Applied Health Physical Therapy 840

AHPT 840: Management of Special Populations (Orthotics, Prosthetics, and Advanced Specialty Topics)
Prerequisite: Successful completion of AHPT 820 and AHPT 830 or permission of the Department
Credit Hours: (3)

Two hours lecture; one hour laboratory.

The course introduces students to the elements of normal and pathological gait across the lifespan. The course develops strategies for the treatment of patients who use orthotic and prosthetic devices dealing with gait dysfunctions.

Detailed Description of Course

The course introduces students to the components of normal and pathological gait across the lifespan. The normal mechanics of gait are the basis for the biomechanical assessment of the foot and ankle and patient management for orthotic and prosthetic prescription and training. Patients with gait dysfunction will be analyzed across diagnoses and practice patterns as described in the Guide to Physical Therapists Practice. This course prepares students to participate in their second clinical internship experience.     

Detailed Description of Conduct of Course

Instructional methods used may include lecture, interactive small group discussions, written papers, group presentations and group projects and case study analysis. Students will engage in patient assessments under course instructor supervision.

Goals and Objectives of this Course

Will require students to:

1) Describe and analyze the normal gait cycle in relation to functional tasks, kinematics and kinetics; 2) Examine the development of  locomotion and differentiate characteristics and changes across the lifespan; 3) Identify theories of the neural control of locomotion and analyze their clinical implications and limitations; 4) Demonstrate the appropriate use of functional gait training; 5) Identify and demonstrate appropriate gait tests and measures for a given patient, including observation and technology-assisted measures; 6) Identify and analyze common gait deviations and Formulate treatment interventions including use of applicable orthotic, protective and supportive devices; 7) Differentiate between age related and pathological gait dysfunctions; 8)  Propose injury-preventative principles to case scenarios; 9) Identify common injuries and pathologies associated with abnormal biomechanics of the foot and ankle; 10) Determine the need for an orthotic device including appropriate referral; 11) Distinguish between dynamic and static biomechanical constraints and the application of orthotic devices; 12) Identify the components and appropriate fitting of orthotic devices; 13) describe an orthosis based upon the biomechanical corrections, method of posting and rigidity of material used in its fabrication; 14) Identify shoe components and appropriately prescribe a shoe for a given biomechanical problem; 15) Complete a static and dynamic foot biomechanical analysis and biomechanical abnormalities and suggest the appropriate orthotic device to accommodate the deformity; 16) Demonstrate the safe use of orthotic devices; 17) Examine and evaluate the influences of ambulatory aids on parameters such as step length, speed, and efficiency of gait pattern; 18) Design a plan of care to promote functional mobility with a patient requiring an orthotic device; 19) Demonstrate the ability to teach a patient to don and doff an orthotic device; 20) Identify the components, biomechanical constraints and appropriate fitting of a prosthetic device; 21) Judge when patients require prosthetic assessment, fitting, training and remediation; 22) prepare the residual limb or adjacent segment for prosthetic fitting including shaping, edema control, range of motion, skin integrity desensitization and strengthening; 23) Consult with a prosthetics professional for prosthetic prescription and fitting ; 24) Demonstrate the safe use of prosthetic devices; 25) Analyze the influence of lower limb prosthetics on a patient's gait and functional mobility; 26) Design a plan of care to promote functional mobility with a patient requiring a prosthetic device ; 27) Perform a prosthetic assessment including skin integrity, sensation, strength, and ROM; 28) Demonstrate the ability to teach a patient to don and doff his/her prosthetic device.

Assessment Measures

May include but not limited to:

Examinations and Student Projects

Other Course Information


Review and Approval

February 10, 2014