PTA 156 Physical Rehabilitation II

• Identify significant structures and functions of the structures in the nervous system
• Identify causes and mechanisms of common neurologic and neuromuscular disorders.
• List complications associated with common neurologic and neuromuscular disorders.
• Describe the roles and responsibilities of health care providers involved in the care of patients with common neurologic and neuromuscular disorders.
• Relate motor control and motor learning theories to therapeutic interventions for patients with common neurologic and neuromuscular disorders.
• Explain the use of proprioceptive neuromuscular facilitation patterns and techniques
• Describe sensory systems associated with balance control and coordination
• Identify motor strategies used for balance control
• Identify and integrate appropriate evidence-based resources to support clinical decision-making for progression of the patient within the plan of care established by the PT
• Implement selected components of interventions for patients with common neurologic and neuromuscular disorders identified in the plan of care established by the physical therapist including:
  • Functional training
  • Gait and locomotion training
  • Balance and coordination training
  • Posture awareness training
  • Neuromotor development training
  • Strength training
  • Passive range of motion
  • Integumentary protection techniques
  • Wheelchair propulsion programs for conditioning
  • Application & adjustment of devices and equipment
• Perform components of data collection skills essential for carrying out the plan of care established by the physical therapist including:
  • Arousal, attention, and cognition
  • Environmental barriers, self-care and home management
  • Gait, locomotion, and balance
  • Posture and body mechanics
  • Muscle function including changes in muscle tone and strength
  • Joint integrity and mobility
  • Pain and integumentary integrity
  • Sensory response
  • Vital signs
  • Assistive, adaptive, orthotic, protective and supportive devices
• When providing interventions and associated data collection techniques:
  • Display professional behaviors consistent with the expectations of the physical therapy profession
  • Protect patient modesty, privacy, and dignity
  • Apply current physical therapy knowledge, theory and clinical judgement
  • Consider the patient/client perspective and treatment environment.
  • Provide clear instructions, apply principles of learning, and use a variety of teaching strategies when educating patients, caregivers, and other members of the health care team as directed by the supervising physical therapist
  • Explain the rationale for selected interventions to achieve patient goals as identified in the plan of care
  • Review health records prior to carrying out the plan of care.
  • Monitor and adjust interventions within the plan of care in response to patient/client status and clinical indications
  • Report any changes in patient status or progress to the supervising physical therapist
  • Identify indications, contraindications, precautions and safety considerations for the patient and determine if the treatment intervention is appropriate
  • Determine when a directed intervention is either beyond the scope of work or personal scope of work of a physical therapist assistant
  • Identify relevant information to communicate to the physical therapist for the discharge planning process
  • Recognize activities, positioning and posture that aggravate or relieve pain
  • Complete documentation which is accurate, legible and follows appropriate guidelines and format regulations
  • Prepare and maintain a safe working environment
  • Handle patients using safe techniques and appropriate body mechanics
  • Select relevant information for documentation and billing purposes
  • As appropriate to the PTA, maintain and use physical therapy equipment safely and effectively
  • Provide patient centered care