Occupational Therapy 652

OCTH 652: Physical Dysfunction Practice: Musculoskeletal

Prerequisite:  Successful completion of OCTH 640, 642, 644 and 646 or permission of the Chair

Credit Hours: (3)

Develops knowledge and skills for clinical practice with adults who have musculoskeletal disorders or medical/surgical conditions affecting occupational performance.  Applies the Person-Environment-Occupation-Performance model, and introduces other theoretical models and frames of reference that inform occupational therapy for physical dysfunction.


Detailed Description of Content of the Course

Topics include:

History and practice trends in physical dysfunction intervention

Etiology, course, prognosis and medical management of:

  • spinal cord injury
  • arthritis
  • hip fractures and joint replacements
  • hand and upper extremity injuries
  • low back pain
  • burns
  • cardiac and pulmonary disease
  • cancer
  • HIV infection and AIDS
  • amputation
  • Evaluation of joint range of motion, muscle strength, sensation, pain and functional mobilit
  • The biomechanical and rehabilitative approaches for intervention

Adjunctive modalities: 

  •   Therapeutic exercise
  •   Physical agent modalities

Sexuality and physical dysfunction

Prosthetic programs


Detailed Description of Conduct of Course

Readings, lectures and discussions will be supplemented by "hands-on" practice with evaluation and intervention techniques.  Students will work individually and in teams to analyze live, videotaped and/or print case studies, evaluate simulated clients, and develop intervention plans.


Goals and Objectives of the Course

 At completion of this course, students will be able to:

  1. Analyze the effects of  genetic conditions, disease processes and traumatic injury on the adult and his/her occupational performance, within the cultural context of family and society;
  2. Discuss how theories, models of practice and frames of reference are used in occupational therapy evaluation and intervention with orthopedic clients;
  3. Given a simulated client, use standardized and nonstandardized assessment tools to evaluate the client's occupational performance; 
  4. Given a simulated client, develop an intervention plan and strategies that reflect the stated needs of the client, the data gathered during the evaluation process and relevant theoretical constructs;
  5. Given a simulated client, select direct occupational therapy interventions and procedures to enhance occupational performance;
  6. Use clinical reasoning to explain the rationale for and use of compensatory strategies when desired life tasks cannot be performed;
  7. With a partner as "client", design, fabricate, apply, fit and train the client in orthotic and prosthetic devices used to enhance occupational performance.


Assessment Measures

Participation in team activities, tests, graded intervention plans and client simulation exercises may be used to assess the outcomes of this course.


Other Course Information


Review and Approval

Approved: April, 2010