Therapeutic Exercise II
I. Course Prefix/Number: PTA 210
Course Name: Therapeutic Exercise II
Credits: 4 (3 lecture; 3 lab)
III. Course (Catalog) Description
Course continues study of physical therapy skills. Content includes manual muscle testing, progressive resistive exercise, stretching and patient instruction. Focus is on physical therapy appropriate for orthopedic diseases and disorders that affect all age groups.
IV. Learning Objectives
Upon completion of this course, the student will be able to:
- Apply evidenced-based knowledge previously learned in science, general education and PTA courses to content studied in this course.
- Relate structure and physiology of muscle to orthopedic conditions.
- Detect normal and abnormal joint motion.
- Formulate correct treatment plan for orthopedic conditions.
- Synthesize the principles of orthopedic patient assessment including flexibility, joint, range of motion, muscle length, muscle strength, endurance, palpation, orthopedic tests and functional rating scales, and gait analysis.
- Correctly perform various patient assessment activities including flexibility and muscle length, strength, endurance, functional rating scales, orthopedic tests, palpation and gait analysis.
- Utilize results of various orthopedic and medical tests and assessment procedures to identify patient status.
- Discriminate between normal and abnormal gait.
- Identify various orthopedic impairments, problems and conditions using ICF models and recognize indications and contradictions for physical therapy treatment.
- Relate various physical therapy, surgical, and medical interventions to specific orthopedic problems and conditions.
- Compare stretching, mobilization and PROM treatments in terms of definitions, implementation, rationale and effectiveness.
- Compare types of exercise equipment and devices.
- Select appropriate use of supportive devices, splints and orthotics used in orthopedics.
- Design and teach home exercise programs utilizing available software and technology.
- Integrate knowledge of exercise principles and apply to the progression of patients in exercise programs.
- Relate the role of therapeutic exercise to the total care of the patient, and teach it to the family and caregivers.
- Collaborate in group activities, demonstrating sensitivity to cultural differences.
- Complete accurate documentation that follows guidelines and specific documentation formats required by state practice acts, the practice setting and other regulatory agencies.
- Display professional behaviors as mandated by the APTA/IPTA.
- Complete a self-directed learning project utilizing technology/multimedia resources and share knowledge gained with classmates and faculty.
V. Academic Integrity and Student Conduct
• 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
VI. Sequence of Topics
- Principles of Therapeutic Exercise
- Passive vs. Active exercise
- Closed chain vs. open chain exercise
- Manual and mechanical resistance exercise:
- Comparison of techniques and available equipment:
- stretching, mobilization, PROM
- manual vs. mechanical resistance
- types of equipment
- Objectives of therapeutic exercise:
- Muscle strength and power
- Coordination and balance
- Functional abilities
- Endurance/cardiovascular fitness
- Sports and work performance
- Principles of patient assessment:
- Physical therapy examination procedures
- Patient history and complaints
- Joint motion/goniometry (review)
- Muscle palpation
- Manual muscle testing
- history and rationale
- proper positioning and command
- grading scales
- use of results
- gait analysis
- orthopedic tests
- drop arm best
- apprehension test
- Tinel sign
- Phalen’s test
- Trendelenberg test
- Obu test
- Thomas test
- “Bounce Home” test
- Drawer sign
- Grinding test
- Apley’s tests
- forward bending test
- Utilization of testing procedures and reports
- Functional rating scales
- Orthopedic tests and scales
- Work capacity/work hardening definitions
- Other medical tests
- Analyze and address patient problems based on physical therapy assessment:
- Indications and contraindications for exercise
- Patient goals and physical therapy intervention
- Appropriate exercise methods
- Outcomes of exercise procedures
- Physical therapy examination procedures
- Appreciation of physical therapy interventions to specific orthopedic problems and corrections.
- Fracture management
- normal healing
- Wolff’s Law
- types of fracture
- Colle’s fracture
- Pott’s fracture
- Dupuytren’s (tri-malleolar) fracture
- physician role
- no intervention
- Physical therapy role
- pain management
- general conditioning
- immobilization problems
- functional considerations
- home programs
- delayed union
- nerve damage
- Surgical Management
- common surgical procedures
- Indications and complications
- Patient and family instruction and home programs
- common surgical procedures
- Abnormal gait
- abducted leg
- abnormal motions
- trunk bending
- decreased arm swing
- excessive knee flexion
- excessive medial/lateral foot contact
- head down
- hip hiking
- genu recurvatum
- decreased dorsifexion in stance
- decreased dorsifexion in swing
- decreased pushoff
- internal/external hip rotation
- unequal rhythm
- unequal step length
- wide base
- Bone and Joint diseases
- ankylosing spondylitis
- Paget’s Disease
- collagen diseases
- Other orthopedic conditions:
- Aseptic necrosis of femoral neck
- bone tumors and cysts
- osteogenic sarcoma
- Carpal tunnel syndrome
- congenital abnormalities
- dislocations and subluxations
- Dupuytren’s contracture
- elbow injuries
- adhesive capsulitis
- finger injuries
- genu valgum and varum
- hallux valgus and varus
- plantar fasciitis
- leg length discrepancies
- knee injuries
- cruciate ligaments
- collateral ligaments
- patello-femoral pain syndrome
- overuse and repetitive strain injuries
- rotator cuff tears
- shoulder-hand syndrome
- Sudeck’s atrophy
- talipes calcaneovalges-equinovarus
- tendon injuries
- Volkmann’s ischemic contracture
- Fracture management
- Non-Physical Therapy Management of Orthopedic Conditions
- External support devices
- braces and supports
- in-shoe orthotics
- casts and splints
- corsets and spinal orthoses
- Discuss the role of therapeutic exercise in total care of the patient
- physical and psychological barriers to exercise
- related healthcare personnel and procedures
- teaching patients and care givers
- workplace and industrial applications
- cost efficient treatment and discharge planning
VII. Methods of Instruction
- The primary modalities for relay of information from the instructor are lecture, discussion and demonstration of techniques.
- Guided practice with immediate feedback is utilized in the lab sessions.
- Written examinations and homework assignments are included
- Laboratory practicals are held each semester.
- Computer software for home programs.
- All evaluation results are shared with each student on an individual or group basis soon after test administration to ensure comprehension of material.
Course may be taught as face-to-face, hybrid or online course.
VIII. Course Practices Required
- Student must attend three hours lecture per week and three hours lab per week.
- Students are responsible for all assigned readings and materials presented in class and all homework assignments to be completed in a timely manner.
- Students are expected to actively participate in class activities in both lecture an lab sessions.
- Complete a self-directed learning project.
- Course is taught as face-to-face.
IX. Instructional Materials
- Required texts: Current textbook information for each course and section is available on Oakton’s Schedule of Classes
- Shankman, Fundamentals of Orthopedic Management for the PTA, 2nd ed.
- Hislop and Montgomery, Muscle Testing
- Kisner and Colby, Therapeutic Exercise, Foundations and Technique or texts of comparable content.
- Audio-visual material, including selected video, software and CD-ROMs available in lab.
X. Methods of Evaluating Student Progress
- Written assignments
- Written tests
- Comprehensive final exam
- Lab practicals
- 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 lab practical exam delineates critical safety elements for the skill being tested. Failure to meet any of these critical safety elements will cause the student to fail the practical exam. 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.
- There will be no rounding-up of grades earned.
- Self-directed learning project
- Lecture and lab attendance. (Class participation, professional attitude and behavior may also be considered in computing the final grade.)
Final course grade is a composite of 60% lecture (classroom), 40% lab.
(See Grade Determination Sheet).
Final grades will not be “rounded up”. The grading scale is as:
A 90 – 100
B 80 – 89.99
C 70 – 79.99
Lecture and lab grades must each be a minimum grade of 70% in order to receive a passing grade for the course.
XI. Other Course Information
- Attendance is mandatory at all scheduled lecture and laboratory times. All absences must be excused in advance of class or lab. Any unexcused absences after 2 grace absences will result in a lowering of the final grade by 2 percentage points for each lecture or lab missed. Students who inform the instructor in advance (at the beginning of the semester) of an intended absence for a MAJOR religious observance will not be penalized. However, instructors are not responsible for teaching material again and missed work, exams, or quizzes must be made up either in advance or immediately following the intended absence.
- Make up exams may be given at the discretion of the instructor. There will be no make-ups of unannounced quizzes. Late homework assignments will receive a 10% deduction for each day late.
- Lab policy:
- Lab clothes are required for all lab sessions unless otherwise instructed.
- Students will rotate lab partners.
- Students are requested to administer and receive all modalities and treatments prescribed
- Students should be prepared to take notes during lab sessions as some lecturing will be done.
- Students will clean up the lab after each session.
- The use of cellular phones or audible paging devices is NOT permitted during class or lab.
- No visitors are allowed in lab unless approved by instructor.
- Correct spelling is required on all written assignments. Papers MUST be typed.
- Students guilty of plagiarism/cheating are subject to dismissal from the program and/or disciplinary action under the Student Code of Conduct.
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
Resources and support for LGBTQ+ students can be found at www.oakton.edu/lgbtq.