Syllabus

I. ATTR 290 Therapeutic Modalities in Athletic Training 3 Hours

II. Spring Semester 2004

Instructor: Joshua J. Holt ATC/L, MAT

T-TH 8-9:15

III. Office Hours: As posted

Office Location: Lower Concourse Tex Turner Arena 869-6378

Email: holtj@lmunet.edu

IV. Course Prerequisites: PHED 210 or 220

V. Course Description:

The purpose of this course is to develop techniques and skills among sports medicine personnel in the selection and implementation of therapeutic modalities.

VI. Relationship of This Course to Content Area Knowledge and Skills:

This class has no relationship to the Tennessee Matrix.

VII. Text

Therapeutic Modalities, 2nd ed. Chad Starkey

VIII. Course Goals and Course Outcomes:

Upon completion of this course the student shall demonstrate the knowledge and skills that any entry-level athletic trainer must possess to plan, implement, document, and evaluate the efficacy of therapeutic modalities in the treatment of injuries to and illnesses of athletes and others involved in physical activity.

HPEAT Curricular Goals: 2, 4, 6

IX. Course Objectives

1. Identify the stages of the inflammatory process.

2. Identify and describe the set-up, indications, contraindications, and specific physiological effects of various therapeutic modalities.

3. Apply therapeutic modalities to the human body.

The following competencies will be covered where applicable to course objectives.

# Content Competency

19	Acute Injury and Illness: Cognitive	Cites the signs, symptoms, and pathology of acute inflammation.
8	Acute Injury and Illness: Psychomotor	Administers cryotherapy, elevation, and compression to a limb and/or joint.
16	General Medical Conditions and Disabilities: Cognitive	Identifies the typical symptoms and clinical signs of an injury or illness, including those associated with local tissue inflammation (cellulites) and systemic infection (lymphangitis, lymphadenitis, bacteremia).
4	Pathology of Injuries and Illnesses: Affective	Promotes accountability for moral and ethical decision-making in the treatment of pathologic conditions.
3	Pathology of Injuries and Illnesses: Cognitive	Describes and explains cell adaptations (e.g., atrophy, hypertrophy, hyperplasia, metaplasia, and dysplasia).
9	Pathology of Injuries and Illnesses: Cognitive	Describes the integration and coordination of cell function in response to injury (e.g., sources of I cell injury, inflammation, healing, and repair).
11	Pathology of Injuries and Illnesses: Cognitive	Defines the inflammatory response to acute and chronic injury and illness.
17	Pathology of Injuries and Illnesses: Cognitive	Describes the healing process of bone.
19	Pathology of Injuries and Illnesses: Cognitive	Identifies the implications of various underlying pathologies and uses this knowledge to select appropriate therapeutic modalities and therapeutic exercise protocols.
1	Therapeutic Modalities: Affective	Accepts the professional, ethical, and legal parameters that define the proper role of the certified athletic trainer in the use of therapeutic agents to treat, rehabilitate, and recondition athletes and others involved in physical activity.
2	Therapeutic Modalities: Affective	Respects the role of attending physicians and other medical and allied health personnel in the use of therapeutic agents to treat, rehabilitate, and recondition athletes and others involved in physical activity.
3	Therapeutic Modalities: Affective	Advocates the accepted medical protocol regarding the confidentiality of medical information relative to therapeutic modality treatments.
4	Therapeutic Modalities: Affective	Initiates accepted medical protocol regarding therapeutic prescriptions.
5	Therapeutic Modalities: Affective	5. Promotes the accepted medical regarding health care referral in the rehabilitation and reconditioning process.
1	Therapeutic Modalities: Cognitive	Determines the appropriate modality according to the treatment goals and objectives as they relate to wound healing and tissue repair.
2	Therapeutic Modalities: Cognitive	Describes methods of evaluating and recording progress of therapeutic modality treatments.
3	Therapeutic Modalities: Cognitive	Illustrates the use of volumetric and anthropometrical measurements to determine the effectiveness of treatment outcomes.
4	Therapeutic Modalities: Cognitive	Identifies the body’s physiological responses during and following the application of therapeutic modalities
5	Therapeutic Modalities: Cognitive	Describes the role and function of the common prescription and nonprescription pharmacological agents that are used to conjunction with therapeutic modalities (e.g., topical ointments, phonophoresis, ontophoresis).
6	Therapeutic Modalities: Cognitive	Explains the principles of physics, including basic concepts associated with the electromagnetic and acoustic spectra (e.g., frequency, wavelength).
7	Therapeutic Modalities: Cognitive	Interprets terminology, principles, and basic concepts of electrical units (e.g., amperes, volts, watts, ohms).
8	Therapeutic Modalities: Cognitive	Compares and contrasts contemporary pain-control theories.
9	Therapeutic Modalities: Cognitive	Assesses the selection and use of therapeutic modalities for the control of acute and chronic pain.
10	Therapeutic Modalities: Cognitive	Describes the electro physics, biophysics, set-up, indications, contraindications, and specific physiological effects associated with stimulating electrical currents.
11	Therapeutic Modalities: Cognitive	Describes the electro physics, biophysics, set-up, indications, contraindications, and specific physiological effects associated with short-wave diathermy.
12	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with the application of superficial heat and cold.
13	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with therapeutic ultrasound.
14	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with the application of intermittent compression units.
15	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with cervical and lumbar traction devices.
16	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with therapeutic LASER.
17	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with the application of elecromyogram (EMG) and biofeedback devices.
18	Therapeutic Modalities: Cognitive	Describes the physical properties, biophysics, set-up, indications, contraindications, and specific physiological effects associated with therapeutic soft-tissue massage.
19	Therapeutic Modalities: Cognitive	Illustrates the typical physiological responses to trauma as they relate to the use of therapeutic modalities.
20	Therapeutic Modalities: Cognitive	Interprets local, state, and federal standards for the operation and safety standards of therapeutic modalities.
21	Therapeutic Modalities: Cognitive	Describes the manufacturer’s protocol for use to ensure safe and proper application.
22	Therapeutic Modalities: Cognitive	Applies manufacturer’s guidelines for the inspection and maintenance of therapeutic modalities.
1	Therapeutic Modalities: Psychomotor	Utilizes assessment skills to determine a patient’s specific therapeutic modality indications, contraindications, and precautions.
2	Therapeutic Modalities: Psychomotor	Measures limb edema and effusion using volumetric tank and anthropometrical measurements.
3	Therapeutic Modalities: Psychomotor	Takes into account patient-specific indications, contraindications, and precautions when applying a specific therapeutic modality (e.g., age, underlying pathology, disease processes).
4	Therapeutic Modalities: Psychomotor	Performs appropriate patient preparation and positioning for therapeutic modality application.
5	Therapeutic Modalities: Psychomotor	Performs the appropriate set-up for therapeutic modalities
6	Therapeutic Modalities: Psychomotor	Selects and applies appropriate therapeutic modality parameters (e.g., intensity, length of time, duration, frequency), and modifies them as required.
7	Therapeutic Modalities: Psychomotor	Operates and applies contemporary therapeutic modalities (electrical stimulating currents, thermo therapy, cry therapy, diathermy, ultrasound, intermittent compression, cervical and lumbar traction, laser, EMG and biofeedback, soft tissue massage, and other contemporary therapeutic modalities) according to established guidelines.
8	Therapeutic Modalities: Psychomotor	Evaluates patient response to therapeutic modalities during and following the application of therapeutic modalities.
9	Therapeutic Modalities: Psychomotor	Formulates progress notes and treatment outcomes that are relevant to the selection and application of therapeutic modalities.
10	Therapeutic Modalities: Psychomotor	Inspects the therapeutic modalities and treatment area for potential safety hazards.

X. Outline of Course Content/Units of Instruction:

ALL READINGS ARE TO BE COMPLETED THE DAY THEY ARE ASSIGNED AND ARE READY TO BE DISCUSSED IN CLASS.

Course Content Calendar:

WEEK

One Course Procedures; syllabus

The Injury Response Process

Two Types of tissue

The inflammatory process

Assignment of presentation topics

Three The healing process

Theories of pain

EXAM #1

Four Transmission of energy

Thermal agents

Five Thermal agents

Physiology of cold modalities

Six Thermal agents

Physiology of hot modalities

EXAM #2

Seven Therapeutic use of electrical agents

Fundamentals of electricity

Eight/Nine/Ten Electrical stimulation goals and techniques

EXAM #3

Eleven Mechanical agents/ ultrasound

Twelve Types of ultrasound application/ effects of US on injury cycle

Thirteen EXAM #4

Application of continuous passive motion

Cervical traction

Fifteen Intermittent compression

Traction

Massage therapy

Sixteen Presentation of assigned topics & FINAL EXAM

XI. Required Readings

Text and assorted handouts are required readings.

XII. Suggested Readings

Therapeutic Modalities in Sports Medicine by Prentice

Clinical Transcutaneous Electrical Nerve Stimulation by Mannheimer and Lampe

XIII. Technological Resources:

The students will use the electrical stimulation units as well as ultrasound equipment. Students will use a computerized record keeping system as well as the Internet for research purposes.

XIV. Methods of Instruction

Lecture, discussion, demonstration, modalities laboratories, audio-visual aides, and guest speakers will be used.

XV. Course Requirements/Methods of Assessment/Evaluation Documentation

There will be exams and quizzes, as well as a practical written final. STUDENTS MUST ATTEND ALL CLASSES. Students are responsible for all lecture materials and reading for missed classes.

There will be a team oral presentation of an assigned topic

Grading will be based on a promptness of completion and/or quality of all written exams, and written final.

NO FINAL EXAMS WILL BE GIVEN EARLIER THAN THE PRE-SET UNIVERSITY FINAL EXAM SCHEDULE

90-100% A

80-89.5% B

70-79.5% C

Any grade below a D requires the class to be retaken.

XVI. Partnerships: none

XVII. Clinical/Laboratory/Field Experiences

PHED 290 lab to be taken concurrently

XVIII. Possible Portfolio Entries:

Documentation of completed clinical hours

Tests

XIX. Date of Revision 01-04

XX. Long Range Plan/Outcomes Assessment Documentation/Tests