PHT2253C - Neurological Disabilities and Rehabilitation

3 hours Lecture, 3 hours Lab, 4 credit(s)

Lower-Division College Credit

Prerequisite(s): PHT 2810L

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 a study of diseases, syndromes, and injuries of neurological and neuromuscular origin. The course discusses the etiology, pathology, and appropriate physical therapy rehabilitation for these conditions. Areas covered include cerebellar disorders, peripheral neuropathies, intracranial hemorrhage, traumatic brain injury, spinal cord injury, Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS), Parkinson’s Disease, and pediatrics.

Polk State College Mission and Program Outcomes

Polk State College, a quality driven institution, transforms lives through the power of education by providing access to affordable associate and baccalaureate degree programs, career certificates and workforce employment programs, delivered by diverse, qualified faculty and staff. In line with this purpose, Polk State’s Associate in Science and baccalaureate degree programs develop competence in career areas. 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, healthcare delivery personnel, and, others in an effective, appropriate, and capable manner.

2. Individual and Cultural Difference:
Demonstrates sensitivity to individual and cultural differences in all aspects of physical therapy services.

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

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, monitors the patient’s 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:

Upon successful completion of this course, students will be able to demonstrate the following, as it applies to both neurologic adult and pediatric patients:

1.     Describe, discuss, and differentiate the various pathophysiological mechanisms behind specific neurological conditions.
2.     Identify and discuss the physical effects of specific neurological conditions.
3.     Describe and demonstrate specialized therapeutic exercises for specific neurological conditions.
      a.     state the objectives/rationale for the exercise program
      b.    describe the effects of the exercise (structure involved, neuro mechanisms, etc.)
4.     Explain the principles and techniques of specialized therapeutic exercises in specific neurological conditions.
      a.     state the indications and contraindications for the specialized procedures.
      b.    explain the physiological and neurophysiological basis of these specialized procedures.
5.     Select and demonstrate an exercise program utilizing sound principles and techniques which will include:
      a.     preparation of the patient
      b.    preparation of the equipment
      c.     instructions and verbal commands
      d.    techniques of conducting the exercises
      e.    responsiveness of the student to changes and patient needs
      f.      aftercare of the patient and equipment
6.     Document the treatment program, patient’s response during the treatment session, and discharge plans and recommendations for the patient.
7.     Identify and discuss emerging concepts and theories of neurorehabilitation and be able to demonstrate some practical applications of these concepts to patient treatments.
8.   Utilize the professional literature/information problem-solving skills in their written work, in the design and delivery of their assigned works, and in completing the course’s lecture and laboratory activities.

Course Content:

1.    Rood and Frenkel’s Exercises
2.    PNF: Theoretical Concepts
3.    Brunnstrom: Theoretical Concepts
4.    NDT Concepts
5.    Motor Control and Relearning Theories
6.    CVA and TBI
7.    SCI and Dementias
8.    Normal Development
9.    Normal Developmental Reflexes
10. Genetic Pediatric Disorders
11. Orthopedic Pediatric Disorders
12. Neurologic Pediatric Disorders
13. Physical Therapy in the School Setting
14. Seating and Orthotic Needs

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 Textbook” button on the PASSPORT schedule of classes.

The Gordon Rule

This is not a Gordon Rule course.

Student Help

The professor is available for help during posted hours and by appointment during other non-class hours. Students are encouraged to seek assistance from the professor. To further the educational process, the campus Learning Resources Centers, comprised of the Teaching/Learning and Computing Center (TLCC) JDA Student Success Center, and library, are available for student use. Each resource provides qualified staff and up-to-date equipment and facilities to promote students’ 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. 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

Students may officially withdraw from course(s) during any given term, provided they follow the appropriate policy and procedure. Following the conclusion of the Drop/Add Period, a student may officially withdraw without academic penalty from any credit course, provided he or she has submitted the appropriate forms to the Student Services Office no later than the published 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. Individuals should refer to the student handbook for that program for more information. 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 three attempts. Limited admission programs may have specific guidelines regarding repeating a course that vary from this policy. Individuals should refer to the student handbook for that program for more information. 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 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/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. Students should also refer to the course syllabus for more specific information.

Information Technology Access/Use Policy

All individuals who employ the information technology resources provided by Polk State College (this includes, but is not limited to, telephones, computers, the Polk State College Local Area and Wide Area Networks, and the Internet) must use these resources 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 & Diversity (Title IX Coordinator)
999 Avenue H NE
Winter Haven, FL 33881-4299
Office: WAD 227, 863.292.3602 Ext. 5378, 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 Student Services Office on either campus and speak with a Disability Services Advisor or the Coordinator 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:

A. LECTURE:       40%
Class Presentations                                                                  20%
Quizzes (announced and unannounced)/Assignments           10%
Case Studies                                                                            20%
2 Written Exams (announced).                                                 50%
                                                                                                100%
B. LABORATORY: 60%
Quizzes (announced and unannounced)/Assignments            10%
2 Practical Exams (announced)                                                90%
                                                                                               100%
Grading Scale is as follows:
93-100%     =    A
84-92%       =    B
75-83%       =    C
66-74%       =    D
below 66% =    F

Students must earn at least a “C” to pass this course.

*Note: Final grades will not be rounded-off to the next grade level of the scale.

*PTA Program laboratory courses have objectives for which the student must show competency of at least 75% (passing score for all practical examinations), in order to successfully move to the next curriculum level.

*Competency skills testing is given during the practical tests in order to ensure that students are prepared to safely and correctly perform the clinical procedures learned throughout the semester.

Students will be allowed to take competency tests up to 3 times:

·         After the 1st failure, the instructor will meet with the student to inform him/her about the deficiency; the student will be given a 2nd opportunity to be re-tested.
·         After the 2nd failure, the student must perform additional work with the instructor to determine and eliminate the reason for failure.
·         If the student fails at the 3rd attempt, a grade of “F” is issued for the course.
·         After successfully completing 2nd or 3rd attempt, the highest grade the student may receive is 75% for that examination.

Attendance:

Regular Attendance is the student’s responsibility. No make-ups will be given for exams, quizzes or homework missed. Major examination dates will be announced in class. A grade of zero is given for any missed tests. As per the program’s attendance policy, absenteeism is strongly discouraged. Absences of more than 20% of scheduled class meetings are unacceptable for continuation in a PTA course. If a student requires more time away from class due to a medical or family emergency, arrangements may be made with the instructor and program director. Reasonable efforts will be made to assist the student, whenever possible, under these circumstances.

Tardiness is also strongly discouraged. Tardiness of more than 20% of scheduled class meetings is unacceptable for continuation in a PTA course. It is disruptive to your classmates and your instructor to enter a classroom late. Please make every effort to be on time for all classes. Classes do start on time and typically, assignments are required to be turned in at the beginning of the class and/or quizzes or tests may also be given at the beginning or at the end of each class. You may not be allowed to turn in an assignment or take a quiz if you are tardy for a class or if you leave early. Please read your syllabi for each class for the instructor’s policies on tardiness, attendance, and make-ups for assignments, quizzes, or test.

Similarly, leaving early from classes is discouraged. The instructor will monitor the number of times that a student leaves early from his/her class and the incident will count towards an absence.

If a student must be withdrawn from the course due to attendance problems, the grade that the student will receive will be based on the provisions under Withdrawal on p. 2.

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