A.     THERAPEUTIC EXERCISES AND TECHNIQUES

Introduction and course description:

Therapeutic exercise is the systematic performance or execution of planned physical movements or activities intended to enable the patient or client to remediate or prevent impairments of body functions and structures, enhance activities and participation, reduce risk, optimize overall health, and enhance fitness and well-being. Therapeutic exercise may include aerobic and endurance conditioning and reconditioning; agility training; body mechanics training; breathing exercises; coordination exercises; developmental activities training; muscle lengthening; movement pattern training; neuromotor development activities training; neuromuscular education or reeducation; perceptual training; range of motion exercises and soft tissue stretching; relaxation exercises; and strength, power, and endurance exercises. Physical therapists select, prescribe, and implement therapeutic exercise activities when the examination findings, diagnosis, and prognosis indicate the use of these activities to enhance bone density; enhance breathing; enhance or maintain physical performance; improve safety; increase aerobic capacity/endurance; increase muscle strength, power, and endurance; enhance postural control and relaxation; increase sensory awareness; increase tolerance of activity; prevent or re-mediate impairments in body functions and structures, activity limitations, and participation restrictions to improve physical function; enhance health, wellness, and fitness; reduce complications, pain, restriction, and swelling; or reduce risk and increase safety during activity performance.

•  List and define the goals, indications, contraindications, and various techniques of therapeutic exercise, including both general and specific exercise regimes (with and without equipment).
• Identify the equipment generally found in a physical therapy clinic and correctly demonstrate its use.
• Identify the components and sequence of normal developmental progression.
•  Define and give the goals, indications, contraindications, and techniques used in increasing cardiovascular endurance.
• List and define the goals, indications, contraindications, and various techniques of therapeutic exercise, including both general and specific exercise regimes relative to the treatment of soft tissue, bony, and post-surgical problems.
•  Assess the patient’s posture, identify common postural deviations, and suggest and implement exercises to correct any abnormalities.
•  Utilize information from previous PTA courses in the application of therapeutic exercise, i.e. MMT, goniometry, basic patient care, surface and functional anatomy, and body mechanics.
• Utilize a variety of exercise techniques within the established treatment plan as indicated by the physical therapist.
•  Demonstrate safety consciousness with classmates, self and equipment.
• Perform specific passive, active, and/or resistive exercises, as discussed in class, to improve or maintain muscular strength, range of motion, and/or endurance without use of equipment by:
• Utilizing a variety of therapeutic exercise techniques to meet the established goals
• Using hand placement to stabilize, support and guide the body part to obtain desired response while insuring joint protection
• Varying speed, intensity, or amount of assistance or resistance according to the cause and degree of impairment, and patient response or progres
• Exercising patients within their physiological limits (pain, fatigue, cardiovascular status, medical status, etc.)
• Perform specific exercise treatments, as discussed in class, to improve or maintain muscular strength and/or endurance using therapeutic equipment to assist or resist motion by familiarizing him/herself with equipment not previously utilized in patient treatment.
• Recognize a variety of common treatment methods for the diagnoses discussed in class, and implement and modify the treatment program within the established treatment plan indicated by the physical therapist by planning a variety of treatment methods to accomplish the established goals
• In addition to these general course objectives, each student will be expected to meet specific chapter objectives that will be distributed at the beginning of each unit. In completing the course and unit objectives, the student will recognize that all objective tests and measures, as well as all therapeutic interventions performed by the PTA, are determined by and performed under the direction and supervision of the PT

Recommended Text Books:

• Therapeutics Exercises and Technique, By: Carolyn Kisner & Lynn Allen Colby 4th 5th edition. (Click to download http://u.pc.cd/tkritalK)
• Therapeutics Exercises: Techniques for Intervention By:  Willim D.Banddy

• Clinical decision making in therapeutic exercise By: Patricia e. Sullivan & prudence d. Markos,  Appleton & Lange Norwalk, Connecticut

B.   MANUAL THERAPY:

Introduction and course description:

Manual therapy techniques are skilled hand movements and skilled passive movements of joints and soft tissue and are intended to improve tissue extensibility; increase range of motion; induce relaxation; mobilize or manipulate soft tissue and joints; modulate pain; and reduce soft tissue swelling, inflammation, or restriction. Techniques may include manual lymphatic drainage, manual traction, mobilization/manipulation, and passive range of motion.Physical therapists select, prescribe, and implement manual therapy techniques when the examination findings, diagnosis, and prognosis indicate use of these techniques to decrease edema, pain, spasm, or swelling; enhance health, wellness, and fitness; enhance or maintain physical performance; increase the ability to move; or prevent or remediate impairment in body functions and structures, activity limitations, or participation restrictions to improve physical function.

Through the utilization of instruction, demonstration, practical exercises, research article critical review and case study discussions and presentations this course will provide the best evidence in state of the art advanced manual therapy A detailed overall review of all Manual Therapy techniques, along with manual therapy techniques covering spine and Temporo-Mandibular joint, will take place. Techniques covered are: advanced myofascial trigger point therapy, Proprioceptive training, muscle energy combination techniques, strain counter strain, neuromobilization combination techniques and mobilization, manipulation techniques with emphasis on thrust manipulation. Thorough evaluation, assessment and technique selection training will take place utilizing evidence based models such as APTAs “Open Door” and “Hooked in Evidence” programs All skills will be introduced through on-site demonstration and hands-on practice Students will also get significant exposure in critical review of research articles pertaining to application of manual therapy techniques Case review, discussion and case presentations are an important component of this course.

Learning Outcomes:

•  Describe indications, precautions, contraindications, primary effects, and anticipated outcomes of manual therapy, joint mobilization, soft tissue techniques, myofascial trigger point
•  Describe the correct application of manual techniques used to mobilize soft tissue
• Identify rationale and methods of facilitating positioning for soft tissue mobilization (bolsters, pillows, towels, etc)

Recommended Text Books:

• Manual Mobilization of the Joints The Kaltenborn Method ofJoint Examination and Treatment Volume I The ExtremitiesBy: Freddy M. Kaltenbomin collaboration withOlaf  Evjenth,Traudi Baldauf  Kaltenbom,Dennis Morgan, and Eileen Vollowitz,OPTPMinneapolis, Minnesota, USA .(click to download http://u.pc.cd/eTictalK )
• Manual Therapy By: Ola Grimsby, the Ola Grimsby institute San Diego.
• Integrative Manual therapy for the upper and lower extremities By: Sharon weiselfish, North Atlantic books Berkeley, California.
• Orthopedic manual therapy an evidence-based approach by: Chad Cook
• Orthopaedic Manual Therapy Diagnosis Spine and Temporomandibular Joints By: Aad van der
• Translatoric Spinal Manipulation By: John R. Krauss, Olaf Evjenth, and Doug Creighton John R. Krauss A Lakeview Media L. L.C. Publication
• Neuromusculoskeletal Examination and Assessment A Handbook for Therapists
• By: Nicola J Petty, Ann P Moore &G D Maitland, Second Edition Churchill Livingstone
• Myofascial Manipulation Theory and Clinical Application, Second Edition By: Robert I. Cantu, Alan J. Grodin an Aspen Publication Aspen Publishers, Inc. Gaithersburg, Maryland 2001
• Maitland's Vertebral Manipulation Seventh Edition By: Geoffrey D. Maitland

Assessment Criteria:

• Assessment : There will be 3 written tests & one send-up written examination including objective & subjective (SEQs, LEQs)
• Internal Assessment (based on class discussions, tests, class performance, behavior and attendance): 10 Marks
• Written: 90 Marks (50% Therapeutic Exercise & techniques and 50% from Manual Therapy)
• Practical: 90 Marks                                                                            

 Classes Schedule: Monday to Friday 09:40 AM -- 10:20 AM

Start date February 15,2021