Applied Health Physical Therapy 826

AHPT 826: Patient Management II
Prerequisite: AHPT 814 or permission of the Department
Credit Hours: (4)
The course continues the series on musculoskeletal evaluation. The course is based on Cyriax principles of examination for examination of orthopedic dysfunctions of the extremities and spine.

Detailed Description of Course

The course continues the series on musculoskeletal evaluation, which culminates with Advanced Orthopedics. This course is based on the Cyriax principles for examination of orthopedic dysfunctions of the extremities and spine. The course prepares students to examine, evaluate, make a prognosis, and develop a plan of care for patients with extremity and spinal dysfunctions. The course content supplements content areas of Theory and Practice I & II, Kinesiology- biomechanics and Clinical Medicine I & II. Successful completion of the course requires the application and integration of materials presented in Patient Management I, Gross Anatomy, Exercise Physiology, and Clinical Medicine I.      

Detailed Description of Conduct of Course

Didactic and laboratory learning may occur in both laboratory and classroom environments. Students may participate in small group and cooperative learning experiences. Students will participate in hands-on methods and techniques related to patient examination and screening and participation in stretch clinic. This course prepares students to participate in their first clinical internships. Teaching methods may include lecture, laboratory sessions, case studies, clinical observations, and patient demonstration.

Goals and Objectives of this Course

Will require students to:

1) Describe a Cyriax-based format to evaluate the major areas of the musculoskeletal system; 2) Describe the components of and the indications for the neurological portion of the orthopedic examination; 3) Describe in lay terms the biomechanics of the foot and ankle and demonstrate common biomechanical deviations secondary to lower extremity pain and dysfunction; 4) Demonstrate proper technique in performing a length assessment of a 2 joint muscle; 5) compare and contrast muscle range of motion and joint range of motion; 6) Given an orthopedic diagnosis, plan and perform a comprehensive examination, including appropriate history, systems review, and tests and measurements; 7) After participating in a clinical observation, write a complete SOAP note for the patient visit; 8) Demonstrate effective writing skills in communicating clinical impressions with other health care practitioners;  9) Plan and demonstrate proper techniques in performing evaluations of the spine and extremities; 10) Differentiate various types of pain, including visceral, musculoskeletal, referred and radicular pain; 11) Correlate findings of muscle strength and muscle length tests with various postural deformities; 12) Compare the difference between mechanical laxity and functional instability; 13) Plan examinations of the musculoskeletal system with regard to the patient with multiple diagnoses; 14) Formulate various differential diagnoses based on patient demographics, including age, and select the proper tests to confirm or rule out those diagnoses; 15) Synthesize the results of a physical therapy examination in order to provide an accurate PT diagnosis and prognosis (including plan of care), based on clinical findings and individual characteristics of the patient; 16) Determine in the course of the musculoskeletal examination when outside referral or consultation should be made; 17) Assess the problems of specific muscle weakness of the lower extremities and describe the gait deviations that correlate with these weaknesses; 18)  Examine a video of a patient with a musculoskeletal disorder, and demonstrate effective communication in presenting the evaluative findings with the patient; 19) Perform a self-critique and a peer critique based on an examination of a hypothetical patient; 20) Analyze an individual's gait, identify any dysfunctions or impairments and provide rationale and potential solutions for such deformities; 21) Observe and critique the performance of a physical therapist in the clinical setting;  22) Define Evidence-Based medicine and describe various hierarchies of evidence; 23)  Describe possible barriers to patient progress and discuss the proper sequence to follow in the event that patient goals are not met;  24) Perform a systems review based on the patient’s/client’s needs.                                                         

Assessment Measures may include

Examinations, laboratory practice examination, video assignments, patient evaluation assignment/SOAP note , observation assignment, and quizzes.

Other Course Information


Review and Approval

February 10, 2014