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ATTR 322lab.doc

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ATTR 322lab.doc

  1. 1. Lincoln Memorial University Department of Allied Health Athletic Training Education Program Syllabus I. Course: ATTR 322 Lab: Evaluation II Laboratory In conjunction with lecture II. Credit Hours: 1 III. Instructor: Amanda K. Smith, M.Ed, ATC Office Hours: As posted Office Location: Tex Turner Arena Email: asmith@lmunet.edu, 869-6322 IV. Course Co-requisites: ATTR 322 lecture V. Course Description: The purpose of this course is to provide skill instruction and evaluation of those competencies outlined in the lecture portion of the course. VI. Text: Hislop. Daniels and Worthingham: Muscle Testing: Techniques of Manual Examination Magee, David. Orthopedic Physical Assessment. Third ed. Hoppefeld. Evaluation of the Spine and Extremities. VIII. Course Objectives Upon completion of this course, the student will be able to: 1. Demonstrate the knowledge of the normal anatomical structures of the human body, including musculoskeletal, nervous, cardiovascular, respiratory, digestive, and special sensory systems. 2. Determine the proper care necessary to treat and refer the client to other health care providers when appropriate. 3. Demonstrate and appreciate record keeping skills while maintaining patient confidentiality. 4. Demonstrate the ability to palpate anatomical structures. 5. Assess neurological responses. 6. Conduct proper clinical evaluation techniques, including range-of-motion testing(active, passive assisted, resistive). 7. Understand, perform and appreciate proper clinical evaluations of the head, face, and spine. 8. Understand, perform and appreciate manual muscle techniques for the head, face, and spine. 9. Use appropriate terminology in the communication and documentation of injuries and illnesses as well as to communicate with other allied health professionals. IX. Outline of course content/Units of instruction: Course Content Calendar: WEEK ONE Primary Assessment/ Secondary Survey WEEK TWO Head WEEK THREE Face WEEK FOUR Ears, nose, throat WEEK FIVE Oral Practical #1 Cervical Spine WEEK SIX Cervical Spine Thoracic Spine WEEK SEVEN Thoracic Spine
  2. 2. Oral Practical #2 WEEK EIGHT Lumbar Spine WEEK NINE Abdomen WEEK TEN Oral Practical #3 Postural evaluations WEEK ELEVEN Postural evaluations WEEK TWELVE Gait Analysis WEEK THIRTEEN Cranial Nerve, cerebellar function, cerebrum function WEEK FOURTEEN Oral Practical #4 Goniometry WEEK FIFTEEN Girth measurements Emergency evaluations WEEK SIXTEEN Clinical Proficiency Finals XI. Required Readings: Texts XII. Suggested Readings: Soft Tissue Pain and Disability. Colliett Athletic Training and Sports Medicine. American Academy of Orthopedic Surgeons Sports Medicine. Roy/Irvin XIII. Technological Resources: Computerized instruction XIV. Methods of Instruction: Lecture, discussion, demonstration laboratories, audio-visual, and guest speakers will be used as methods of instruction. XV. Course Requirements/Methods of Assessment/Evaluation/Documentation Students must attend all labs. Students are responsible for all lecture materials, laboratory sessions and readings in classes missed. There will be 4 practical exams and a comprehensive proficiency final. Grading will be based on promptness of completion and/or quality of all proficiency checklists and proficiency final. Following each section, a proficiency checklist must be completed by each student and signed by an ACI. A passing grade is defined as completing the proficiency at 80%. The student is allowed to demonstrate their proficiency as many times as needed until the passing grade is earned. The proficiency final is comprehensive and will be administered during exam week. The student is responsible for the information covered on all proficiency checklists. Evaluation materials: points 5 practical exams 500 Proficiencies workbook 300 1 Comprehensive proficiency final 200
  3. 3. Grading Scale 100-94% A 76-78 % C+ 89.5-93% A- 73-75 % C 86-89 % B+ 69.5-72 % C- 82-85 % B 65-69% D 79-81 % B- Below 65% F XVI. NATA Education Competencies III Assessment & 1. Administer commonly used special tests to make a differential . Evaluation assessment of the following: a. cranial nerves (e.g., eye motion, facial muscles) b. cognitive tests ( e.g., recall, serial 7s, digit span) c. cerebellar function (e.g., Romberg’s test, finger-to-nose test, heel-toe walking, heel-to-knee standing) d. spinal nerve roots (e.g., upper quarter screen) III Assessment & 2. Observe and identify the clinical signs and symptoms associated with . Evaluation head injury: a. amnesia (retrograde or post-traumatic) f. pupil and eye movements b. levels of consciousness g. pulse c. orientation (person, time, place orientation) h. blood pressure d. intracranial hematoma i. facial postures e. balance and coordination III Assessment & 3. Observe and identify the clinical signs and symptoms associated with eye . Evaluation injuries and illnesses: a. orbital blowout fracture e. detached retina b. conjunctivitis f. hyphema c. corneal abrasion g. stye d. corneal laceration III Assessment & 4. Observe and identify the clinical signs and symptoms associated with an ear . Evaluation injury or illness: a. pinna hematoma (“cauliflower ear”) c. otitis externa b. impacted cerumen d. otitis media III Assessment & 5. Observe and identify the clinical signs and symptoms associated with nose . Evaluation injury: a. deviated septum c. nasal fracture b. epistaxis III Assessment & 6. Observe and identify the clinical signs and symptoms associated with jaw, . Evaluation mouth, or tooth injury or illness: a. gingivitis b. mandibular fracture g. tooth extrusion c. maxilla fracture h. tooth fracture d. periodontitis i. tooth intrusion e. temporomandibular joint dislocation j. tooth luxation f. temporomandibular joint dysfunction
  4. 4. III Assessment & 2. Observe and identify the clinical signs and symptoms associated with common . Evaluation injuries, illnesses, and predisposing conditions: a. atrophy e. intervertebral disc herniation b. dislocation or subluxation f. nerve root compression or stretch c. vertebral fracture g. ischemia d. head and neck posture h. torticollis III Assessment & 5. Administer appropriate sensory, circulatory, and neurological tests. . Evaluation III Assessment & 9. Administer commonly used special tests to make a differential assessment of . Evaluation the following: a. nerve root compression (e.g., distraction/compression test, Spurling’s test, shoulder depression test) b. brachial plexus neuropathy (e.g., brachial tension test, Tinel’s sign) c. cervical disc herniation (e.g., Valsalva’s maneuver) d. neurovascualr dysfunction (e.g., vertebral artery test) III Assessment & Thoracic/Lumbar Spine Evaluation . Evaluation The student will: 1. Obtain the medical history of an ill or injured athlete or other physically active individual. III Assessment & 2. Observe and identify the clinical signs and symptoms associated with common . Evaluation injuries, illnesses, and predisposing conditions: a. café au lait macules (spots) b. dislocation or subluxation c. spina bifida occulta d. facet syndrome e. intervertebral disc pathology f. spinal posture ( kyphosis/lordosis) g. leg length discrepancies h. nerve root compression i. socroiliac dysfunction j. scoliosis k. vertebral pathology (e.g., spondylitis, spondyloloysis, spondylolisthesis) l. sprain m. stenosis n. step deformity o. strain III Assessment & 5. Administer appropriate sensory and neurological tests. . Evaluation III Assessment & 6. Administer functional tests and activity-specific tests. . Evaluation III Assessment & 9. Administer commonly used special tests to make a differential assessment of . Evaluation the following: a. intervertabral disc herniation (e.g., Valsalva’s maneuver) b. neuropathy (e.g., straight leg raise test, well straight leg test, Babinski’s reflextest, Oppenheim’s gait test, Kernig’s sign, Brudzinski sign test, bowstring test, Hoover sign test) c. vertebral degects (e.g., stork standing test/spondylolisthesis test) d. joint instability (e.g., spring test)
  5. 5. XVII. Clinical Skills Checklist o Proper palpation of soft tissue an bony anatomy o Administer special tests for cranial nerve function o Administer special tests for cerebellar and cognitive function. o Identify and evaluate symptoms of a head injury. o Identify and evaluate symptoms of an eye injury. o Identify and evaluate symptoms of an ear injury. o Identify and evaluate symptoms of a nose injury. o Identify and evaluate symptoms of a mouth injury. o Identify and evaluate symptoms of a cervical spine injury. o Identify and evaluate symptoms of a thoracic spine injury. o Identify and evaluate symptoms of a lumbar spine injury. o Administer appropriate neurological and sensory tests. o Administers commonly used special tests to evaluate injuries. o Administer functional and activity specific tests to evaluate or differentiate injuries. XVIII. Clinical/ Laboratory/Field Experiences All class labs will be performed in the athletic training room. Proficiencies are a required lab experience. XIX. Possible Portfolio Entries: Documentation of proficiencies Documentation of clinical hours completed XX. Date of Revision: 3/2004

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