Approved by Academic Council, April 1, 2014 Revision: April 1, 2014
COURSE APPROVAL DOCUMENT Southeast Missouri State University
Department: Health, Human Performance, and Recreation Course No. TX 265
Title of Course: Therapeutic Modalities Date: Spring 2015
Please check: New
Revision
I. Catalog Description (Credit Hours of Course):
Exploration of the physical principles, physiological effects, indications, contraindications, safety precautions,
operating procedures of therapeutic modalities. (4 credit hours) II. Co- or Prerequisite(s):
Prerequisites: TX 282, TX 321 Co-requisite: TX065
III. Purposes or Objectives of the Course (optional):
1) Develop an understanding of the in depth characteristic pathology of all common soft tissue and bony
tissue injuries.
2) Explain the human body’s normal immediate and delayed physiological response to trauma.
3) Understand the normal physiological response physiological process of wound healing and tissue
repair, and resulting implications for selection and use of therapeutic modalities.
4) Demonstrate knowledge of prevailing pain control theories and associated rationale for the selection
and use of physical agents and/or psychological techniques for the control of acute and chronic pain.
5) Examine the systemic and local physiological effects of therapeutic heat and cold on normal and
traumatized tissues of the human body.
6) Examine the principles of electro physics including basic concepts associated with the electromagnetic
and acoustic spectra and electrical units.
7) Identify the contemporary therapeutic modalities utilized to treat trauma to the human body.
8) Apply the principles of electrophysics and biophysics, specific physiological effects, therapeutic
indications and contraindications associated with the use of contemporary therapeutic modalities.
9) Recognize the importance of local, state and federal safety and sanitation standards for the installation
and maintenance of therapeutic modalities.
10) Understand the purpose and functions of therapeutic modalities essential to equipping a sports
medicine facility. IV. Student Learning Outcomes (Minimum of 3):
1) Describe contemporary pain control theories.
2) Identify indications and contraindications in regard to the application of therapeutic modalities.
3) Select and apply therapeutic modalities according to evidence-based guidelines.
V. Optional departmental/college requirements:
A. None
VI. Course Content or Outline (Indicate number of class hours per unit or section): Hours A. Pathology of common closed soft tissue injuries, open wounds, 2
and fractures. The human body’s immediate and delayed
physiological response to trauma. Physiological process of
Approved by Academic Council, April 1, 2014 Revision: April 1, 2014
wound healing and tissue repair.
B. Pain control theories (gate control theory, endorphins, etc.), their 3
associated neuroanatomical pathways and mechanisms of functioning.
Associated rationale for the selection and use of physical agents and/or
psychological techniques for the control of acute and chronic pain.
C. Local, state and federal safety and sanitation standards for the installation 1
and maintenance of therapeutic modalities. The purpose and functions of
therapeutic modalities essential to equipping a sports medicine facility.
D. Systemic and local physiological effects of therapeutic cold on normal 2
and traumatized tissues of the human body.
E. Cryotherapy therapeutic modality techniques including: 6
1. ice bags
2. ice massage
3. hydrotherapy
4. ice immersion
5. cryokinetics
F. Basic concepts associated with the electromagnetic spectra. 1
G. Systemic and local physiological effects of therapeutic heat on 2
normal and traumatized tissues of the human body.
H. Superficial thermotherapy modality techniques including: 5
1. thermotherapy pack
2. hydrotherapy
3. contrast bath
4. paraffin bath
5. infrared
6. ultraviolet
I. Basic concepts associated with the acoustic spectra. 1
J. Deep thermotherapy modality techniques including: 5
1. diathermy
2. ultrasound
K. The principles of electrophysics and biophysics in relation to 5
electrotherapeutic modalities. Waveforms, frequencies, amperes,
etc., commonly used and their physiological effect on the human
body will be explored.
L. Electrotherapeutic modality techniques including: 8
1. galvanic (direct) stimulation (DC)
2. alternating current stimulation (AC)
3. iontophoresis
4. transcutaneous electrical nerve stimulation (TENS)
M. Mechanical modality techniques including: 4
1. massage
2. intermittent compression units
3. cervical and lumbar traction ____
TOTAL: 45
Please Attach copy of class syllabus and schedule as an example
Signature: ________________________________________________ Date: _____________________
Chair
Signature: ________________________________________________ Date: _____________________
Dean
Southeast Missouri State University
College of Health & Human Services
Department of Health, Human Performance & Recreation
Athletic Training Program
Fall 2015
Course Information
Course Title and Number: TX 265: Therapeutic Modalities
Meeting Times: T/R: 11:00 am – 12:15 pm
Location: Parker Hall 112 (AT Lab)
Credit Hours: 3.0 Credit Hours
Instructor Information
Name: Kyle Schneider MSEd, ATC
Office: Parker 215D
Phone: 573-651-5193
E-Mail: [email protected]
Office Hours: M/W/F: 9:00 am – 10:00 am
W: 1:00 pm – 2:30 pm
**Other times available by appointment**
Co-Requisites:
TX 065: Therapeutic Modalities Lab
Admission into the Athletic Training Program
Required Text:
Starkey, C. Therapeutic Modalities. 4th ed., F.A. Davis Publishing. ISBN 978-0-
8036-2593-8
Various Academic Journals in Assigned Reading Section on Moodle
Referenced Materials:
Prentice, W.E., Therapeutic Modalities for Sports Medicine and Athletic Training.
6th ed. MHHE. ISBN: 978-0-07-304519.
Denegar, CR, Saliba,S. Therapeutic Modalities for Musculoskeletal Injuries. 3rd
ed. ISBN: 978-0-73600.
Knight, K. Draper, D, Therapeutic Modalities: The art and Science. 2nd ed. LWW
Publishing ISBN: 978-1-4511-0294-9.
Course Description:
Exploration of the physical principles, physiological effects, indications,
contraindications, safety precautions and operating procedures of therapeutic
modalities.
Course Objectives:
Upon completion of this course, the student should be able to:
1) Develop an understanding of the in depth characteristic pathology of all
common soft tissue and bony tissue injuries.
2) Explain the human body’s normal immediate and delayed physiological
response to trauma.
3) Understand the normal physiological response physiological process of wound
healing and tissue repair, and resulting implications for selection and use of
therapeutic modalities.
4) Demonstrate knowledge of prevailing pain control theories and associated
rationale for the selection and use of physical agents and/or psychological
techniques for the control of acute and chronic pain.
5) Examine the systemic and local physiological effects of therapeutic heat and
cold on normal and traumatized tissues of the human body.
6) Examine the principles of electro physics including basic concepts associated
with the electromagnetic and acoustic spectra and electrical units.
7) Identify the contemporary therapeutic modalities utilized to treat trauma to the
human body.
8) Apply the principles of electrophysics and biophysics, specific physiological
effects, therapeutic indications and contraindications associated with the use
of contemporary therapeutic modalities.
9) Recognize the importance of local, state and federal safety and sanitation
standards for the installation and maintenance of therapeutic modalities.
10) Understand the purpose and functions of therapeutic modalities essential to
equipping a sports medicine facility.
Student Learning Outcomes (SLOs):
1. Describe contemporary pain control theories
2. Identify indications and contraindications in regard to the application of
therapeutic modalities.
3. Select and apply therapeutic modalities according to evidence based guidelines.
General Classroom Policies:
The following is a brief list of classroom courtesy guidelines that need to be followed
at all times when in the classroom this semester. This list is not all inclusive and any
actions (including those listed below) that are deemed to be detrimental to the
learning environment while in the classroom may result in the student being asked to
leave the classroom for the day and a loss of participation points.
1. Please talk only in class during times when discussion on a topic is encouraged.
Talking during inappropriate times is disrespectiful to the instructor of the course
and to your fellow classmates. This will take away from the learning environment,
so please only talk when appropriate.
2. Be actively engaged in the lecture and learning process. This means that you
SHOULD NOT be working on other homework during class times, playing games
on your phone, texting, tweeting, sleeping, facebooking, snapchatting, or anything
else that could take away from the learning process for yourself or others around
you.
3. Please refrain from using a cellular phone or any other electronic device in this
class for anything other than academic purposes. If you are expecting a phone call
let me know and sit by the door so you can leave without being disruptive to the
rest of the class.
4. Please show up to class on time, this class is at 11:00 am so there should be no
reason why you are late. Arriving to class late is disrespectful to the instructor
and disruptive to the rest of the class.
Other Course Policies/Information:
Electronic Communication:
I will frequently use your Southeast email and Moodle to communicate with the class.
This is the most effective and efficient method for me to disseminate information to
the group and ensure that everyone receives the e-mail. Please check this email on a
regular basis and ensure that your mailbox is able to receive emails. I will only use
the email provided to you by the University for communication.
ATEP Matriculation Clause:
This course must be completed in the original ATEP curriculum sequence that is set
for all athletic training students at Southeast Missouri State University. In order for
students to advance to the next set of athletic training classes, each student MUST
pass this course with a grade of C or better. Failure to achieve a C or better in this
course will leave the student unable to matriculate through the curriculum.
Out of Class Assignments/ Late Work
There will be assignments that will be given out on occasion over the semester to
ensure the students comprehend the material and are staying up to date on assigned
readings. These assignments will be provided to you on Moodle and should be
submitted in a word or PDF format through the dropbox available in Moodle. All
assignments will be due by the assigned time/date listed in the instructions. Failure to
submit an assignment by the time/date listed will result in a (0) ZERO for that
assignment. NO LATE ASSIGNMENTS WILL BE ACCEPETED WITHOUT
PRIOR WRITTEN APPROVAL FROM THE INSTRUCTOR. If you are going
to be absent for a class it is your responsibility to submit the assignment before the
due date.
Attendance and Participation:
Students are expected to attend all classes and all assignments for the courses in
which they are enrolled. An absence from the class, excused or unexcused, does not
relieve the student of the responsibility to complete all assignments/requirements for
this course. If the absence is for a University sanctioned event, the instructor will
provide an opportunity to complete the coursework, ONLY IF arrangements are made
before the absence. It is at the instructors discretion to allow any make-up work for an
absence for any other reason. In order to achieve the objective for this course you
MUST be present and make an active effort to learn the material. The content covered
in a Therapeutic Modalities course is not something you can understand by sitting in
class alone. You must practice the skills and spend considerable time out of class
studying and reviewing the material. Participation in this class will make up a portion
of your grade. If you are absent from class, on your phone or not participating in class
discussion you will NOT receive participation points for that day. Any student not
present for the entire first week of class will be dropped by the instructor for non-
attendance as per University policy. Questions regarding the drop process should be
directed to the University Registrar.
EVALUATION OF LEARNING
The grading for this class will be done on a weighted grading scale. Each section of
grades will be worth a certain percentage of your overall grade. The percentages for
each of these categories is listed below:
Participation (5% of Final Grade)
Being actively engaged in the learning process and attending class has been shown to
have a positive impact on the learning process. Students are expected to attend class
and be actively engaged in the process. Cell phones and other electronic devices can
be detrimental to the learning process and also to the instructor. (I do notice when you
are on your phone.) Texting, Getting on facebook, completing other assignments, etc.
will result in a forfeiture of that day’s participation points. Students will receive 2
points per day for attending class and being involved. This will make up 5% of your
overall grade.
Assignments/Article Reviews (annotations) : (15 % of your Final Grade)
Evidence Based Medicine (EBM) involves gathering the evidence available to you
and making an informed decision on treatments based on that information, clinical
experience and patient values. Reading and understanding research is a vital part of
being able to effectively practice athletic training and be respected in the healthcare
field. Throughout the semester, students will be required to read articles and provide
an analysis/critique of the articles describing how it relates to athletic training clinical
practice. (A grading rubric will be provided at the end of this syllabus) Failure to
follow the guidelines provided in the rubric will result in a loss of points for that
assignment. These article reviews will be turned in electronically through Moodle
through the Dropbox provided. There may also be other assignments distributed
throughout the semester as well. These assignments will be available on Moodle and
will be expected to be turned in by the assigned due date.
Exams (40% of your Final Grade)
The ability to comprehend the material and retain the material is a vital component to
your education. There will be five exams over the course of the semester (Four in
class and one final comprehensive exam) designed to ensure your ability to
comprehend the material and retain information related to each of the units. These
examinations will cover material from the textbook, material presented in class and
homework assignments. As is the case with every Athletic Training course you will
take the material builds on previous knowledge so some of the exams may be
comprehensive in nature. Each exam will vary in the number of points, but the
category will make up 35% of your final grade.
Quizzes (20% of your Final grade)
In order to ensure understanding of the material presented in class and to ensure that
students are keeping up with the reading, there will be quizzes given throughout the
semester. These quizzes will be given in a variety of formats, including on Moodle
(as online version) or in class. These may be announced or unannounced. Each quiz
will vary in the amount of points but the category will make up 20% of your final
grade. Quizzes that are missed due to unexcused absence or failure to submit by the
due date will result in a 0 (ZERO) for that quiz. THERE WILL BE NO MAKE-UP
QUIZZES.
Notebook (5% of your Final Grade)
Students will be required to maintain and organize a notebook with materials from
this course. This should include lecture notes, handouts, exams, articles, etc. This
notebook should be organized so that you can utilize it as a resource as you
matriculate through the program and prepare for the Board of Certification Exam.
This notebook will be worth 50 points and will make up 5% of your final grade. Note:
this should be an easy 5% of your final grade and shouldn’t be difficult to get all 50
points.
Modalities Evidence Based Research Project (15% of final grade)
As discussed earlier in the syllabus, evidence based practice is a vital component to
becoming a respected member of the healthcare field. In order to practice evidence
based medicine you must understand how to read and interpret current literature on
the topic and implement this into a clinical practice. This Evidence Based Project will
incorporate 3 different assignments (each due 5 weeks apart). For this project you will
be required to answer the following 3 questions:
1. Clinical Question 1- To gain desired physiological effects, what is the
appropriate length of an ice pack/cryotherapy application? –Due September
21, 2015 by 11:55 PM.
2. Clinical Question 2- What is the efficacy of utilizing ultrasound to positively
influence joint range of motion? Due October 26th, 2015 by 11:55PM
3. Clinical Question 3- When using forms of electrical stimulation for decreasing
pain, how does electrode placement affect the desired outcome? Due
December 7th, 2015 by 11:55 PM.
Students will be required to find a minimum of 3 Peer-Reviewed articles that relate
to this clinical question. This should include a written expression of how the student
critically appraised the articles, a bulleted list of relevant clinical findings, a
paragraph explaining the clinical applicability of the findings, a comparison table for
the three articles that includes: Study design, number of participants, investigated
methods, interventions, findings and conclusions. After the table should be a narrative
addressing clinical practice (how this relates or changes your current thoughts on the
topic), patient education or what else you would need to know to make this effective.
The paper should be written with 1 inch margins, 12 point font, AMA style, double
spaced. A grading rubric and example will be provided for students on Moodle.
Grading Scale:
- 90.0 % - 100.0 % = A
- 80.0 % - 89.99% = B
- 70.0 % - 79.99 % = C
- 60.0 % - 69.99 % = D
- 59.9 % and below = F
**I will not round any grades
under any circumstances. At the
end of the semester your grade
will be whatever grade you have
EARNED. So please do not ask
for any grades to be rounded up.
**
Academic Honesty:
Academic honesty is one of the most important qualities influencing the character and
vitality of an educational institution. Academic misconduct or dishonesty is inconsistent
with membership in an academic community and cannot be accepted. Violations of
academic honesty represent a serious breach of discipline and may be considered grounds
for disciplinary action, including dismissal from the University. Academic dishonesty is
defined to include those acts which would deceive, cheat, or defraud so as to promote or
enhance one’s scholastic record. Knowingly or actively assisting any person in the
commission of an above-mentioned act is also academic dishonesty. Students are
responsible for upholding the principles of academic honesty in accordance with the
“University Statement of Student Rights” found in the STUDENT HANDBOOK. The
University requires that all assignments submitted to faculty members by students be the
work of the individual student submitting the work. An exception would be group
projects assigned by the instructor. In this situation, the work must be that of the group.
Academic dishonesty includes:
Plagiarism. In speaking or writing, plagiarism is the act of passing someone else’s work
off as one’s own. In addition, plagiarism is defined as using the essential style and
manner of expression of a source as if it were one’s own. If there is any doubt, the student
should consult 2 his/her instructor or any manual of term paper or report writing.
Violations of academic honesty include:
1. Presenting the exact words of a source without quotation marks;
2. Using another student’s computer source code or algorithm or copying a laboratory
report; or
3. Presenting information, judgments, ideas, or facts summarized from a source without
giving credit.
Cheating. Cheating includes using or relying on the work of someone else in an
inappropriate manner.
It includes, but is not limited to, those activities where a student:
1. Obtains or attempts to obtain unauthorized knowledge of an examination’s contents
prior to the time of that examination.
2. Copies another student’s work or intentionally allows others to copy assignments,
examinations, source codes or designs;
3. Works in a group when she/he has been told to work individually;
4. Uses unauthorized reference material during an examination; or
5. Have someone else take an examination or takes the examination for another
All students must abide by these policies. Any student caught plagiarizing, cheating, or
engaging in any other form of academic dishonesty will receive a zero on the assignment
in question. That student may also be subject to further disciplinary action. If you have
any questions about what constitutes plagiarism, please ask me. Please keep in mind that
cutting and pasting from websites or other internet resources constitutes plagiarism.
Civility Official university policy on civility is as follows:
Every student at Southeast is obligated at all times to assume responsibility for his/her
actions, to respect constituted authority, to be truthful, and to respect the rights of others,
as to respect private and public property. In their academic activities, students are
expected to maintain high standards of honesty and integrity and abide by the
University’s Policy on Academic Honesty. Alleged violations of the Code of Student
Conduct are adjudicated in accordance with the established procedures of the judicial
system. For more, see: http://www6.semo.edu/stuconduct/
Students and instructors share the responsibility to cultivate an environment of respect,
both in class and in online course interactions. Violations of the student code of conduct
will be reported to the Office of Student Conduct.
Disabilities Southeast Missouri State University and Disability Support Services remain committed to
making every reasonable educational accommodation for students with disabilities. Many
services and accommodations which aid a student’s educational experience are available
for students with various types of disabilities. It is the student’s responsibility to contact
Disability Support Services to become registered as a student with a disability in order to
have accommodations implemented. Accommodations are implemented on a case by
case basis. For more information please contact Disability Support Services at 573-651-
2273.
Grievance Policy:
All questions regarding grades and issues with the class should be directed to the
instructor first. If the student feels that further action needs to be taken or is not satisfied
with the outcome they should contact the department chair, Dr. Joe Pujol at 651-2197 or
Tentative Course Schedule:
**Subject to change. Any changes will be made available to students**
Date Topic Assigned
Readings/Assignments
Tuesday
August 25,
2015
Introduction to Course/Syllabus
Review & Introduction to Modalities
None
Thursday
August 27,
2015
Understanding the Healing Process Starkey, C. Therapeutic
Modalities, Chapter 1
Tuesday
September 1,
2015
Understanding the Healing Process Starkey, C. Therapeutic
Modalities, Chapter 1
Thursday
September 3,
2015
Physiology and Psychology of Pain Starkey, C. Therapeutic
Modalities, Chapter 2
Tuesday
September 8,
2015
Managing Pain Using Therapeutic
Modalities
Starkey, C. Therapeutic
Modalities, Chapter 2
Thursday
September
10, 2015
Development and Delivery of
Intervention Strategies
Starkey, C. Therapeutic
Modalities, Chapter 3
Tuesday
September
15. 2015
Administrative Concerns in
Therapeutic Modalities
Starkey, C. Therapeutic
Modalities, Chapter 4
Thursday
September
17, 2015
EXAM I Chapters 1-4
Tuesday
September
22, 2015
Thermal Modalities: Cold
Modalities
Starkey, C. Therapeutic
Modalities, Chapter 5 & 6
Thursday
September
24, 2015
Thermal Modalities: Heat Modalities Starkey, C. Therapeutic
Modalities, Chapter 5 &6
Tuesday
September
29, 2015
Clinical Application of Thermal
Modalities
Starkey, C. Therapeutic
Modalities, Chapter 6
Thursday
October 1,
2015
Principles of Therapeutic Ultrasound Starkey, C. Therapeutic
Modalities, Chapter 7
Tuesday
October 6,
Application of Therapeutic
Ultrasound
Starkey, C. Therapeutic
Modalities, Chapter 7&8
2015
Thursday
October 8,
2015
Application of Therapeutic
Ultrasound
Starkey, C. Therapeutic
Modalities, Chapter 7&8
Tuesday
October 15,
2015
EXAM II EXAM II: Chapters 5-8
Tuesday
October 17,
2015
Principles of Electrical Stimulation Starkey, C. Therapeutic
Modalities, Chapter 11
Thursday
October 22,
2015
Electrical Stimulation Techniques Starkey, C. Therapeutic
Modalities, Chapter 12
Tuesday
October 24,
2015
Clinical Application of Electrical
Agents
Starkey, C. Therapeutic
Modalities, Chapter 13
Thursday
October 29,
2015
Clinical Application of Electrical
Agents
Starkey, C. Therapeutic
Modalities, Chapter 13
Tuesday
November 3,
2015
Clinical Application of Electrical
Agents
Starkey, C. Therapeutic
Modalities, Chapter 13
Thursday
November 5,
2015
Iontophoresis & Biofeedback Starkey, C. Therapeutic
Modalities, Chapter 13 & 18
Tuesday
November
10, 2015
EXAM III EXAM III: Chapters 11-13 &
18
Practical Exam II
Thursday
November
12, 2015
Intermittent Compression Starkey, C. Therapeutic
Modalities, Chapter 14
Tuesday
November
17, 2015
Continuous Passive Motion Starkey, C. Therapeutic
Modalities, Chapter 15
Thursday
November
19, 2015
Traction Starkey, C. Therapeutic
Modalities, Chapter 16
Tuesday
November
24, 2015
NO CLASS Thanksgiving Recess
Thursday
November
26, 2015
NO CLASS Thanksgiving Recess
Tuesday
December 1,
2015
Therapeutic Massage Starkey, C. Therapeutic
Modalities, Chapter 17
Thursday
December 3,
2015
Therapeutic Massage Starkey, C. Therapeutic
Modalities, Chapter 17
Tuesday
December 8,
2015
Low Power LASER Therapy Starkey, C. Therapeutic
Modalities, Chapter 19
Thursday
December 11,
2015
CATCH-UP DAY/REVIEW DAY CATCH-UP DAY/ REVIEW
DAY
Thursday
December 17,
2015
FINAL EXAM (10:00 am) Final Exam (10:00 am)
Comprehensive