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1-2014

AHAT 343.01: Rehabilitation of Athletic Injuries -

Lab
Valerie Rich Moody
University of Montana - Missoula, valerie.moody@umontana.edu

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 REHABILITATION of ATHLETIC INJURIES
AHAT 342-343 (Upper Division Writing Course)

Instructor: Valerie Moody PhD, ATC, LAT, WEMT-B, CSCS Semester: Spring 2014
Campus: Missoula Office: McGill 238C
Office Phone: 406-243-2703 Cell Phone: 406-493-4651
Office Hours:
E-mail: valerie.moody@umontana.edu
Class Meeting: Monday, Wednesday 10:10-12:00 McGill Hall 235

Course Prerequisites: Acceptance into the ATEP.

Textbooks and Readings:

1) Outside articles/chapters assigned by the instructor
2) Required: Prentice, W. Rehabilitation Techniques for Sports Medicine and Athletic Training. 5th ed.
McGraw-Hill; New York: 2011

Course Description:
Theories and application methods of comprehensive therapeutic treatment and rehabilitation programs
for injuries commonly sustained by the physically active.

Course Objectives:

A. Objectives:
At the completion of the course students should be able to:
1) Identify components of a comprehensive plan of care for an injured athlete.
2) Describe the effects of therapeutic exercise on the inflammatory response, soft tissue and bony
repair and return to athletic participation.
3) Discuss all aspects of rehabilitation in relation to goals and goal setting
4) Describe the importance of case studies
5) Improve confidence with case studies to determine what is the most appropriate sequence of
rehabilitation
6) Integrate characteristics of the inflammation phase, pain cycle, and the physical principles and
physiological responses of an injury and develop a progressive therapeutic program.
7) Prepare and instruct patients in home programs of therapeutic exercise for specific sport related
injuries.
8) Develop injury care plans for injuries to the foot, ankle, knee, hip, spine, shoulder, elbow, and
hand.
9) Incorporate therapeutic exercise equipment within the rehabilitation process effectively.
10) Revise goals and objectives and develop criteria for progression and return to competition
based of level of function and patient outcomes
11) Demonstrate and describe appropriate measurements and functional measurements
12) Describe indications, contraindications, theory, and principles for the incorporation and
application of various contemporary therapeutic rehabilitation techniques
13) Further objectives are listed at the beginning of each chapter and will be highlighted during
class.
NATA Competencies and Laboratory Proficiencies:
The NATA Educational Competencies and Proficiencies were established by the National Athletic
Trainers’ Association identifying the minimum knowledge and skills to be mastered within an entry-level
athletic training education program. These competencies are specific to this course and are arranged based
on the twelve content areas that are the basis behind the Athletic Training Major. Proficiencies will be
completed via practical examination, projects, plans of care and clinical education.

Teaching Methodology
The primary method of instruction will be through demonstration/discussion. Any
lecture/demonstrations/discussions will be supplemented by directed laboratory experiences and discovery
learning as it pertains to the development of skills necessary to perform rehabilitation of athletic injuries.
Students should be practicing the skills learned in this class and completing appropriate proficiencies while in
the clinical class and at their clinical setting.

Evaluation of Student Outcomes:

Written Examinations
These examinations are intended to assess the student's awareness and understanding of the concepts
covered by the course content. Items on these examinations will be derived from the text, discussions,
course handouts. The content of each examination will usually mirror the content of the unit most recently
studied. Examination methodology may include multiple choice, true-false, short answer, and essay
questions. The final examination is cumulative.

Quizzes
Short take- home quizzes will be given each week reviewing applied anatomy and related concepts.

Rehab Project
Students will design and create a product that may be used for therapeutic exercise and can be integrated
into a rehabilitation program for a facility that has a small budget. Students will be responsible for the
cost of the materials to design their product. Students will then create an infomercial video to present
their product, demonstrate the function of the equipment, and advertise their product to classmates.
Classmates will be providing feedback and will impact presentation grade. A project handout will be
provided with more details.

Rehabilitation Plans of Care

Students will prepare two Plans of Care describing the rehabilitation of an injured athlete. Students will
be randomly assigned 2 cases each- one that is an operative injury and the other that is non-operative
injury. A brief history and evaluation findings will be provided for each case to guide each student in
developing their plans of care.
The following should be addressed for each plan of care:
1) The clinical findings and functional limitations that suggest the need for rehabilitative care in
returning the athlete to competition,
2) A plan of care to address the needs of the injured athlete,
3) Short and long term clinical functional goals,
4) Estimated time required to achieve goals and the rationale for your selections,
5) Specific rehabilitation techniques you would use to achieve the goals and the rationale for
your selections,
6) Contraindications/precautions you considered in devising your plan of care, and
7) Criteria for returning the athlete to practice and competition.
All papers must be typed and double-spaced. Reference to peer-reviewed medical literature
related to pathology, medical management, surgical management and rehabilitation is
required. References must be in AMA format (see Journal o f Athletic Training). A
minimum of 8 references is required.
 Attendance
Mandatory - Prior arrangements should be made for excused absences to make-up work. For any
unexcused absence, makeup work will not be accepted.

Course Evaluation:
10% - Quizzes
10% - Creative Rehab Project
15% - Midterm Exam (Written)
25% - Plan of Care- Operative Injury (grade includes outline, draft, revision of paper)
25% - Plan of Care- Non-Operative Injury (grade includes outline, draft, revision of paper)
15% - Final Exam (Written)
100%
*A11 quizzes and exams are cumulative unless otherwise noted

REHABILITATION OF ATHLETIC INJURIES LABORATORY AHAT 343

Evaluation of Student Outcomes:

Rehab Notebook
Each student will need to turn in a notebook with your final. The rehab notebook is meant to be a
reference for you after the class. You will be graded on content, organization, neatness, and ability to
access information. See notebook handout for more details.

Practical Examinations
Each student will complete two practical exams based upon his/her assigned plan of care. Students will
turn in their assigned plans of care one week prior to their scheduled practical examination. These
exams will allow students to demonstrate his/her proficiency in implementing and carrying out a
rehabilitation program, in addition to selecting and instructing different therapeutic exercises. Any
station or skill that receives a score below an 80% will require remediation to be scheduled with
the instructor.

Laboratory Attire:
On days which class will be held in a laboratory setting students will be expected to wear attire
appropriate for the participation in each functional activity. Shorts, t-shirt and tennis shoes would be
appropriate unless otherwise stated in lecture. Inappropriate attire will result in an uncompleted
laboratory experience and absence for that day. There are no exceptions.

Course Evaluation:

10% - Rehab Notebook

30% - Plan of Care- Operative Injury Practical Exam
30% - Plan of Care- Non-Operative Injury Practical Exam
30% - Lab Participation
100%

Grading Scale:
90-100% = A 80- 89% = B 70- 79% = C 60- 69% = D <60% = F
The instructor reserves the right to award + or - grade where deemed appropriate
All course requirements must be completed with a grade of C or better to successfully complete this course.
Americans with Disabilities Act (ADA):
Students with disabilities may request reasonable modifications by contacting me. The University o f Montana assures
equal access to instruction through collaboration between students with disabilities, instructors, and Disability
Services for Students (DSS). “Reasonable ” means the University permits no fundamental alterations o f academic
standards or retroactive modifications. For more information, please consult http://www.iimt.edu disability

Student Conduct Code: All students must practice academic honesty. Academic misconduct is subject to an
academic penalty by the course instructor and/or a disciplinary>sanction by the University. All students need to
be familiar with the Student Conduct Code. The Code is available for review online at
http www.unit.edu/SA/VPSA/index.cfm/page/1321
 REHABILITATION OF ATHLETIC INJURIES
AHAT 342/343
COURSE OUTLINE/SPRING 2014
January 27 Introduction lecture and Fab; Designing a rehab program;
Reading Ch 1-4
January 29 Healing Process Review; Psychological Considerations; Give out POC
assignments
February 3 Establishing core stability
Reading Ch 5-6; Quiz #1 Due
February 5 Regaining neuromuscular control
February 10 Regaining Postural Stability and Balance
Reading Ch 7-8; Quiz#2 Due
February 12 Restoring ROM/Flexibility
February 17 Presidents Day- No Class Meeting
February 19 Regaining Muscular Strength/ Maintaining aerobic capacity/endurance
Reading Ch 9-10; Quiz #3 Due
February 24 Plyometrics; OKC vs CKC
Reading Ch 11-13; Quiz #4 Due; Outline/Draft POC 1 due
February 26 Special Topics Presentations FYM’s: Power/Olympic Fifts, Functional
Movement Screens, Cross Fit, Tabata training
March 3 Joint Mobilization and traction techniques; PNF techniques
Reading Ch 14; Quiz #5 Due
March 5 Midterm Written Exam
March 10 Functional Progression/Testing
Reading Ch 16;
March 12 Fow leg, foot and ankle rehabilitation
Reading Ch 22-23; POC Draft #2 due Friday March 14th by 12:00
March 17 Fow leg, foot and ankle rehabilitation
Reading Ch 22-23; Quiz #6 Due
March 19 Knee Rehabilitation
Reading Ch 21; Final Draft POC Due Friday March 21st by 12:00
March 24 Midterm Practical Exam
March 26 Midterm Practical Exam
March 31, Spring Break
April 2
April 7 Knee Rehabilitation
Reading Ch 21, Quiz #7 Due
April 9 Groin, hip, thigh rehab rehabilitation
Reading Ch 20, Quiz #8 Due; New POC given out for UE
April 14 Groin, hip, thigh rehab rehabilitation
Reading Ch 20
April 16 Group Project Due- POC 2 Draft #1 Due
April 21 Shoulder Rehabilitation
Reading Ch 17; Quiz #9 Due
April 23 Shoulder Rehabilitation
April 28 Elbow, wrist and hand rehabilitation
Reading Ch 18-19; Quiz #10 Due; POC 2 Draft #2 Due
April 30 Elbow wrist and hand rehabilitation
May 5 Spine rehabilitation
Reading Ch 24; Quiz #11 due
May 7 Spine Rehabilitation; Aquatic therapy
Reading Ch 15; Due Plan of Care #2
May 12-16 Final Practical Exam TBD
Final Written Exam TBD
HHP 3 7 2 - Rehabilitation of A thletic Injuries
Code Description Instructed Evaluated
0 D e v e l o p a relev an t clinical q u e stio n using a p re-d efin e d q u e stio n
EBP-5
form a t ...
(e g , PICO= P atients, In te rv e n tio n , C om p a riso n , O u tc o m e s ; PIO =
& o
P a tie n ts, In te rv e n tio n , O u tc o m e s )
0 D e s c r i b e and co n tra st research and literature r e s o u r c e s including
EBP-6
d a t a b a s e s a n d online critical appraisal libraries t h a t can be u se d for
© ©
cond uctin g clinically-relevant s e a r c h e s .
0 C o n d u c t a literature se a rc h using a clinical q u e stio n re le v a n t to

EBP-7 ath le tic training practiceu sin g s e a r c h t e c h n iq u e s (e g , Boolean

s e a r c h , Medical S u b je c t H eadings) a n d re s o u r c e s a p p ro p ria te for a
© ©
specific clinical q uestion.

EBP-14
E K p p ly and interpret clinical o u t c o m e s to a s s e s s p atient s t a tu s ,
p r o g r e ss, ...
a n d c h a n g e using psychom etrically so u n d o u tc o m e in stru m e n ts.
o o
E h n s tr u c t c lie n t s /p a t ie n t s in t h e b asic principles o f e r g o d y n a m ic s
PHP-19 and ...
th e ir re lationship to th e pre v e n tio n of illness a n d injury.
© ©
0 E x p l a i n t h e theoretica l background o f psych ological and
PS-2
em o tio n a l ...
r e s p o n s e s to injury a n d forced inactivity (e g , cognitive app raisal
o o
m od el, s t r e s s r e s p o n s e m odel).
0 E x p l a i n t h e im p or tan ce o f ed u ca tin g p a tie n ts, p a r e n ts/g u a r d ia n s,
PS-6
and ...
o th e r s re g a rd in g th e condition in o r d e r to e n h a n c e th e © ©
psychological a n d em o tion al w ell-being of th e patient.
0 D e s c r i b e t h e p sy ch olog ical t e c h n iq u e s ( e g , goal se tt in g , im agery,

PS-7 positive self-talk, r e la x a tio n /a n x ie ty red uctio n) t h a t t h e ath letic

tr a in e r can u se to m o tiv a te th e p a tie n t during injury rehabilitation
© ©
a n d re tu rn to activity p ro c e ss e s.
0 D e s c r i b e p sych ological in te rve n tion s ( e g , goal se tt in g ,
PS-8
m otivational ...
te c h n iq u e s ) t h a t a r e u s e d to facilitate a p a tie n t's physical,
o o
psychological, a n d re tu rn to activity n e e d s.
0 D e s c r i b e t h e p sy ch o so cia l factors th a t affect p e r s iste n t pain
s e n s a t io n ...
PS-9
a n d p e rc ep tio n (e g , e m otio na l s t a t e , locus of control,
p sy c h o d y n a m ic issu e s, sociocultural facto rs, person al v a lu e s and o ©
beliefs) a n d identify multidisciplinary a p p r o a c h e s for a ssisting
p a tie n ts with p e r s is te n t pain.
0 E x p l a i n t h e im pact o f sociocultural is s u e s th a t in fluence t h e
n atu re and ...
PS-10
quality of h e a lth c a r e received (e g , cultural c o m p e te n c e , a c c e s s to
a p p r o p ria te h e a lth c a re prov id ers, u n in s u r e d /u n d e r in s u re d p a tie n ts, © ©
in su ra n c e ) and fo rm u la te a n d im p le m e n t s tr a te g i e s to m axim ize
c lie n t/p a tie n t o u tc o m e s.
PS-12 Identify a n d re fe r c lie n ts /p a tie n ts in n e e d of m en tal h e a lth c a re. © ©
0 D e s c r i b e and d ifferentiate t h e p hysiological and
p ath oph ysiological ...
TI-1 r e s p o n s e s to in flam m atory a n d n o n -in fla m m a to ry conditions and
t h e influence of t h e s e r e s p o n s e s on th e d e sig n , im p le m e n ta tio n ,
© ©
a n d p ro g re ssio n of a th e r a p e u t ic inte rvention.
 0 C o m p a r e a n d c o n tr a s t c o n te m p o r a r y th e o r ie s of pain p e rceptio n
TI-2 a n d pain ...
m odulation.
© ©
TI-3
© D iffe re n tia te b e tw e e n palliative a n d prim ary pain-control
interventio ns.
o o
© A n aly ze t h e im p a c t of immobilization, inactivity, a n d mobilization
TI-4 on t h e ...
bo dy s y s te m s (e g ,c a rd io v a s c u la r, p u lm o n a ry , m usc u lo sk e le ta l) an d o ©
injury r e s p o n s e .
0 C o m p a r e a n d c o n tr a s t t h e v aria tio n s in th e physiological
TI-5 r e s p o n s e to ...
injury a n d healing a c r o s s t h e lifespan.
©
© D e s c r ib e c o m m o n surgical te c h n ig u e s , including in te rp re ta tio n of

TI-6 o p e ra tiv e re p o r ts , a n d a n y resulting p re c a u tio n s , c o n traind ication s,

a n d com o rbidities t h a t im pact t h e selection a n d p ro g re ssio n of a
o ©
th e r a p e u tic in terv ention p ro g ra m .
© Id e n tif y p a tie n t- a n d clinician-oriented o u tc o m e s m e a s u r e s
c o m m o n ly u se d ...
TI-7
to re c o m m e n d activity level, m a k e re tu rn to play decisions, an d ©
m axim ize p a tie n t o u tc o m e s a n d p ro g re s s in t h e t r e a t m e n t plan.
© E xplain t h e th e o r y a n d principles relating to e x p e c te d
TI-8 physiological ... © ©
r e s p o n s e ( s ) during a n d following th e r a p e u tic in terv entio ns.

TI-10
© I n t e g r a t e s e l f - tr e a tm e n t into t h e interventio n w hen a p p ro p ria te ,

including instructing t h e p a tie n t re g a rd in g s e lf - tr e a t m e n t plans.

o 0
© D e s c r ib e t h e re lationship b e tw e e n t h e application of t h e r a p e u tic

TI-13 m odalities a n d t h e incorporation of activ e a n d p a ss iv e e x e rc ise

a n d / o r m anual th e r a p ie s , including, th e r a p e u tic m a s s a g e ,
© ©
myofascial te c h n ig u e s , a n d m uscle e n e r g y tec h n ig u e s.
© D e s c r ib e t h e u se of jo in t mobilization in pain redu ctio n an d
TI-14 r e s to ra tio n ...
of jo int mobility.
o
0 E x p l a i n t h e relationship b e tw e e n p o s tu r e , b io m e c h a n ics, and
TI-18 e rg o d y n a m ic s ...
a n d t h e n e e d to a d d r e s s t h e s e c o m p o n e n ts in a t h e r a p e u tic o ©
intervention.
0 1 d e n tif y m a n u f a c tu re r , institutional, s t a t e , a n d / o r federal
s t a n d a r d s ...
TI-19 t h a t influence app ro v a l, o p e ra tio n , inspection, m a in te n a n c e an d © ©
sa fe application of t h e r a p e u tic m odalities a n d rehabilitation
e g u ip m e n t.

0 S e l e c t and in te g r a te appropriate p sy ch o so cia l t e c h n ig u e s into a

p atient's ...
CIP-7 t r e a t m e n t or rehabilitation program to e n h a n c e rehabilitation
a d h e r e n c e , return to play, and overall o u t c o m e s . This in clu d es, but
0 ©
is not limited to , verbal m otiv atio n , goal s e tt in g , im a g e r y , pain
m a n a g e m e n t , self-talk, a n d /o r relaxation.
0 S p e c i f y w h en referral o f a c lie n t/p a tie n t to a n o th e r h ealth c are
provider ...
PD-9
is warranted and fo rm ulate and im p le m e n t s t r a t e g i e s to facilitate © ©
t h a t referral.
 0 C o m p a r e and co n tra st t h e various t y p e s o f flexibility, stre n gth
training, ...
PHP-27
a n d c a rd io v a sc u lar conditioning p ro g ra m s to include e x p e c te d ©
o u tc o m e s , sa fe ty p re c a u tio n s , h a z a rd s , a n d c on traindications.
Q P r o v id e appropriate ed u ca tio n regarding t h e condition and plan
o f care to ...
PS-18
t h e p a tie n t a n d a p p ro p ria te ly discussion with o th e r s a s n e e d e d an d © ©
a s a p p ro p ria te to p r o te c t p a tie n t privacy.
TI-11 Design th e r a p e u ti c in te rv e n tio n s to m e e t specified t r e a t m e n t goals. © ©
E K s s e s s t h e p atie n t to identify indications, con train dications, and
T l-lla © ©
p rec a u tio n s applicable to t h e in te n d ed intervention.

T l-llb
Position a n d p r e p a r e t h e p a tie n t for v ario us th e r a p e u tic
interventio ns.
o ©
0 D e s c r i b e t h e e x p e c t e d e f f e c ts and potential a d v e r s e re a ctio n s to
T I-llc t h e ... © ©
pa tie n t.

T l-lld
In s tr u c t t h e p a tie n t how to correctly p erform rehabilitative
e xe rc ises. o ©
E K p p ly t h e in terven tion , using p a r a m e t e r s appropriate to th e
T l-lle in te n d e d ...
ou tc o m e .
o 0
0 R e a s s e s s t h e p atient to d e t e r m in e t h e im m e d ia te im pact o f t h e
T l-llf
intervention.
o ©
0 U s e t h e resu lts o f o n -g o in g clinical e x a m in a tio n s to d e t e r m in e
TI-12
w h e n a ...
th e r a p e u tic in terv ention should be p r o g r e s s e d , r e g r e s s e d or
o
discontinued.
0 P e r f o r m joint m obilization t e c h n ig u e s a s in dicated by
TI-15 ex a m in a tio n ... © ©
findings.
E h n s p e c t th e r a p e u tic e g u ip m e n t and t h e t r e a tm e n t e n v ir o n m e n t
TI-20 for potential ...
s a f e t y hazards.
©