PT351 ORTHOPAEDIC PT SYLLABUS
Dr. E. Kosmahl
Title: PT351 Orthopaedic Physical Therapy - 4 credits (2 hours lec. and 4 hours lab)
Instructors:
Edmund M. Kosmahl, PT, EdD. - Office LEA 019 - Phone 941-4314 – kosmahle1@uofs.edu , office hours posted on door
Peter M. Leininger, MSPT, OCS – Office LEA 017 – Phone 941-6662 – leiningerp2@uofs.edu, office hours posted on door
Laboratory Assistant Instructors - David Trishman, PT. (Mon. and Wed.) , Janet Caputo, PT. (Tues. and Thurs.), Office – Allied Rehabilitation at the Forum, 227 Penn Ave., Scranton, 961-2242.
Web Sites:
E-mail: Occasionally, I will use e-mail and other internet resources to communicate and teach. Please check your e-mail account daily. I also hope to use the CourseInfo web site tools.
PROFESSIONAL BEHAVIOR
Being a Physical Therapy major enrolled in the professional curriculum, you are expected to:
1. accept and promote the mission of the University of Scranton and the goals of general education,
2. uphold the University of Scranton Academic Code of Honesty,
3. be dedicated to achieving the goals of the PT degree program and the objectives for each course of instruction (i.e., become the best physical therapist you can be),
4. accept responsibility for your actions and your professional life (keep in mind that you will be responsible for the quality of life for your patients, e.g., engage in self- directed/independent learning; accept the instructor's evaluation of your work as a fair assessment of your performance),
5. become well-versed in the direction of health care, the Physical Therapy profession and your position in the health care system,
6. make a commitment to your chosen profession.
Course Description:
This course prepares the student to practice entry level orthopaedic physical therapy. Evaluation and treatment of musculoskeletal system dysfunction utilizing exercise, manual therapy (mobilization), and manual and mechanical traction are emphasized. Students learn to clearly identify specific musculoskeletal problems and to plan and implement appropriate physical therapy interventions. Students learn to recognize major signs and symptoms of systemic disease that can mimic primary musculoskeletal lesions. Evaluation tools are presented to help students recognize problems that are beyond physical therapy expertise. Students learn how to make treatment versus referral decisions for patients who present with presumed musculoskeletal problems.
Course Objectives:
At the completion of this course, the student should be able to:
A. Demonstrate competent performance of orthopaedic physical therapy evaluation procedures presented throughout the course, including the following:
1. upper quarter screening exam
2. lower quarter screening exam
3. selective tension testing
4. passive arthrokinematic mobility testing
5. active and passive osteokinematic mobility testing
6. muscular strength and flexibility testing as applied to orthopaedic physical therapy evaluation
7. movement testing to evaluate intervertebral disk pathology
8. related neurological testing (reflex, sensation, nerve root, dura mater, etc.)
B. Formulate an appropriate hypothesis regarding the cause of dysfunction and the tissues affected based on the results of orthopaedic physical therapy evaluation.
C. Recognize problems that are beyond the scope of physical therapy intervention and make referral to the appropriate health care practitioner.
D. Design an appropriate physical therapy intervention program (including short and long term goals) for musculoskeletal dysfunction patients and demonstrate competent performance of the components of programs designed.
E. Demonstrate competent performance of basic manual therapy skills.
F. Demonstrate appropriate use of basic manual therapy skills within the physical therapy program based on the results of orthopaedic physical therapy evaluation.
G. Demonstrate competent performance of mechanical, positional and manual traction for the spine.
H. Demonstrate appropriate use of mechanical, positional and manual traction for the spine based on the results of orthopaedic physical therapy evaluation.
I. Document details of evaluation and treatment, and communicate these details to other interested persons.
J. Apply principles of orthopaedic physical therapy evaluation and treatment to work hardening and work conditioning.
Required Textbooks
*Cyriax JH, Cyriax PJ. Cyriax's Illustrated Manual of Orthopaedic Medicine Ed 2. London: Butterworth Heinemann; 1993. ISBN 0-7506-1483-8
Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques, ed. 2. F.A. Davis, Philadelphia, 1990.
+Kosmahl EM. Orthopaedic PT I, PT351 Course Notes. Edmund M. Kosmahl, Scranton, latest edition available at the bookstore.
*Magee DJ. Orthopedic Physical Assessment Ed 3. W.B. Saunders Co., Philadelphia, 1992. ISBN 0-7216-4344-2
*Wadsworth CT. Manual Examination and Treatment of the Spine and Extremities. Baltimore: Williams & Wilkens; 1988. ISBN 0-683-08600-6
* = bring to lab sessions, + = bring to lecture and lab sessions
Recommended Optional Textbooks
Kaltenborn FM, Evjenth O, Kaltenborn TB, Vollowitz. The Spine: Basic Evaluation and Mobilization Techniques Ed 2. Minneapolis: OPTP; 1993. ISBN 82-7054-052-8
Kaltenborn FM, Evjenth O. Manual Mobilization of the Extremity Joints Ed 4. Minneapolis: OPTP; 1989. ISBN 82-7054-043-9
McKenzie RA. Treat Your Own Back latest ed. Minneapolis: OPTP.
McKenzie, R.A. Treat Your Own Neck latest ed. Minneapolis: OPTP.
Other Required Readings and Materials (library reserve)
APTA Guidelines for Programs in Industrial Rehabilitation. PT Magazine, 1(3), March 1993, pp 69-72.
Goodman CC. "Red flags": Recognizing signs & symptoms. PT Magazine, Sept. 1993, pp 55-61.
San Francisco Spine Institute. Dynamic Lumbar Stabilization Program. 1989, pp A-29.
Waddell G, McCulloch JA, Kummel E et al. Nonorganic physical signs in low-back pain. Spine, 5(2), March/April 1980 pp 117-125.
Waddell G, Somerville D, Henderson I et al. Objective clinical evaluation of physical impairment in chronic low back pain. Spine, 17(6), 1992 pp 617-628.
Woltersdorf MA. Hidden disorders: Psychological barriers to success. PT Magazine, Dec. 1995, pp 55-66.
The following video cassettes should be viewed early in the semester.
Orthopedic Medicine Series #1, "Principles of Diagnosis and Treatment"
"Upper Quarter Screening Examination" #104 Harmerville Hospital
"Lower Quarter Screening Examination" #105 Harmerville Hospital
OPTP "Treat Your Own Back" Robin McKenzie
The following video cassettes are strongly recommended as supplementary viewing throughout the semester.
Orthopedic Medicine Series Tapes 2 - 10
"Manual Mobilization of the Lower Extremity Joints", Kaltenborn - OPTP
"Manual Mobilization of the Upper Extremity Joints", Kaltenborn - OPTP
Other Good References
APTA Guide to Physical Therapy Practice. Phys Ther. 1997;1165-1650.
Cyriax, J. Textbook of Orthopaedic Medicine, Vol. I: Diagnosis of Soft Tissue Lesions 8th ed. Bailliere Tindall, London, 1982.
Cyriax, J. Textbook of Orthopaedic Medicine, Vol. II: Treatment by Manipulation, Massage and Injection 10th ed. Bailliere Tindall, London, 1983.
Hoppenfeld, S. Physical Examination of the Spine and Extremities. Appleton-Century-Crofts, New York, 1976.
Kendall FP, McCreary EK, Provance PG. Muscles Testing and Function Ed 4. Williams and Wilkens, Baltimore, 1993. ISBN 0-683-04576-8
Kessler, R.M.; Hertling, D. Management of Common Musculoskeletal Disorders: Physical Therapy Principals and Methods. Ed. 3. .Lippincott, Philadelphia, 1996. ISBN 0-397-55150-9
Maitland, G.D. Peripheral Manipulation 2nd ed. Butterworths, London, 1977.
Maitland, G.D. Vertebral Manipulation 5th ed. Butterworths, London, 1986.
McKenzie, R.A. The Lumbar Spine; Mechanical Diagnosis and Therapy. Spinal Publications, Waikanae, New Zealand, 1981.
McKenzie, R.A. The Cervical and Thoracic Spine; Mechanical Diagnosis and Therapy. Spinal Publications, Waikanae, New Zealand, 1990.
Mennel, J.M. Joint Pain; Diagnosis and Treatment Using Manipulative Techniques. Little Brown and Co., Boston, 1964.
Richardson JK, Iglarsh ZA. Clinical Orthopaedic Physical Therapy. WB Saunders Co., Philadelphia, 1994.
Teaching Methods: Lecture, demonstration, laboratory practice, clinical problem solving.
How the Student is Evaluated:
Note - The lecture and laboratory components of this course are designed to be complementary. Students are expected to synthesize material presented in lecture AND laboratory for all examinations, quizzes, papers, assignments, etc.
Attendance:
Attendance and participation in all course activities are the required norm. Chronic absence, lateness, and/or lack of participation will result in a final grade reduction of as much as 10% at the discretion of the instructor. Please also see PT Department Student Handbook policy on attendance (particularly with regards to absence near holidays, breaks, etc.).
The competency-based nature of the laboratory sessions make attendance at lab sessions mandatory. Please see the instructor if absence becomes necessary. Absence from lecture sessions is highly undesirable.
A. Lecture course grade is based on the following:
1. Two Examinations 66 2/3 %
a. one hour each - not comprehensive
b. weighed equally
2. Final Examination - two hours - comprehensive 33 1/3 %
B. Laboratory course grade is based on the following:
1. Skills check-sheets 20%
Note: Skills check-sheets list the performance competencies considered necessary for entry-level orthopaedic PT practice. Each competency will be marked as "pass" or "fail". The grade assigned for skills check-sheets will be the percentage of competencies marked "pass". Students are expected to perform so that they achieve a "pass" for ALL competencies. Although HIGHLY UNDESIRABLE, scores as low as 77 will be accepted. Skills check-sheet scores of less than 77 are unacceptable for advancement in the curriculum.
2. Lab Case Presentation 30%
3. Case Study Report 50%
(Guidelines for Lab Case Presentation and Case Report are posted on course web site)
C. Grade Scale (Undergraduate)
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95 |
A |
Note: Course, unit, and individual performance exam grades below 77% are unacceptable for progression through the curriculum and will initiate the probation policy - See PT Department Student Handbook. Assigned grades reflect performance on tests, quizzes, assignments, etc., and are rounded to two decimal places. Please don't ask for adjustments to grades (See item #4 under "Professional Behavior" on page 1). . |
|
92 |
A- |
|
|
89 |
B+ |
|
|
86 |
B |
|
|
83 |
B- |
|
|
80 |
C+ |
|
|
77 |
C |
|
|
74 |
C- |
|
|
71 |
D+ |
|
|
68 |
D |
|
|
Below 68 |
F |
Policy on Reviewing Tests:
Reviewing old tests and test questions can often shift the focus from understanding the material to memorizing test question answers. Grades seem to become more important than assimilating knowledge and developing skill. Therefore . . .
Student answer sheets will be returned as soon as I have completed grading all tests. Students may review test answer keys that will be posted at the same time. Any additional review of tests and/or test questions is completely at the discretion of the instructor. Review of tests and/or test questions during finals week will not be allowed.