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
2014-15 A. Theoretical Basis of Treatment
Concepts
1. Background
2. Issues and Models of Motor
Control
B. Assessment of Motor Function
C. Strategies to Improve Motor
Control and Motor Learning
II. Introduction to Different
Specialized Techniques
A. Proprioceptive Neuromuscular
Facilitation
1. Definition of Key Terms
2. Brief History of PNF
3. Theory and Principles of PNF
4. PNF Patterns and Techniques
5. Basic Procedures and Techniques
in PNF
6. Specific Techniques in PNF
7. Applications of PNF in Different
Conditions
B. Rood’s Technique
1. Functional Mobility Skills
2. Rood’s Ontogenetic
Developmental Motor Patterns
3. Inhibitory Techniques
1. Identify the theoretical basis
treatment concepts.
2. Inspect the background, issues and
models of motor control.
3. Distinguish the assessment of
motor function and strategies to
improve motor learning.
4. Apply and identify the correct
proprioceptive neuromuscular
facilitation.
5. Distinguish the key terms, history,
theory and the principle of
proprioceptive neuromuscular
facilitation.
6. Practice the PNF patterns,
techniques and the basic procedures.
7. Perform and distinguish the
specific techniques in different
condition of PNF.
8. Familiarize the rood’s technique
their functional mobility skills, rood’s
ontogenetic developmental motor
patterns and inhibitory technique.
 4. Facilitatory Techniques
C. Neurodevelopmental Technique
of Bobath
1. Basic Principles of NDT
2. Normal Motor Development
3. Reflex Inhibitory Postures/Patterns
4. Key Points of Control
5. NDT Treatment Techniques
6. NDT Treatment Approach for CVA
D. Brunnstrom Techniques:
1. Theory and Principles of
Brunnstrom
2. Stages of Recovery in CVA
3. Brunnstrom Technique for CVA
LABORATORY
Mid-Term: UNIT II
July 10- Aug. III. Cerebrovascular Accident
5, 2014-15 A. Motor, Sensory, Cognitive, and
Communication Problems in CVA
B. Assessment Procedures in
Evaluation of CVA
C. Physical Therapy Plan of Care in
CVA
D. Transfer Techniques in CVA
E. Preambulation and Ambulation
Techniques
IV. Motor Learning and Relearning
A. Carr and Shepherd
B. Conductive Education
V. Traumatic Brain Injury
A. Stages of Recovery According to
RLA Cognitive Scale
B. PT Assessment Techniques in
Traumatic Head Injury
C. PT Treatment Strategies in
Traumatic Head Injury
LABORATORY
Semi-final: UNIT III
Aug. 9-Sept. VI. Spinal Cord Injury
9, 2014-15 A. Levels of SCI
B. PT Treatment Program for SCI
C. Treatment Techniques in the
Late Stages of SCI
D. PT Management According to
Level of SCI
E. Preambulation and Ambulation
Activities
VII.Multiple Sclerosis
9. Apply facilitatory technique and
neurodevelopmental technique of
bobath.
10. Describe the basic principles of
NDT.
11. Use reflex inhibitory
postures/pattens.
12. Evaluate the treatment technique
of NDT and treatment approach for
CVA.
13. Identify the theory and principles
of Brunnstorm.
14. Formulate the CVA stages
recovery and Brunnstorm technique
for CVA.
15. Use motor, sensory, cognitive
and communication problem in
cerebrovascular accident.
16. Document the CVA assessment
procedures in evaluation.
17. Select the best CVA for physical
therapy plan care.
18. Perform the techniques of
perambulation and ambulation.
19. Apply the motor learning and
relearning.
20. Use the conductive education.
21. Give the reason of traumatic
brain injury and the stages of
recovery according to RLA cognitive
scale.
22. Practice the techniques in
assessment in traumatic head injury.
23. Apply the PT strategies treatment
in traumatic head injury.
24. Distinguish the spinal cord injury
and the level;
25. Inspect the PT treatment
program for spinal cord injury and
the techniques.
26. Evaluate the management
according to level of spinal cord
injury.
27. Perform the activities of
perambulation and ambulation.
 A. Course, Clinical Symptoms,
Prognostic, and Exacerbating Factors
of MS
B. Assessment procedures in MS
C. PT Plan of Treatment in MS
VIII. Parkinson’s Disease
A. Clinical Signs and
Manifestations of Parkinson’s
Disease
B. Stages of Progression of Disease
and Disability Staging
C. Assessment Procedure
Parkinson’s Disease
D. PT Management in Parkinson’s
Disease
IX. Pediatric Rehabilitation
A. History and Examination
B. Normal Human Movement
C. Basic Component of Normal
Movement
D. Growth and
Development/Developmental
Milestones from Birth to Age 8 Years
LABORATORY
Finals: Sept. UNIT IV
13- Oct. 9, E. Specific Pediatric Conditions
2014-15 1. Cerebral Palsy
a. Characteristics of CP Types, and
Etiologic Factors
b. Motor, Sensory, Cognitive,
Social, and Communication Problems
of CP Patients
c. Assessment Procedures in the
Evaluation of a CP Patients
d. PT Plan of Care for the CP
Patient
e. NDT Treatment Approach in the
Treatment of CP
f. Other Treatment Approaches in
the Management of CP
2. Spina Bifida
a. Epidemiology, Prenatal
Diagnosis Pathogenesis and Clinical
Types of Spina Bifida
b. Clinical Signs and Course
c. Assessment Procedures in the
Evaluation of a Spina Bifida Patient
d. Physical Therapy Interventions
3. Traumatic Brain Injury
28. Check and identify the factors of
multiple sclerosis such as course,
clinical symptoms and exacerbating.
29. Formulate the multiple sclerosis
in assessment procedures.
30. Translate the PT plan treatment
in multiple sclerosis.
33. Inspect the clinical signs and
manifestation of Parkinson’s disease.
34. Test the stages of progression of
diseases and disability staging.
35. Give the correct assessment
procedure in Parkinson’s disease
36. Identify the Parkinson’s disease in
PT management.
37. Evaluate the pediatric
rehabilitation.
38. Demonstrate the normal human
movement and the basic component
of normal movement.
39. Differentiate the growth and
developmental milestones from birth
to age 8 years.
40. Apply specific pediatric condition
and explain the cerebral palsy.
41. Combine the characteristic of CP
types, and etiological factors.
42. Construct motor, sensory,
cognitive, social, and communication
problems of CP patients.
43. Use the correct assessment
procedure in the evaluation of CP
patient.
44. Identify the other treatment
approaches in the management of
CP.
45. Chose other treatment
approaches in the management of CP
46. Inspect the epidemiology,
prenatal, diagnosis pathogenesis and
clinical.
46. Compare the types of spina bifida
of their differences.
47. Apply the correct assessment
procedures in the evaluation of spina
bifida and physical therapy
interventions.
 a. Mechanism of Injury / Fracture
in a Growing Skull
b. Common Motor and Sensory
Deficits
c. Common Cognitive Deficits
d. Medical Conditions Associated
with Traumatic Brain Injury
e. PT Assessment Techniques in
Traumatic Head Injury
f. Physical Therapy Interventions
1) Early Rehabilitation
2) Inpatient rehabilitation
3) Community Reintegration
4. Spinal Cord Injury
a. Incidence and Prevalence;
Demographics
b. Etiologic Factors by Age
c. PT Treatment in the Early and
Late Stages of SCI
d. Equipment and Environmental
Factors In Children with SCI
e. Special Considerations in High
Tetraplegia
5. Neuromuscular Diseases
a. Evaluation and Assessment of
Neuromuscular Disorders
b. Specific Neuromuscular
Diseases
c. PT Management of Childhood
Neuromuscular Diseases
6. Pediatric Limb Deficiencies
a. Etiology
b. Congenital Limb Deficiency
c. Acquired Amputations
d. PT Assessment and Treatment
7.Burn Injuries in Children
a. Physiologic Parameters in
Burned Children
b. Function and Structure of Skin
c. Burn Classification in Children
d. PT Assessment and Evaluation
e. PT Treatment
LABORATORY
GRADING SYSTEM
A passing grade of 75% or D (letter grade); = (Raw Score/Perfect score) X 100
48. Give the correct reason of a
traumatic brain injury
49. Use the common motor and
sensory deficits properly.
50. Collect common cognitive
deficits.
51. Give the correct medical
condition associated with the
traumatic brain injury.
52. Apply PT assessment techniques
in traumatic head injury.
53. Choose physical therapy
interventions.
54. Identify the inpatient
rehabilitation.
55. Restate the cause of spinal cord
injury.
56. Identify the etiologic factors by
age.
57. Give the correct treatment in
early stage and late stages of spinal
cord injury.
58. Select the appropriate equipment
and environmental factors in children
with spinal cord injury.
59. Give correct treatment for
neuromuscular disease and evaluate
the neuromuscular disorder.
60. Check the specific neuromuscular
disease.
61. Value the physical therapy
management of childhood
neuromuscular disease.
62. Illustrate a pediatric and
congenital limb deficiency and give
the right information to the patient.
63. Choose the right acquired
amputation.
64. Distinguish burn injuries and
physiologic parameters in burned
children.
-65. Recognize the function and
structure of the skin.
66. Give correct physical therapy
treatment of patient’s condition.
 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