PT375 - Fall 2004

COURSE TITLE:

PT375 KINESIOLOGY AND PATHOKINESIOLOGY FOR PHYSICAL THERAPY

3 credits (2 hours lecture and 2 hours lab per week)

INSTRUCTOR:

Edmund M. Kosmahl, PT, EdD

· Office: Leahy 016 - Phone: 941-4314

· office hours: Tuesday 1:00 – 2:50, Wednesday 3:00 – 3:50

· e-mail: kosmahle1@scranton.edu

· web home page: http://academic.uofs.edu/faculty/kosmahle1/default.htm

CLASS MEETING DAYS, TIMES AND LOCATIONS:

Lecture: Monday and Friday 3:00PM to 3:50PM, HYL 102

Lab: Section 1 – Monday, Section 2 – Wednesday, Section 3 – Friday, 1:00 PM to 2:50 PM, LEA 005

COURSE DESCRIPTION:

This course presents a study of normal human movement and movement dysfunction associated with selected pathologies. Emphasis is placed on joint arthrokinematics and the mechanics of muscle actions. Biomechanical factors are discussed. Normal and pathological gaits are studied.

COURSE OBJECTIVES: (indexed to Evaluative Criteria for Accreditation of Education Programs for the Preparation of Physical Therapists, CAPTE, Effective 1/1/98)

By the end of this course the student will be able to:

1. State the definitions of kinesiology and pathokinesiology. (3.8.1 instruction in the foundational sciences . . .)

2. Explain motions permitted at any joint as a result of joint type and shape of the articular surfaces. (3.8.3.16. Examination – k) joint integrity and mobility)

3. List osteokinematic and arthrokinematic motions that occur during normal and abnormal movement. (3.8.3.16. Examination – k) joint integrity and mobility)

4. Explain the functional contribution of any given muscle during normal and abnormal movement of any given joint. (3.8.3.16. Examination – m) muscle performance)

5. Explain the effect of gravity, equilibrium, ground reaction, and other external forces acting on the body during normal and abnormal movement. (3.8.3.16. Examination – h) ergonomics and body mechanics)

6. Explain the concepts of open and closed chain kinematics and compare muscle and joint actions for any movement in the context of these concepts. (3.8.3.16. Examination – k) joint integrity and mobility, m) muscle performance)

7. Perform a movement analysis of functional activities and gait including the following information: (3.8.3.16. Examination – h) ergonomics and body mechanics i) gait . . ., k) joint integrity and mobility, l) motor function, m) muscle performance)

· joints where motion occurs

· osteokinematic and arthrokinematic motions that occur at each joint

· axes about which motions take place (anatomic location and orientation)

· contribution of muscle activity

· effects of external forces

8. Use the movement analysis principles listed in objective 7 to compare and contrast normal movement and gait with movement and gait dysfunction. (3.8.3.17. Evaluation – Synthesize examination data to complete the physical therapy evaluation)

9. Identify basic mechanisms of motor control and discuss movement disorders that result from pathological conditions. (3.8.3.16. Examination – l) motor function)

REQUIRED TEXTS:

· Neumann DA: Kinesiology of the Musculoskeletal System, Foundations for Physical Rehabilitation, St. Louis, MO, Mosby Inc, 2002.

· Perry, J. F., Rohe, D. A., and Garcia, A. O. The Kinesiology Workbook, 2nd edition. Philadelphia, FA Davis, 1996.

· Also please download a copy of the course notes, Kosmahl E: Course Notes, Kinesiology and Pathokinesiology for Physical Therapy, latest edition, available on my web site. User code and password will be given in class.

TEACHING METHODS:

Lecture, discussion, group problem solving, question and answer, demonstration, video tape (3.3 The curriculum encompasses a variety of instructional methods selected to maximize learning. Evaluative Criteria for Accreditation of Education Programs for the Preparation of Physical Therapists, CAPTE, Effective 1/1/98)

PROFESSIONAL BEHAVIOR:

Physical therapy majors are expected to exhibit professional behavior at all times (see relevant sections of the PT Department Student Handbook and section 3.8.3.3 “Professional Behavior” of the Evaluative Criteria for Accreditation of Education Programs for the Preparation of Physical Therapists, CAPTE, Effective 1/1/98). Briefly, students are expected to:

· conform to the University of Scranton Academic Code of Honesty.

· attend all class meetings and activities.

· be punctual, prepared (including lab clothes and equipment when appropriate) and participative.

· accept responsibility for their actions (eg. accept that grades reflect each student’s effort and output).

HOW THE STUDENT IS EVALUATED:

· 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.

· Grading Criteria – NOTE: The lecture and laboratory components of this course are designed to be complementary. I expect students to synthesize material presented in lecture and laboratory for all examinations, quizzes, papers, assignments, etc. All exams (including final) are weighed equally. The first two exams will not be comprehensive. The final exam will be comprehensive. Exams may include multiple choice, matching, and short essay questions. Quizzes will include multiple choice and matching questions. Quizzes will include material from the previous two lab sessions. Lecture and laboratory grades will be the same, and will be based on the results of the examinations and lab quiz scores.

Three Lecture Exams (including final) ................................................. 66 2/3%

Lab Quizzes (approximately 6)........................................................... 33 1/3%

PT DEPARTMENT GRADE SCALE (Undergraduate)

Minimum Score	Letter
95.00%	A	Note: Course, unit, and individual performance exam grades below 77.00% are unacceptable for progression through the curriculum and will initiate the probation policy - See PT Department Student Handbook. Grades on tests, quizzes, assignments, etc., are recorded in percentage form carried to two decimal places (e.g., 76.84%). Whole numbers are not affected at all by rounding the decimals. Please don’t ask for adjustments to grades. .
92.00%	A-
89.00%	B+
86.00%	B
83.00%	B-
80.00%	C+
77.00%	C
74.00%	C-
71.00%	D+
68.00%	D
Below 68.00%	F

Policy on Reviewing Quizzes and Tests:

Corrected quizzes will be returned and reviewed at the following laboratory session. Corrected test answer sheets will be returned as soon as I have completed grading everyone's test. Students may review test answer keys that will be posted on the bulletin board near my office. Any additional review of tests and/or test questions is at my discretion (and normally by invitation only). Review of tests and/or test questions during finals week will not be allowed.

SCHEDULE AND READINGS:

LECTURE
Week – Dates	Topics
1 - 8/30, 9/3	Axial Skeleton, Cervical Spine – Pages 251-283, 333-341
2 - ---, 9/10	Monday – no class – Labor Day, Thoracic Spine and Ribs - Pages 286-287, 368-377
3 - 9/13, 9/17	Lumbar Spine – Pages 292-303, 314-333, 342-349, S-I Joint- Pages 303-308
4 - 9/20, 9/24	Scoliosis Pages 287-292, Temporomandibular Joint, - Pages 352-367
5 - 9/27, 10/1	Hip - Chapter 12
6 - 10/4, 10/8	Knee – Chapter 13, EXAM FRIDAY (Axial Skeleton, Scoliosis, TMJ)
7 - 10/11, 10/15	Knee continued, Ankle / Foot – Chapter 14 and my course notes chapter
8 - ---, 10/22	Monday - no class - fall break, Ankle / Foot continued
9 - 10/25, 10/29	Ankle / Foot continued, Gait – Chapter 15
10 - 11/1, 11/5	Gait continued
11 - 11/8, 11/12	Gait continued, EXAM FRIDAY (lower extremity)
12 - 11/15, 11/19	Shoulder Girdle and Glenohumeral Joint – Chapter 5
13 - 11/22, ---	Elbow / Forearm – Chapter 6, Friday - no class – Thanksgiving break
14 - 11/29, 12/3	Wrist / Hand – Chapters 7 and 8
15 - 12/6, 12/10	Wrist / Hand continued
16 – 12/13, ---	Course Review
Finals Week	Comprehensive Final Exam
NOTE: readings are in Neumann

LABORATORY
Week	Topics
1 - 8/30	General Concepts - Ch 1 & 2
2 - 9/6	Cervical Spine Thoracic Spine, Ribs - Ch 3 (Monday – Labor Day Holiday - Lab 1 students please attend Lab 2 or Lab 3) – T-shirt
3 - 9/13	Quiz 1 (weeks 1 & 2), Lumbar Spine - Ch 3 – T-shirt
4 - 9/20	S-I Joint, Temporomandibular Joint - Ch 3 & 10
5 - 9/27	Quiz 2 (weeks 3 & 4), Hip - Ch 4 - Shorts
6 - 10/4	Knee - Ch 5 - Shorts
7 - 10/11	Quiz 3 (weeks 5 & 6), Ankle / Foot - Ch 6 - Shorts
8 - 10/18	no labs this week – fall break
9 - 10/25	Posture - Ch 11 – T-shirt and shorts
10 – 11/1	Quiz 4 (weeks 7 & 9), Gait - Ch 12, VIDEOTAPES The Biomechanics of Walking (Shriners Hospital For Crippled Children),Fundamentals of Human Walking (Moss Rehabilitation Hospital), Observation of Human Gait Part III (Ilse Koerner University of Texas Medical Branch) Please view these videotapes on your own (available in Media Center of Weinberg Memorial Library) during the few weeks preceding week 10
11 - 11/8	Gait - Ch 12, VIDEOTAPE Observational Gait Analysis (Kimberly D. Ward University of Scranton) Please view this videotape on your own (available in Media Center of Weinberg Memorial Library) prior to week 11
12 - 11/15	Quiz 5 (weeks 10 & 11), Shoulder Complex - Ch 7 – T-shirt
13 – 11/22	no labs this week – Thanksgiving break
14 – 11/29	Elbow and forearm - Ch 8
15 - 12/6	Quiz 6 (weeks 12 & 13), Wrist / Hand - Ch 9
NOTE: readings are in Perry et al, except as noted. Please bring the Perry workbook to lab each week.

TEACHING METHODS:

SCHEDULE AND READINGS:

Comprehensive Final Exam