Course: RSPT 428 – Introduction to Clinics 2

Course Credits: Laboratory 2 units

Contact Hours: Mon 2PM-5PM; Tue 2PM-5PM
Prerequisite: Human Gross Anatomy and Physiology, LTH, Clinical Correlation

Facilitator : MR. NIMROD S. GANSAN, PTRP

Description: This course deals with the integration of assessment, treatment and documentation skill for patients
with different neurological conditions from referral to re-evaluation, discharge and community reintegration

Learning Outcomes: By the end of the course, students shall be able to:
LO1: Demonstrate proper, safe and effective management of patients with different neurological
conditions
LO2: Document results of assessment, evaluation and treatment in prescribed format.

Enabling Outcomes:

1. Describe the clinical setting and the documentation

2. Check patient’s condition.
3. Evaluate the interview of the patient.
4. Apply the correct vital signs.
5. Examine the level of consciousness.
6. Use the correct speech and communication for the patient.
7. List the function of the sensory.
8. Distinguish the function of autonomic nervous system.
9. Differentiate the perceptual and motor function.
10. Check contraindications to physical therapy
11. Give the appropriate precautions during assessment and treatment for the brain disorder, cerebrovascular
disease and traumatic brain injury.
12. Evaluate the other movement disorders and Parkinson’s disease.
13. Examine the Alzheimer disease and give the correct precaution.
14. Identify the traumatic spinal cord injury and spinal cord tumors.
15. Test the spinal cord infection disease.
16. Evaluate the myelopathies.
17. Demonstrate the correct treatment for motor neuron disorder.
18. Distinguish the autonomic nervous system disorder.
19. Ensure safety and comfort of patient during procedures
20. Demonstrate proper body mechanics.
21. Present and value the topic report and test the case study.
22. Experiment the evidence-based practice in physical therapy for neurological condition.
23. Identify the evidence-based practice.
24. Differentiate the three basic components of EBP.
25. Apply the five steps process to achieve EBP.
26. Examine the resource on-line of EBP.
27. Document the critical appraisal of research evidence.
28. Demonstrate the strategies in applying the evidence to health care practice.
29. Evaluate the barriers to utilization of EBP approach in PT practice.

IFL Themes:
“Listening teaches better than Lecturing”
Scope and Sequence:
Prelim: (exam schedule: July 6-10,2015)
I. Introduction
A. Introduction to Clinical Setting
B. Documentation
II. Review on Patient's Evaluation Procedures
A. Patient Interview
B. Vital Signs
C. Level of Consciousness
D. Cognitive Function
E. Speech and Communication
F. Cranial Nerves
G. Sensory Function
H. Autonomic Nervous System Function
I. Perceptual Function
J. Motor Function

Midterm ( Exam Schedule: August 5-7, 2015)

III. Clinical Approach to Neurological Conditions:
A. Brain Disorders
1. Cerebrovascular Disease
2. Traumatic Brain Injury
3. Multiple Sclerosis
4. Parkinson’s Disease and Other Movement Disorders
5. Alzheimer’s Disease
B. Spinal Cord Disorders
1. Traumatic Spinal Cord Injury
2. Spinal Cord Tumors
3. Infection Diseases of the Spinal Cord
4. Myelopathies
C. Motor Neuron Disorders
D. Myopathies
E. Peripheral Neuropathies
F. Autonomic Nervous System Disorders

Semifinal (Exam Schedule: September 9-11, 2015)

IV. Introduction to Clinical Rotation
A. Rotation in the Clinical Setting
B. Evaluation on Actual Patients
V. Group Discussions in the Clinical Setting
A. Presenting a Journal Report
B. Presenting a Special Topic Report
C. Presenting a Case Study

Final (Exam Schedule: October 12-14, 2015)

VI. Evidence -Based Practice in Physical Therapy for Neurological Conditions
 A. What is Evidenced-Based Practice?
B. Three Basic Components of EBP
C. Five-Step Process to Achieve EBP?
D. EBP Resources On-line
E. Critical Appraisal of Research Evidence
F. Reading Clinical Trials in PT
G. Strategies in Applying the Evidence to Health Care Practice
H. Barriers to Utilization of EBP Approach in PT Practice.

Major Course Outputs:

As evidence of attaining above learning outcomes, students must pass ,perform and submit the
following during the indicated dates of the term:
Learning Outcomes Required Output Due Date
LO1 Case study of the actual February 29, 2016
patient the student is
handling

LO2 Case presentation February 29, 2016

GRADING SYSTEM
A passing grade of 60% or D (letter grade); = (Raw Score/Perfect score) X 100
Students’ Grade: (LECTURE) 60%
 Based on Classroom Performance (40%) in terms of:
a. Quizzes (long/short): 60%
b. Assignments/Activities: 35%
c. Attendance/Class participation: 5%
 And Major Exams, which includes Prelim. Midterm, Semifinal, and Final Exams (60%)
Students’ Grade: (LABORATORY) 40%
 Based on Laboratory Performance (60%) in terms of:
- Quizzes (long/short): 20%
- Lab Demo: 40%
- Requirements/Activities : 30%
- Materials/equipment/Uniform: 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. Using of gadgets are prohibited inside the classroom unless they are used for learning purposes.
 2. Attendance:
a. Should a student accumulate more than 20% of absences in a class, the student will be given a grade of FA for the
final semestral grade regardless of the students’ grade in any of the terms.
b. More than 30 minutes late is considered absent.
c. Students with perfect attendance may be given additional merits.
3. Passing rate is 60 % (professional subjects) using a zero-based system.
a. Removal exam will be given only ONCE to students who will acquire a final grade of 58% - 59%. A highest grade of
60% will be given to a student after passing a removal exam.
b. A special exam and/or removal exam fee of P150.00 will be collected from the students to be placed in the
department fund.
4. Quizzes:
a. No special quizzes will be given to late and absent students unless they can present valid reasons with documents
(marriage, sickness, death, etc.) subject for approval by the Dean of SAHMS.
b. Students who will take special quiz must present a medical certificate from a hospital or a medical doctor, or a valid
excuse letter signed by the dormitory dean.
5. Examinations:
a. No special examinations will be given to late and absent students, except if their reason is valid (sickness, death of
immediate family, or a delegate or representative of school in school approved activity) and subject for approval by
the Dean of SAHMS.
b. It is the student’s responsibility to arrange a special examination schedule with the instructor.
6. Projects/assignment/lab activity:
a. No late assignments or laboratory activity will be accepted.
7. Others;
a. A student must be in complete uniform (as prescribed) in order to be admitted in class.
b. Complete uniform for laboratory includes white t-shirts , white shorts and white rubber shoes.

Required Equipment and Supplies for Laboratory

Hydrotherapy equipment
Lab uniform

Textbook:

Barry, M. “Evidence-Based Practice in Pediatric Physical Therapy.” PT Magazine. APTA Continuing Education
Series. 2001; 22: 38-5.

Braddom, R. Physical Medicine and Rehabilitation, 2nd ed., Philadelphia: W. B. Saunders Co., 2000.

Braunwald, E, et. al., Harrison’s Principles of Internal Medicine, 15th ed. New York: McGraw-Hill, Inc., 2001.

Delisa, JA. Rehabilitation Medicine: Principles and Practice, 3rd ed., Philadelphia: Lippincott-Raven
Publishers, 1998.

References:

Barry, M. “Evidence-Based Practice in Pediatric Physical Therapy.” PT Magazine. APTA Continuing Education Series.
2001; 22: 38-5.

Braddom, R. Physical Medicine and Rehabilitation, 2nd ed., Philadelphia: W. B. Saunders Co., 2000.

Braunwald, E, et. al., Harrison’s Principles of Internal Medicine, 15th ed. New York: McGraw-Hill, Inc., 2001.
Delisa, JA. Rehabilitation Medicine: Principles and Practice, 3rd ed., Philadelphia: Lippincott-Raven Publishers, 1998.

Hislop, HJ and Montgomery, J. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination, 7th
ed., Philadelphia: WB Saunders Company, 2002.

Hoppenfeld, S. Physical Examination of the Spine and Extremities. Norwalk: Appleton and Lange, 1976.

Kettenbach, G. Writing SOAP Notes, 2nd ed., Philadelphia: FA Davis Company, 1995.

Molnar, GE, and Alexander, MA. Pediatric Rehabilitation, 2nd ed., Philadelphia: Hanley & Belfus, Inc., 1999.

Norkin, CC and White, DJ. Measurement of Joint Motion: A Guide to Goniometry, 2nd ed., Philadelphia: FA Davis
Co., 1995.

O’Sullivan, SB and Schmitz, TJ. Physical Rehabilitation Assessment and Treatment, 4th ed., Philadelphia: F. A. Davis
Co., 2001.

Rosenberg, W and Donald, A. “Evidence-Based Medicine: An Approach to Clinical Problem Solving.” British Medical
Journal. 1995; 310: 1122-1126.

Sackett D, Rosenberg W, Gray J, Haynes R and Richardson W. “Evidence-Based Medicine: What it is and What it
isn't.” British Medical Journal.1996; 312:71-72.

Wadsworth, H and Chanmugam, APP. Electrophysical Agents in Physiotherapy, 2nd ed., Marrickville, NSW: Fitzroy
and Chapel Streets, 1988.

Wolf, SL. Clinical Decision Making in Physical Therapy, 1st ed. Philadelphia: FA Davis Co., 1985.

Prepared by: MR. NIMROD S. GANSAN, PTRP

Faculty

Approved by: Mr. Pretzel K. Zuniga , PTRP,PhD.

Head, PT Department

Noted by: Mr. Ian C. Abordo, PhD.

VPAA