Standard

R State Standard £ Institutionally Developed College: N/A

PTA 210 – Therapeutic Exercise II
Course Description Presents therapeutic exercise as it relates to children. Topics include: developmental sequences and primitive reflexes: cardiac rehabilitation; and chest physical therapy techniques.
Competency Areas	Hours
Developmental Sequences and Primitive Reflexes	Class	1
Cardiac Rehabilitation	D. Lab	2
Chest Physical Therapy Techniques	P. Lab/O.B.I.	6
	Credit	4

Prerequisite:	PTA 205, PTA 206, PTA 209
Corequisite:	PTA 207, PTA 211

Course Guide

Competency	After completing this section, the student will be able to:	Hours
		Class	D.Lab	P.Lab/ O.B.I.
Developmental Sequences and Primitive Reflexes		4	2	15
Reflexes	List and describe the primitive and pathological reflexes.
	List and describe the postural and righting reflexes.
	Define cerebral palsy (CP).
	Explain the causes for CP.
	List and describe the classifications of CP.
	Explain various mechanisms of head injury.
	Describe treatment techniques used on head injury patients.
	List and describe the various types of muscular dystrophy.
Neurodevelopmental sequences	Discuss the neurodevelopmental sequence.
	Discuss treatment techniques for CP patients.
	Discuss treatment techniques used on patients with muscular dystrophy.
	Demonstrate neurodevelopmental techniques used in treating pediatric patients.
	Instruct family members in correctly handling children with neurological disorders.
Cardiac Rehabilitation		4	10	25
Anatomy of the heart	Review anatomy and function of the heart.
	Identify the four valves of the heart and the coronary arteries.
	Define cardiac rehabilitation program.
Goals of cardiac rehabilitation	State the goals of cardiac rehabilitation. Differentiate between aerobic and anaerobic metabolism.
Short term effects	Discuss short term effects of exercise including energy consumption, heart rate, cardiac output, stroke volume, and pulmonary ventilation.
Long term effects	Discuss long term effects of exercise including energy consumption, heart rate, cardiac output, stroke volume, blood pressure, and capacity/ efficiency.
Phases of cardiac rehabilitation	Describe phase one of cardiac rehabilitation program.
	Describe phase two of cardiac rehabilitation program including goals, exercise testing, and purpose of stress test.
	Describe phase three of cardiac rehabilitation program including goals, "target rate," formula for obtaining this figure and rate pressure product, reconditioning exercise program, purpose for warm-up phase, and cool-down phase.
	Explain the "training effect."
Benefits of conditioning program	List benefits of a conditioning program.
Cardiac rehabilitation techniques	Perform techniques of cardiac rehabilitation including review of vital signs monitoring.
Chest Physical Therapy Techniques		2	8	20
Anatomy and physiology of respiration	Review respiratory anatomy including skeletal and muscle components.
	Review respiratory physiology.
	Define chest physiotherapy (chest PT).
Chest physical therapy methods	Identify methods of chest PT.
Indications/contraindications	List indications and contraindications for chest PT.
Breathing	Discuss importance and goals of breathing exercises.
	List the positions for diaphragmatic breathing exercises.
	Perform breathing exercises in the laboratory.
	Instruct a fellow classmate in deep breathing exercises.
Coughing	Describe the function of coughing.
	Discuss ways of teaching a patient to cough.
	List contraindications for vigorous coughing.
Chest physical therapy techniques	Define postural drainage.
	Identify ideal positions to drain various segments of the lungs and state length of time patient should remain in the drainage position for optimum results.
	Explain the purpose of percussion and vibration.
	Perform percussion and vibration techniques in the laboratory.
	Explain the importance of sputum assessment.
	Instruct a fellow student in proper coughing techniques in the laboratory.
	Auscultate breath sounds with a stethoscope.
	Perform a complete postural drainage treatment in the laboratory including auscultating breath sounds, proper positioning to drain indicated lung area, proper percussion technique, proper vibration technique, and proper coughing technique.
	Demonstrate suctioning technique.
	Instruct family member in proper postural drainage positions and chest physiotherapy.

Suggested Resources

Media (print/audio/ visual/www/ other)	Author	Year	Title: Subtitle	Edition	Location	Publisher/ Publication	pp.
Print	Sullivan, S. B. & Schmitz, T. J.	2001	Physical rehabilitation: Assessment and treatment.		Philadelphia	F. A. Davis	625

Posted: 09/24/08