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Physiological Therapeutics I - #35151


 

 
Don Eggebrecht D.C. F.A.C.O.
2.25
52.5
1
2.5
Students will study the therapies and modalities used by chiropractors in the treatment of their patients.
Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
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  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
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  1. Describe the indications and contraindications of each modality and therapy taught in this class.
  2. Recognize and correctly operate the physiotherapy equipment taught in this class.
  3. Prescribe the appropriate therapy and modality for various conditions.
  4. Understand the theory for the application of physiotherapy.

Materials
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A. Required Text(s):
  • Class notes (available in the bookstore) and on the Northwestern Health Sciences University web site. The address is www.nwhealth.edu > Northwestern College of Chiropractic > Academic Resources > Physiological Therapeutics 1. On this site, there is a site for the lecture notes, lab notes,and other resources, there is an image gallery of the equipment used in this class. Since this is a secure site, you will need to enter a user name and password. Your user name is your first initial and last name. Your password is your student identification number.
    B. Recommended Text(s):
  • Applied Physiotherapy, by Jaskoviak, Schafer (ACA)
    C. Required Materials for Lab:
  • One set of reusable/disposable electrodes 2 x 2 1/4" (available in the bookstore ) Buy the silver ones from LSI. Not the economy ones
    • Assignments
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    A. Reading class notes
    B. Lecture and lab materials
    C. Practice using modalities
    Attendance
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    Attendance is required in lecture and lab. Role will be taken. It is expected that the student will come to the Labs dressed appropriately to participate.
    Grading Criteria
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    A.
    		 Quizzes:

    There will be approximately six or seven announced 10 point quizzes that will be administered during the labs. The content will be based on the information previously learned. The lowest quiz will be dropped. If you miss a quiz it will be used as your dropped quiz. Missed quizzes will not be made up. For all quizzes and exams you are responsible for reading class notes and for reviewing material covered in lecture and lab.

    Total from quizzes = 50 points
    B.
    		 Attendance points: 10 points for lab attendance. A missed lab will result in a lost point. During some labs you will be required to demonstrate to the instructor or TA the application of therapy on a classmate.
    C.
    		 Written Evaluation:

    Midterm - 65 points, multiple choice, true/false, matching.
    Final - 85 points, cumulative, multiple choice, true/false, matching, short answer.
    D.
    		 Practical Evaluation: There will be a midterm and cumulative final practical evaluation.. Each of the two stations of each practical must be passed. The practical must be passed in order to pass the class. There will only be one chance for a reexam. The reexam will consist of multiple stations.
        Grades for this course are not grievable.

    Guaranteed grades are as follows:

    A = 90-100%
    B = 80-89%
    C = 70-79%
    D = 69-69%
    F = below 69%
    Course Competencies
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    -

    COGNITIVE DOMAIN



    Students will have a basic understanding of the following concepts regarding tissue injury, repair, and pain:

    a. Inflammatory process e. Pain perception and conduction
    b. Cardinal signs of inflammation f. Causes of pain
    c. Factors that influence and inhibit inflammation g. Gate Pain Theory
    d. Phases of tissue repair h. Endorphins & Enkephalins


    Students will understand the principles, effects, indications, contraindications, and applications of the following modalities:

    a. Ice Massage o. Low Volt Electrical Muscle Stimulation
    b. Cold Packs p. Low Volt Galvanic
    c. Vapocoolants q. Interferential
    d. Ice Bath r. High Volt Galvanic
    e. Alternating Heat and Cold s. Russian Stim
    f. Hot Moist Packs t. T.E.N.S.
    g.Infrared u. Ice Packs and Electrical Stimulation (Low Volt EMS, Interferential, High Volt)
    h. Laser v. Hot Packs and Electrical Stimulation
    i. Paraffin Bath w. Ultrasound and Electrical Stimulation
    j. Ultraviolet x. Intersegmental Traction
    k. Fluidotherapy y. Long Axis Traction
    l. Short-wave Diathermy z. Vibration
    m. Microwave Diathermy aa. Microcurrent
    n. Ultrasound

     



    Students will understand the following concepts as they apply to physiotherapy:

    a.
    		 Diathermy: Pulsed vs. Continuous
    b.
    		 Ultrasound: Pulsed vs. Continuous
    		  Phonophoresis
    c.
    		 Electrical Muscle Stim: Direct Current
    		  Alternating Current
    		  Motor Point
    		  Pulse
    		  Surge
    		  Reciprocate
    		  Frequency
    		  Intensity
    d.
    		 Low Volt Galvanic: Iontophoresis
    		  Cataphoresis
    e.
    		 Interferential: Beat Frequency
    		  Vector/Scan
    		  Pre-Modulated


    Conditions:
    Students will be able to make case management decisions regarding common physiotherapy treatments based on their understanding of the following information regarding each condition.

    Clinical Condition Etiology and Epidemiology Patho- physiology Natural History and Course Exam and Diagnosis TX / MGMT
    Inflammation 0 0 0 1,3 2
    Sprain/Strains 0 0 0 0 2
    Muscle Spasm 0 0 0 0 2
    Spasticity 0 0 0 0 2
    Bronchitis 0 0 0 0 2
    Facet syndrome 0 0 0 0 2
    Fibrositis 0 0 0 0 2
    Mastitis 0 0 0 0 2
    Myalgia 0 0 0 0 2
    Radiculitis 0 0 0 0 2
    Osteoarthritis 0 0 0 0 2
    Rheumatoid Arthritis 0 0 0 0 2
    Otitis Externa 0 0 0 0 2
    Otitis Media 0 0 0 0 2
    Peripheral Vascular Disease 0 0 0 0 2
    Prostatitis 0 0 0 0 2
    Subluxation 0 0 0 0 2
    Bursitis 0 0 0 0 2
    Trigger Points 0 0 0 0 2
    Adhesions 0 0 0 0 2
    Pain 1 2 2 1 2
    Spinal Nerve Root Impingement 0 0 0 0 2
    Joint Hypomobility 0 0 0 0 2
    Fractures 0 0 0 0 2


    Elaboration of Coding Definitions Regarding the Conditions

    The following codes refer to the depth of coverage for Etiology and Epidemiology, Pathophysiology, Natural History and Course, Exam and Diagnosis, and Treatment / Management:

    0 No coverage or content
    1 Introduction, without test items
    2 Moderate class discussion and/or handout material, with test items
    3 Extensive discussion and/or handout material, with test items


    For Exam and Diagnosis, the following numbers indicate which aspects of exam and diagnosis of each condition are taught in this course:

    1.
    		 Presenting SX: Presenting symptoms related to condition are discussed
    2.
    		 History findings: Relevant personal and family history are discussed
    3.
    		 Exam findings: General physical exam findings are discussed
    4.
    		 Chiro. findings: Posture, subluxation, muscle tone and length, trigger pts.
    5.
    		 Lab findings: Blood, urine, CSF...
    6.
    		 Imaging findings: Normal, CT, CAT, MRI...
    7.
    		 Special test findings: eg. sweat test for cystic fibrosis, spirometry for asthma


    For Treatment/Management, the following numbers indicate which aspects of treatment and management of each condition are taught in this course:

    1.
    		 Chiropractic: Adjustments, soft tissue techniques
    2.
    		 PT: Physical therapy modalities of all types
    3.
    		 Nutrition/Suppl: Diet and supplement recommendations
    4.
    		 Exercise: Stretching, strengthening, aerobic exercise recommendations
    5.
    		 Lifestyle Mgmt: Stress reduction, smoking cessation, allergen avoidance...
    6.
    		 Medical: Drugs, antibiotics, surgical procedures, radiotherapy...
    7.
    		 Other: Acupressure/puncture, massage, homeopathic or herbal Rx.
    8.
    		 Guidelines: If published, do you refer to them regarding this condition?




    PSYCHOMOTOR DOMAIN


    Students will be able to competently apply the following therapies:

    a. Ice Massage j. Low Volt EMS
    b. Cold Packs k. Interferential
    c. Hot Packs l. High Volt Galvanic
    d. Infrared m. Russian Stim
    e. Paraffin Bath n. Intersegmental Traction
    f. Short-wave Diathermy o. Long Axis Traction
    g. Microwave Diathermy p. Vibration
    h. Ultrasound q. Microcurrent
    i. Combination therapies: Ice and Electrical Stimulation (Low Volt EMS, Interferential, High Volt), Heat and Electrical Stimulation, Ultrasound and electrical Stimulation. r. Laser

    Students will be able to instruct patients with home care regarding the following therapies:

    1. Ice Packs
    2. Heat
    3. T.E.N.S


    AFFECTIVE DOMAIN


    Students will demonstrate integrity, sensitivity, respect, courtesy, compassion, and professionalism at all times, both in lectures and labs, and will be able to apply the history, physical examination and treatment techniques learned in this course to any patient while demonstrating those same qualities.
    Weekly Calendar of Learning Objectives
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    Week Dates Topics/Learning objectives
    Week 1

    1/1/07

     

     

    Lab 1: Introduction: review of course syllabus, conduct and goals. Introduce and define physiotherapy. Review the processes of inflammation and tissue repair. Review the following aspects of pain: perception, conduction, causes, types, and types of pain control. Discuss the differences between acute and chronic conditions as they apply to pain, inflammation and tissue repair. Cryotherapy and the effects on the body. Discuss the different methods of cooling. Identify the indications and contraindications for the use of cryotherapy. Discuss the principles and applications of the following modalities: Ice Massage, Cold Packs, Vapocoolants, Ice Bath, Alternating heat and cold.
    Lab 2: Ice massage, Ice packs

    Week 2

    1/8/07

     

    Lec: Superficial heat therapy and the effects on the body. Discuss the basics of the electromagnetic spectrum as it applies to the use of physiotherapy. Discuss the different methods of heating the body. Identify the indications and contraindications for the use of heat therapy. Discuss the principles and applications of the following modalities: Hot Moist Packs, Luminous and Nonluminous Infrared, Paraffin Bath, Ultraviolet, Fluidotherapy. Deep Heat modalities includiong shourt wave diathermy and ultrasound


    Lab: Hot Moist Packs, Luminous and Nonluminous Infrared, Paraffin Bath

    Lab: Deep Heat Therapy: Short-wave Diathermy, Microwave Diathermy, Ultrasound: Pulsed, Continuous, Underwater, Phonophoresis
    Week 3

    1/15/07

     

     

    Lec: None MLK day

    Lab: Deep Heat Therapy: Short-wave Diathermy, Microwave Diathermy, Ultrasound: Pulsed, Continuous, Underwater, Phonophoresis

     

    Week 4

    1/22/07

     

    Lec:/Lab Electrical Therapy: Basic review of electricity, Low Volt Electrical Muscle Stimulation, Low Volt Galvanic, Iontophoresis
    Week 5

    1/29/07

    Lec:/Lab Interferential., TENS

     
    Week 6

    2/5/07

    Lec/ Lab: High Volt , Russian Stim
    Week 7

    2/12/07

     

    Lec: No Lec

    Midterm Exam

    Week 8 2/19/07

     

     

    Lec: Presidents day

    Lab: Review

    Lab: Midterm Practical Friday Class
    Week 9

    2/26/07

    Lec/Lab: Combination Therapy: Ultrasound & Electrical Therapy, Heat & Electrical Therapy, Cold & Electrical Therapy

    Week 10

    3/5/07

     

    Lec/Lab: Microcurrent
    Week 11

    3/12/07

    Lec: Mechanical Therapy: Long Axis Traction, Intersegmental, Vibration,

    Week 12

    3/19/07

    Lec:/Lab Laser
    Week 13 3/26/07

     

    Lec/Lab: Review for final

    Lab: Final Practical Exam Friday

     
    Week 14 FINAL WRITTEN EXAMINATION -Date to be announced
    Week 15 FINAL WRITTEN EXAMINATION -Date to be announced
    Please Note
    This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
    Maintained by Northwestern College of Chiropractic
    Last updated: 2 January, 2007
     

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