Approved by Academic Council, April 1, 2014 Revision ... · ATEP Matriculation Clause: This course must be completed in the original ATEP curriculum sequence that is set for all athletic

Approved by Academic Council, April 1, 2014 Revision: April 1, 2014

COURSE APPROVAL DOCUMENT Southeast Missouri State University

Department: Health, Human Performance, and Recreation Course No. TX 265

Title of Course: Therapeutic Modalities Date: Spring 2015

Please check: New

Revision

I. Catalog Description (Credit Hours of Course):

Exploration of the physical principles, physiological effects, indications, contraindications, safety precautions,

operating procedures of therapeutic modalities. (4 credit hours) II. Co- or Prerequisite(s):

Prerequisites: TX 282, TX 321 Co-requisite: TX065

III. Purposes or Objectives of the Course (optional):

1) Develop an understanding of the in depth characteristic pathology of all common soft tissue and bony

tissue injuries.

2) Explain the human body’s normal immediate and delayed physiological response to trauma.

3) Understand the normal physiological response physiological process of wound healing and tissue

repair, and resulting implications for selection and use of therapeutic modalities.

4) Demonstrate knowledge of prevailing pain control theories and associated rationale for the selection

and use of physical agents and/or psychological techniques for the control of acute and chronic pain.

5) Examine the systemic and local physiological effects of therapeutic heat and cold on normal and

traumatized tissues of the human body.

6) Examine the principles of electro physics including basic concepts associated with the electromagnetic

and acoustic spectra and electrical units.

7) Identify the contemporary therapeutic modalities utilized to treat trauma to the human body.

8) Apply the principles of electrophysics and biophysics, specific physiological effects, therapeutic

indications and contraindications associated with the use of contemporary therapeutic modalities.

9) Recognize the importance of local, state and federal safety and sanitation standards for the installation

and maintenance of therapeutic modalities.

10) Understand the purpose and functions of therapeutic modalities essential to equipping a sports

medicine facility. IV. Student Learning Outcomes (Minimum of 3):

1) Describe contemporary pain control theories.

2) Identify indications and contraindications in regard to the application of therapeutic modalities.

3) Select and apply therapeutic modalities according to evidence-based guidelines.

V. Optional departmental/college requirements:

A. None

VI. Course Content or Outline (Indicate number of class hours per unit or section): Hours A. Pathology of common closed soft tissue injuries, open wounds, 2

and fractures. The human body’s immediate and delayed

physiological response to trauma. Physiological process of

Approved by Academic Council, April 1, 2014 Revision: April 1, 2014

wound healing and tissue repair.

B. Pain control theories (gate control theory, endorphins, etc.), their 3

associated neuroanatomical pathways and mechanisms of functioning.

Associated rationale for the selection and use of physical agents and/or

psychological techniques for the control of acute and chronic pain.

C. Local, state and federal safety and sanitation standards for the installation 1

and maintenance of therapeutic modalities. The purpose and functions of

therapeutic modalities essential to equipping a sports medicine facility.

D. Systemic and local physiological effects of therapeutic cold on normal 2

and traumatized tissues of the human body.

E. Cryotherapy therapeutic modality techniques including: 6

1. ice bags

2. ice massage

3. hydrotherapy

4. ice immersion

5. cryokinetics

F. Basic concepts associated with the electromagnetic spectra. 1

G. Systemic and local physiological effects of therapeutic heat on 2

normal and traumatized tissues of the human body.

H. Superficial thermotherapy modality techniques including: 5

1. thermotherapy pack

2. hydrotherapy

3. contrast bath

4. paraffin bath

5. infrared

6. ultraviolet

I. Basic concepts associated with the acoustic spectra. 1

J. Deep thermotherapy modality techniques including: 5

1. diathermy

2. ultrasound

K. The principles of electrophysics and biophysics in relation to 5

electrotherapeutic modalities. Waveforms, frequencies, amperes,

etc., commonly used and their physiological effect on the human

body will be explored.

L. Electrotherapeutic modality techniques including: 8

1. galvanic (direct) stimulation (DC)

2. alternating current stimulation (AC)

3. iontophoresis

4. transcutaneous electrical nerve stimulation (TENS)

M. Mechanical modality techniques including: 4

1. massage

2. intermittent compression units

3. cervical and lumbar traction ____

TOTAL: 45

Please Attach copy of class syllabus and schedule as an example

Signature: ________________________________________________ Date: _____________________

Chair

Signature: ________________________________________________ Date: _____________________

Dean

Southeast Missouri State University

College of Health & Human Services

Department of Health, Human Performance & Recreation

Athletic Training Program

Fall 2015

Course Information

Course Title and Number: TX 265: Therapeutic Modalities

Meeting Times: T/R: 11:00 am – 12:15 pm

Location: Parker Hall 112 (AT Lab)

Credit Hours: 3.0 Credit Hours

Instructor Information

Name: Kyle Schneider MSEd, ATC

Office: Parker 215D

Phone: 573-651-5193

E-Mail: [email protected]

Office Hours: M/W/F: 9:00 am – 10:00 am

W: 1:00 pm – 2:30 pm

**Other times available by appointment**

Co-Requisites:

TX 065: Therapeutic Modalities Lab

Admission into the Athletic Training Program

Required Text:

Starkey, C. Therapeutic Modalities. 4th ed., F.A. Davis Publishing. ISBN 978-0-

8036-2593-8

Various Academic Journals in Assigned Reading Section on Moodle

Referenced Materials:

Prentice, W.E., Therapeutic Modalities for Sports Medicine and Athletic Training.

6th ed. MHHE. ISBN: 978-0-07-304519.

Denegar, CR, Saliba,S. Therapeutic Modalities for Musculoskeletal Injuries. 3rd

ed. ISBN: 978-0-73600.

mailto:[email protected]

Knight, K. Draper, D, Therapeutic Modalities: The art and Science. 2nd ed. LWW

Publishing ISBN: 978-1-4511-0294-9.

Course Description:

Exploration of the physical principles, physiological effects, indications,

contraindications, safety precautions and operating procedures of therapeutic

modalities.

Course Objectives:

Upon completion of this course, the student should be able to:

1) Develop an understanding of the in depth characteristic pathology of all

common soft tissue and bony tissue injuries.

2) Explain the human body’s normal immediate and delayed physiological

response to trauma.

3) Understand the normal physiological response physiological process of wound

healing and tissue repair, and resulting implications for selection and use of

therapeutic modalities.

4) Demonstrate knowledge of prevailing pain control theories and associated

rationale for the selection and use of physical agents and/or psychological

techniques for the control of acute and chronic pain.

5) Examine the systemic and local physiological effects of therapeutic heat and

cold on normal and traumatized tissues of the human body.

6) Examine the principles of electro physics including basic concepts associated

with the electromagnetic and acoustic spectra and electrical units.

7) Identify the contemporary therapeutic modalities utilized to treat trauma to the

human body.

8) Apply the principles of electrophysics and biophysics, specific physiological

effects, therapeutic indications and contraindications associated with the use

of contemporary therapeutic modalities.

9) Recognize the importance of local, state and federal safety and sanitation

standards for the installation and maintenance of therapeutic modalities.

10) Understand the purpose and functions of therapeutic modalities essential to

equipping a sports medicine facility.

Student Learning Outcomes (SLOs):

1. Describe contemporary pain control theories

2. Identify indications and contraindications in regard to the application of

therapeutic modalities.

3. Select and apply therapeutic modalities according to evidence based guidelines.

General Classroom Policies:

The following is a brief list of classroom courtesy guidelines that need to be followed

at all times when in the classroom this semester. This list is not all inclusive and any

actions (including those listed below) that are deemed to be detrimental to the

learning environment while in the classroom may result in the student being asked to

leave the classroom for the day and a loss of participation points.

1. Please talk only in class during times when discussion on a topic is encouraged.

Talking during inappropriate times is disrespectiful to the instructor of the course

and to your fellow classmates. This will take away from the learning environment,

so please only talk when appropriate.

2. Be actively engaged in the lecture and learning process. This means that you

SHOULD NOT be working on other homework during class times, playing games

on your phone, texting, tweeting, sleeping, facebooking, snapchatting, or anything

else that could take away from the learning process for yourself or others around

you.

3. Please refrain from using a cellular phone or any other electronic device in this

class for anything other than academic purposes. If you are expecting a phone call

let me know and sit by the door so you can leave without being disruptive to the

rest of the class.

4. Please show up to class on time, this class is at 11:00 am so there should be no

reason why you are late. Arriving to class late is disrespectful to the instructor

and disruptive to the rest of the class.

Other Course Policies/Information:

Electronic Communication:

I will frequently use your Southeast email and Moodle to communicate with the class.

This is the most effective and efficient method for me to disseminate information to

the group and ensure that everyone receives the e-mail. Please check this email on a

regular basis and ensure that your mailbox is able to receive emails. I will only use

the email provided to you by the University for communication.

ATEP Matriculation Clause:

This course must be completed in the original ATEP curriculum sequence that is set

for all athletic training students at Southeast Missouri State University. In order for

students to advance to the next set of athletic training classes, each student MUST

pass this course with a grade of C or better. Failure to achieve a C or better in this

course will leave the student unable to matriculate through the curriculum.

Out of Class Assignments/ Late Work

There will be assignments that will be given out on occasion over the semester to

ensure the students comprehend the material and are staying up to date on assigned

readings. These assignments will be provided to you on Moodle and should be

submitted in a word or PDF format through the dropbox available in Moodle. All

assignments will be due by the assigned time/date listed in the instructions. Failure to

submit an assignment by the time/date listed will result in a (0) ZERO for that

assignment. NO LATE ASSIGNMENTS WILL BE ACCEPETED WITHOUT

PRIOR WRITTEN APPROVAL FROM THE INSTRUCTOR. If you are going

to be absent for a class it is your responsibility to submit the assignment before the

due date.

Attendance and Participation:

Students are expected to attend all classes and all assignments for the courses in

which they are enrolled. An absence from the class, excused or unexcused, does not

relieve the student of the responsibility to complete all assignments/requirements for

this course. If the absence is for a University sanctioned event, the instructor will

provide an opportunity to complete the coursework, ONLY IF arrangements are made

before the absence. It is at the instructors discretion to allow any make-up work for an

absence for any other reason. In order to achieve the objective for this course you

MUST be present and make an active effort to learn the material. The content covered

in a Therapeutic Modalities course is not something you can understand by sitting in

class alone. You must practice the skills and spend considerable time out of class

studying and reviewing the material. Participation in this class will make up a portion

of your grade. If you are absent from class, on your phone or not participating in class

discussion you will NOT receive participation points for that day. Any student not

present for the entire first week of class will be dropped by the instructor for non-

attendance as per University policy. Questions regarding the drop process should be

directed to the University Registrar.

EVALUATION OF LEARNING

The grading for this class will be done on a weighted grading scale. Each section of

grades will be worth a certain percentage of your overall grade. The percentages for

each of these categories is listed below:

Participation (5% of Final Grade)

Being actively engaged in the learning process and attending class has been shown to

have a positive impact on the learning process. Students are expected to attend class

and be actively engaged in the process. Cell phones and other electronic devices can

be detrimental to the learning process and also to the instructor. (I do notice when you

are on your phone.) Texting, Getting on facebook, completing other assignments, etc.

will result in a forfeiture of that day’s participation points. Students will receive 2

points per day for attending class and being involved. This will make up 5% of your

overall grade.

Assignments/Article Reviews (annotations) : (15 % of your Final Grade)

Evidence Based Medicine (EBM) involves gathering the evidence available to you

and making an informed decision on treatments based on that information, clinical

experience and patient values. Reading and understanding research is a vital part of

being able to effectively practice athletic training and be respected in the healthcare

field. Throughout the semester, students will be required to read articles and provide

an analysis/critique of the articles describing how it relates to athletic training clinical

practice. (A grading rubric will be provided at the end of this syllabus) Failure to

follow the guidelines provided in the rubric will result in a loss of points for that

assignment. These article reviews will be turned in electronically through Moodle

through the Dropbox provided. There may also be other assignments distributed

throughout the semester as well. These assignments will be available on Moodle and

will be expected to be turned in by the assigned due date.

Exams (40% of your Final Grade)

The ability to comprehend the material and retain the material is a vital component to

your education. There will be five exams over the course of the semester (Four in

class and one final comprehensive exam) designed to ensure your ability to

comprehend the material and retain information related to each of the units. These

examinations will cover material from the textbook, material presented in class and

homework assignments. As is the case with every Athletic Training course you will

take the material builds on previous knowledge so some of the exams may be

comprehensive in nature. Each exam will vary in the number of points, but the

category will make up 35% of your final grade.

Quizzes (20% of your Final grade)

In order to ensure understanding of the material presented in class and to ensure that

students are keeping up with the reading, there will be quizzes given throughout the

semester. These quizzes will be given in a variety of formats, including on Moodle

(as online version) or in class. These may be announced or unannounced. Each quiz

will vary in the amount of points but the category will make up 20% of your final

grade. Quizzes that are missed due to unexcused absence or failure to submit by the

due date will result in a 0 (ZERO) for that quiz. THERE WILL BE NO MAKE-UP

QUIZZES.

Notebook (5% of your Final Grade)

Students will be required to maintain and organize a notebook with materials from

this course. This should include lecture notes, handouts, exams, articles, etc. This

notebook should be organized so that you can utilize it as a resource as you

matriculate through the program and prepare for the Board of Certification Exam.

This notebook will be worth 50 points and will make up 5% of your final grade. Note:

this should be an easy 5% of your final grade and shouldn’t be difficult to get all 50

points.

Modalities Evidence Based Research Project (15% of final grade)

As discussed earlier in the syllabus, evidence based practice is a vital component to

becoming a respected member of the healthcare field. In order to practice evidence

based medicine you must understand how to read and interpret current literature on

the topic and implement this into a clinical practice. This Evidence Based Project will

incorporate 3 different assignments (each due 5 weeks apart). For this project you will

be required to answer the following 3 questions:

1. Clinical Question 1- To gain desired physiological effects, what is the

appropriate length of an ice pack/cryotherapy application? –Due September

21, 2015 by 11:55 PM.

2. Clinical Question 2- What is the efficacy of utilizing ultrasound to positively

influence joint range of motion? Due October 26th, 2015 by 11:55PM

3. Clinical Question 3- When using forms of electrical stimulation for decreasing

pain, how does electrode placement affect the desired outcome? Due

December 7th, 2015 by 11:55 PM.

Students will be required to find a minimum of 3 Peer-Reviewed articles that relate

to this clinical question. This should include a written expression of how the student

critically appraised the articles, a bulleted list of relevant clinical findings, a

paragraph explaining the clinical applicability of the findings, a comparison table for

the three articles that includes: Study design, number of participants, investigated

methods, interventions, findings and conclusions. After the table should be a narrative

addressing clinical practice (how this relates or changes your current thoughts on the

topic), patient education or what else you would need to know to make this effective.

The paper should be written with 1 inch margins, 12 point font, AMA style, double

spaced. A grading rubric and example will be provided for students on Moodle.

Grading Scale:

- 90.0 % - 100.0 % = A

- 80.0 % - 89.99% = B

- 70.0 % - 79.99 % = C

- 60.0 % - 69.99 % = D

- 59.9 % and below = F

**I will not round any grades

under any circumstances. At the

end of the semester your grade

will be whatever grade you have

EARNED. So please do not ask

for any grades to be rounded up.

**

Academic Honesty:

Academic honesty is one of the most important qualities influencing the character and

vitality of an educational institution. Academic misconduct or dishonesty is inconsistent

with membership in an academic community and cannot be accepted. Violations of

academic honesty represent a serious breach of discipline and may be considered grounds

for disciplinary action, including dismissal from the University. Academic dishonesty is

defined to include those acts which would deceive, cheat, or defraud so as to promote or

enhance one’s scholastic record. Knowingly or actively assisting any person in the

commission of an above-mentioned act is also academic dishonesty. Students are

responsible for upholding the principles of academic honesty in accordance with the

“University Statement of Student Rights” found in the STUDENT HANDBOOK. The

University requires that all assignments submitted to faculty members by students be the

work of the individual student submitting the work. An exception would be group

projects assigned by the instructor. In this situation, the work must be that of the group.

Academic dishonesty includes:

Plagiarism. In speaking or writing, plagiarism is the act of passing someone else’s work

off as one’s own. In addition, plagiarism is defined as using the essential style and

manner of expression of a source as if it were one’s own. If there is any doubt, the student

should consult 2 his/her instructor or any manual of term paper or report writing.

Violations of academic honesty include:

1. Presenting the exact words of a source without quotation marks;

2. Using another student’s computer source code or algorithm or copying a laboratory

report; or

3. Presenting information, judgments, ideas, or facts summarized from a source without

giving credit.

Cheating. Cheating includes using or relying on the work of someone else in an

inappropriate manner.

It includes, but is not limited to, those activities where a student:

1. Obtains or attempts to obtain unauthorized knowledge of an examination’s contents

prior to the time of that examination.

2. Copies another student’s work or intentionally allows others to copy assignments,

examinations, source codes or designs;

3. Works in a group when she/he has been told to work individually;

4. Uses unauthorized reference material during an examination; or

5. Have someone else take an examination or takes the examination for another

All students must abide by these policies. Any student caught plagiarizing, cheating, or

engaging in any other form of academic dishonesty will receive a zero on the assignment

in question. That student may also be subject to further disciplinary action. If you have

any questions about what constitutes plagiarism, please ask me. Please keep in mind that

cutting and pasting from websites or other internet resources constitutes plagiarism.

Civility Official university policy on civility is as follows:

Every student at Southeast is obligated at all times to assume responsibility for his/her

actions, to respect constituted authority, to be truthful, and to respect the rights of others,

as to respect private and public property. In their academic activities, students are

expected to maintain high standards of honesty and integrity and abide by the

University’s Policy on Academic Honesty. Alleged violations of the Code of Student

Conduct are adjudicated in accordance with the established procedures of the judicial

system. For more, see: http://www6.semo.edu/stuconduct/

Students and instructors share the responsibility to cultivate an environment of respect,

both in class and in online course interactions. Violations of the student code of conduct

will be reported to the Office of Student Conduct.

Disabilities Southeast Missouri State University and Disability Support Services remain committed to

making every reasonable educational accommodation for students with disabilities. Many

services and accommodations which aid a student’s educational experience are available

for students with various types of disabilities. It is the student’s responsibility to contact

Disability Support Services to become registered as a student with a disability in order to

have accommodations implemented. Accommodations are implemented on a case by

case basis. For more information please contact Disability Support Services at 573-651-

2273.

Grievance Policy:

All questions regarding grades and issues with the class should be directed to the

instructor first. If the student feels that further action needs to be taken or is not satisfied

with the outcome they should contact the department chair, Dr. Joe Pujol at 651-2197 or

[email protected] .

Tentative Course Schedule:

**Subject to change. Any changes will be made available to students**

Date Topic Assigned

Readings/Assignments

Tuesday

August 25,

2015

Introduction to Course/Syllabus

Review & Introduction to Modalities

None

Thursday

August 27,

2015

Understanding the Healing Process Starkey, C. Therapeutic

Modalities, Chapter 1

Tuesday

September 1,

2015

Understanding the Healing Process Starkey, C. Therapeutic


Thursday

September 3,

2015

Physiology and Psychology of Pain Starkey, C. Therapeutic


Tuesday

September 8,

2015

Managing Pain Using Therapeutic

Modalities

Starkey, C. Therapeutic


Thursday

September

10, 2015

Development and Delivery of

Intervention Strategies



Tuesday

September

15. 2015

Administrative Concerns in

Therapeutic Modalities



Thursday

September

17, 2015

EXAM I Chapters 1-4

Tuesday

September

22, 2015

Thermal Modalities: Cold

Modalities


Modalities, Chapter 5 & 6

Thursday

September

24, 2015

Thermal Modalities: Heat Modalities Starkey, C. Therapeutic

Modalities, Chapter 5 &6

Tuesday

September

29, 2015

Clinical Application of Thermal

Modalities



Thursday

October 1,

2015

Principles of Therapeutic Ultrasound Starkey, C. Therapeutic


Tuesday

October 6,

Application of Therapeutic

Ultrasound


Modalities, Chapter 7&8

2015

Thursday

October 8,

2015

Application of Therapeutic

Ultrasound


Modalities, Chapter 7&8

Tuesday

October 15,

2015

EXAM II EXAM II: Chapters 5-8

Tuesday

October 17,

2015

Principles of Electrical Stimulation Starkey, C. Therapeutic


Thursday

October 22,

2015

Electrical Stimulation Techniques Starkey, C. Therapeutic


Tuesday

October 24,

2015

Clinical Application of Electrical

Agents



Thursday

October 29,

2015


Agents



Tuesday

November 3,

2015


Agents



Thursday

November 5,

2015

Iontophoresis & Biofeedback Starkey, C. Therapeutic

Modalities, Chapter 13 & 18

Tuesday

November

10, 2015

EXAM III EXAM III: Chapters 11-13 &

18

Practical Exam II

Thursday

November

12, 2015

Intermittent Compression Starkey, C. Therapeutic


Tuesday

November

17, 2015

Continuous Passive Motion Starkey, C. Therapeutic


Thursday

November

19, 2015

Traction Starkey, C. Therapeutic


Tuesday

November

24, 2015

NO CLASS Thanksgiving Recess

Thursday

November

26, 2015

NO CLASS Thanksgiving Recess

Tuesday

December 1,

2015

Therapeutic Massage Starkey, C. Therapeutic


Thursday

December 3,

2015

Therapeutic Massage Starkey, C. Therapeutic


Tuesday

December 8,

2015

Low Power LASER Therapy Starkey, C. Therapeutic


Thursday

December 11,

2015

CATCH-UP DAY/REVIEW DAY CATCH-UP DAY/ REVIEW

DAY

Thursday

December 17,

2015

FINAL EXAM (10:00 am) Final Exam (10:00 am)

Comprehensive

Documents

Approved by Academic Council, April 1, 2014 Revision ... · ATEP Matriculation Clause: This course must be completed in the original ATEP curriculum sequence that is set for all athletic