FALL

Course: PTA.111 Therapeutic Exercise Lab ([syn #])

Meeting Days, Times, Location: [Day, time, location]
Course Start/End Dates: [Start and end dates]
Credit Hours: 2 Contact Hours: 6
Prerequisite(s): Admission to the Program
Co-requisite(s): PTA 105, PTA 106, PTA 110, PTA 115, PTA 116

Instructor Contact Information:

Instructor: [Instructor]
Office Location: [Location]
Office Hours: [Office Hours]
Phone: [Phone]
E-Mail: [Email]

Required/Recommended Textbook(s) and materials

Pierson & Fairchild’s Principles & Techniques of Patient Care, 5th Edition, Sheryl L. Fairchild, ISBN:
978-1455707041. (Required).
Fundamental Orthopedic Management for the Physical Therapist Assistant, 3rd Edition, Gary A.
Shankman, ISBN: 978-0-323-05669-4. (Required).

Additional materials in Moodle.

Course Description

This lab is coordinated with the lectures presented in Therapeutic Exercise. Students practice basic
therapeutic exercise and fitness techniques. Students implement flexibility, strength, endurance, relaxation,
and coordination programs. Students will also practice patient mobility with transfer techniques,
wheelchairs, and assistive devices. Posture assessment and proper body mechanics are emphasized.

Learning Outcomes

Upon completion, the student will meet the following learning outcomes. Information in parentheses
identifies the associated Commission on Accreditation in Physical Therapy Education (CAPTE) Standards
and Required Elements.

1. Competently and safely perform the following physical therapy interventions or assessments:
1.1. Body mechanics (7D23D)
1.2. Lifting, reaching, pushing, and pulling techniques (7D23D)
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 1.3. Normal posture assessment and training (7D23D/7D24J/7D24K)
1.4. Wheelchair mobility (7D24D/7D24E)
1.5. Bed mobility (7D24D)
1.6. PROM/AAROM/AROM/RROM including PNF diagonals (7D23E/7D24G)
1.7. Basic exercise and manual resistance exercise (7D23H)
1.8. Stretching techniques (7D23H)
1.9. Transfer techniques (7D23D)
1.10. ROM and exercise equipment (7D23H)
1.11. Gait training with assistive devices (7D23B/7D23E/7D24D)
1.12. Aerobic endurance training, vital signs monitoring, and rating of perceived exertion assessment
(7D23H/7D24A)
2. Write an accurate illustration of the student performing proper body mechanics and posture during
physical therapy interventions.
3. Explain comprehensively the treatment interventions the student plans to provide based on POC and the
expected positive effect toward goals. (7D17)
4. Appropriately recognize when an intervention should not be performed due to clinical indications or
when the direction to perform the intervention is beyond what is appropriate for the PTA. (7D21)
5. Engage in accurate wheelchair assessment. (7D24E)
6. Practice identifying wheelchair components properly.
7. Describe accurately the potential adverse patient effects of an improper wheelchair fit. (7D24D /7D24F)
8. Choose the proper type of wheelchair for a given patient scenario. (7D23D7D24E)
9. Write safe and accurate instructions for the following patient education: (7D7/7D12/7D23G/7D27)
9.1. Posture (7D24K)
9.2. Body mechanics (7D23D)
9.3. Lifting (7D23D)
9.4. Pushing and pulling (7D23D)
9.5. Transfers (7D23D)
10. Correctly write spinal movements to avoid during lifting activities. (7D23D)
11. List correct positions of body alignment in proper posture. (7D24K)
12. Practice proper use of hospital and patient equipment. (7D23B/7D23D/7D24D)
13. Describe the appropriate progression of physical therapy interventions.
14. Perform the appropriate progression of physical therapy interventions per plan of care established by the
physical therapist. (7D9/7D19)
15. Express and list the precise indications, precautions, and contraindications for physical therapy
interventions in a patient scenario. (7D21)
16. Monitor the response and correctly adjust interventions within a treatment session according to the POC
using current knowledge and clinical judgment. (7D9/7D19)
17. Report accurate progress or change in status during treatment sessions to the instructor. (7D20)
18. Engage in safe and independent wheelchair mobility in a community setting. (7D23B/7D23D)
19. Reflect on and relate the impact of wheelchair use on a patient/client in the community.
20. Compose accurate documentation reporting on physical therapy treatment sessions for a given patient
scenario. (7D25)
21. Locate and clearly report on emergency equipment and procedures including safety hazards within the
building. (7D25/7D27)
22. Appropriately describe aspects of possible emergent situations and the appropriate response. (7D26)
23. Describe and clearly differentiate between concentric and eccentric exercise. (7D23H)
24. Describe and accurately differentiate between open and closed kinetic chain exercise. (7D23H)
25. Implement an appropriate exercise program, per POC, explain the rationale and progression for each
exercise. (7D7/7D12/7D23G/7D23H)
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26. Predict the correct outcomes resulting from exercises the student has chosen for a patient scenario.
27. Accurately calculate a target heart rate for aerobic endurance and conditioning exercise session, using
the Karvonen Method.
28. Engage in accurate assessment of vital signs as part of an aerobic endurance and conditioning exercise
session and tilt table activities. (7D24A)
29. Correctly estimate heart rate using the Borg Rating of Perceived Exertion scale.
30. Determine rightly whether or not vital signs demonstrated a normal response to exercise. (7D24A)
31. Concisely list the steps for, and check, the safety of equipment and environment prior to using with a
student.
32. Using proper procedures, practice preambulation activities with the following: (7D23F)
32.1. Tilt table
32.2. Parallel bars
32.3. Ambulation assistive devices
33. Recite and describe an effective plan for the treatment and progression of interventions per POC to
achieve short and long term goals and intended outcomes. (7D17)
34. Communicate a treatment plan in an appropriate and effective manner, with consideration for a patient’s
differences and preferences. (7D8)
35. Prepare and effectively deliver an accurate media presentation on an assigned pathological or
musculoskeletal condition. (7D7)
36. Correctly practice relaxation techniques with classmates. (7D26)

Teaching Methods: demonstration and facilitated lab practice, discussion, problem solving activities and
activities.

Master Course Proficiencies for PTA 111 MMCC Students:

The master course proficiencies of the lecture course PTA 110 are directly tied to the corresponding lab
course PTA 111.

Master Course Proficiencies for PTA 111 MMCC Students:

Specialized Knowledge: (Competencies/lab practicals)
1. Students will demonstrate competency in performance of basic exercise and patient care.

Intellectual Skills: (Competencies/lab practicals)

1. Students will use hospital and assistive device equipment safely in physical therapy interventions,
monitor student’s responses, and modify exercise or transfer interventions as needed. (Analytic
Inquiry)
2. Students will demonstrate the proficiencies of communication according to discipline specific
content. (Communicative Fluency)

Applied and Collaborative Learning: (Competencies/lab practicals)

1. Student will demonstrate competency in performance of basic exercise and patient care.

Delivery Modes: this is a hands-on lab class offered at specific scheduled times.
Academic Integrity Statement

Students have an obligation to abide by accepted standards of academic honesty which dictate that all
scholastic work shall be original in nature. As a point of academic integrity, students are required to submit
original material of their own creation. Plagiarism of any material and cheating are serious offenses and
can result in failure of the course or dismissal from the College.
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Academic Dishonesty

No student shall:

1. Share or obtain exam questions or material not authorized by the instructor.

2. Complete exams or performance elements of a course for another student or have someone else
complete it for them.

Plagiarism

Plagiarism is using another’s ideas as one’s own.

Plagiarism has two forms, unintentional and intentional. Unintentional plagiarism is usually the result of
students being unfamiliar with the academic conventions of citation and documentation. Intentional
plagiarism is the result of students knowingly submitting the work of others as their own. This includes, but
is not limited to:

1. Copying someone else’s work.

2. Using exact quotations without proper citation.
3. Buying papers (e.g. on the internet).
4. Including paraphrased material without acknowledging its source.

All acts of plagiarism and academic dishonesty will first be dealt with by the instructor. Penalties may
range from revision to failing the assignment or the course. Instructors must report all acts of intentional
dishonesty or plagiarism, or any penalty resulting in a failure of the course, to the Registrar. Repeated
violations may result in further discipline, up to and including dismissal. Students may appeal any grade
affected by a charge of academic dishonesty or plagiarism through the Grade Grievance Procedure.

ADA Statement

State and federal laws prohibit discrimination against individuals with disabilities. Mid Michigan
Community College’s Office of Human Resources coordinates the College’s compliance with these state
and federal nondiscrimination laws, including the Federal Vocational Rehabilitation Act of 1973, the
Federal Americans with Disabilities Act, and the amended Michigan Handicappers Civil Rights Act. The
Office of Human Resources is also the grievance office designated to handle any complaints or concerns
regarding the College, its programs, procedures or employees. If you believe that a violation or potential
violation of these state or federal nondiscriminatory laws has occurred, is occurring, or will occur, please
notify the Department of Human Resources, Mid Michigan Community College, 1375 S. Clare Avenue,
Harrison, MI 48625; or by phone at (989) 386-6621.

Support Services

Refer to the Mid Michigan Community College Catalog or web site at www.midmich.edu for support
services available for students. It is recommended that students take advantage of the resources available to
assist them in being successful in their program of study.

Student Responsibilities

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Students are bound by all policies of Mid Michigan Community College and should familiarize themselves
with these through reading the catalog and student handbook.

Students are expected to be adequately prepared for each class session. It is reasonable to expect at least
two hours of outside study for every hour spent in the classroom.

Students are expected to assist in maintaining a classroom environment that is conducive to learning.
Therefore, free discussion, inquiry, and expression are encouraged. Behavior that interferes with the
instructor’s ability to conduct the class or the ability of students to benefit from that instruction is not
acceptable.

Scheduled Class Meeting Times

The state of Michigan dictates minimal contact hour requirements that are rigidly upheld by the College.
Some of that instructional time is used for tests. The college’s expectation is that classes will meet for the
entire assigned time.

Class Preparedness

This is the responsibility of the student. Students are expected to read the assigned chapters prior to or
following the lecture.

Professional Behavior, Attendance & Promptness

There are 25 points for professional behavior, attendance and promptness provided at the beginning of the
course. If a student is late or absent, it is their responsibility to call/E-mail the instructor to report the
absence or tardiness, and it is the student’s responsibility to refer to the syllabi and/or Moodle for
assignments/class material(s) and complete their work by the due date. Three (3) points will be deducted
for an absence episode without telephone call/E-mail to the instructor; two (2) points will be deducted for
an absence episode with telephone call/E-mail, and one (1) point will be deducted for a tardy beyond 10
minutes of class start time. Two (2) points will be deducted for a student leaving early without an
approved excuse and one (1) point for a student leaving early with an approved excuse. All students must
abide by the Values-Based Behaviors for the Physical Therapist Assistant and the APTA Standards of
Ethical Conduct for the Physical Therapist Assistant. Three (3) points per infraction will be deducted for
lack of compliance with these behaviors and a Professional Development Plan (PDP) will be required.
**Lack of compliance with the Values-Based Behaviors for the Physical Therapist Assistant and the APTA
Standards of Ethical Conduct for the Physical Therapist Assistant is at the discretion of your instructor.

Assignments

All assignments must be turned in on the due date. Instructions for each assignment will be given either
verbally from each instructor, via E-mail, or posted in Moodle. Details on how each assignment will be
turned in are dependent on the instructor and will be included in the instructions. If assignments are to be
turned in at the beginning of each class, they are considered late 10 minutes after the class begins. If
assignments are to be uploaded on Moodle, they are considered late 10 minutes after the specified due date
and time. If a student is late or absent, it is the student’s responsibility to refer to the syllabi and/or Moodle
for assignments/class material(s). Late assignments will receive a 10% point reduction of total point value

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per week beginning 10 minutes after the assignment is due. After two weeks, students will be given a 0 for
a late assignment, and it will no longer be accepted for grading.

Post-Exam Review Process

Students that wish to challenge an exam question will complete the “Exam Review Form” without input
from others. Students will have one week to return the form to the instructor providing rationale and
references to support the challenge. The instructor will review the forms, make decisions, and inform the
students. If a student requires further assistance, attendance at office hours or time by appointment may be
arranged to discuss the material in person to promote lifelong learning.

Make-Up Policy

This requires the student to make arrangements with the instructor to take the exam/quiz at a later date. A
10% reduction of total points will be taken off the exam/quiz score when taken late.

Classroom Behavior

Students are expected to follow the following classroom rules:

1. Cell phones off. You can make calls and check messages during your breaks.
2. Courtesy and mutual respect is required. If the instructor or another classmate is talking, please
listen to them. Please save your private comments and conversations for outside of class.
3. Laptops are permitted in class for note taking only. Surfing the web is not permitted unless directed
to do so by the instructor.
4. Please refrain from leaving the class unless absolutely necessary – you may miss vital information.
5. Please ask questions. If you are uncomfortable asking aloud, please write it down, and questions
will be taken at the end of class.
6. No food will be allowed in the PTA Skills Lab, only water bottles or covered drinks.
7. The College’s and the PTA Program’s policies for inappropriate student conduct and disciplinary
action will apply to the classroom.

Competencies

Students have three opportunities to pass each competency. If a student fails a second time, a Professional
Development Plan (PDP) will be developed with faculty in order to ensure competence in the skill and in
clinic. Once the PDP is developed and implemented, the student will have one week to re-take the
competency for the third and final time. If at this point the student does not pass, the student will fail the
course. All competencies must be passed in order to receive a passing grade for the class and be allowed to
advance to the next semester’s classes. Competencies are graded pass/fail; see individual rubric for
pass/fail requirement of each competency.

Partners will be randomly drawn just prior to performance of the competency.

Critical Safety Element(s)

Critical safety element(s) with an asterisk (*) must be passed individually for each competency and lab
practical. Failure to perform a critical safety element will result in automatic failure of the competency/lab
practical.

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Lab Practical

Each lab practical must be passed with an 80%. If students do not individually pass the critical safety
element(s) and/or pass the lab practical with an 80%, the lab practical must be retaken. Students have two
opportunities to pass each lab practical. If you do not pass the second and final time, you will fail the
course.

All lab practicals will have a time limit to ensure interventions/skills are performed with effective time
management skills and to simulate clinical education situations. This will be determined by each instructor
and for each lab practical. The time limit and practical grading rubric will be provided to the student at
least one week prior to the lab practical. Two points will be deducted from the student’s score for each
minute over the time limit.

Partners for lab practicals will be randomly drawn at least one week prior when times are assigned.

Final Attempt Competencies/Lab Practicals

During the final attempt (competency third attempt, lab practical second attempt), two instructors will be
present and grade for that attempt.
• The instructors will use the provided rubric to determine pass/fail for competencies.
o On the final attempt, both instructors must grade the student as passing for the competency
to pass and continue in the course.
o If the student fails a competency for the third time, the student will not be allowed to
continue in that course and will receive an F in that course.
• The instructors will use the provided rubric to determine a grade for the lab practical.
o Students must have an 80% graded by both instructors on the final lab practical attempt and
pass all safety elements to continue in the course.
o Students will be awarded an 80% for a grade of the lab practical. The rubrics will be scored
for all practical attempts to provide adequate documentation and feedback to the student, but
an 80% is the maximum grade awarded if a lab practical is taken twice.
o If the student fails a lab practical for the second time, the student will not be allowed to
continue in that course and will receive an F in that course.

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Grading Criteria:

Assessments Points
Case Study 50
Homework 25
Presentation 25
Midterm Lab Practical 100
Final Lab Practical 100
Professional Behavior, Attendance & Promptness 25
Competencies Pass/Fail
Total Points: 325

Grading Scale:

Percent Grade
95 -100 A
90-94 A-
87-89 B+
84-86 B
80-83 B-
77-79 C+
74-76 C
70-73 C-
67-69 D+
64-66 D
60-63 D-
59 & below F
NOTE: A B- is required to pass this course and proceed to the next semester.

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 PTA 111 - THERAPEUTIC EXERCISE LAB SCHEDULE
WEEK TOPICS PRE-ASSIGNMENT ACTIVITIES DUE

Chapter 21 of
Standing/sitting posture, lifting,
Week 1 Posture Clinical Kinesiology
pushing/pulling, and reaching
Body Mechanics and Anatomy
assessments
Chapter 4 (Principles)

Wheelchair Assessments Wheelchair assessments,

Week 2 Speaker: Roger Boylan, Chapter 7 pp. 133-147 confirmation of fit, and use of
CRTS Saginaw Medical (Principles) components
Supply COMPETENCIES

Wheelchair assessments
continued, wheelchair mobility
Week 3 Wheelchair Mobility Chapter 7 pp. 147-168 on ramps, through doors, and
FIELD TRIP TO (Principles) in/out elevators. Scavenger
WALMART hunt for retail items
COMPETENCIES

Scavenger hunt for fire

extinguishers, AEDs,
Wheelchair Mobility cont.
Week 4 Chapter 6 (Principles) evacuation routes, pull stations,
Safety Scavenger Hunt
Presentation assigned emergency procedures.
PROM demonstration
Intro to PROM.
COMPETENCIES

Chapter 6 (Principles) PROM/AAROM/AROM Ex.,

PROM/AAROM/AROM
Week 5 Chapter 4, pp. 60-68 PNF Diagonals, OKC and
PNF
(Fundamental) CKC UE and LE
Diagonals
OKC and Case Study assigned COMPETENCIES
CKC

Week 6 Bed Mobility and

Chapter 8 (Principles) COMPETENCIES
Transfers in Nursing CSC
and PTA lab

Transfers continued
Isometrics Chapter 6 (Principles) Isometrics
Week 7 Isotonics – and Chapter 4 Isotonics – concentric/eccentric
Concentric/Eccentric Open- (Fundamentals) on Patient scenarios
and Closed-Kinetic Chain Isotonic/Isometric COMPETENCIES
Isometrics

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 Endurance, Vital Signs, Chapter 5 Treadmill, NuStep,
Week 8
and Endurance Exercise (Fundamental) HR/BP/RR measures, Borg CASE STUDY
Prescription Chapter 3, pp. 54-64 RPE, Karvonen Method for
(Principles) THR calculation
COMPETENCIES

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 Week 9
MIDTERM LAB MIDTERM LAB PRACTICAL
PRACTICAL

Manual resistance with

Week 10 concentric, eccentric, and PNF
Manual Resistance Exercise Readings in Moodle
diagonals exercises
COMPETENCIES

Tilt table; gait training with

walkers, crutches, canes, while
Assistive Devices, Tilt Chapter 9 (Principles) managing oxygen lines/tanks,
Week 11
Table and Gait Patterns IV lines/poles and urinary
catheters
COMPETENCIES

Week 12 RESEARCH
Research Presentations Assignment COMPETENCIES
PRESENTATI
ON

Week 13
FIELD TRIP TO COMPETENCIES
MCLAREN
Chapter 3 Manual stretching techniques
Week 14 Flexibility, Stretching
(Fundamental) Relaxation techniques ASSIGNMENT
& Relaxation
Readings in COMPETENCIES
Techniques
Moodle

Practice patient treatment

sessions in exercise/gait
Patient Scenarios
Practice for selection, exercise progression,
Week 15 SPA Certificates lab practical and assessment for meeting
goals
COMPETENCIES

Week 16 FINAL LAB PRACTICAL,

FINAL LAB PRACTICAL
COMPETENCIES, AND RE-
TAKES

Reservation Statement

The instructor reserves the right to make adjustments to this syllabus as needed.

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