AT 359 - Athletic Injury Assessment

SPRING 2004 -
T, R - Field House Rm 103

Instructor:               Mr. Brad Abell, MEd, ATC, LAT
Office:  
                    Athletic Training Rehab Center, Field House, Rm 014
Office Number:      (903)
468-3074
Home Number:      (903)
886-1520
Eamil:                  
      brad_abell@tamu-commerce.edu
Office Hours: 
        M-F, 8: 00 – 5:00 PM

Course Textbooks:       Arnheim’s Principles of Athletic Training, 11th Edition,
                                            Prentice, William E., PhD, ATC, PT; 2003
                                           Special Tests for Orthopedic Examination, 2nd Edition,
                                            Konin, Jeff G., et al; 2002

Course Information: This class is designed to give the student knowledge and understanding of injury assessment / evaluation used in the athletic training field.  This course is designed to meet the educational objectives for students enrolled in entry-level athletic training education programs

Catalog Description: A study of the knowledge, skills and values an athletic trainer or health care professional must possess to assess and evaluate injured athletes and other physically active individuals. Content areas to include, orthopedic and musculoskeletal injuries to the upper and lower extremities, injury pathology, and on/off-the-field evaluation skills that affect athletes. Co-requisite: AT 360, Prerequisite KINE 335, BSC 251, BSC 252 or anatomy class.

Course Objectives: This domain is a collection of knowledge, skills, and values required of the entry-level Certified Athletic Trainer to conduct an assessment, formulate an impression to determine proper care; and refer when appropriate, injuries to and illnesses of the physically active.

PATHOLOGY OF INJURIES AND ILLNESSES

Cognitive Domain
   
18 - Describes the signs and symptoms of deep and superficial vein thromboses, pulmonary embolism and other emboli, and myocardial infraction.
   
19 - Identifies the implications of various underlying pathologies and uses this knowledge to select appropriate therapeutic modalities and therapeutic exercise protocols.

Affective Domain
   
1 - Appreciates that an understanding of pathology is essential to care for athletes and others involved in physical activity.
   
2 - Recognizes that physician consultation is a moral and ethical necessity in the diagnosis and treatment of pathologic conditions.
   
3 - Accepts the moral and ethical responsibility of maintaining current knowledge of the pathologic conditions of athletes and others involved in physical activity.
    4 - Promotes accountability for moral and ethical decision-making in the treatment of pathologic conditions.
   
5 - Understands how the use of exercise will improve the non-diseased organ system, thus enhancing overall wellness.

ASSESSMENT AND EVALUATION

Cognitive Domain
   
1 - Demonstrates knowledge of the normal anatomical structures of the human body systems and their physiological functions, including the musculoskeletal (including articulations), nervous (central and peripheral), cardiovascular, respiratory, digestive, urogenital, endocrine, dermatological, reproductive, and special sensory systems.
   
2 - Distinguishes the anatomical and physiological growth and development characteristics of athletic and physically active males and females in the following stages:pre-adolescent; adolescent; adult; and senior.
   
3 - Describes the physiological and psychological effects of physical activity and their impact on the performance of athletes and individuals involved in other forms of physical activity.
   
6 - Differentiates injury recognition, assessment, and diagnosis.
   
7 - Describes commonly accepted techniques and procedures for evaluation of the common injuries and illnesses that are incurred by athletes and others involved in physical activity. These techniques and procedures include the following:(a) taking a history, (b) inspection or observation,(c) palpation, (d) functional testing (range of motion, ligamentous or capsular stress, manual muscle, sensory, motor, reflex neurological), (e) special evaluation techniques (e.g., orthopedic tests, auscultation, percussion)
   
8 - Explains the relationship of injury assessment to the systematic observation of the person as a whole.
   
9 - Demonstrates knowledge of a systematic process that uses the medical or nursing model to obtain a history of an injury or illness that includes, but is not limited to, the mechanism of injury, chief complaint, and previous relevant injuries or illnesses.
   
10 - Explains how to take measurements of the neurological function of cranial nerves, spinal nerves, and peripheral nerves, and describes their relationships in a neurological examination.
   
11 - Describes the use of myotomes, dermatomes, and reflexes (deep tendon, superficial) including manual muscle-testing, range-of-motion testing, and distinguishes between primary, cortical, and discriminatory forms of sensation.
   
12 - Defines the measurement and grading of dermatomes, myotomes, and reflexes and their relationships in a neurological examination.
   
13 - Describes active, passive, and resisted range-of-motion testing and differentiates the significance of the findings of each test.
   
14 - Explains the role of special tests, testing joint play, and postural examination in injury assessment.
    15
- Explains how to measure resistive range of motion (or strength) of major muscles using manual muscle testing or break tests.
   
16 - Differentiates the use of diagnostic tests (x-rays, arthrograms, MRI, CAT scan, bone scan, ultrasound, myelogram) based on their applicability in the assessment of an injury or illness when prescribed by a physician.
   
20 - Describes the etiological factors, signs, symptoms, and management procedures for injuries of the toes, foot, ankle, lower leg, knee, thigh, hip, pelvis, shoulder, upper arm, elbow, forearm, wrist, hand, thumb, fingers, spine, thorax, abdomen, head, and face.
   
26 - Uses the terminology necessary to communicate the results of an athletic training assessment to physicians and other health professionals.
   
27 - Describes components of medical documentation (e.g., subjective, objective, assessment, plan [SOAP] and history, inspection, palpation, special tests [HIPS])

Affective Domain
   
1 - Appreciates the importance of a systematic assessment process in the management of injuries and illness.
   
2 - Appreciates the importance of documentation of assessment findings and results.
   
4 - Recognizes the initial clinical evaluation by the certified athletic trainer as an assessment and screening procedure, rather than as a diagnostic procedure.
   
5 - Appreciates the practical importance of thoroughness in a clinical evaluation.
   
6 - Accepts the professional, ethical, and legal parameters that define the proper role of the certified athletic trainer in the evaluation and appropriate medical referral of injuries and illnesses of athletes and others involved in physical activity.

ACUTE CARE OF INJURIES AND ILLNESSES

Cognitive Domain
   
4 - Interprets standard nomenclature of athletic injuries and illnesses.
   
5 - Recognizes appropriate written medical documentation and abbreviations.
   
7 - Differentiates the components of a secondary survey, including obtaining a history, inspection and observation, palpation, and the use of special tests to determine the type and severity of the injury or illness sustained.
    13 - Recognizes the characteristics of common life-threatening conditions that can occur either spontaneously or as the result of direct trauma to the throat, thorax and viscera, and identifies the management of these conditions.
   
19 - Cites the signs, symptoms, and pathology of acute inflammation.
   
42 - Uses the information obtained during the examination to determine when to refer an injury or illness for further or immediate medical attention d (e.g., a life- or limb-threatening situation).

Affective Domain
   
6 - Appreciates the systematic approach to acute injury or illness of the secondary survey components of obtaining a history, inspection/observation, palpation, and using special tests.
   
9 - Appreciates the construction of various splinting devices and the appropriate uses for each.

THERAPEUTIC EXERCISE

Cognitive Domain
   
4 - Describes common surgical techniques, pathology, and any subsequent anatomical alterations that may affect the implementation of a rehabilitation or reconditioning exercise program.
   
5 - Interprets the results of injury assessment and determines an appropriate rehabilitation or reconditioning plan to return the patient to physical activity.
   
9 - Describes the appropriate selection and application of the ex taking into consideration: a.  the physiological responses of the human body to trauma, b.  the physiological effects of inactivity and immobilization on the musculoskeletal, cardiovascular, nervous, and respiratory systems of the human body, c. the associated anatomical and/or biomechanical alterations of commonly used primary and reconstructive surgery, d. the physiological adaptations induced by the various forms of therapeutic exercise, such as fast- versus slow-twitch muscle fibers, e. the physiological responses of additional factors, such as age and disease.

GENERAL MEDICAL CONDITIONS AND DISABILITIES

Psychomotor Domain
   
1 - Assesses the patient for congenital or acquired abnormalities, physical disabilities, and diseases that would predispose him or her to other injury or illness, or would exacerbate the existing condition(s). 

PSYCHOSOCIAL INTERVENTION AND REFERRAL

Affective Domain
   
3 - Recognizes the certified athletic trainer's role as a liaison between the physically active, athletic personnel, health care professionals, parents/guardians, and the public.
   
4 - Accepts the need for appropriate interpersonal relationships between all of the parties involved with athletes and other involved in physical activity.
   
7 - Recognizes athletes and other physically individuals as deserving of quality professional health care.
    8 - Accepts the individual's physical complaint(s) without personal bias or prejudice.

HEALTH CARE ADMINISTRATION

Cognitive Domain
    2 - Lists the components of a medical record, such as permission to treat, emergency information, treatment documentation, and release of medical information.
    5 - Lists the various methods for recording patient information, and compares the strengths and weaknesses of each approach.
    14 - Uses accepted medical terminology and abbreviations (SOAP, CPT and HCFA coding).
    31 - Describes the necessary communication skills for interaction with physicians, allied health care providers, caretakers, and others who work closely with the certified athletic trainer.

(C) 1999, National Athletic Trainers' Association.  All rights reserved.
 

PROFICIENCIES INSTRUCTED:

Risk Management and  Injury Prevention

1   - 1E  : The student will assess the following:
e. limb girth

1   - 1F  : The student will assess the following:
f. limb length

5   - 4   : The student will perform isometric tests for the following parts of the body:
 a. ankle
 b. foot/toes
 c. knee
 d. hip

 e. trunk/torso
 
f. shoulder

 g. elbow
 h. wrist
 i. hand/fingers

Assessment and Evaluation
1   - 1AD : The student will recognize the following postural deviations and predisposing conditions:

a.  kyphosis
b.  lordosis
c.  scoliosis
d.  pelvic obliquity

f.   hip anteversion and retroversion

1   - 2B  : The student will perform a postural assessment of the following:
b.  shoulder

1   - 2C  : The student will perform a postural assessment of the following:
c.  lumbo-thoracic region

1   - 2D  : The student will perform a postural assessment of the following:
d.  hip and pelvis

1   - 2E  : The student will perform a postural assessment of the following:
e.  knee

1   - 2F  : The student will perform a postural assessment of the following:
f.  ankle, foot, and toes
 

2   - 1A  : The student will
a.  use standardized record keeping methods (e.g., SOAP, HIPS, HOPS)
b.  select and use injury, rehabilitation, referral, and insurance documentation
c.  use progress notes

4   - 1A  : The student will identify and assess the following:
a.  cranial nerves             
d.  deep tendon reflexes

b.  dermatomes
                e.  pathological reflexes
c.   myotomes

4   - 1B  : The student will identify and assess the following:
b.  dermatomes                     d.  deep tendon reflexes
c.   myotomes                       e.  pathological reflexes

6   - H1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering from a head injury.

6   - H2  : observe and identify the clinical signs and symptoms associated with 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

6   - H3  : observe and identify the clinical signs and symptoms associated with eye injuries and illnesses:
a.  orbital blowout fracture      e.  detached retina
b.  conjunctivitis                    f.  hyphema
c.  corneal abrasion               g.  stye
d.  corneal laceration

6   - H4  : observe and identify the clinical signs and symptoms associated with an ear injury or illness:
a.  pinna hematoma ("cauliflower ear")          c.  otitis externa
b.  impacted cerumen                                 d.  otitis media

6   - H5  : observe and identify the clinical signs and symptoms associated with nose injury:
a.  deviated septum
b.  epistaxis
c.  nasal fracture

6   - H6  : observe and identify the clinical signs and symptoms associated with jaw, mouth, or tooth injury or illness:
a.  gingivitis                                            g.  tooth abscess
b.  mandibular fracture                             h.  tooth extrusion
c.  maxilla fracture                                   i.  tooth fracture
d.  periodontitis                                        j.  tooth intrusion
e.  temporomandibular joint dislocation      k.  tooth luxation
f.  temporomandibular joint dysfunction

6   - H7  : administer appropriate sensory, neurological, and circulatory tests for the head and face

6   - H8  : administer functional tests and activity-specific tests for head and face injuries.

6   - H9  : identify, palpate, and assess the integrity of bony landmarks of the head and face.

6   - H10 : identify, palpate, and assess the integrity of soft tissue of the head and face.

6   - H11 : administer commonly used special tests to make a differential 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)

6   - C1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering from a cervical spine injury.

6   - C2  : observe and identify the clinical signs and symptoms associated with common 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

6   - C3  : administer active and passive range-of-motion tests using quantifiable techniques (e.g., tape measure, goniometer, and inclinometer) for the cervical spine

6   - C4  : use manual muscle-testing techniques for the cervical spine.

6   - C5  : administer appropriate sensory, circulatory, and neurological tests for the cervical spine.

6   - C6  : administer functional tests and activity-specific tests for the cervical spine.

6   - C7  : identify, palpate, and assess the integrity of bony landmark of the cervical spine.

6   - C8  : identify, palpate, and assess the integrity of soft tissue of the cervical spine.

6   - C9  : administer commonly used special tests to make a differential assessment of the cervical spine:
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.  neurovascular dysfunction (e.g., vertebral artery test)

6   - S1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering from a shoulder injury. 

6   - S2  : observe and identify the clinical signs and symptoms associated with common injuries, illnesses, and predisposing conditions:
a.  atrophy                               h. positioning (Sprengel's deformity)
b.  bursitis                                i.  strain
c.  dislocation or subluxation      j.  scapulohumeral rhythm
d.  efficiency of movement         k.  scapular winging
e.  fracture                                l.  step deformity
f.  sprain                                 m.  symmetry
g.  nerve injury                          n.  tenosynovitis and tendonitis

6   - S3  : administer active and passive range-of-motion tests using standard goniometric techniques for the shoulder.

6   - S4  : use manual muscle-testing techniques for the shoulder

6   - S5  : administer appropriate sensory, neurological, and circulatory tests for the shoulder

6   - S6  : administer functional tests and activity-specific tests for the shoulder

6   - S7  : identify and palpate bony landmarks of the shoulder

6   - S8  : Identify and palpate soft tissue landmarks of the shoulder.

6   - S9  : administer commonly used special tests to make a differential assessment of the following
a.  glenohumeral instability (e.g., anterior drawer test, posterior drawer test, relocation test, apprehension test, clunk test, sulcus sign)
b.  acromioclavicular instability (e.g., shear test, compression test)
c.  rotator cuff impingement/inflammation (e.g., Speed's test, drop arm test, empty can test, impingement test, Hawkins-Kennedy impingement test, Neer impingement test, pectoralis major contracture test)
d.  biceps and biceps tendon pathology (e.g., Yergason's test, Ludington's test)
e.  thoracic outlet syndrome (e.g., Adson'smaneuver, Allen test, military brace position)

6   - E1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering from elbow pathology.

6   - E2  : observe and identify the clinical signs and symptoms associated with common injuries, illnesses, and predisposing conditions:
a.  symmetry                                                 h.  epicondylitis
b.  carrying angle (cubital valgus and varus)       i.  tenosynovitis and tendonitis
c.  dislocation or subluxation                            j.  osteochondritis dissecans
d.  fracture                                                     k.  sprain
e.  atrophy                                                      l.  strain
f.  efficiency of movement                               m.   nerve injury
g.  bursitis

6   - E3  : administer active and passive range-of-motion tests using standard goniometric techniques of the elbow.

6   - E4  : use manual muscle-testing techniques of the elbow

6   - E5  : administer appropriate sensory, neurological, and circulatory tests for the elbow 

6   - E6  : administer functional tests and activity-specific tests for the elbow.

6   - E7  : identify, palpate, and interpret the integrity of bony landmarks of the elbow

6   - E9  : identify, palpate, and interpret the integrity of the soft tissue of the elbow.

6   - E9  : administer commonly used special tests to make a differential assessment of the following
a.  joint instability (e.g., valgus stress test, varus stress test)
b.  inflammatory conditions (e.g., tests for lateral epicondylitis, tests for medial epicondylitis)
c.  neuropathy (e.g., Tinel's sign, pronator teres syndrome, pinch grip test)

6   - F1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering a forearm, wrist, or hand pathology.

6   - F2  : observe and identify the clinical signs and symptoms associated with the following
a.  fracture (Colles' fracture, Bennett's fracture, carpal fracture ["boxer's fracture"], metacarpal fracture, phalanges fracture)
b.  dislocation or subluxation
c.  disease states (e.g., clubbed nails, spoon-shaped nails)
d.  soft tissue pathology (e.g., sprain, flexor tendon avulsion [jersey finger sign], extensor tendon avulsion [mallet finger], extensor tendon rupture [boutonniere deformity], volar plate rupture [pseudo-boutonniere deformity], Dupuytren's contracture, ganglion, swan neck deformity, trigger finger)
e.  neurovascular involvement (e.g., carpal tunnel syndrome, bishop's or benediction deformity, ape hand, claw fingers, drop-wrist deformity, Volkmann's contracture)

6   - F3  : administer active and passive range-of-motion tests using standard goniometric techniques for the forearm, wrist, and hand

6   - F4  : use manual muscle-testing techniques for the forearm, wrist, and hand 

6   - F5  : administer appropriate sensory, neurological, and circulatory tests for the forearm, wrist, and hand.

6   - F6  : administer functional tests and activity-specific tests for the forearm, wrist, and hand.

6   - F7  : identify, palpate, and interpret the integrity of bony landmarks for the forearm, wrist, and hand.

6   - F8  : identify, palpate, and interpret the integrity of soft tissue for the forearm, wrist, and hand.

6   - E9  : administer commonly used special tests to make a differential assessment of the following:
a.  joint instability (e.g., valgus stress test, varus stress test)
b.  inflammatory conditions (e.g., tests for lateral epicondylitis, tests for medial epicondylitis)
c.  neuropathy (e.g., Tinel's sign, pronator teres syndrome, pinch grip test)

6   - T1  : obtain the medical history of an ill or injured athlete or other physically active individual of the thorax and lumbar spine.

6   - T2  : observe and identify the clinical signs and symptoms associated with common injuries, illnesses, and predisposing conditions:
a.  café au lait macules (spots)                     h.  nerve root compression
b.  dislocation or subluxation                         i.  sacroiliac dysfunction
c.  spina bifida occulta                                  j.  scoliosis
d.  facet syndrome                                       l.  sprain
e.  intervertebral disc pathology                    m.  stenosis
f.  spinal posture (kyphosis/ lordosis)            n.  step deformity
g.  leg length discrepancies                          o.  strain
k.  vertebral pathology (e.g., spondylitis, spondylolysis, spondylolisthesis)

6   - T3  : administer active and passive range-of-motion tests using standard qualitative and quantitative techniques for the thoracic and lumbar spine.

6   - T4  : Use manual muscle-testing techniques for the thoracic and lumbar spine.

6   - T5  : administer appropriate sensory and neurological tests for the thoracic and lumbar spine.

6   - T6  : administer functional tests and activity-specific tests for the thoracic and lumbar spine.

6   - T7  : identify, palpate, and interpret the integrity of bony landmarks of the thoracic and lumbar spine.

6   - T8  : identify, palpate, and interpret the integrity of soft tissue of the thoracic and lumbar spine.

6   - T9  : administer commonly used special tests to make a differential assessment of the following:
a.  intervertebral disc herniation (e.g., Valsalva's maneuver)
b.  neuropathy (e.g., straight leg raise test, well straight leg test, Babinski's reflex test, Oppenheim's gait test, Kernig's sign, Brudzinski sign test, bowstring test, Hoover sign test)
c.  vertebral defects (e.g., stork standing test/spondylolisthesis test)
d.  joint instability (e.g., spring test)

6   - P1  : obtain the medical history of an ill or injured athlete or other physically active individual for hip/pelvis pathology.

6   - T2  : observe and identify the clinical signs and symptoms associated with common injuries, illnesses, and predisposing conditions:
a.  leg length discrepancies               j.  osteitis pubis
b.  hip retroversion                            k.  athletic pubalgia
c.  hip anteversion                             l.  bursitis    
d.  Legg-Calve-Perthes disease         m.  piriformis syndrome
e.  apophysitis                                  n.  iliotibial band syndrome
f.  slipped capital femoral epiphysis    o.  contusion
g. dislocation or subluxation              p.  sprain
h.  fracture                                       q.  strain
i.  stress fracture                               r.  tendonitis

6   - T3  : administer active and passive range-of-motion tests using standard goniometric techniques and/or a tape measure for the hip/pelvis.

6   - T4  : use manual muscle-testing techniques for the hip and pelivs.

6   - T5  : administer appropriate sensory, neurological, and circulatory tests for the hip and pelvis.

6   - P6  : administer functional tests and activity-specific tests for the hip/pelvis.

6   - P7  : identify, palpate, and interpret the integrity of bony landmarks of the hip/pelvis.

6   - P8  : identify, palpate, and interpret the integrity of soft tissue of the hip and pelvis.

6   - P9  : administer commonly used special tests to make a differential assessment of the following:
a.  sacroiliac dysfunction (e.g., Patrick's/FABER, Gaenslen's test, pelvic compression/distraction test)
b.  neuropathy (e.g., femoral nerve traction test)
c.  neuromuscular pathology (e.g., Trendelenburg test, Thomas test, rectus femoris contracture test, Ober test, Noble's test, piriformis test)

6   - K1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering from knee pathology.

6   - K2  : observe and identify the clinical signs and symptoms associated with common injuries, illnesses, and predisposing conditions:
a.  bursitis                                          k.  patellar tendon rupture
b.  chondromalacia patella                    l.  peroneal nerve contusion or palsy
c.  dislocation and subluxation            m.  popliteal cyst
d.  fat pad contusion                           n.  sprain
e.  fracture                                         o.   strain
f.  leg length                                       p.  tendonitis
g.  meniscal tear                                q.  tibial torsion
h.  Osgood-Schlatter disease               r.  tibiofemoral alignment (e.g., ...)
i.   osteochondritis dissecans   
j.  patellar alignment (e.g., patella alta, patella baja, squinting patella, Q angle)

6   - K3  : administer active and passive range-of-motion tests using standard goniometric techniques for the knee

6   - K4  : use manual muscle-testing techniques for the knee.

6   - K5  : administer appropriate sensory, neurological, and circulatory tests for the knee.

6   - K6  : administer functional tests and activity-specific tests for the knee

6   - K7  : identify, palpate, and interpret the integrity of bony landmarks of the knee

6   - K8  : identify, palpate, and interpret the integrity of soft tissue of the knee.

6   - K9  : administer commonly used special tests to make a differential assessment of the following:
a.  uniplanar stress tests (e.g., valgus stress test, varus stress test, Lachman test, anterior drawer test, posterior drawer test, posterior sag sign)
b.  multiplanar (rotational) stress tests (e.g., Slocum test, Hughston's test, lateral pivot shift maneuver)
c.  meniscal tears (e.g., McMurray's test, Apley's test)
d.  patellofemoral dysfunction (e.g., grind test, apprehension test)
e.  intra-extracapsular swelling (e.g., sweep test, ballottable patella)

6   - A1  : obtain the medical history of an ill or injured athlete or other physically active individual suffering from foot, ankle, or leg pathology.

6   - A2  : observe and identify the clinical signs and symptoms associated with the following common injuries, illnesses, and predisposing conditions:
a. overuse injures                                   i.  neuroma
b. Achilles tendon rupture                       j.  osteochondritis dissecans
c. compartment syndrome                      k. sprain
d. apophysitis                                        l.  strain
e. dislocation or subluxation                   m. toe structure/alignment
f. foot type/structure                               n. weight-bearing versus non-weight-bearing
g. fracture                                              o. gait
h. deep vein thrombosis

6   - A3  : administer active and passive range-of-motion tests using standard goniometric techniques for the foot, ankle, and lower leg.

6   - A4  : use manual muscle-testing techniques for the foot, ankle, and lower leg. 

6   - A5  : administer appropriate sensory, neurological, and circulatory tests for the foot, ankle, and lower leg.

6   - A6  : administer functional tests and activity-specific tests for the foot, ankle, and lower leg.

6   - A7  : identify, palpate, and interpret the integrity of bony landmarks for the foot, ankle, and lower leg.

6   - A8  : identify, palpate, and interpret the integrity of soft tissue of the foot, ankle, and lower leg.

6   - A9  : administer the following commonly used special tests to make a differential assessment:
a.  compression test       e.  talar tilt test
b.  percussion test          f.  Thompson test
c.  anterior drawer test    g.  Tinel's sign
d.  Kleiger's test             h. Homans' sign

General Medical Conditions and Disabilities
1   - 1   : Obtain a basic medical history that includes the following components:
a.  previous medical history                  d.  current medication history
b.  previous surgical history                  e.  relevant social history
c.  pertinent family medical history         f.  chief medical complaint

1   - 5A  : Use a stethoscope to identify the following:
a.  normal breath sounds

1   - 5B  : Use a stethoscope to identify the following:
b.  normal heart sounds

1   - 6   : Identify pathological breathing patterns to make a differential assessment for the following respiratory conditions:
a.  apnea                          d.  bradypnea
b.  tachypnea                    e.  dyspnea
c.  hyperventilation             f.  obstructed airway

1   - 7   : Demonstrate proficiency in the use of an otoscope to examine the nose and the outer and middle ear.

PROFICIENCIES EVALUATED:

General Medical Conditions and Disabilities
1   - 7   : Use a stethoscope to identify the following:
c.  normal bowel sounds

 

Attendance:

Perfect attendance is required.  If you must miss a class due to sickness or any other reason, you must make that class up with the instructor.

 

Grading:

90-100%=               A

80-89%=                 B

70-79%=                 C

60-69%=                 D

Below 60%=           F

 

How your grade will be figured:

3  Exams =                               300 pts

Quizzes & Assignments         100 pts

Total Points                              400 pts

 

Scheduled Exams:

                                Exam I -                   Chapters 9, 10, 12, 13

                                Exam II                     Chapters 18, 19, 20, 21

                                Exam III-                   Chapters 22, 23, 24 (part of chapter 24)

                               

Specific Assignments:

1.  Proficiencies-  Introduction of skills will be presented - 5 Practical exams given in AT 360.

 

2. Notebook-  Students are expected to keep a notebook of all notes, handouts, articles, quizzes and study material.

 

3. Quizzes-  Periodic quizzes will be given throughout the semester.

 

4. Clinical Experiences-  You will be expected to work 20 hours per week in the Athletic Training Room each week.

 

5. Field Experiences – You will be assigned to a variety of field experiences during the semester, a one page summary will be done.