SEMESTER
Course: PTA.130 Advanced Therapeutic Exercise ([syn #])
Meeting Days, Times, Location: [Day, time, location]
Course Start/End Dates: [Start and end dates]
Credit Hours: 2 Contact Hours: 2
Prerequisite(s): PTA.105, PTA.106, PTA.110, PTA.111, PTA.115, & PTA.116
Co-requisite(s): PTA.125, PTA.126, PTA.131, & PTA.140
Instructor Contact Information:
Instructor: [Instructor]
Office Location: [Location]
Office Hours: [Office Hours]
Phone: [Phone]
E-Mail: [Email]
Required/Recommended Textbook(s) and materials
Pathology for the Physical Therapist Assistant, Catherine C. Goodman and Kenda S. Fuller, ISBN: 9781437708943. (Required).
Pierson & Fairchild’s Principles & Techniques of Patient Care, 5th Edition, Sheryl L. Fairchild, ISBN:
978-1455707041. (Required).
Fundamental Orthopedic Management for the Physical Therapist Assistant, 3rd Edition, Gary A.
Shankman, ISBN: 978-0-323-05669-4. (Required).
Additional materials in Moodle
Course Description
This course presents the principles and guidelines for treating musculoskeletal conditions. Normal and
abnormal tissue healing of musculoskeletal structures is emphasized as well as appropriate physical
therapy interventions at different stages of healing. Other therapeutic exercises are presented for vascular
disorders and improper posture.
Learning Outcomes
Upon completion, the student will meet the following learning outcomes. Information in parentheses
identifies the associated Commission on Accreditation in Physical Therapy Education (CAPTE) Standards
and Required Elements.
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1.
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23.
Correctly recognize the definitions, and examples of, the following:
1.1. Flexibility and stretching exercise (7D23H)
1.2. Strengthening exercise including muscle hypertrophy, hyperplasia, and atrophy (7D23H)
1.3. Balance, coordination, postural equilibrium, and mechanoreceptors programs (7D23E)
Accurately distinguish between the properties of connective tissue.
Precisely identify properties of the Golgi tendon organ (GTO) and muscle spindle in
musculotendinous action.
Recognize appropriately the effect of temperature on the elongation of tissues.
Identify accurately the proposed benefits of stretching exercise.
Appropriately recall and select the parameters for selected exercise techniques: (7D23H)
6.1. Duration, frequency, and intensity of stretching exercise
6.2. Repetitions, sets, and rest periods of strengthening exercise
Accurately indicate properties of scar tissue formation, healing, and adhesions.
Correctly recall the phases of healing in the following tissues and examples of each:
8.1. Ligament
8.2. Bone
8.3. Cartilage
8.4. Muscle & tendon
8.5. Neurovascular
Appropriately indicate the effects of immobilization on healing tissues.
Recognize properly the signs of abnormal joint movement. (7D24G)
Identify correctly the following components of joint mobilization: (7D23E)
11.1. Joint mobilization grading scales
11.2. Technique of Grade I and II peripheral joint mobilization
11.3. Indications, contraindications and/or precautions
11.4. Therapeutic effects
Recall accurately the physiological changes of abnormal healing and the associated conditions.
Correctly recognize the precise physiological effects of continuous passive motion (CPM).
Aptly identify the interventions appropriate at any stage of healing for selected tissues;
musculoskeletal or neurovascular conditions.
Identify precisely the classifications of bone fractures.
Clearly recognize situations which may lead to an injury, the mechanics of the injury, and the
physiological effects of the injury.
Identify correctly the exercise techniques and their components through patient examples and/or the
physiological effects. (7D23H)
Recognize accurately the indications, precautions, contraindications, restrictions and possible
complications of exercise techniques, and patient conditions or surgical procedures.
Accurately indicate the musculoskeletal or neurovascular condition by the physiological signs and/or
effects and vice versa.
Correctly select the risk factors associated with musculoskeletal and neurovascular conditions.
Choose accurately the appropriate rehabilitation phase and its components based on a patient scenario.
Explain properly the rationale for the chosen exercises for a patient scenario with a POC.
(7D9/7D23H)
Clearly describe the appropriate exercise progression for a patient scenario. (7D23H)
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24.
25.
26.
27.
28.
Research evidence-based literature and outline properly the guidelines for the physical therapy
interventions of musculoskeletal or neurovascular conditions/surgeries given in a patient scenario with
a POC. (7D9/7D11)
Clearly write a modification for a PT intervention according to the POC in response to a change in a
patient status. (7D19)
Write an accurate description of a PTA’s conduct in a patient scenario that meets the Standards of
Ethical Conduct for the Physical Therapist Assistant. (7D4)
Calculate accurately the total time of recovery from a musculoskeletal condition using a patient
scenario.
Appropriately progress a home exercise program (HEP) for a musculoskeletal or neurovascular
condition to facilitate meeting goals per POC. (7D7/7D17/7D23F/7D23G/7D23H)
Teaching Methods: lecture, discussion, audiovisuals, demonstration and assignments.
Academic Integrity Statement
Students have an obligation to abide by accepted standards of academic honesty which dictate that all
scholastic work shall be original in nature. As a point of academic integrity, students are required to submit
original material of their own creation. Plagiarism of any material and cheating are serious offenses and
can result in failure of the course or dismissal from the College.
Academic Dishonesty
No student shall:
1. Share or obtain exam questions or material not authorized by the instructor.
2. Complete exams or performance elements of a course for another student or have someone else
complete it for them.
Plagiarism
Plagiarism is using another’s ideas as one’s own.
Plagiarism has two forms, unintentional and intentional. Unintentional plagiarism is usually the result of
students being unfamiliar with the academic conventions of citation and documentation. Intentional
plagiarism is the result of students knowingly submitting the work of others as their own. This includes,
but is not limited to:
1.
2.
3.
4.
Copying someone else’s work.
Using exact quotations without proper citation.
Buying papers (e.g. on the internet).
Including paraphrased material without acknowledging its source.
All acts of plagiarism and academic dishonesty will first be dealt with by the instructor. Penalties may
range from revision to failing the assignment or the course. Instructors must report all acts of intentional
dishonesty or plagiarism, or any penalty resulting in a failure of the course, to the Registrar. Repeated
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violations may result in further discipline, up to and including dismissal. Students may appeal any grade
affected by a charge of academic dishonesty or plagiarism through the Grade Grievance Procedure.
ADA Statement
State and federal laws prohibit discrimination against individuals with disabilities. Mid Michigan
Community College’s Office of Human Resources coordinates the College’s compliance with these state
and federal nondiscrimination laws, including the Federal Vocational Rehabilitation Act of 1973, the
Federal Americans with Disabilities Act, and the amended Michigan Handicappers Civil Rights Act. The
Office of Human Resources is also the grievance office designated to handle any complaints or concerns
regarding the College, its programs, procedures or employees. If you believe that a violation or potential
violation of these state or federal nondiscriminatory laws has occurred, is occurring, or will occur, please
notify the Department of Human Resources, Mid Michigan Community College, 1375 S. Clare Avenue,
Harrison, MI 48625; or by phone at (989) 386-6621.
Support Services
Refer to the Mid Michigan Community College Catalog or web site at www.midmich.edu for support
services available for students. It is recommended that students take advantage of the resources available to
assist them in being successful in their program of study.
Student Responsibilities
Students are bound by all policies of Mid Michigan Community College and should familiarize themselves
with these through reading the catalog and student handbook.
Students are expected to be adequately prepared for each class session. It is reasonable to expect at least
two hours of outside study for every hour spent in the classroom.
Students are expected to assist in maintaining a classroom environment that is conducive to learning.
Therefore, free discussion, inquiry, and expression are encouraged. Behavior that interferes with the
instructor’s ability to conduct the class or the ability of students to benefit from that instruction is not
acceptable.
Scheduled Class Meeting Times
The state of Michigan dictates minimal contact hour requirements that are rigidly upheld by the College.
Some of that instructional time is used for tests. The college’s expectation is that classes will meet for the
entire assigned time.
Class Preparedness
This is the responsibility of the student. Students are expected to read the assigned chapters prior to or
following the lecture.
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Professional Behavior, Attendance & Promptness
There are 25 points for professional behavior, attendance and promptness provided at the beginning of the
course. If a student is late or absent, it is their responsibility to call/E-mail the instructor to report the
absence or tardiness, and it is the student’s responsibility to refer to the syllabi and/or Moodle for
assignments/class material(s) and complete their work by the due date. Three (3) points will be deducted
for an absence episode without telephone call/E-mail to the instructor; two (2) points will be deducted for
an absence episode with telephone call/E-mail, and one (1) point will be deducted for a tardy beyond 10
minutes of class start time. Two (2) points will be deducted for a student leaving early without an
approved excuse and one (1) point for a student leaving early with an approved excuse. All students must
abide by the Values-Based Behaviors for the Physical Therapist Assistant and the APTA Standards of
Ethical Conduct for the Physical Therapist Assistant. Three (3) points per infraction will be deducted for
lack of compliance with these behaviors and a Professional Development Plan (PDP) will be required.
**Lack of compliance with the Values-Based Behaviors for the Physical Therapist Assistant and the
APTA Standards of Ethical Conduct for the Physical Therapist Assistant is at the discretion of your
instructor.
Assignments
All assignments must be turned in on the due date. Instructions for each assignment will be given either
verbally from each instructor, via E-mail, or posted in Moodle. Details on how each assignment will be
turned in are dependent on the instructor and will be included in the instructions. If assignments are to be
turned in at the beginning of each class, they are considered late 10 minutes after the class begins. If
assignments are to be uploaded on Moodle, they are considered late 10 minutes after the specified due date
and time. If a student is late or absent, it is the student’s responsibility to refer to the syllabi and/or Moodle
for assignments/class material(s). Late assignments will receive a 10% point reduction of total point value
per week beginning 10 minutes after the assignment is due. After two weeks, students will be given a 0 for
a late assignment, and it will no longer be accepted for grading.
Post-Exam Review Process
Students that wish to challenge an exam question will complete the “Exam Review Form” without input
from others. Students will have one week to return the form to the instructor providing rationale and
references to support the challenge. The instructor will review the forms, make decisions, and inform the
students. If a student requires further assistance, attendance at office hours or time by appointment may be
arranged to discuss the material in person to promote lifelong learning.
Make-Up Policy
This requires the student to make arrangements with the instructor to take the exam/quiz at a later date. A
10% reduction of total points will be taken off the exam/quiz score when taken late.
Classroom Behavior
Students are expected to follow the following classroom rules:
1. Cell phones off. You can make calls and check messages during your breaks.
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2. Courtesy and mutual respect is required. If the instructor or another classmate is talking, please
listen to them. Please save your private comments and conversations for outside of class.
3. Laptops are permitted in class for note taking only. Surfing the web is not permitted unless
directed to do so by the instructor.
4. Please refrain from leaving the class unless absolutely necessary – you may miss vital information.
5. Please ask questions. If you are uncomfortable asking aloud, please write it down, and questions
will be taken at the end of class.
6. No food will be allowed in the PTA Skills Lab, only water bottles or covered drinks.
7. The College’s and the PTA Program’s policies for inappropriate student conduct and disciplinary
action will apply to the classroom
Grading Criteria:
Assessments
Quizzes
(4 @ 15 points each)
Case Study
Exams
(2 @ 100 points each)
Final Exam
Professional Behavior, Attendance & Promptness
Total Points:
Points
60
40
200
150
25
475
Grading Scale:
Percent
Grade
95 -100
A
90-94
A87-89
B+
84-86
B
80-83
B77-79
C+
74-76
C
70-73
C67-69
D+
64-66
D
60-63
D59 & below F
NOTE: A B- is required to pass this course and proceed to the next semester.
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Week
Week 1
PTA 130 ADVANCED THERAPEUTIC EXERCISE SCHEDULE
Topics
Pre-Assignments
Due
Flexibility &
Stretching
Introduction to
Pathology of the
Musculoskeletal
System
Strength
Week 2
Balance and
Coordination
Ligament Healing
Week 3
Bone Healing
Cartilage Healing
Week 4
Week 5
Chapter 3
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Chapter 13
Pathology for the Physical Therapist Assistant
Chapter 4
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Read Chapter 6
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Chapter 8
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Chapter 9
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Chapter 10
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Review
STUDY FOR EXAM
EXAM 1
Doan 127 Computer Lab
Muscle and Tendon
Healing
Chapter 11
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Neurovascular
Healing and
Thromboembolic
Disease
Quiz 1
Chapter 12
Fundamental Orthopedic Management for the
Physical Therapist Assistant
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Week 6
Ankle, Foot, and
Toes
Knee
Week 7
Hip and Pelvis
Musculoskeletal
Pathology
Week 8
Pathology Continued
Review Session
Chapter 17
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Quiz 2
Chapter 18
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Chapter 19
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Assigned readings in
Pathology for the Physical Therapist Assistant
STUDY FOR EXAM & CASE STUDY
Quiz 3
EXAM 2
SPRING BREAK
Week 9
Week 10
Lumbar/Thoracic/
Cervical Spine
Chapter 20
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Shoulder
Chapter 21
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Elbow
Chapter 22
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Wrist/Hand/Fingers
Chapter 23
Fundamental Orthopedic Management for the
Physical Therapist Assistant
Case
Study
Quiz 4
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Week 11
Joint Mobilization
Chapter 15
Fundamental Orthopedic Management for the
Physical Therapist Assistant
No Class PD Day
Week 12
Games/Review Day
STUDY FOR FINAL EXAM
FINAL EXAM
Reservation Statement
The instructor reserves the right to make adjustments to this syllabus as needed.
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