Standard |
PTA 207 - Physical Therapist Assistant
Procedures III
Provides detailed discussion and practice in electrotherapeutic modalities and TENS. Topics include: electrotherapeutic modalities, hyperbaric oxygen, peripheral vascular compression apparatus, and peripheral vascular compression garments.
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Competency Areas |
Hours
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Electrotherapeutic Modalities |
Class |
5 |
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Hyperbaric Oxygen |
D. Lab |
3 |
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Peripheral Vascular Compression Apparatus |
P. Lab/O.B.I. |
0 |
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Peripheral Vascular Compression Garments |
Credit |
6 |
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Prerequisite: |
PTA 203 |
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Corequisite: |
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Course Guide |
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Competency |
After completing this
section, the student will: |
Hours |
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Class |
D.Lab |
P.Lab/ O.B.I. |
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ELECTROTHERAPEUTIC MODALITIES |
20 |
15 |
0 |
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Review of TENS |
Review TENS including definition, rationale, and theories. Instruct patient and family member in home use of TENS. |
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Theories of electricity |
Explain the electron theory of electricity. |
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Differentiate between static and current electricity. |
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Define OHM's law (I=E/R) and explain how it applies to treating the human body. |
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Define electromotive force and potential difference. |
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Explain methods of current flow and ways to measure it. |
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Define resistance. |
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Differentiate between conductors and insulators. |
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List methods of decreasing skin resistance. |
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Current characteristics |
Define direct current (DC) and alternating current (AC). |
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List the characteristics of each of the above. |
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Explain sinewave, pulse wave, square wave, continuous modulation, surging modulation, and interrupted modulation, as applied to AC or DC currents. |
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Discuss ways to prevent burns and electric shock. |
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Low voltage DC and low voltage AC |
Define continuous DC and explain its purposes. |
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Define polar effects. |
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Discuss the effect of polarity on the human body. |
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List indications for continuous DC. |
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Define interrupted DC and explain its purposes. |
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List indications for interrupted DC. |
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Explain requirements to produce muscle contraction with electrical stimulation. |
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Define motor point and explain purpose of motor point stimulation. |
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Define alternating current and list its primary purpose. |
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Define twitch, pulse, and tetany and explain effects of frequency of stimulation of muscles. |
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Define continuous AC. |
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List indications for continuous AC. |
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Define surging AC and list indications. |
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Define interrupted AC and list indications. |
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High voltage and EMS |
Explain the effects of unipolar technique and bipolar technique of electrode placement. |
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List factors which affect current density. |
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List contraindications for electrical stimulation. |
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Interpret and manipulate the parameters of low voltage and high voltage equipment. |
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Demonstrate motor point stimulation with a unipolar technique and locate motor points accurately. |
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Prepare skin correctly for above treatment with electrical stimulation. |
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Demonstrate motor point stimulation with a bipolar technique. |
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Describe the current, wave form, and the parameter in high voltage stimulation. |
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Demonstrate muscle stimulation with unipolar or bipolar technique using high voltage equipment. |
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Demonstrate a sterile high voltage treatment. |
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Electrotesting procedures |
Explain various diagnostic tests including NCV, EMG and strength duration curve, and Jolly test. |
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Biofeedback |
Explain biofeedback and list indications and contraindications. |
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Demonstrate proper application of biofeedback procedure. |
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List indications and effects for high voltage stimulation. |
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Hyperstimulation analgesia |
Define hyperstimulation analgesia (HSA). |
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Explain rationale for HSA. |
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List indications and contraindications. |
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Describe parameter adjustments. |
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Demonstrate proper HSA treatment including selecting, locating, and treating points. |
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HYPERBARIC OXYGEN
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9 |
0 |
0 |
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Explain the purpose of hyberbaric 02and its effects. |
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List indications and contraindications and suggested pressure parameters. |
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PERIPHERAL VASCULAR COMPRESSION APPARATUS
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9 |
0 |
0 |
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PERIPHERAL VASCULAR COMPRESSION GARMENTS
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12 |
15 |
0 |
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Define lymphedema and describe the pathology. |
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Demonstrate safe peripheral vascular compression apparatus application. |
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List indications, contraindications, and suggested pressure parameters for peripheral vascular compression apparatus. |
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Demonstrate complete compression therapy treatment procedure including pre- and post-treatment procedures. |
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Explain purpose of peripheral vascular compression garments. |
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Demonstrate ability to accurately measure a patient for compression garments. |
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Suggested Resource |
Gersh, M. R. (1992). Electrotherapy in rehabilitation. Philadelphia: F. A. Davis.