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THE VISION OF THE UNIVERSITY OF JORDAN

A university excelling in pedagogy, research, and innovation and advancing in global standing

THE MISSION OF THE UNIVERSITY OF JORDAN

Providing students with fulfilling learning experiences, conducting knowledge-producing research, and building firm societal ties, within an environment conducive to creativity, innovation, and entrepreneurship: making efficient use of resources and forging fruitful

partnerships.

THE VISION OF THE SCHOOL OF REHABILITATION SCIENCES

Leadership in the creation and development of knowledge, and in the preparation of human resources aspiring for excellence regionally and internationally

THE MISSION OF THE SCHOOL OF REHABILITATION SCIENCES

To excel in the preparation and training of model rehabilitation personnel, who participate in the health and community sector, and provide the local and regional community with appropriate rehabilitation services based on needs. Through educational curricula that

facilitates the implementation of up to date rehabilitation services based on the best available evidence.

THE MISSION OF THE DEPARTMENT OF PHYSIOTHERAPY

The mission of the department of Physiotherapy is to graduate professionals in the field of physical therapy who are to contribute to the health needs of society through education,

scholarly activities, research, service and professional practice.

THE VISION OF THE DEPARTMENT OF PHYSIOTHERAPY

The vision of the Department of Physical Therapy is to be recognized as an outstanding educational program with high quality faculty members, staff and students

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1 Course title Therapeutic Exercise II

2 Course number 1801204

3Credit hours 3 (2,1)

Contact hours )theory, practical( 6 (2,4)

4 Prerequisites/corequisites Therapeutic Exercise I

5 Program title BSc Physiotherapy

6 Program code 1

7 Awarding institution University of Jordan

8 School Rehabilitation Sciences

9 Department Physiotherapy

10 Level of course Undergraduate (Second year)

11 Year of study and semester )s( 2020-2021 Second Semester

12 Final Qualification BSc

13 Other department )s( involved in teaching the course

none

14 Language of Instruction English

15 Teaching methodology ✓Blended ☐Online

16 Electronic platform)s(✓e-learning ✓Microsoft Teams ☐Skype ☐Zoom

☐Others…………

17 Date of production/revision 17/2/2021

18 Course Coordinator:

Name: Dr. Dania Qutishat, PT, PhD

Office number: 328

Phone number: ext. 23227

Email: d.qutishat@ju.edu.jo

19 Other instructors:

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e- SyllabusName:Office number:Phone number:Email:Name:Office number:Phone number:Email:

20 Course Description:

This course is composed of theoretical and practical elements. The theoretical element covers the concepts and principles of resistance exercises, aerobic exercises, aquatic exercises, balance and coordination exercises. Lectures include case studies, discussion of the latest evidence and guidelines in addition to exercise prescription. The practical element cover all types of exercise learned in the theory and are based on self practice and peer-modeling. Practical sessions take place in different indoor and outdoor settings.

21 Course aims and outcomes:

A- Aims:

To provide students with the basic concept of therapeutic exercise and how it is related to physical function in general. Emphasis will be directed to the physical aspects of strength, endurance, power, balance and coordination.

To encourage the students to use the skills acquired during the course in the design and delivery of wide variety of exercise programs.

To offer an interactive learning approach about the evidence based exercises. To give the students the opportunity to practice skills related to exercise prescription, delivery and

coaching in different and challenging settings.

B- Intended Learning Outcomes (ILOs):

Upon successful completion of this course, students will be able to:1. Knowledge and understanding skills:

On successful completion of this program a student should demonstrate understanding of and knowledge in:

1.1. Program ILO:

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e- SyllabusRecognize, Critically analyze and apply the conceptual frameworks and theoretical models underpinning physiotherapy practice

Specific Course ILO)s(:

1.1.1 Describe the disablement process and the effect on physical function.

1.1.2. Employ the theoretical knowledge of different types of exercises to design effective exercise programs

1.2. Program ILO: Demonstrate comprehension of background knowledge that informs sound physiotherapy practice

Specific Course ILO)s(:

1.2.1. Define basic concepts of therapeutic exercise and different types of intervention.

1.2.2. Define and discuss the theoretical aspect of Resistance exercises, Aerobic exercises, Balance exercises Aquatic exercises regarding their definition, types, indications, precautions, contraindications and limitations.

1.3. Program ILO: Demonstrate the ability to use online resources and technologies in professional development

Specific Course ILO)s(:

1.3.1. Use the e-learning portal for extra materials and support reading.

1.3.2. Use general and health search engines to find up to date literature and guidelines.

1.4. Program ILO: Display a professional commitment to ethical practice by adhering to codes of conduct and moral frameworks that govern the practice of physiotherapy.

Specific Course ILO)s(:

1.4.1 Discuss the code of conduct for physiotherapists related to exercise prescription and physical activity promotion in the WCPT guidelines and WHO latest recommendations.

1.5. Program ILO: Evaluate the importance of and critically appraise research findings to inform evidence-based practice such that these skills could be utilized in continuing self-development

1.5.1 Critique and analyze selected research findings related to the topic of exercise design and delivery.

1.6. Program ILO: Implement clinical reasoning, reflection, decision-making, and skilful application of physiotherapy techniques to deliver optimum physiotherapy management

Specific Course ILO)s(:

1.6.1 Discuss the clinical reasoning process involved in exercise programs prescription.

1.6.2 Practice writing reflective accounts on the experience of exercise programs design and delivery in different settings and

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e- Syllabusdifferent populations.

1.6.3 Practice decision making during practical sessions and group projects.

1.7. Program ILO: Adhere to the professional standards of physiotherapy practice in terms of assessment, management, outcome measurement, and documentation

Specific Course ILO)s(:

1.7.1 Discuss and follow the latest guidelines published by the WCPT, WHO and ACSM that are related to the topics of physical activity and exercise prescription.

1.8. Program ILO: Display a willingness to promote healthy lifestyle and convey health messages to clients

Specific Course ILO)s(:

1.8.1 Discuss and analyze the role of physiotherapists in raising awareness toward healthy life style especially within the context of physical activity.1.8.2 Identify the barriers that affect the active engagement of clients in healthy life style.1.8.3 Apply different methods to promote and engage clients in physical activity programs.

1.9. Program ILO:Value the willingness to exercise autonomy while appreciating the challenges associated with delivering physiotherapy services

Specific Course ILO)s(:

1.9.1 To be responsible for the design and delivery of individualized and group exercise programs in different settings.

1.9.2 Analyze the factors that affect autonomy in different settings and suggest plans to overcome this.

1.10. Program ILO: Display the ability to practice in a safe, effective, non-discriminatory, inter- and multi-disciplinary manner

Specific Course ILO)s(:

1.10.1 Identify the precautions, contraindications, yellow flags and red flags related to different regimens of exercise and different population.

1.10.2 Balance the benefits and risks associated with each exercise.

1.10.3 Discuss how to liaise with other health professionals to run effective exercise programs.

1.11. Program ILO :Demonstrate effective oral and written communication with clients, carers, and health professionals

Specific Course ILO)s(:

1.11.1. Demonstrate effective oral communication with other colleagues during the practical sessions and projects meetings.

1.11.2. Demonstrate effective documentation when submitting

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e- Syllabusthe practical sessions forms and records for the project meetings.

1.11.3. Demonstrate effective oral and body communication with clients during project sessions.

22. Topic Outline and Schedule:

Wk Lec TopicIntended Learning Outcome

Learning Methods*

/platform

Evaluation Methods** Resources

1

21/2

1.1  Course introduction

All the ILOs mentioned in the above section will be covered collectively through every topic in this course.

Teams

e-learning

The instructor YouTube channel

 Theoretical exams (Mid and Final)

Practical final exam

 Project

Therapeutic Exercise: Foundations and Techniques. (2017), 6th Edition by Carolyn Kisner and Lynn Allen Colby.

ACSM’s Guidelines for Exercise testing and prescription 10th Ed.

1.2  PA & Ex. background

2

28/2

2.1  Resistance ex background

2.2  Resistance ex principles

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7/3

3.1  Resistance ex prescription

3.2 Resistance ex prescription

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14/3

4.1  Resistance ex guidelines

4.2  Resistance ex regimens

5

21/3

5.1 Resistance ex review

5.2 Resistance ex review

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28/3

6.1  Aerobic ex assessment

6.2  Aerobic ex guidelines

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4/4

7.1  Aerobic ex determinants

7.2  Aerobic ex prescription

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11/4

8.1  Aerobic ex prescription

8.2  Aerobic ex review

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18/4

9.1  Balance background

9.2  Balance foundations

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25/4

10.1  Balance assessment

10.2  Balance ex prescription

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2/5

11.1  Balance ex prescription

11.2  Balance ex prescription

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9/5

12.1  Balance ex review

12.2  Aquatic ex background

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16/5

13.1  Aquatic ex principles

13.2  Aquatic ex prescription

14

23/5

14.1 Functional training

14.2 Functional training

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30/5

15.1 Final Practical Exam

15.2 Final Practical Exam

Teaching methods include: Synchronous lecturing/meeting; Asynchronous lecturing/meeting; Onsite practical sessions.

Evaluation methods include: MCQ Exam, Practical exam and a project.

23 Evaluation Methods:

Opportunities to demonstrate achievement of the ILOs are provided through the following assessment methods and requirements:

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Evaluation Activity Mark Topic)s(

Intended Learning Outcome

Period )Week( Platform

 Mid Exam

The exam will include only MCQs.

 30% Resistance exercise  TB  JUEXAM

 Mid Exam

The exam will include only MCQs.

 Project***

 20% TB

 Project**

 Final Exam

30% Theory exam (MCQs).

20% Practical exam***  50%

 All topics

To be announced by registration JUEXAM

(Theory)

Onsite (Practical)

 Final Exam

30% Theory exam (MCQs).

20% Practical exam

*** See the details of assessment criteria and rubric at the end of this document.

24 Course Requirements

Online Lectures: Computer, tablet or smart phone, internet connection, web camera.

Onsite practical sessions:

- Infection control measures: face mask, sanitizer (provided by the student)- Practical training related (provided by JU): Beds/ Mats, basic tools will be provided by students to

ensure infection control measures and keep sharing to minimal. However, some equipments like (step, wobble board, yoga pads, gym balls will be available at the department).

- Practical training related (provided by the student): basic exercise tools (used solely by the student and not to be shared with others).

- Dress code: appropriate exercise outfit for males and females. Neutral colors are recommended (black, great, navy and white). Long hair should be tied properly. Hijab should be of light, breathable material, free of pins and tucked in. Jewellery and accessories are not allowed.

External sites for practical sessions: The practical sessions for mechanical resistive training, aerobic field tests and aquatic exercise training will be in the school for physical education and the students’ deanship/ sports activities compound because our school does not have such facilities.

- Infection control measures: face mask, sanitizer (provided by the student)- Dress code: appropriate exercise outfit for males and females. Neutral colors are

recommended (black, great, navy and white). Long hair should be tied properly. Hijab should be of light, breathable material, free of pins and tucked in. Jewellery and accessories are not allowed.

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25 Course Policies:

A- Attendance policies:- You are expected to attend all the online classes and onsite practical sessions. If you are sick,

have symptoms that are flu related or have been in contact with confirmed cases, you need to inform me directly by email or on teams chat and provide relevant test results. You’ll be advised on what to do according to your situation.

- In case of absence it is your responsibility to monitor your own learning and catch up with any missed materials or activities.

B- Absences from exams and submitting assignments on time:- Exams should be attended in its due time unless there are severe circumstances (this include

the death of a 1st degree family member, provided that you submit evidence OR severe illness or major health condition/ if you have any symptom that is flu related you should inform me immediately). Make up exams for the mid exams are subject to the instructor’s confirmation. Make up exams for the final exams have to be approved by the dean.

- Submitting assignments on time: late submissions for the project will be subject to marks deduction. 2 marks per day.

C- Health and safety procedures:

COVID related policy- If you have any symptom that is flu related you should stay at home (e.g. fever, cough, and

sore throat) and provide test results.- If you suspect that you have COVID OR tested positive for COVID OR has been in contact

with people who are confirmed to have COVID you should stay at home and inform your instructor and colleagues if you have been in contact with them. (you need to provide test results)

- Put your face mask properly at all times. You will not be allowed to attend the practical session if you are not wearing a mask. Pay attention to the hygiene of the mask if it is a washable cloth mask. And use only once if it is a disposable mask.

- Bring your own sanitizer with you, make sure to use it frequently every 30 minutes or whenever you touch a surface or work with a colleague.

- Bring your own clothes (shorts and tops for the practical session) DO NOT SHARE your clothes with any of your colleague. Please make sure to wash clothes after every single use.

General policy- Students will not be in direct contact with patients during this course.- Students are not expected to use any heavy tools or equipment that might impose health and

safety issues during this course.- Students are taught proper body mechanics and they will be given regular feedback regarding

their posture and handling.- Sanitizers are available to use in the practical training rooms.- Long nails are not allowed.- Students are taught the yellow and red flags.

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e- Syllabus- Personal hygiene is of utmost importance (body and oral hygiene).

D- Honesty policy regarding cheating, plagiarism, misbehavior:- Students are expected to observe all University guidelines pertaining to academic misconduct.- Any work submitted by a student for academic credit must be the student's own work. Submission of

work taken directly from another source (e.g., book, journal, internet, clinic forms, or another student work) will be considered plagiarism and the student/group will get a zero grade for that work if part of an assignment. In addition, if copying occurred, both the student who copied the work and the student who gave material to be copied (if applicable) will receive zero grade for the assignment.

- Students are expected to do work required for assignments on their own. Asking other instructors at the JU clinic or the staff, or other students to assist in or do any part of the assignment will negatively affect their grade on that assignment. The course instructor is the person the student needs to talk to if s/he has any difficulties pertaining to an assignment or project and is strongly encouraged to schedule an appointment with the instructor if such difficulties arise during the semester.

- Course materials prepared by the instructor, together with the content of all lectures and review sessions presented by the instructor are the property of the instructor. Video and audio recording of lectures and review sessions without the consent of the instructor is prohibited.

- Any forms of academic misconduct will be handled according to the University of Jordan guidelines

E- Grading policy:- Grading for this course will be determined based upon the accumulation of marks from theoretical,

practical exams and the project. All work will be evaluated on completeness, organization, clarity of information, and the integration and application of the material.

F- Available university services that support achievement in the course:- The University of Jordan provides many services to support social, health, and mental well-being of

students in general and students with disabilities in specific. Students are advised to visit the School of Students Affairs to learn more about those services.

- If you are a student with a disability for which you may request accommodations, please notify the staff of Services for Student with Disabilities (School of Students Affairs) as soon as possible. Please also contact the instructor as soon as possible (email is acceptable) so the appropriate accommodations for this course can be made.

26 References:

A- Required book (s), assigned reading and audio-visuals:

Therapeutic Exercise: Foundations and Techniques. (2017), 6th Edition by Carolyn Kisner and Lynn Allen Colby.

ACSM’s Guidelines for Exercise testing and prescription. 10th Edition.

B- Recommended books, materials and media:

Therapeutic Exercise Moving Toward Function. Fourth Edition by Lori Brody, Carrie M. Hall. ACSM website and publications related to physical activity and exercise prescription.

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e- Syllabushttp://www.acsm.org/

CDC website and publications related to physical activity and exercise prescription. A list of selected articles will be available on e-learning.

27 Additional information:

This course builds on the knowledge and skill gained during other courses: Therapeutic Exercise-1. Principles of rehabilitation and ethics: students implement the knowledge gained during this module to provide evident of implementation of professional physiotherapy standards and codes of ethics especially during practical sessions. Anatomy I & II: students need to review the surface anatomy for bony land marks and main muscles/ origin, insertion and function of muscles of the upper limb, lower limb, abdomen and back. Physiology I & II: Students need to review the physiology of the muscles and bones.

The course is supported with e-learning. This provides students with course information and important course materials e.g. electronic copies of this handbook, hand-outs, ppt., lab activities and other course content. It also allows the students to communicate with each other and with the instructor for discussion purposes. You should log in your account regularly to check for any updates or announcements.

Some practical sessions are held outside the school of rehabilitation sciences due to lack of facilities please refer to section 24 (required equipment).

If you have any queries, comments or suggestions you could email the instructor, send a message via e-learning or pop in during the office hours.

Name of Course Coordinator: -Dr. Dania Qutishat -Signature: ---D.Q.- Date: -17/2/2021-

Head of curriculum committee/Department: RashaOkasheh - Signature: R. O.

Head of Department: Maha Mohammad Signature: M. M.

Head of curriculum committee/Faculty:Prof. Ziad Hawamdeh Signature: Z. H.

Dean: Prof. Ziad Hawamdeh Signature: Z. H.

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Therapeutic Exercise 2

Assessment criteria for the practical final exam

Exercise Marks Assessment criteriaResistance )6(

Positioning 2 Select an appropriate and safe starting position. Give alternative positions.

Handling 2 Apply the exercise smoothly and rhythmically. Use proper body mechanics and demonstrate proper verbal cues.

Determinants 2 Select and apply the appropriate strengthening protocol, progression, equipments, type and frequency.

Aerobic )6(Movements 2 Select an appropriate set of movements.

Monitoring 2 Pay attention to the level of fitness and vital signs.

Execution 2 Demonstrate the exercise correctly and determine the repetition and duration.

Balance )6(Positioning 2 Select an appropriate and safe starting position/ equipment.

Give alternative positions and progression.Movements/tasks 2 Select and apply appropriate set of movements/ tasks

correctly.Execution 2 Apply the exercise smoothly and rhythmically. Use proper

body mechanics and demonstrate proper verbal/tactile cues.Professional attitude 2 Act and behave with respect, confidence and communicate

effectively with the model and assessor.20 Total mark

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Resistance

Positioning 2 Appropriate and safe starting and end position. Give alternative/ modified positions.

1 Appropriate starting and end position. No alternative or modified positions/ lacks safety.

0 Not appropriate and unsafe positionHandling 2 Smooth and rhythmic application of exercise. Proper use of body mechanics

and demonstrate proper verbal cues.1 Smooth or rhythmic application of exercise. Inappropriate use of body

mechanics or verbal cues.0 Jerky and not rhythmic application of exercise without using proper body

mechanics or verbal cues.Determinants 2 Appropriate selection and application of strengthening protocol, progression,

equipments, type and frequency.1 Inappropriate selection or application of strengthening protocol, progression,

equipments, type and frequency.0 Inappropriate selection and application of strengthening protocol, progression,

equipments, type and frequency.

Aerobic

Movements 2 Appropriate selection of type of movements, tasks or functions. Give alternative/ modified positions.

1 Appropriate selection of type of movements, tasks or functions. No alternative/ modified positions.

0 Inappropriate selection of type of movements, tasks or functions.Monitoring 2 Careful attention to the level of fitness and vital signs

1 Minimal attention to the level of fitness and vital signs0 No attention to the level of fitness and vital signs

Execution 2 Correct demonstration of the exercise and appropriate selection of repetition and duration

1 Incorrect demonstration of the exercise or inappropriate selection of repetition and duration.

0 Incorrect demonstration of the exercise and inappropriate selection of repetition and duration.

Balance

Positioning 2 Appropriate and safe selection of starting position/ end position and equipment. Give alternative positions and progression.

1 Appropriate selection of starting position/ end position and equipment. (No alternative positions or progression lacks safety).

0 Inappropriate and unsafe selection of starting position/ end position and equipment. No alternative positions and progression.

Movements/ tasks

2 Appropriate selection and application of set of movements/ tasks1 Selection of set of movements and tasks is limited/ not variable. Application is

not optimal or includes mistakes.0 Inappropriate selection and application of set of movements/ tasks

Execution 2 Smooth and rhythmic application of exercise. Proper use of body mechanics and demonstrate proper verbal and tactile cues.

1 Smooth or rhythmic application of exercise. Inappropriate use of body mechanics, verbal cues or tactile cues.

0 Jerky and not rhythmic application of exercise without using proper body mechanics, verbal cues and tactile cues.

Professional attitude

2 Respectful and confident act and behavior. Effective communication with the model and assessor.

1 Disrespectful or not confident act and behavior. Ineffective communication with the model or assessor.

0 Disrespectful and not confident act and behavior. Ineffective communication with the model or assessor.

Rubric for assessment criteria/ practical final exam

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Therapeutic Exercise-2Group Project )20 marks(

All the students should independently form their own groups )10 students in each group(. All the groups should be submitted to the course instructor via the students’ representative

by the end of the 1st week.

Aim:

Develop a plan for Physical Activity (PA) promotion and exercise program prescription for healthy individuals.

Submission list:

You need to submit an electronic written assignment of 2500 words (10%+- is allowed). Assessment results should be added as an appendix and will not be included in the word count.

Soft copies of the articles reference list.

Details:

Recruit 5 individuals of variable PA levels. Apply the 5 A’s model of “Client Centered Physical Activity Counseling”. Every stage

of the model needs to be appropriately documented in sufficient detail. Ensure that suggested procedures or strategies are supported by evidence and appropriately linked to the relative theories and/or models for PA promotion and exercise prescription.

You need to provide real scores and results for your chosen individuals in the assessment and re-assessment part.

The plan should be prepared for four weeks timeline, within this timeline; you need to run your proposed program at least for one week.

The proposed PA/exercise program should be tailored to the individual’s needs and goals. It should be documented using the “FITT” model.

You are encouraged to include images, videos or any other tools that you have used or intend to use as part of your plan.

Presentation*:

Font size 11 Font type: Times New Roman Justified text Line spacing: 1.5 Insert page numbering Insert caption for images and tables. Insert a cover page that includes the names of students in the group in Arabic with their

JU ID/ word count).

References**:

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Include at least 5 articles that support the implementation for your chosen procedures or strategies. (Only publications of 2021, 2020, 2019 or 2018 should be included).

Use Harvard style for within text citations and reference list at the end of the document.

Resources )mandatory reading before planning the project(:

ACSM’s Guidelines for exercise testing and prescription. Chapter 12 Behavioral theories and strategies for promoting exercise. ✶

You can include this as one of your references but it will not be included as part of your required five articles evidence.

Honesty policy regarding cheating, plagiarism, misbehavior:

Students are expected to observe all University guidelines pertaining to academic misconduct.

Any work submitted by a student for academic credit must be the student's own work. Submission of work taken directly from another source (e.g., book, journal, internet, clinic forms, or another student work) will be considered plagiarism and the group will get a zero grade for that work if part of an assignment. In addition, if copying occurred between different groups, both the group who copied the work and the group who gave material to be copied (if applicable) will receive zero grade for the assignment.

Students are expected to do work required for assignments on their own. Asking other instructors at the JU clinic or the staff, or other students to assist in or do any part of the assignment will negatively affect their grade on that assignment. The course instructor is the person the student needs to talk to if s/he has any difficulties pertaining to an assignment or project and is strongly encouraged to schedule an appointment with the instructor if such difficulties arise during the semester.

Any forms of academic misconduct will be handled according to the University of Jordan guidelines

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Assessment criteriaTheories and models for PA promotion ✶

5 marks

All the Sufficient linkages of the chosen procedures and strategies are matched to appropriate theories and models of PA promotion throughout the document. The students show a high level of understanding ALL the relevant theories and models and the effective implementation of these into their own proposed program.Mark )5(

Most of the appropriate linkages are made between the chosen procedures and strategies to some theories and models.

Mark )4(

Some of the appropriate linkages are made between the chosen procedures and strategies to some theories and models.

Mark )2-3(

Insufficient OR inappropriate linkage of the chosen procedures and strategies to theories and models of PA promotion throughout the document.The students show lack of appropriate understanding of relevant theories and models OR provide ineffective implementation of these into their own proposed program.Mark )0-1(

The 5 A’s model “Client Centered Physical Activity Counseling” ✶

8 marks

All the stages in the model are sufficiently discussed within the context of the individual and are effectively planned to address the needs and goals of the individual.

Mark )7-8(

Most of the stages in the model are sufficiently discussed within the context of the individual and are effectively planned to address the needs and goals of the individual.Mark )5-6(

Some of the stages in the model are sufficiently discussed within the context of the individual and are effectively planned to address the needs and goals of the individual.Mark )3-4(

Insufficient OR inappropriate discussion or implementation of the model within the individual context.

Mark )0-2(The application of “FITT”

4 marks

Effective application of the FITT for every individual according to their goals and assessment.ALL the points are taken consideration while applying the “FITT”.Mark )4(

Most of the points are taken consideration while applying the “FITT”.

Mark )3(

Some of the points are taken consideration while applying the “FITT”.

Mark )2(

Ineffective application of the FITT, most of the relevant points are absent.

Mark )0-1(Presentation

1 mark

Complete adherence to ALL the presentation criteria*Mark )1(

Incomplete adherence to ALL the presentation criteria*Mark )0(

References

2 marks

Complete adherence to ALL the references criteria**Mark )2(

Incomplete adherence to ALL the references criteria**Mark )0-1(

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