PET 4623 Competencies

Competency Code Competency -1st Evaluation
EX-C1 Describe the physiological and pathological processes of trauma, wound healing and tissue repair and their implications on the development, progression and implementation of a therapeutic exercise program.
EX-C2 Describe the mechanical principles applied to the design and use of therapeutic exercise equipment and techniques (leverage, force, kinesiology and biomechanics).
EX-C3 Describe common surgical techniques, pathology, and any subsequent anatomical alterations that may affect the implementation of a therapeutic exercise program.
EX-C4 Describe the appropriate selection and application of therapeutic exercises taking the following into consideration:
EX-C4a The physiological responses of the human body to trauma
EX-C4b The physiological effects of inactivity and immobilization on the musculoskeletal, cardiovascular, nervous, and respiratory systems of the human body
EX-C4c The anatomical and/or biomechanical alterations resulting from acute and chronic injury and improper mechanics
EX-C4d The physiological adaptations induced by the various forms of therapeutic exercise, such as fast- versus slow-twitch muscle fibers
EX-C4e The physiological responses of additional factors, such as age and disease
EX-C5 Describe the indications, contraindications, theory, and principles for the incorporation and application of various contemporary therapeutic exercise equipment and techniques, including aquatic therapy, manual therapy and mobilization.
EX-C6 Define the basic components of activity-specific rehabilitation goals, functional progressions, and functional outcomes in a therapeutic exercise program.
EX-C7 Describe the process/methods of assessing and reassessing the status of the patient using standard techniques and documentation strategies in order to determine appropriate treatment and rehabilitation plans and to evaluate the readiness to return to the appropriate level of activity. This includes the ability to:
EX-C7a Describe and interpret appropriate measurement and functional testing procedures as they relate to the selection and application of therapeutic exercise. 
EX-C7b Interpret objective measurement results (muscular strength/endurance, range of motion) as a basis for developing an individualized therapeutic exercise program.
EX-C7c Interpret the results of a physical assessment and determine an appropriate therapeutic exercise program to return the patient to physical activity.
EX-C7d Determine the appropriate therapeutic exercise program and appropriate therapeutic goals and objectives based on the initial assessment and frequent reassessments.
EX-C7e Determine the criteria for progression and return to activity based on the level of functional outcomes.
EX-C7f Describe appropriate methods of assessing progress in a therapeutic exercise program and interpret the results.
EX-C7g Interpret physician notes, postoperative notes, and physician prescriptions as they pertain to a therapeutic exercise program.
EX-C7h Describe appropriate medical documentation for recording progress in a therapeutic exercise program.
EX-C8 Explain the effectiveness of taping, wrapping, bracing, and other supportive/protective methods for facilitation of safe progression to advanced therapeutic exercises and functional activities. 
EX-C9 Describe manufacturer’s, institutional, state and federal guidelines for the inspection and maintenance of therapeutic exercise equipment.
EX-P1 Assess a patient to determine specific therapeutic exercise indications, contraindications, and precautions.
EX-P2 Obtain and interpret baseline and postexercise objective physical measurements to evaluate therapeutic exercise progression and interpret results.
EX-P3 Inspect therapeutic exercise equipment to ensure safe operating condition.
EX-P4 Demonstrate the appropriate application of contemporary therapeutic exercises and techniques according to evidence-based guidelines. 
EX-P5 Instruct the patient in proper techniques of commonly prescribed therapeutic exercises.
EX-P6 Document rehabilitation goals, progression and functional outcomes.
EX-P7 Perform a functional assessment for safe return to physical activity.
PS-C1 Explain the psychosocial requirements (i.e., motivation and self-confidence) of various activities that relate to the readiness of the injured or ill individual to resume participation.
PS-C2 Explain the stress-response model and the psychological and emotional responses to trauma and forced inactivity.
PS-C3 Describe the motivational techniques that the athletic trainer must use during injury rehabilitation and reconditioning.
PS-C4 Describe the basic principles of mental preparation, relaxation, visualization, and desensitization techniques.
PS-C5 Describe the basic principles of general personality traits, associated trait anxiety, locus of control, and patient and social environment interactions.
PS-C6 Explain the importance of providing health care information to patients, parents/guardians, and others regarding the psychological and emotional well being of the patient.
PS-C7 Describe the roles and function of various community-based health care providers (to include, but not limited, to: psychologists, counselors, social workers, human resources personnel) and the accepted protocols that govern the referral of patients to these professionals.
PS-C8 Describe the theories and techniques of interpersonal and cross-cultural communication among athletic trainers, their patients, and others involved in the health care of the patient.
PS-C9 Explain the basic principles of counseling (discussion, active listening, and resolution) and the various strategies that certified athletic trainers may employ to avoid and resolve conflicts among superiors, peers, and subordinates.
PS-C10 Identify the symptoms and clinical signs of common eating disorders and the psychological and sociocultural factors associated with these disorders.
PS-C11 Identify and describe the sociological, biological and psychological influences toward substance abuse, addictive personality traits, the commonly abused substances, the signs and symptoms associated with the abuse of these substances, and their impact on an individual’s health and physical performance 
PS-C12 Describe the basic signs and symptoms of mental disorders (psychoses), emotional disorders (neuroses, depression), or personal/social conflict (family problems, academic or emotional stress, personal assault or abuse, sexual assault, sexual harassment), the contemporary personal, school, and community health service agencies, such as community-based psychological and social support services that treat these conditions and the appropriate referral procedures for accessing these health service agencies.
PS-C13 Describe the acceptance and grieving processes that follow a catastrophic event and the need for a psychological intervention and referral plan for all parties affected by the event.
PS-C14 Explain the potential need for psychosocial intervention and referral when dealing with populations requiring special consideration (to include but not limited to those with exercise-induced asthma, diabetes, seizure disorders, drug allergies and interactions, unilateral organs, physical and/or mental disability).
PS-C15 Describe the psychosocial factors that affect persistent pain perception (i.e., emotional state, locus of control, psychodynamic issues, sociocultural factors, and personal values and beliefs) and identify multidisciplinary approaches for managing patients with persistent pain.
  Clinical Proficiencies
PS-CP1 Demonstrate the ability to conduct an intervention and make the appropriate referral of an individual with a suspected substance abuse or other mental health problem. Effective lines of communication should be established to elicit and convey information about the patient’s status.  While maintaining patient confidentiality, all aspects of the intervention and referral should be documented using standardized record-keeping methods.
PS-CP2 Demonstrate the ability to select and integrate appropriate motivational techniques into a patient’s treatment or rehabilitation program. This includes, but is not limited to, verbal motivation, visualization, imagery, and/or desensitization. Effective lines of communication should be established to elicit and convey information about the techniques.  While maintaining patient confidentiality, all aspects of the program should be documented using standardized record-keeping techniques.
EX-CP Synthesize information obtained in a patient interview and physical examination to determine the indications, contraindications and precautions for the selection, application, and evidence-based design of a therapeutic exercise program for injuries to the upper extremity, lower extremity, trunk, and spine. The student will formulate a progressive rehabilitation plan and appropriately demonstrate and/or instruct the exercises and/or techniques to the patient. Effective lines of communication should be established to elicit and convey information about the patient’s status and the prescribed exercise(s).  While maintaining patient confidentiality, all aspects of the exercise plan should be documented using standardized record-keeping methods.
EX-CP1 Program for injuries to the upper extremity
EX-CP1.1 Exercises and Techniques to Improve Joint Range of Motion
EX-CP1.2 Exercises to Improve Muscular Strength
EX-CP1.3 Exercises to Improve Muscular Endurance
EX-CP1.4 Exercises to Improve Muscular Speed
EX-CP1.5 Exercises to Improve Muscular Power
EX-CP1.6 Exercises to Improve Balance, Neuromuscular Control, and Coordination
EX-CP1.7 Exercises to Improve Agility
EX-CP1.8 Exercises to Improve Cardiorespiratory Endurance
EX-CP1.9 Exercises to Improve Activity-Specific Skills, including Ergonomics and Work Hardening
EX-CP2 Program for injuries to the lower extremity
EX-CP2.1 Exercises and Techniques to Improve Joint Range of Motion
EX-CP2.2 Exercises to Improve Muscular Strength
EX-CP2.3 Exercises to Improve Muscular Endurance
EX-CP2.4 Exercises to Improve Muscular Speed
EX-CP2.5 Exercises to Improve Muscular Power
EX-CP2.6 Exercises to Improve Balance, Neuromuscular Control, and Coordination
EX-CP2.7 Exercises to Improve Agility
EX-CP2.8 Exercises to Improve Cardiorespiratory Endurance
EX-CP2.9 Exercises to Improve Activity-Specific Skills, including Ergonomics and Work Hardening
EX-CP3 Program for injuries to the trunk
EX-CP3.1 Exercises and Techniques to Improve Joint Range of Motion
EX-CP3.2 Exercises to Improve Muscular Strength
EX-CP3.3 Exercises to Improve Muscular Endurance
EX-CP3.4 Exercises to Improve Muscular Speed
EX-CP3.5 Exercises to Improve Muscular Power
EX-CP4 Program for injuries to the spine
EX-CP4.1 Exercises and Techniques to Improve Joint Range of Motion
EX-CP4.2 Exercises to Improve Muscular Strength
EX-CP4.3 Exercises to Improve Muscular Endurance
EX-CP4.4 Exercises to Improve Muscular Speed
EX-CP4.5 Exercises to Improve Muscular Power
EX-CP4.6 Exercises to Improve Balance, Neuromuscular Control, and Coordination
EX-CP4.7 Exercises to Improve Agility
EX-CP4.8 Exercises to Improve Cardiorespiratory Endurance
EX-CP4.9 Exercises to Improve Activity-Specific Skills, including Ergonomics and Work Hardening
  2nd Evaluation/Mastery
Competency Code Competency -2nd evaluation
DI-P5 Measure the active and passive joint range of motion using commonly accepted techniques, including the use of a goniometer and inclinometer.
DI-P6 Grade the resisted joint range of motion/manual muscle testing and break tests.
PA-C2 Explain gross cellular adaptations in response to stress, injury, or disease (e.g., atrophy, hypertrophy, differentiation, hyperplasia, metaplasia, and tumors).
RM-P3 Instruct a patient regarding fitness exercises and the use of weight training equipment to include correction or modification of inappropriate, unsafe, or dangerous lifting techniques.