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ADVENTIST MEDICAL CENTER COLLEGE

School of Allied Health and Medical Sciences


Department of Physical Therapy
COURSE SYLLABUS

Therapeutic Exercises for Surgical, Neurological and Developmental Pediatric Condition

Bachelor of Science in Physical Therapy


First Semester 2014-2015

College Vision
We are a God-centered higher learning institution that offers a well-balanced and holistic Adventist education.

College Mission
An institution of learning that produces globally prepared graduates for excellent service to God and humanity.

College Core Values


A – Academic Integrity and Accessibility
M – Moral Uprightness and Motivation
C – Consistency and Creativity
C – Commitment and Compassion

Department’s Vision
To become an accredited Adventist paramedical course that will meet the Physical Therapy standards and practices
in the local, national, and international community.

Department’s Mission
To equip all physical therapy students with humane attitude and necessary knowledge and skills providing excellent
manpower in the educational, research, and clinical settings.

COURSE INFORMATION
Course Description:
This course deals with the theories and techniques of specialized exercise specific to neurologic and developmental
pediatric conditions.

Course Objectives
Apply appropriate principles and techniques of therapeutic exercise effectively and efficiently in treatment of
neurologic and developmental pediatric conditions

Methodology:
Discussion, oral and written reports, lecture-demonstration, return-demonstration, case studies, role-playing,
worksheets, library work
Texbook/s:
Adler, S, et al. PNF in Practice: An Illustrated Guide, 1st ed., New York: Springer-Verlag.,
1993.

Barry, M. “Evidence-Based Practice in Pediatric Physical Therapy.” PT Magazine. APTA


Continuing Education Series. 2001; 22: 38-5.

Bobath, B. Adult Hemiplegia: Evaluation and Treatment, 2nd ed., London: Beddles Ltd.,
Guilford and King’s Lynn, 1984.
Braddom, R. Physical Medicine and Rehabilitation, 2nd ed., Philadelphia: W. B. Saunders
Co., 2000.

Course Number: RSPT 423


Unit Credit: Lecture 2 units; Laboratory 2 units
Venue and SCHEDULE: MB 101; MW 1:30 – 4:30 PM

FACULTY INFORMATION

Name: Pretzel K. Zuniga, Ph.D., PTRP


Degree/s: Physical Therapist, MA Education (Curriculum and Instruction), PhD Biology (Molecular
Biology/Physiology)
Contact No.: (063) 221-9219 local 813 (office)
Email: z_pretzel@yahoo.com

Academic Counseling Schedule: Monday and Wednesday 10-11 AM and Thursday 1-4 PM; you may also reach me
by phone as listed above or through email which I will check a few times daily. I will respond to you as soon as
possible.
SCOPE AND SEQUENCE

Date Topics/Concepts Learning Outcomes IFL Focus


Pre-Lim: Jun. UNIT I
9- Jul. 6, I. Motor Control 1. Identify the theoretical basis
2014-15 A. Theoretical Basis of Treatment treatment concepts.
Concepts
1. Background 2. Inspect the background, issues and
2. Issues and Models of Motor models of motor control.
Control
B. Assessment of Motor Function 3. Distinguish the assessment of
C. Strategies to Improve Motor motor function and strategies to
Control and Motor Learning improve motor learning.
II. Introduction to Different 4. Apply and identify the correct
Specialized Techniques proprioceptive neuromuscular
A. Proprioceptive Neuromuscular facilitation.
Facilitation
1. Definition of Key Terms 5. Distinguish the key terms, history,
2. Brief History of PNF theory and the principle of
3. Theory and Principles of PNF proprioceptive neuromuscular
facilitation.
4. PNF Patterns and Techniques 6. Practice the PNF patterns,
5. Basic Procedures and Techniques techniques and the basic procedures.
in PNF
6. Specific Techniques in PNF 7. Perform and distinguish the
7. Applications of PNF in Different specific techniques in different
Conditions condition of PNF.
B. Rood’s Technique 8. Familiarize the rood’s technique
1. Functional Mobility Skills their functional mobility skills, rood’s
2. Rood’s Ontogenetic ontogenetic developmental motor
Developmental Motor Patterns patterns and inhibitory technique.
3. Inhibitory Techniques
4. Facilitatory Techniques 9. Apply facilitatory technique and
C. Neurodevelopmental Technique neurodevelopmental technique of
of Bobath bobath.
1. Basic Principles of NDT 10. Describe the basic principles of
2. Normal Motor Development NDT.
3. Reflex Inhibitory Postures/Patterns 11. Use reflex inhibitory
4. Key Points of Control postures/pattens.
5. NDT Treatment Techniques 12. Evaluate the treatment technique
6. NDT Treatment Approach for CVA of NDT and treatment approach for
D. Brunnstrom Techniques: CVA.
1. Theory and Principles of 13. Identify the theory and principles
Brunnstrom of Brunnstorm.
2. Stages of Recovery in CVA 14. Formulate the CVA stages
3. Brunnstrom Technique for CVA recovery and Brunnstorm technique
LABORATORY for CVA.
Mid-Term: UNIT II
July 10- Aug. III. Cerebrovascular Accident 15. Use motor, sensory, cognitive
5, 2014-15 A. Motor, Sensory, Cognitive, and and communication problem in
Communication Problems in CVA cerebrovascular accident.
B. Assessment Procedures in 16. Document the CVA assessment
Evaluation of CVA procedures in evaluation.
C. Physical Therapy Plan of Care in 17. Select the best CVA for physical
CVA therapy plan care.
D. Transfer Techniques in CVA
E. Preambulation and Ambulation 18. Perform the techniques of
Techniques perambulation and ambulation.
IV. Motor Learning and Relearning 19. Apply the motor learning and
A. Carr and Shepherd relearning.
B. Conductive Education 20. Use the conductive education.
V. Traumatic Brain Injury 21. Give the reason of traumatic
A. Stages of Recovery According to brain injury and the stages of
RLA Cognitive Scale recovery according to RLA cognitive
scale.
B. PT Assessment Techniques in 22. Practice the techniques in
Traumatic Head Injury assessment in traumatic head injury.
C. PT Treatment Strategies in 23. Apply the PT strategies treatment
Traumatic Head Injury in traumatic head injury.
LABORATORY

Semi-final: UNIT III


Aug. 9-Sept. VI. Spinal Cord Injury 24. Distinguish the spinal cord injury
9, 2014-15 A. Levels of SCI and the level;
B. PT Treatment Program for SCI 25. Inspect the PT treatment
C. Treatment Techniques in the program for spinal cord injury and
Late Stages of SCI the techniques.
D. PT Management According to 26. Evaluate the management
Level of SCI according to level of spinal cord
injury.
E. Preambulation and Ambulation 27. Perform the activities of
Activities perambulation and ambulation.
VII.Multiple Sclerosis
A. Course, Clinical Symptoms, 28. Check and identify the factors of
Prognostic, and Exacerbating Factors multiple sclerosis such as course,
of MS clinical symptoms and exacerbating.
B. Assessment procedures in MS 29. Formulate the multiple sclerosis
in assessment procedures.
C. PT Plan of Treatment in MS 30. Translate the PT plan treatment
VIII. Parkinson’s Disease in multiple sclerosis.
A. Clinical Signs and 33. Inspect the clinical signs and
Manifestations of Parkinson’s manifestation of Parkinson’s disease.
Disease
B. Stages of Progression of Disease 34. Test the stages of progression of
and Disability Staging diseases and disability staging.
C. Assessment Procedure 35. Give the correct assessment
Parkinson’s Disease procedure in Parkinson’s disease
D. PT Management in Parkinson’s 36. Identify the Parkinson’s disease in
Disease PT management.
IX. Pediatric Rehabilitation 37. Evaluate the pediatric
A. History and Examination rehabilitation.
B. Normal Human Movement 38. Demonstrate the normal human
C. Basic Component of Normal movement and the basic component
Movement of normal movement.
D. Growth and 39. Differentiate the growth and
Development/Developmental developmental milestones from birth
Milestones from Birth to Age 8 Years to age 8 years.
LABORATORY
Finals: Sept. UNIT IV
13- Oct. 9, E. Specific Pediatric Conditions 40. Apply specific pediatric condition
2014-15 1. Cerebral Palsy and explain the cerebral palsy.
a. Characteristics of CP Types, and 41. Combine the characteristic of CP
Etiologic Factors types, and etiological factors.
b. Motor, Sensory, Cognitive, 42. Construct motor, sensory,
Social, and Communication Problems cognitive, social, and communication
of CP Patients problems of CP patients.
c. Assessment Procedures in the 43. Use the correct assessment
Evaluation of a CP Patients procedure in the evaluation of CP
d. PT Plan of Care for the CP patient.
Patient
e. NDT Treatment Approach in the 44. Identify the other treatment
Treatment of CP approaches in the management of
f. Other Treatment Approaches in CP.
the Management of CP 45. Chose other treatment
2. Spina Bifida approaches in the management of CP
a. Epidemiology, Prenatal 46. Inspect the epidemiology,
Diagnosis Pathogenesis and Clinical prenatal, diagnosis pathogenesis and
clinical.
Types of Spina Bifida 46. Compare the types of spina bifida
b. Clinical Signs and Course of their differences.
c. Assessment Procedures in the 47. Apply the correct assessment
Evaluation of a Spina Bifida Patient procedures in the evaluation of spina
d. Physical Therapy Interventions bifida and physical therapy
interventions.
3. Traumatic Brain Injury
a. Mechanism of Injury / Fracture 48. Give the correct reason of a
in a Growing Skull traumatic brain injury
b. Common Motor and Sensory 49. Use the common motor and
Deficits sensory deficits properly.
c. Common Cognitive Deficits 50. Collect common cognitive
deficits.
d. Medical Conditions Associated 51. Give the correct medical
with Traumatic Brain Injury condition associated with the
traumatic brain injury.
e. PT Assessment Techniques in 52. Apply PT assessment techniques
Traumatic Head Injury in traumatic head injury.
f. Physical Therapy Interventions 53. Choose physical therapy
1) Early Rehabilitation interventions.
2) Inpatient rehabilitation 54. Identify the inpatient
3) Community Reintegration rehabilitation.
4. Spinal Cord Injury 55. Restate the cause of spinal cord
a. Incidence and Prevalence; injury.
Demographics
b. Etiologic Factors by Age 56. Identify the etiologic factors by
age.
c. PT Treatment in the Early and 57. Give the correct treatment in
Late Stages of SCI early stage and late stages of spinal
cord injury.
d. Equipment and Environmental 58. Select the appropriate equipment
Factors In Children with SCI and environmental factors in children
e. Special Considerations in High with spinal cord injury.
Tetraplegia
5. Neuromuscular Diseases 59. Give correct treatment for
a. Evaluation and Assessment of neuromuscular disease and evaluate
Neuromuscular Disorders the neuromuscular disorder.
b. Specific Neuromuscular 60. Check the specific neuromuscular
Diseases disease.
c. PT Management of Childhood 61. Value the physical therapy
Neuromuscular Diseases management of childhood
6. Pediatric Limb Deficiencies neuromuscular disease.
a. Etiology 62. Illustrate a pediatric and
b. Congenital Limb Deficiency congenital limb deficiency and give
c. Acquired Amputations the right information to the patient.
d. PT Assessment and Treatment 63. Choose the right acquired
7.Burn Injuries in Children amputation.
a. Physiologic Parameters in 64. Distinguish burn injuries and
Burned Children physiologic parameters in burned
b. Function and Structure of Skin children.
c. Burn Classification in Children -65. Recognize the function and
d. PT Assessment and Evaluation structure of the skin.
e. PT Treatment 66. Give correct physical therapy
LABORATORY treatment of patient’s condition.

GRADING SYSTEM
A passing grade of 75% or D (letter grade); = (Raw Score/Perfect score) X 100
Students’ Grade: (LECTURE) 60%
 Based on Classroom Performance (60%) in terms of:
a. Quizzes (long/short): 35%
b. Assignments: 5%
c. Attendance : 10%
d. Class participation: 10%
 And Major Exams, which includes Prelim. Midterm, Semifinal, and Final Exams (40%)
Students’ Grade: (LABORATORY) 40%
 Based on Laboratory Performance (60%) in terms of:
- Quizzes (long/short): 10%
- Lab Demo: 30%
- Attendance : 10%
- Materials/equipment: 10%
 And Major Practical/Return Demo Exams conducted on or before Prelim. Midterm, Semifinal,
and Final Exams (40%)
Students’ OVERALL Grade:
 Classroom/Laboratory Performance Overall Percentage (60%) + Major/Practical Exams
Percentage (40%) = 100%
 LECTURE (60%) + LABORATORY (40%) = 100%
 Final Grade = (Prelim + Mid Term + Semi Final + Final)/4

COURSE POLICIES

1. Attendance:
a. Should have at least 80% of attendance (maximum of 7 consecutive absences), the student will be
given a grade of FA for the final semestral grade.
b. More than 30 minutes late is considered absent
c. Students with perfect attendance will have additional merits
2. Passing rate is 75 % (professional subject)
a. No removal exam will be given to students who will able to reach the passing grade
3. Quizzes:
a. No special quizzes will be given for late and absent students

REFERENCES

Adler, S, et al. PNF in Practice: An Illustrated Guide, 1st ed., New York: Springer-Verlag.,
1993.

Barry, M. “Evidence-Based Practice in Pediatric Physical Therapy.” PT Magazine. APTA


Continuing Education Series. 2001; 22: 38-5.

Bobath, B. Adult Hemiplegia: Evaluation and Treatment, 2nd ed., London: Beddles Ltd.,
Guilford and King’s Lynn, 1984.

Braddom, R. Physical Medicine and Rehabilitation, 2nd ed., Philadelphia: W. B. Saunders


Co., 2000.
Davies, PM. Steps to Follow: Guide to the Treatment of Adult Hemiplegia, 1st ed., New
York: Springer-Verlag, 1985.

De Lisa, JA. Rehabilitation Medicine: Principles and Practice, 3rd ed., Philadelphia:
Lippincott-Raven Publishers, 1998.

Hall, CM and Brody, LT. Therapeutic Exercise: Moving Towards Function, 2nd ed.,
Philadelphia: Lippincott, Williams, Wilkins, 2005.

Kisner, C. and Colby, L.A.: Therapeutic Exercise: Foundations and Techniques, 4th ed.,
Philadelphia: FA Davis Co., 2002.

Levitt, S. Treatment of Cerebral Palsy and Motor Delay. 3rd ed., New York: Mc Graw-
Hill, Inc. 1995.

Molnar, G and Alexander, M. Pediatric Rehabilitation, 3rd ed., Philadelphia: Hanley and
Belfus, 1999.

O’Sullivan, SB and Schmitz, TJ. Rehabilitation: Assessment and Treatment, 4th ed.,
Philadelphia: FA Davies Co., 2001.

Sawner, K and La Vigne J. Brunnstrom’s Movement Therapy in Hemiplegia: A


Neurophysiological Approach, 2nd ed., Philadelphia: J.B. Lippincott Co., 1992.

Voss, D and Knott, M. PNF: Patterns and Techniques, 3rd ed., Boston., MA: Allyn and
Bacon, 1996.

Wolf, S. Clinical Decision-Making in Physical Therapy, 1st ed., Philadelphia: F.A. Davis
Co., 1985.

Prepared by: Approved by:

Pretzel K. Zuniga, Ph.D., PTRP Dr. Pretzel Zuñiga, PTRP


Instructor Dean/Chairperson, PT

Dr. Ian C. Abordo, VPAA


Quality Assurance Personnel