                                                      100%

The possibility of a mid-term practical examination will depend on the instructor’s comfort with the level of familiarity and self-directed practice of lab activities by all students.

Due to the extensive nature of the practical examinations, discussion among students of testing scenarios is not permitted until all tests are completed. Tested students caught discussing the practical with other non-tested students will receive an “F” for that practical examination.

One make-up examination can be given if a student is absent due to illness or family emergency. The student is required to call into the instructor at: 297-1035 at least 1 hour before the scheduled test to let the instructor know that he/she will be absent. There is no make-up policy for the final examination.

Students must attain a minimum of 75% competency on every lab exam. Those individuals who do not attain the stated level of competency will have to be re-tested on the deficient areas. Students will be allowed to re-test twice per failed skill/procedure. Failure to pass will result on student failing the class. Final scores/averages are not rounded up.

Competency in Lab Courses
1. Students must show competency of at least 75% passing score on every practical lab exam.

2. Students are allowed to retake a failed practical lab exam 2 more times.
    a.     Passing First Re-Take - If the student passes the first re-take, the score from the failed exam will be eliminated and 75% of the score from the re-take exam will be added towards the cumulative lab grade. The score for the first re-take exam will always be 75%, regardless of any higher score obtained by the student.
    b.    Failing First Re-Take - If the student fails the first re-take, he/she will have to complete additional training as assigned by the instructor in order to improve performance. Once the additional training is completed, the student may re-take the exam for the second and last attempt.
    c.     Passing Second Re-Take - If the student passes the second re-take, the score from the failed exam and the first re-take will be eliminated and 75% of the score from the second re-take exam will be added towards the cumulative lab grade. The score for the second re-take exam will always be 75%, regardless of any higher score obtained by the student.
    d.    Failing Second Re-Take - Failure to pass the second re-take will result in failing the course, and student having the option to repeat the course.

3. Students are not to re-take more than 2 practical lab exams within a particular course. Failing a third practical lab exam will automatically result in failing the course, and student having the option to repeat the course next year.

4. Students cannot re-take more than 2 practical lab exams in more than any 2 different courses in the program, as it will result in student’s dismissal from the program.

Attendance:

Regular attendance is the student’s responsibility. If a student has excessive absences (more than 3 hours), he/she may be dropped from the course with a “W” grade before the withdrawal date. After the withdrawal date, a student may receive an “F” grade for the course for excessive absences (more than 3 hours accumulated since the beginning of the term). Students in this program must make the commitment to attend courses consistently. Absenteeism is emphatically discouraged. Students will not have unexcused absences more than 20% of scheduled class meetings.Students are to notify the instructor at (863) 297-1010 ext. 5754 or (863) 297-1035 if unable to attend class. In case of an emergency, reasonable efforts will be made to assist the student with the course material. Failure to comply with this policy will result in disciplinary action as outlined in the Disciplinary Actions Process of your Student Orientation Manual.

Work Missed:

No make-ups will be given for missed exams, quizzes, assignments, or projects unless absence is due to medical condition, military leave or immediate family emergency. If any work is missed, the grade assigned will be a zero (0). If absent due to a medical condition, the student must submit appropriate medical documentation to the instructor, within a week of such event, to substantiate the medical leave. Students who need to be on military leave, must submit copies of the official orders to the instructor at least 2 weeks before the assignment in order for accommodations to be made. If there is a family emergency, the student must notify the instructor as soon as possible. Students who are absent due to illness need to submit a medical excuse in order to be allowed to make up missed work.

Students are expected to turn in assignments on the designated day, during the respective class period. No assignments will be accepted after the class period unless prior arrangements have been made with the instructor. Failure to comply will result on a “zero” for the assignment.

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