Lock Haven University of Pennsylvania
Lock Haven, Pennsylvania
Health Science Department
Therapeutic Interventions 1
I. Introductory Information
A. Department Name: Health Science
B. Department Catalog Number: ATTR4--
C. Course Title: Therapeutic Interventions 1
D. Semester Hours of Credit: 4
E. Clock Hours Per Week: 3 hours of lecture, 3 hours of lab
G. Restrictions Upon Student Registration: Students enrolled in the professional phase of the Athletic Training Education Program or by permission of the instructor.
II. Description of the Course
Catalog Description: Provides athletic training students the theoretical foundation and clinical skills necessary to create and implement therapeutic interventions for the physically active. The course focuses on the foundational knowledge required to develop evidence-based treatment programs.
III. Exposition
A. Objectives:
Upon successful completion of the course, students will be able to do the following:
1. Apply appropriate immediate treatment to protect the injured area and minimize the effects of hypoxic and enzymatic injury.
2. Identify functional and patient-centered quality of life outcome measures used to recommend activity level, make return to play decisions, maximize patient outcomes and progress in the treatment plan.
3. Determine criteria and make decisions regarding return to activity and/or sports participation based on the patient’s current status.
4. Explain the theoretical foundation of clinical outcomes assessment and describe common methods of outcomes assessment in athletic training clinical practice.
5. Analyze the types of outcomes measures for clinical practice as well as types of evidence that are gathered through outcomes assessment patient-oriented evidence versus disease-oriented evidence.
6. Describe nutritional principles that apply to tissue growth and repair.
7. Differentiate between the physiological and pathophysiological responses to inflammatory and non-inflammatory conditions and the influence of these responses on the design, implementation, and progression of a therapeutic intervention.
8. Compare and contrast contemporary theories of pain perception and pain modulation.
9. Differentiate between palliative and primary pain-control interventions.
10. Analyze the impact of immobilization, inactivity, and mobilization on the body systems and injury response.
11. Compare and contrast the variations in the physiological response to injury and healing across the lifespan.
12. Explain the theory and principles relating to expected physiological response(s) during and following therapeutic interventions.
13. Describe the laws of physics that underlay the application of thermal, mechanical, electromagnetic, and acoustic energy to the body and form the foundation for the development of therapeutic interventions.
14. Integrate self treatment into the intervention when appropriate including instructing the patient regarding self-treatment plans.
15. Position and prepare the patient for various therapeutic interventions.
16. Describe the expected effects and potential adverse reactions of the treatment to the patient.
17. Apply the intervention using parameters appropriate to the intended outcome.
18. Reassess the patient to determine the immediate impact of the intervention.
19. Use the results of on-going clinical examinations to determine when a therapeutic intervention should be progressed, regressed, or discontinued.
20. Describe the relationship between the application of therapeutic modalities and the incorporation of active and passive exercise and/or manual therapies, including, therapeutic massage, myofascial techniques, and muscle energy techniques.
21. Describe the use of joint mobilization in pain reduction and restoration of joint mobility.
22. Choose and apply joint mobilization techniques as indicated by examination findings.
23. Integrate modalities and therapeutic exercise into an effective therapeutic intervention.
24. Identify manufacturer, institutional, state, and/or federal standards that influence approval, operation, inspection, maintenance and safe application of therapeutic modalities and rehabilitation equipment.
25. Inspect therapeutic equipment and the treatment environment for potential safety hazards.
B. Activities and Requirements:
1. Participate in group discussions.
2. Attend lectures and laboratories.
3. Complete laboratory assignments.
4. Complete information based critical thinking assignments.
5. Complete assigned readings.
6. Complete written and practical examinations.
C. Major Units and Time Allotted: (45 hours lecture / 45 hours lab)
1. Modality Theory (12 hours lecture / 1 hour lab)
a. Electromagnetic Spectrum
b. Heat Transfer
c. Electrical Principles and Terminology
d. Acoustic Theory
e. Patient Positioning and Preparation
f. Patient Education
i. Self-treatment
ii. Home care
iii. Expected Effects
iv. Adverse Reactions
g. Indications, Contraindications, and Precautions
h. Reassessment
2. Safety and Liability (2 hours lecture / 1 hour lab)
a. Legal and Ethical Liability
b. Safety Regulations
c. Inspection/Calibration
d. Operational Procedures
e. Maintenance Requirements
3. Tissue Healing (6 hours / 6 hours lab)
a. Physiological & Pathophysiological Responses to Injury
i. Across the Lifespan
ii. Nutritional considerations
b. Tissue Repair
c. Signs and Symptoms
d. Effects of Immobilization
e. Modality Intervention
i. Physiological Effect
ii. Indications, Contraindications, Precautions, Adverse Reactions
iii. Application
iv. Types of Modalities
1. Laser Application
2. Non-thermal Ultrasound
4. Pain (3 hours lecture / 9 hours lab)
a. Theories
b. Measurement
c. Modulation/Intervention
i. Physiological Effect
ii. Indications, Contraindications, Precautions, Adverse Reactions
iii. Application
iv. Types of Modalities
1. Cryotherapy
2. Electrical Stimulation
5. Swelling (3 hours lecture / 6 hours lab)
a. Theory
b. Measurement
c. Modality Intervention
i. Physiological Effect
ii. Indications, Contraindications, Precautions, Adverse Reactions
iii. Application
iv. Types of Modalities
1. Cryotherapy
2. Electrical Stimulation
6. Range of Motion (6 hours lecture / 9 hours lab)
a. Principles
b. Measurement
c. Stretching
d. Joint Mobilization
e. Implementation of Rehabilitative Intervention
f. Modality Intervention
i. Physiological Effect
ii. Indications, Contraindications, Precautions, Adverse Reactions
iii. Application
iv. Types of Modalities
1. Thermotherapy
2. Paraffin
3. Thermal Ultrasound
4. Diathermy
5. Manual Therapy
7. Strength (4 hours lecture / 6 hours lab)
a. Principles
b. Measurement
c. Implementation of Rehabilitative Intervention
d. Modality Intervention
i. Physiological Effect
ii. Indications, Contraindications, Precautions, Adverse Reactions
iii. Application
iv. Types of Modalities
1. Electrical Stimulation
2. Biofeedback
8. Balance (3 hours lecture / 3 hours lab)
a. Principles
b. Measurement
c. Implementation of Rehabilitative Intervention
9. Power (2 hours lecture / 3 hours lab)
a. Principles
b. Implementation of Rehabilitative Intervention
10. Outcomes Measures (4 hours lecture / 1 hour lab)
a. Introduction
b. Disablement Theory
c. Specific types
i. Generic
ii. Functional
iii. Patient-centered outcomes
iv. Disease-centered outcomes
d. Interpretation of Results
i. Patient Status
ii. Patient Progression
iii. Return to Play
D. Materials and Bibliography:
1. Suggested textbooks:
Andrews JR, Harrelson GL, Wilk KE. Physical Rehabilitation of the Injured Athlete. 4th ed. Philadelphia, PA: Saunders; 2012.
Denegar C, Saliba E, Saliba S. Therapeutic Modalities for Musculoskeletal Injuries. Champaign, IL: Human Kinetics; 2010.
2. Other materials:
None
3. Bibliographic support:
Higgins M. Therapeutic Exercise: From Theory to Practice. Philadelphia, PA: F.A. Davis; 2011.
Houglum P. Therapeutic Exercise for Musculoskeletal Injuries. 3rd ed. Champaign, IL: Human Kinetics; 2010.
Hurley WL, Denegar CR, Hertel J. Research Methods: A Framework for Evidence-Based Clinical Practice. Philadelphia, PA: Lippincott, Williams & Wilkins; 2010.
Kisner C, Colby L. Therapeutic Exercise: Foundation and Techniques. 5th ed. Philadelphia, PA: F.A. Davis; 2007.
Prentice WE. Therapeutic Modalities for Sports Medicine and Athletic Training. 6th ed. Boston, MA: McGraw-Hill; 2009.
Starkey C. Therapeutic Modalities. 3rd ed. Philadelphia, PA: F.A. Davis and Company; 2004.
Stokes EK. Rehabilitation Outcome Measures. Philadelphia, PA: Churchill Livingstone Elsevier; 2011.
Voight ML, Hoogenboom BJ, Prentice WE. Musculoskeletal Interventions: Techniques for Therapeutic Exercise. New York, NY: McGraw-Hill; 2006.
IV. Standards
Grades will be assigned in accordance with University policy. Final grades will be based upon the previously mentioned activities and requirements.
V. Rationale and Impact
A. This course has been revised to meet the National Athletic Trainers’ Association Educational Competencies required for accreditation by the Commission on Accreditation of Athletic Training Education (CAATE).
B. This course is for students admitted to the professional phase of the Athletic Training Education Program. Health Science students may also take the course as an elective as space allows.
C. The changes to this course will not affect any other academic programs or degrees at Lock Haven University.
VI. Cost and Staff Analysis
A. This course is replacing ATTR462 within the athletic training curriculum, and no additional faculty or expenses are necessary.
B. This course will be offered every fall semester or as needed.
VII. Relationship among Course, Program, and University Student Learning Outcomes
Course Learning Outcomes (Objectives)Upon successful completion of this course, students will be able to do the following: / Program Student Learning Outcomes / University-level Student Learning Outcomes
Apply appropriate immediate treatment to protect the injured area and minimize the effects of hypoxic and enzymatic injury. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Identify functional and patient-centered quality of life outcome measures used to recommend activity level, make return to play decisions, maximize patient outcomes and progress in the treatment plan. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Determine criteria and make decisions regarding return to activity and/or sports participation based on the patient’s current status. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Explain the theoretical foundation of clinical outcomes assessment and describe common methods of outcomes assessment in athletic training clinical practice. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / N/A
Analyze the types of outcomes measures for clinical practice as well as types of evidence that are gathered through outcomes assessment patient-oriented evidence versus disease-oriented evidence. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Describe nutritional principles that apply to tissue growth and repair. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Differentiate between the physiological and pathophysiological responses to inflammatory and non-inflammatory conditions and the influence of these responses on the design, implementation, and progression of a therapeutic intervention. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Compare and contrast contemporary theories of pain perception and pain modulation. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Differentiate between palliative and primary pain-control interventions. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Analyze the impact of immobilization, inactivity, and mobilization on the body systems and injury response. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Compare and contrast the variations in the physiological response to injury and healing across the lifespan. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Explain the theory and principles relating to expected physiological response(s) during and following therapeutic interventions. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Describe the laws of physics that underlay the application of thermal, mechanical, electromagnetic, and acoustic energy to the body and form the foundation for the development of therapeutic interventions. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Integrate self-treatment into the intervention when appropriate including instructing the patient regarding self-treatment plans. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Critical Thinking
Position and prepare the patient for various therapeutic interventions. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Describe the expected effects and potential adverse reactions to the patient. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Apply the intervention using parameters appropriate to the intended outcome. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / N/A
Reassess the patient to determine the immediate impact of the intervention. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Use the results of on-going clinical examinations to determine when a therapeutic intervention should be progressed, regressed, or discontinued. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Describe the relationship between the application of therapeutic modalities and the incorporation of active and passive exercise and/or manual therapies, including, therapeutic massage, myofascial techniques, and muscle energy techniques. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Critical Thinking
Describe the use of joint mobilization in pain reduction and restoration of joint mobility. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Critical Thinking
Choose and apply joint mobilization techniques as indicated by examination findings. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Critical Thinking
Integrate modalities and therapeutic exercise into an effective therapeutic intervention / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / Communication
Critical Thinking
Identify manufacturer, institutional, state, and/or federal standards that influence approval, operation, inspection, maintenance and safe application of therapeutic modalities and rehabilitation equipment / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / N/A
Inspect therapeutic equipment and the treatment environment for potential safety hazards. / Students will demonstrate academic competency and clinical proficiency within the domains of athletic training. / N/A
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