Advanced Manual Techniques

I.     Course Prefix/Number: PTA 212

       Course Name: Advanced Manual Techniques

       Credits: 2 (2 lecture; 1 lab)

II.    Prerequisite

PTA 210 and PTA 207 with minimum grade of C in all courses; PTA 261 or concurrent enrollment; concurrent enrollment in PTA 220, PTA 230 (or licensed PTA).

III.   Course (Catalog) Description

Course advances knowledge of various manual techniques. Content includes theory and practice of peripheral joint mobilization, and soft tissue mobilization as suitable for the Physical Therapist Assistant. Focus of lecture and laboratory sessions is on anatomy, assessment and treatment techniques.

IV.   Learning Objectives

Upon completion of this course, the student is able to:

  1. Describe in detail the anatomical relationships of the major joints studied.
  2. Describe the anatomical relationship of connective tissue to pain and functional limitations.
  3. Perform a physical therapy assessment of the status of the orthopedic patient referred for joint mobilization..
  4. Implement a treatment plan utilizing selected manual therapy techniques. Mobilize connective and soft tissue and peripheral joints safely and correctly.
  5. Evaluate the patient’s response during and after treatment and recognize desired and adverse responses.
  6. Demonstrate knowledge of the rationale and effectiveness of joint mobilization as applied to the peripheral joints, and soft tissue mobilization.
  7. Describe the physiological benefits and the role of manual therapy in the total patient treatment plan.

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at
www.oakton.edu/studentlife/student-handbook.pdf

VI.   Sequence of Topics

  1. Basic concepts of connective and soft tissue mobilization, and joint mobilization; indications, contraindications and precautions.
  2. Joint anatomy specific to each joint addressed in the course including but not limited to:
    1. shoulder
    2. elbow
    3. wrist
    4. hand/fingers joints
    5. hip
    6. knee
    7. ankle
    8. joints of the foot
  3. Assessment of status of and application of manual treatment technique to each body area addressed in the course including but not limited to:
    1. shoulder
    2. elbow
    3. wrist
    4. hand/finger joints
    5. hip
    6. knee
    7. ankle
    8. joints of the foot
  4. Description of the effects and the expected outcomes of treatment of soft tissue, connective tissue and joint mobilization.
  5. Definitions of specific terminology used in assessment of joints and joint mobilization treatments, connective tissue and connective tissue mobilization treatments.
  6. Effects of manual therapy on the patient as a whole.
  7. Description of adjunct therapy and home programs associated with mobilization treatments.

VII.  Methods of Instruction

Primarily lecture/demonstration and laboratory practice of techniques taught.


Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

  1. Attend 2 hours 20 minutes of lecture/laboratory per week.
  2. Complete all assigned readings on time.
  3. Students are expected to participate in all classroom and laboratory activities.
  4. Take required written exams/quizzes and laboratory practicals as required.
  5. Course may be taught as face-to-face, hybrid or online course.

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Required: Kisner and Colby, Therapeutic Exercise:  Foundations and Techniques,
F. A. Davis, Philadelphia, 2002.

Recommended: Hoppenfeld, Stanley, Physical Examination of the Spine and Extremities, Appleton and Lange, New York, 1976

Or texts of comparable content.

Instructional handouts as supplied by instructor.

X.    Methods of Evaluating Student Progress

  1. Unit exams and a comprehensive final exam and lab practical exam.
    Lab Pracitcals:
    1. All students must successfully pass each practical exam with a minimum score of 70% in order to continue in the physical therapist assistant program.  Each student will be afforded the opportunity to take a make-up practical exam in the event of a failing score on a first attempt.  The average of both attempts must meet the minimum passing score requirements for each practical exam.
    2. There will be no rounding-up of grades earned.
  2. Written assignments.
  3. Lecture and lab attendance, class participation and professional attitude and behavior.

XI.   Other Course Information

Attendance is mandatory for all scheduled lecture and laboratory sessions.

Appropriate lab attire is required for all lab sessions.

Make-up exams and quizzes will only be allowed if approved by instructor prior to the exam or quiz.

Students are responsible for cleaning the lab after laboratory sessions.

If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Diversity Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College recognizes the broad diversity of religious beliefs of its constituencies. The College has embraced a practice of shared responsibility in the event a religious observance interferes with class work or assignments. Students who inform instructors in advance of an intended absence for a major religious observance will not be penalized. The instructor will make reasonable accommodations for students, which may include providing a make up test, altering assignment dates, permitting a student to attend another section of the same course for a class period or similar remedies. Instructors are not responsible for teaching material again. Instructors should inform students of this practice at the beginning of the semester so that arrangements can be made accordingly. Similar consideration is accorded to faculty, staff and administrators and is provided for in their respective contracts.



If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

Resources and support for
  • pregnancy-related and parenting accommodations; and
  • victims of sexual misconduct
can be found at www.oakton.edu/title9/.

Resources and support for LGBTQ+ students can be found at www.oakton.edu/lgbtq.