PTA.-212L Rehabilitation Procedures II

Credits 0 / 1.5 Contact Hours
Pre-requisite: Placement into College Level Reading, completion of ELAP-120 with a 2.0 or higher, or successful completion of ACRD-090, ACRD-091 or ACRD-092; PTA.-210, PTA.-270. Note: Division signature required. Pre- or Co-requisite: PTA.-205, PTA.-280, PTA.-212
Pathology medical treatment and therapeutic interventions including practical application of interventions for selected neurological conditions including CVA TBI MS Parkinsons and Diabetes. Treatment approaches to include PNF NDT and other techniques to improve balance coordination strength and function. Abnormal tone motor control and motor learning theories.

Course Outcomes
Upon completion of the course the student will demonstrate the ability to: 1. Communication a. Communicate verbally and non-verbally with the patient and the physical therapist in an effective, appropriate, and capable manner in a lab/practical setting b. Complete thorough, accurate, logical, concise, timely, and legible documentation. 2. Behavior/Conduct a. Recognize when the direction to perform an intervention is beyond that which is appropriate for a physical therapist assistant and initiates clarification with the physical therapist 3. Education of Others a. Participate in educating patients and caregivers as directed by the supervising physical therapist 4. Plan of Care (as applied in a lab/practical setting with case studies) a. Communicate an understanding of the plan of care developed by the physical therapist to achieve short and long term goals and intended outcomes. b. Adjust interventions within the plan of care established by the physical therapist in response to patient clinical indications and reports this to the supervising physical therapist c. Recognize when intervention should not be provided due to changes in the patient’s status and reports this to the supervising physical therapist d. Report any changes in the patient’s status to the supervising physical therapist e. Participate in discharge planning and follow-up as directed by the supervising physical therapist 5. Describe the following for selected diagnoses (neurological and selected other conditions): a. Pathology b. Etiology c. Clinical findings d. Medical treatment e. Precautions associated with physical therapy interventions f. Limit of scope of care a PTA is able to provide for the given diagnosis 6. Describe/apply interventions to neurological cases in lecture and lab/practical settings including: a. Functional Training i. Activities of daily living ii. Assistive/adaptive devices iii. Developmental activities iv. Gait and locomotion training v. Functional Range of motion vi. Recognize level of functional status b. Manual Therapy Techniques i. PROM c. Therapeutic Exercise i. Stabilization exercises ii. Breathing iii. Posture awareness training iv. ROM exercises v. Stretching exercises vi. Strengthening 7. Demonstrate understanding and application of components of data collection skills a. Arousal, Mentation and Cognition i. Understand/describe changes in the direction and magnitude of patient’s state of arousal, mentation and cognition b. Assistive, Adaptive, Orthotic, Protective, Supportive, and Prosthetic Devices i. Recognizes changes in skin condition while using devices and equipment ii. Recognizes safety factors while using orthotic device iii. Recognizes safety factors while using a standing frame. c. Gait, Locomotion, and Balance i. Describe the safety, status and progression of patients while engaged in gait, locomotion, balance, wheelchair management and mobility. d. Integumentary Integrity i. Recognizes absent or altered sensation ii. Recognizes normal and abnormal integumentary changes iii. Recognizes activities, positioning and postures that aggravate or relieve pain or altered sensations, or that can produce associated skin trauma e. Muscle Performance i. Understand/describe changes in muscle tone f. Self-care and Home Management and Community or Work i. Administer standardized questionnaires to patients and others 8. Academic/theoretic components a. Compare/contrast a variety of neurological treatment principles b. Compare/contrast CVA and TBI data collection and treatment c. Apply knowledge of various spinal level injuries to expected outcomes as applied to quadriplegics and paraplegics d. Understand differences and similarities in various neurological conditions, including upper motor neuron and lower motor neuron disease processes e. Describe motor learning theories f. Read and understands the health care literature.