Module Title
Musculoskeletal Therapy
Keywords
Anatomy, Movement, Pathology, Orthopaedics, Rheumatology, Manual Therapy, Measurement, Massage, Exercise, Electrotherapy |
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Prerequisites for Module
None other than the entry requirements.
Corequisite Modules
HSM002 Cardio-vascular Respiratory Therapy.
Precluded Modules
None.
Aims of Module
To enable the students to develop the knowledge and skills necessary in order to select appropriate physiotherapy management options utilising an analytical approach to practice in musculoskeletal conditions.
Learning Outcomes for Module
On completion of this module, students are expected to be able to:
| 1. |
Discuss the normal functioning of the musculoskeletal system and the pathological changes occurring related to selected conditions.
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| 2. |
Analyse, interpret and record data related to musculoskeletal assessment.
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| 3. |
Perform and justify the use of procedures in the assessment of the musculoskeletal system.
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| 4. |
Discuss and evaluate the range of management options for selected musculoskeletal conditions.
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| 5. |
Evaluate and justify a range of physiotherapy procedures related to the treatment of musculoskeletal conditions.
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| 6. |
Perform safely, professionally and effectively a variety of physiotherapy techniques and modalities for musculoskeletal conditions.
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Indicative Module Content
The histological structure and function of musculoskeletal tissues. Pathological processes to include: inflammation, infection, tissue degeneration and healing. Applied anatomy: osteology, arthrology, myology, neurology (peripheral nervous system). Biomechanical principles related to movement. Communication: communicating with groups of people, teaching and learning theory. Exercise: introduction, individual exercise and progression, group exercise and group teaching, home exercise programmes, posture correction and patient education and advice, health promotion and prevention. The physiological basis, principles and application of proprioceptive neuro muscular facilitation, reflex testing. Aetiology, epidemiology, pathological changes, clinical features and management of orthopaedic and rheumatological conditions (overall integrated management comprising: surgical, conservative pharmacological and physiotherapy, to include splinting and functional bracing where appropriate). Introduction to the inter-disciplinary team. Joint, muscle and anthropometric measurement, musculo-skeletal assessment to include specific tests, functional assessment, testing dermatomes, interpretation of findings and problem identification. Development of problem based treatment plans to include goal setting, and application of the techniques selected. Recording and methods of record keeping, medico-legal aspects, confidentiality and ethical issues. Application of fluid dynamics to exercise in water related to clinical conditions, the dangers, precautions and management of hydrotherapy as a treatment. The theoretical basis and application of electro-physical modalities related to musculoskeletal conditions to include: heat/ice, pulsed short wave diathermy, and ultrasound. The physiological and therapeutic effects, indications/contraindications and appropriate application of selected massage techniques including deep transverse frictions. Principles, physiological and therapeutic effects and application of manual therapy for peripheral and spinal joint problems to include Maitland mobilisations, the McKenzie concept and ANT. The indications and contraindications, precautions, progression and modification of these techniques. Analysis of gait and appropriate use of walking aids for different musculoskeletal conditions. Wheelchair prescription and provision to patients. Health and safety legislation responsibilities, local rules and safety policies, fire regulations. Risk assessment and awareness of risk management in the community and clinical settings. The theory and demonstration of safe lifting and handling procedures related to different conditions and situations. Patient care, monitoring and management, awareness of the patient in pain. Asepsis - infection control policies and procedures, sterile techniques. Legal and ethical guidelines for NHS, Patients' Charter, Informed Consent and Code of Practice for the professions, record keeping. Awareness of local and national guidelines, standards and policies related to standards of patient care.
| Indicative Student Workload
Contact Hours
| Full Time | Lectures
| 10 | Tutorials/seminars
| 40 | Practical classes/Laboratories
| 100 |
Directed Study
| | Directed study
| 60 |
Private Study
| | Private study
| 90 |
Mode of Delivery
Key note lectures, tutorials, student lead sessions, practical sessions, self learning packages and computer assisted learning.
Assessment Plan
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Learning Outcomes Assessed
| | Component 1 | 1,2,3,4,5
| | Component 2 | 3,6
| | Component 3 | 3,6
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C2 - Observed, structured practical exam
C1 - Patient centred coursework - graded
C3 - Portfolio of practical and professional skills
Pass/fail
In addition a minimum of 80% attendance is required to pass the module
Indicative Bibliography
| 1. | APLEY, A.G. ET AL., 1994. Concise systems of orthopaedics and fractures. 2nd ed. Butterworths.
| | 2. | CLARKSON, H.M. 2000. Musculoskeletal assessment, joint range of motion and manual muscle strength. 2nd ed. Baltimore MD: Williams and Williams.
| | 3. | DOWNIE, P.A., 1992. Cash's textbook of orthopaedics and rheumatology. London Mosby.
| | 4. | HOLLIS, M., 1998. Massage for physiotherapists. 2nd ed. Oxford: Blackwell Scientific.
| | 5. | HOLLIS, M., 1999. Practical exercise therapy. 4th ed. Oxford: Blackwell Scientific.
| | 6. | LOW, J. & REED, A., 2000. Electrotherapy explained. 3rd ed.
| | 7. | MCKENZIE, R. & May, S., 2003. The lumbar spine: mechanical diagnosis and therapy. 2nd ed. Waikanae, New Zealand: Spinal Publications.
| | 8. | PALASTANGA, N. ET AL., 2002. Anatomy and human movement. 4th ed. Oxford: Butterworth Heinemann.
SEELEY, R., STEVENSON, T. & TATE, P., 2002 Anatomy and Physiology. 6th ed. New York: McGraw Hill.
Axford, J.S. & SPECTOR, T.D., 1989. An introduction to general pathology. 4th ed. Edinburgh: Churchill Livingstone.
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