PHT2220C - Therapeutic Exercises in Physical Therapy I

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

Lower-Division College Credit

Prerequisite(s): Admission to the Physical Therapist Assistant Program

Corequisite(s): PHT 1250C and PHT 1128C

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 introductory study of the neurophysiological, musculoskeletal, and cardiovascular basis for application of therapeutic exercise. Students study various therapeutic exercise techniques, and the basis of these techniques as they apply to patient care in rehabilitation. This course prepares students for Therapeutic Exercises in Physical Therapy II (PHT 2221C).

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 degree programs, career certificates, and workforce employment programs, delivered through various modalities and innovative technologies 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. Communication:
Communicates verbally and nonverbally with the patient, the PT, health care delivery personnel, and others in an effective, appropriate, and capable manner.

3. Behavior and Conduct:
Exhibits conduct that reflects a commitment to meet or exceed the expectations of members of society and the profession.

4. Clinical Problem Solving and Judgments:
Demonstrates clinical problem solving skills and professional judgment.

5. Education:
Instructs aides, volunteers, peers, and coworkers using established techniques, programs, and instructional materials commensurate with the learning characteristics of the audience.

6. Data Collection:
Demonstrates competence in performing specific data-collection techniques as delegated by the supervising PT.

7. Plan of Care:
Understands the plan of care written for the individual patient and implements delegated interventions to achieve the short- and long-term goals and outcomes identified in the plan of care.

8. Intervention:
Implements the delegated interventions within the plan of care established by the PT monitor the patient response, and responds accordingly.

9. Outcomes Measurements and Evaluation:
Uses data collection and communication to participate in determining a patient’s progress toward specific outcomes as established in the plan of care by the PT.

Course Objectives:
At the conclusion of this course and upon assessment, the student will:
(T = Program Thread; O = Program Outcome)

1. Discuss basic anatomy, kinesiology, and physiology, as applied to therapeutic exercise techniques (T-1; O-4).
ASSESSMENT: written exam # 1

2. Describe changes in muscle mass as a result of immobilization and/or application of exercise techniques (T-1; O-4).
ASSESSMENT: written exam # 1; assignment #1

3. Demonstrate the ability to accurately monitor and record vital signs including, heart rate irregularity, systolic & diastolic blood pressure, respiration rate and depth (T-6; O-6). ASSESSMENT: written exam # 1

4. Identify typical and atypical responses of vital signs (including pulse rate, respiratory rate / volume, breathing patterns, and blood pressure) to exertion and training (T-3, T-6; O-4, O-6). ASSESSMENT: written exam # 1

5. Define the following types of therapeutic exercise: passive, active, active assistive range of motion, flexibility/stretching exercise, resistive exercise (T-7; O-8). ASSESSMENT: written exam # 1; final written exam

6. Explain and demonstrate basic knowledge of proper techniques and bases for therapeutic exercises commonly used in rehabilitation settings including but not limited to: (T-7; O-8)

a. Range of motion (passive, active, active assisted, self) exercise
b. Flexibility / stretching exercise
c. Resistance (strength, power, endurance) exercise
d. PNF exercises and techniques
e. Balance / Coordination exercise
f. Conditioning / reconditioning
g. Aerobic / Cardiovascular endurance exercise
h. Exercises for enhancement of gait with and without assistive devices

ASSESSMENT: written exams # 1-4; lab exams #1-4; final written and lab exams

7. Apply learned exercise techniques to commonly encountered diagnoses, pathologies, and functional limitations (T-3, T-7; O-4, O-8). ASSESSMENT: assignment #2; written exams #1-4; lab exams #1-4; final written and lab exams

8. Identify the basic components of a Physical Therapy evaluation with specific attention to functionally based goals for which therapeutic exercise techniques are directed (T-4, T-8; O-7). ASSESSMENT: assignment #2; written exams #1-4; final written exam

9. Demonstrate the ability to plan a basic exercise program based on the established plan of care under the supervision of a Physical Therapist (T-3, T-5, T-8; O-3, O-4, O-5, O-7, O-8, O-9).

a. Proper preparation/instruction of the patient
b. Proper preparation of equipment
c. Clear and concise use of verbal instructions/commands
d. Proper techniques for exercise by the patient
e. Proper positioning of the patient and PTA to maximize safety and efficiency for both parties
f. Responsiveness to changes in patient status and treatment needs
g. Awareness of importance of communication of the Physical Therapist
h. Appropriate documentation of exercises and patient responses including home exercise instruction

ASSESSMENT: written exams #1-4; lab exams #1-4; final written and lab exams

10. Identify common contraindications, relative contraindications, and indications for various therapeutic exercise techniques (T-3, O-4). ASSESSMENT: written exams #1-4; lab exams #1-4; final written and lab exams

11. Identify the appropriate placement of therapeutic exercise techniques in consideration of other aspects of treatment, such as modalities: (T-3, T-7; O-4, O-8)

a. In a single treatment session
b. 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.

ASSESSMENT: written exams #1-4; lab exams #1-4; final written and lab exams

12. Describe major physiological systems affecting balance, the importance of functional balance in therapeutic exercise training, and basic strategies to emphasize balance during therapeutic activities (T-1, T-7; O-4, O-8). ASSESSMENT: written exam # 3; final written exam

Program Threads Supported By This Course:
1. Structure and function of the human body
3. Logical and critical thinking
4. PT Theory and practice
5. Professional roles and behaviors
6. Patient screening and data collection
7. Treatment interventions and implementation
8. Written, oral, and non-verbal communication

Course Content:

Principles of therapeutic exercise
Basic exercise physiology
Range of motion exercise
Stretching exercise
Resistance exercise
Balance and coordination exercise
Proprioceptive Neuromuscular Facilitation exercises
Aerobic exercise
Amputee exercises
Pre-gait exercises
Relating exercises to functional goals

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 the student is encouraged to seek assistance whenever it is needed. To further the educational process, the Learning Resources Centers, comprised of the campus Teaching/Learning and Computing Centers (TLCCs), JD Alexander (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’s 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, a student may officially withdraw from any course without receiving a grade, provided this is done before 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 each specific program’s handbook.

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, course withdrawal may have on his or her financial-aid status. A student cannot use course withdrawal to avoid academic dishonesty penalties. A student who is engaged in processes related to 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 course repeats that vary from this policy; these guidelines are listed in each specific program’s handbook. 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 College 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 may have on his or her financial-aid status.

Academic Dishonesty

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

Information Technology Access/Use Policy

The information technology resources provided by Polk State College (including, but 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 non-discrimination policies:
Valparisa Baker
Director of the Office of Equity, Diversity, and Inclusion (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.

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