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FLORIDA INTERNATIONAL UNIVERSITY DEPARTMENT OF HEALTH, PHYSICAL EDUCATION & RECREATION Spring 2007 PET 4642C THERAPEUTIC MODALITIES Course Syllabus

1. Course Information a. Instructor Information: Jennifer L. Doherty-Restrepo, MS, LAT, ATC E-mail: [email protected] Phone: 305-348-3398 Office: ZEB 251B Office Hours: M-Th 1:30pm – 3:30pm (or by appointment)

b. Classroom: GPA 122 c. Class Time: TTh 8:00am – 9:15am d. Co-Requisite: Clinical Education I for Athletic Training Majors e. Credit hours: 04 f. Course Fee: $50.00, payable upon course registration g. Class Web Page: http://www.fiu.edu/~dohertyj h. Textbooks: i.William E. Prentice. (2003). Therapeutic Modalities for Sports Medicine and Athletic Training, 5th Ed., McGraw-Hill, Dubuque, IA. ii.William S. Quillen and Frank B. Underwood. (2003). Laboratory Manual to accompany Therapeutic Modalities for Sports Medicine and Athletic Training, 5th Ed., McGraw-Hill, Dubuque, IA. i. Lab Information: i. Section 01 – M 8:00am – 10:45am in GPA 122 Instructors: Julie Frymyer and Cara Cordrey

2. Course Format a. The course will be presented in traditional in-person lecture format with 3.0 contact hours per week constituting the lecture component and separate sections scheduled for 3.0 contact hours per week constituting the laboratory setting where clinical proficiencies will be introduced and evaluated.

3. Course Objectives a. The purpose of this course is to introduce students to the basic principles of theory and application of various modalities encountered in athletic training practice, including but not restricted to: thermotherapy, cryotherapy, ultrasound, electrical stimulation, mechanical modalities, and hydrotherapy. b. The purpose of the laboratory component of this course is to allow students to apply the basic principles of theory and application of various modalities.

4. Course Fees a. This course requires a fee of $50 for consumable products necessary for adequate instruction of therapeutic modalities. The consumable products required to instruct this class include ultrasound gel, electrical stimulation pads, elastic wraps, ice cups, 2

ice bags, hydrocollator packs, and alcohol pads. Due to the items required to instruct this course, a fee of $50 is assessed upon registration for PET 4642C: Therapeutic Modalities.

5. Course Evaluation. Final grades will be based on: 3 Written Exams: 40% 3 Clinical Proficiency Demonstrations 40% Completion of all required Clinical Proficiency Skills 10% Attendance/Assignments/Participation 10%

6. Grading Scale 93.100 A 73-76 C 90.92 A- 70-72 C- 87.89 B+ 67-69 D+ 83.86 B 63-66 D 80.82 B- 60-62 D- 77.79 C+ 0-59 F Note: When the decimal is .4 or below the grade is rounded down to the nearest whole number. If the decimal is .5 or above the grade is rounded up to the nearest whole number

7. Course Policies  *Attendance to all classes and labs is mandatory. Unexcused absences or tardiness will result in point deductions from the final course grade. Attendance is expected. More than two absences due to unavoidable emergency situations is considered excessive. Excellent attendance and class participation will affect borderline grades favorably. Poor attendance and not arriving prepared for class may negatively affect grades.  Exam absences: o Any student unable to take an exam at the regularly scheduled time AND is able to present an approved excuse for missing the exam, MUST notify the course instructor or the department secretary PRIOR TO THE TIME of the absence by voice mail message or email. Make-up exams will be administered at the earliest convenience, or during finals week. Unexcused absence or tardiness will result in point deduction from the exam grade.  Exams o Exams are written and practical type tests. The last exam is a unit test but is given during finals week and will contain some cumulative material. Exams are scheduled at logical breaks in the lecture material and dates are tentative. o Most of the material that will be on the exam will be covered in lecture. There will be sections or even chapters that the student will be required to read and may be on the exam. o Material covered in the lecture or as part of an assignment is eligible to be included on the exams. 3

8. Course Schedule Week Format Topic Week #1 Lecture Course Introduction Jan. 8 - 11 Chapter 1: How are therapeutic modalities related to one another? pp. 2-17 Lab Activity  Lab Introduction and Overview Week #2 Lecture Chapter 2: Using Therapeutic Modalities to affect the healing process, Jan. 15 - 18 pp. 18-31 Chapter 3: Managing pain with therapeutic modalities, pp. 32-53 Lab Activity No Class – Martin Luther King Holiday Week #3 Lecture Chapter 3: Managing pain with therapeutic modalities, pp. 32-53 Jan. 22 - 25 continued Chapter 4: Infrared Modalities, pp. 54-94 Lab Activity  Lab Manual Chapter 1: Guidelines for using physical agent modalities, pp. 1-6  Lab Manual Chapter 2: Patient Positioning, pp. 7-9

Assignment: Guidelines for using physical agent modalities Worksheet and Patient Positioning Worksheet Week #4 Lecture Chapter 4: Infrared Modalities, pp. 54-94 continued Jan. 29 – Review for Test I Feb. 1 Lab Activity Due: Guidelines for using physical agent modalities Worksheet and Patient Positioning Worksheet

 Lab Manual Chapter 6: Infrared Physical Agents – Thermotherapy, Cryotherapy, and Hydrotherapy

Assignment: Thermotherapy Worksheet, Cryotherapy Worksheet, Hydrotherapy Worksheet Week #5 Lecture Chapter 5: Therapeutic Ultrasound, pp. 95-138 Feb. 5 - 8 Chapter 5: Therapeutic Ultrasound, pp. 95-138 continued Lab Activity Due: Thermotherapy Worksheet, Cryotherapy Worksheet, Hydrotherapy Worksheet

TEST I Clinical Proficiency Demonstration I Week #6 Lecture Chapter 6: Shortwave and Microwave Diathermy, pp. 139-167 Feb. 12 - 15 Chapter 14: Low-Power Lasers, pp. 342-363 Lab Activity  Lab Manual Chapter 9: Therapeutic Ultrasound

Assignment: Direct Coupling, Bladder Coupling Worksheet, Underwater Coupling, Phonophoresis Worksheet 4

Week #7 Lecture Chapter 15: Ultraviolet Therapy, pp. 364-379 Feb. 19 -22 Chapter 10: Therapeutic Sports Massage, pp. 256-281 Lab Activity Due: Direct Coupling, Bladder Coupling Worksheet, Underwater Coupling, Phonophoresis Worksheet

 Lab Manual Chapter 5: Shortwave Diathermy, pp. 47-53  Lab Manual Chapter 7: Ultraviolet Therapy, pp. 118- 125  Lab Manual Chapter 8: Low-Power Laser, pp. 126- 131

Assignment: Shortwave Diathermy, Low-Power Laser, and Ultraviolet Therapy Worksheets Week #8 Lecture Chapter 11: Intermittent Compression Devices Feb. 26 – Chapter 12: Spinal Traction, pp. 297-323 March 1 Lab Activity Due: Shortwave Diathermy Worksheet, Low-Power Laser, and Ultraviolet Therapy Worksheets

 Lab Manual Chapter 12: Massage, pp. 152-158

Assignment: Therapeutic Sports Massage Worksheet Week #9 Lecture Guest Speaker: Lili Molina (Licensed Massage Therapist) March 5 - 8 Review for Test II Lab Activity Due: Therapeutic Sports Massage Worksheet

 Lab Manual Chapter 11: Intermittent Compression, pp. 146-151  Lab Manual Chapter 10: Manual Traction, pp. 141- 145

Assignment: Intermittent Compression Worksheet, Manual Traction Worksheet Week #10 Lecture Chapter 7: Basic Principles of Electricity, pp. 168-189 March 12 - Chapter 7: Basic Principles of Electricity, pp. 168-189 continued 15 Due: Intermittent Compression Worksheet, Manual Traction Worksheet

TEST II Clinical Proficiency Demonstration II Week #11 Spring Break Week #12 Lecture Chapter 8: Electrical Stimulating Currents, pp. 190-239 March 26 - Chapter 8: Electrical Stimulating Currents, pp. 190-239 continued 29 Clinical Proficiency Evaluation Form Completion Day Week #13 Lecture Chapter 9: Iontophoresis, pp. 240-255 April 2 - 5 Chapter 13: Biofeedback, pp. 324-341  Lab Manual Chapter 3: Electrical Stimulation – o Analgesia, pp. 10-19 o Muscle Reeducation, pp. 20-26 o Muscle Strengthening (Edema control), pp. 27-33

Assignment: Electrical Stimulation – Analgesia Worksheet, Muscle Reeducation Worksheet, and Muscle Strengthening (Edema control) Worksheet 5

Week #14 Lecture Review of Electrical Stimulation April 9 - 12 Review of Electrical Stimulation Lab Activity Due: Electrical Stimulation – Analgesia Worksheet, Muscle Reeducation Worksheet, and Muscle Strengthening (Edema control) Worksheet

 Lab Manual Chapter 3: Electrical Stimulation – Iontophoresis, pp. 34-40  Lab Manual Chapter 4: Biofeedback, pp. 41-46

Assignment: Iontophoresis Worksheet and Biofeedback Worksheet Week #15 Lecture Clinical Proficiency Evaluation Form Completion Day April 16 - Clinical Proficiency Evaluation Form Completion Day 19 Lab Activity Due: Iontophoresis Worksheet and Biofeedback Worksheet

TEST III Clinical Proficiency Demonstration III

9. Code of Academic Integrity As a student of this university, you are expected to: 1. be honest in your academic endeavors. 2. not represent someone else’s work as your own. 3. not cheat, nor aid in another’s cheating.

All students are deemed by the University to understand that if they are found responsible for academic misconduct, they will be subject to the Academic Misconduct procedures and sanctions, as outlined in the Student Handbook.

Upon notification by the student or University administrators, accommodations will be made for any person with a disability that needs special assistance.

The professor reserves the right to modify this course syllabus at any time. Students will receive verbal notification of such modifications.

10. Course Outcomes In order to demonstrate knowledge of the practice of athletic training, to think critically about the practices involved in athletic training, including the ability to integrate knowledge, skill and behavior, and to assume professional responsibility, the entry-level certified athletic trainer must plan, implement, document, and evaluate the efficacy of therapeutic modalities in the treatment of injuries to and illnesses of their patients.

The cognitive and psychomotor competencies and clinical proficiency should encompass multiple methods of therapeutic modalities in the following categories: a. Infrared modalities b. Electrical stimulation modalities c. Therapeutic ultrasound d. Mechanical modalities e. Massage and other manual treatment techniques 6

Cognitive Competencies

1. Describe the physiological and pathological processes of trauma, wound healing and tissue repair and their implications on the selection and application of therapeutic modalities used in a treatment and/or rehabilitation program.

2. Explain the principles of physics, including basic concepts associated with the electromagnetic and acoustic spectra (e.g., frequency, wavelength) associated with therapeutic modalities.

3. Explain the terminology, principles, basic concepts, and properties of electric currents as they relate to therapeutic modalities.

4. Describe contemporary pain-control theories.

5. Describe the role and function of the common pharmacological agents that are used in conjunction with therapeutic modalities.

6. Explain the body’s physiological responses during and following the application of therapeutic modalities.

7. Describe the electrophysics, physical properties, biophysics, patient preparation and modality set-up (parameters), indications, contraindications, and specific physiological effects associated with commonly used therapeutic modalities.

8. Identify appropriate therapeutic modalities for the treatment and rehabilitation of injuries and illness.

9. Describe the process/methods of assessing and reassessing the status of the patient using standard techniques and documentation strategies to determine appropriate treatment and rehabilitation and to evaluate readiness to return to the appropriate level of activity. This includes the ability to:

a. Describe and interpret appropriate measurement and assessment procedures as they relate to the selection and application of therapeutic modalities. b. Interpret objective measurement results as a basis for developing individualized therapeutic modality application and set-up (parameters). c. Interpret the results of injury assessment and determine an appropriate therapeutic modality program to return the patient to physical activity. d. Determine the appropriate therapeutic modality program and appropriate therapeutic goals and objectives based on the initial assessment and frequent reassessments. e. Determine the criteria for progression and return to activity based on the level of functional outcomes. 7

f. Describe appropriate methods of assessing progress when using therapeutic modalities and interpret the results. g. Interpret physician notes, postoperative notes, and physician prescriptions as they pertain to a treatment plan. h. Describe appropriate medical documentation for recording progress in a therapeutic modality program.

10. Identify manufacturer’s, institutional, state, and federal standards for the operation and safe application of therapeutic modalities.

11. Identify manufacturer’s, institutional, state, and federal guidelines for the inspection and maintenance of therapeutic modalities.

Psychomotor Competencies

1. Assess patient to identify indications, contraindications, and precautions applicable to the application of therapeutic modalities.

2. Obtain and interpret baseline and posttreatment objective physical measurements to evaluate and interpret results.

3. Inspect the therapeutic modalities and treatment environment for potential safety hazards.

4. Position and prepare the patient for the application of therapeutic modalities.

5. Select and apply appropriate therapeutic modalities according to evidence-based guidelines.

6. Document treatment goals, expectations, and treatment outcomes.

Clinical Proficiency

Synthesize information obtained in a patient interview and physical examination to determine the indications, contraindications and precautions for the selection, patient set-up, and evidence-based application of therapeutic modalities for acute and chronic injuries. The student will formulate a progressive treatment and rehabilitation plan and appropriately apply the modalities. Effective lines of communication should be established to elicit and convey information about the patient’s status and the prescribed modality(s). While maintaining patient confidentiality, all aspects of the treatment plan should be documented using standardized record-keeping methods.