FLORIDA INTERNATIONAL UNIVERSITY

DEPARTMENT OF HEALTH, PHYSICAL EDUCATION & RECREATION

Fall 2006 PET 5991C Orthopedic Assessment II – Upper Extremity

Course Syllabus

1. Course Information

  1. Instructor Information: Michelle L Odai, MS, ATC, LAT, CSCS

E-mail:

Phone: 786-543-4890

Office: ZEB 251B

Office Hours: Monday & Wednesday 1:00 – 3:00 pm

Tuesday 12:00 – 2:00 pm

or by appointment

  1. Classroom: GPA 122
  2. Class Time: MW 9:30 am – 10:45 am
  3. Credit Hours: 04
  4. Course Fee: $50.00, payable upon course registration
  5. Class Web Page: http://www.fiu.edu/~dohertyj

g. Textbooks:

  1. Starkey C and Ryan J. Evaluation of Orthopedic and Athletic Injuries. Philadelphia, PA: F.A. Davis; 2002.
  2. Gulick D. Ortho Notes: Clinical Examination Pocket Guide. F. A. Davis; 2005.

g. Lab Information:

i. Section 01 – Th 8:00 am – 10:45 am in GPA 122

Instructors: Lindsey Eberman, MS, ATC, LAT

Dawn Minton, ATC

2. Course Format

a. The course will be presented in traditional in-person lecture format with 3.0 contact hours per week constituting the lecture component and separate sections scheduled for 3.0 contact hours per week constituting the laboratory setting where clinical proficiencies will be introduced and evaluated.

3. Course Objectives

  1. The purpose of this course is to introduce students to the common types of orthopedic injuries and/or dysfunctions that occur to the upper extremity during physical activity and/or athletics. Injuries will be discussed from the following viewpoints: etiology and mechanism of injury; pathology; recognition and evaluation techniques; protocols; and prevention.
  2. The purpose of the laboratory component of this course is to allow students to apply the techniques of orthopedic injury prevention, recognition, and evaluation.

4. Course Fees

a. This course requires a fee of $50 necessary to cover the cost of two lab instructors required to cover the lab sections with an 8:1 student to faculty ration as dictated by the Commission on the Accreditation of Athletic Training Education (CAATE) accreditation standards.

5. Course Evaluation. Final grades will be based on:

3 Written Exams 30%

3 Clinical Proficiency Demonstrations 30%

Quizzes and Assignments 15%

Attendance and Participation 5%

Lab Component 15%

Complete Clinical Proficiency Evaluations 5%

Grading Scale:

93-100 A 73-76 C

90-92 A- 70-72 C-

87-89 B+ 67-69 D+

83-86 B 63-66 D

80-82 B- 60-62 D-

77-79 C+ 0-59 F

  1. Exams:
  2. Any student unable to take an exam at the regularly scheduled time AND is able to present an approved excuse for missing the exam, MUST notify the course instructor or the department secretary PRIOR TO THE TIME of the absence by voice mail message or email. Make-up exams will be administered at the earliest convenience or during finals week.
  3. Exams are written and practical type tests
  4. Exams are scheduled at logical breaks in the lecture material and dates are tentative.
  5. Most of the material that will be on the exam will be covered in lecture. There will be sections or even chapters that the student will be required to read and may be on the exam.

b. Quizzes and Assignments:

i. Announced and unannounced quizzes and assignments may be given at any time.

c.  Attendance and Participation:

i. Students are expected to arrive on time for every class. Students are also expected to

be prepared and to participate in the class discussion and activities.

d. Lab Component:

i. See lab syllabus

6. Course Schedule

Week / Date / Format / Topic and Required Reading
1 / M Aug 28 / Lecture / Introduction/Syllabus Overview/Lab Overview
W Aug 30 / Lecture / Review Evaluation Process (Chapters 1 & 2)
Th Aug 31 / Lab / Introduction/Review Evaluation Process
2 / M Sept 4 / Lecture / No Class – Labor Day
W Sept 6 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 424 – 437
Th Sept 7 / Lab / Anatomy Review/Shoulder Palpations
3 / M Sept 11 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 437 - 445
W Sept 13 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 446 - 456
Th Sept 14 / Lab / Shoulder ROM
4 / M Sept 18 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 456 - 462
W Sept 20 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 463 - 470
Th Sept 21 / Lab / Special Tests for the Shoulder (SC, AC, & GH Jts)
5 / M Sept 25 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 470 - 476
W Sept 27 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 476 - 484
Th Sept 28 / Lab / Special Tests for the Shoulder (Rotator Cuff, Biceps Tendon, & TOS)
6 / M Oct 2 / Lecture / Ch. 13 – The Shoulder and Upper Arm
§ Pages 484 - 488
W Oct 4 / Lecture / Ch. 13 – The Shoulder and Upper Arm Review
Th Oct 5 / Lab / Ch. 13 – The Shoulder and Upper Arm Review and Practice
7 / M Oct 9 / Lecture / Ch. 13 – The Shoulder and Upper Arm Review and Practice
W Oct 11 / Lecture / Ch. 13 – The Shoulder and Upper Arm Review and Practice
Th Oct 12 / Lab / EXAM #1 – Written and Practical
§ Ch. 13 – The Shoulder and Upper Arm
8 / M Oct 16 / Lecture / Ch. 14 – The Elbow and Forearm
§ Pages 490 - 496
W Oct 18 / Lecture / Ch. 14 – The Elbow and Forearm
§ Pages 497 - 507
Th Oct 19 / Lab / Anatomy Review/Elbow Palpations/Elbow ROM
9 / M Oct 23 / Lecture / Ch. 14 – The Elbow and Forearm
§ Pages 507 - 511
W Oct 25 / Lecture / Ch. 14 – The Elbow and Forearm
§ Pages 511 - 516
Th Oct 26 / Lab / Special Tests for the Elbow and Forearm
10 / M Oct 30 / Lecture / Ch. 14 – The Elbow and Forearm
§ Pages 516 - 517
W Nov 1 / Lecture / Ch. 14 – The Elbow and Forearm Review and Practice
Th Nov 2 / Lab / EXAM #2 – Written and Practical
§ Ch. 14 – The Elbow and Forearm
11 / M Nov 6 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 519 - 528
W Nov 8 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 528 - 537
Th Nov 9 / Lab / Anatomy Review/Wrist, Hand, and Finger Palpations
12 / M Nov 13 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 537 - 545
W Nov 15 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 545 - 551
Th Nov 16 / Lab / Wrist, Hand, and Finger ROM/Ligament and Capsular Testing
13 / M Nov 20 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 552 - 555
W Nov 22 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 556 - 562
Th Nov 23 / Lab / No Lab – Happy Thanksgiving
14 / M Nov 27 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 562 - 563
W Nov 29 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers
§ Pages 564 - 565
Th Nov 30 / Lab / Special Tests for the Wrist, Hand, and Fingers/Review
15 / M Dec 4 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers Review
W Dec 6 / Lecture / Ch. 15 – The Wrist, Hand, and Fingers Review and Practice
Th Dec 7 / Lab / EXAM #3 – Written and Practical
§ Ch. 15 – The Wrist, Hand, and Fingers

7. Course Outcomes

In order to demonstrate knowledge of the practice of athletic training, to think critically about the practices involved in athletic training, including the ability to integrate knowledge, skill and behavior, and to assume professional responsibility, the entry-level certified athletic trainer must possess the ability to clinically examine and diagnose a patient for the purpose of identifying (a) common acquired or congenital risk factors that would predispose the patient to injury and (b) musculoskeletal orthopedic injuries to determine proper care including the referral of the patient to other health care providers when appropriate.

The cognitive and psychomotor competencies and clinical proficiency should encompass the following areas:

a.  Shoulder girdle

b.  Upper arm

c.  Elbow

d.  Forearm

e.  Wrist

f.  Hand, fingers and thumb

Cognitive Competencies

1.  Explain directional terms and cardinal planes used to describe the body and the relationship of its parts.

2.  Describe the principles and concepts of body movement including functional classification of joints, arthrokinematics, normal ranges of joint motion, joint action terminology, and muscle groups responsible for joint actions (prime movers, synergists), skeletal muscle contraction, and kinesthesis/proprioception.

3.  Describe common techniques and procedures for evaluating common injuries including taking a history, inspection/observation, palpation, functional testing, special evaluation techniques, and neurological and circulatory tests.

4.  Explain the relationship of injury assessment to the systemic observation of the person as a whole.

5.  Describe the nature of diagnostic tests of the neurological function of cranial nerves, spinal nerves, and peripheral nerves using myotomes, dermatomes, and reflexes.

6.  Assess neurological status, including cranial nerve function, myotomes, dermatomes and reflexes, and circulatory status.

7.  Explain the roles of special tests in injury assessment.

8.  Explain the role of postural examination in injury assessment including gait analysis.

9.  Describe strength assessment using resistive range of motion, break tests, and manual muscle testing.

10.  Describe the use of diagnostic tests and imaging techniques based on their applicability in the assessment of an injury when prescribed by a physician.

11.  Describe and identify postural deformities.

12.  Explain medical terminology and abbreviations necessary to communicate with physicians and other health professionals.

Psychomotor Competencies

1.  Obtain a medical history of the patient that includes a previous history and a history of the present injury.

2.  Perform inspection/observation of the clinical signs associated with common injuries including deformity, posturing and guarding, edema/swelling, hemarthrosis, and discoloration.

3.  Perform inspection/observation of postural, structural, and biomechanical abnormalities.

4.  Palpate the bones and soft tissues to determine normal or pathological characteristics.

5.  Measure the active and passive joint range of motion using commonly accepted techniques, including the use of a goniometer and inclinometer.

6.  Grade the resisted joint range of motion/manual muscle testing and break tests.

7.  Apply appropriate stress tests for ligamentous or capsular stability, soft tissue and muscle, and fractures.

8.  Apply appropriate special tests for injuries to the specific areas of the body listed above.

9.  Assess neurological status, including cranial nerve function, myotomes, dermatomes and reflexes, and circulatory status.

10.  Document the results of the assessment including the diagnosis.

Clinical Proficiency

Demonstrate a musculoskeletal assessment of the upper extremity for the purpose of identifying (a) common acquired or congenital risk factors that would predispose the patient to injury and (b) a musculoskeletal injury. This will include identification and recommendation for the correction of acquired or congenital risk factors for injury. At the conclusion of the assessment, the student will diagnose the patient’s condition and determine and apply immediate treatment and/or referral in the management of the condition. Effective lines of communication should be established to elicit and convey information about the patient’s status. While maintaining patient confidentiality, all aspects of the assessment should be documented using standardized record-keeping methods.

*** The instructor reserves the right to make additions and/or corrections to the syllabus as needed.