Module Title
Advanced Musculoskeletal Management 1: Upper Quadrant
Keywords
Musculoskeletal, upper quadrant, clinical reasoning, manual therapy, dysfunction, evalution, evidence-base |
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Prerequisites for Module
Physiotherapists with at least 2 years outpatients experience currently working with a musculoskeletal case-load.
Corequisite Modules
None.
Precluded Modules
None.
Aims of Module
To enable students to acquire advanced skills and strategies in the assessment and management of upper quadrant musculoskeletal dysfunction using a problem-solving approach. To enable students to reflect on the management of musculoskeletal dysfunction using critical, evaluative, and clinical reasoning skills. To justify choice of treatment within an evidenced-based framework.
Learning Outcomes for Module
On completion of this module, students are expected to be able to:
| 1. |
Critically discuss the theoretical foundation for the examination, assessment and treatment strategies appropriate to the management of upper quadrant musculoskeletal dysfunction
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| 2. |
Critically examine the current knowledge and evidence relating to the pathological processes involved in the development of upper quadrant musculoskeletal dysfunction
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| 3. |
Critically discuss the limitations of relevant interventions and identify the role of additional investigations
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| 4. |
Critically evaluate their own practice with reference to the current evidence relating to upper quadrant musculoskeletal dysfunction
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| 5. |
Demonstrate enhanced clinical reasoning skills through analysis and self-reflection with reference to the current evidence-base and national and professional guidelines
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Indicative Module Content
Review and integration of relevant structure and function, applied anatomy, pathology, and biomechanical principles of the musculoskeletal system. Review and integration of psychosocial issues and concepts of pain. Management of chronic pain. Update of key manual therapy concepts (e.g. Maitland, McKenzie, Cyriax, Nags & Snags, motor control, neurodynamics). Development of advanced assessment and treatment skills in the management of upper quadrant musculoskeletal dysfunction. Development of clinical reasoning skills using case-study examples. Concepts of self-management and patient education. Aspects of communication. Evaluation of the evidence-base. Evaluation of clinical outcomes. Consideration of local, national, and professional guidelines. Impact of government policy and change within the NHS on patient management and standards of care.
| Indicative Student Workload
Contact Hours
| Part Time | Tutorials, seminars, practicals, workshops
| 45 |
Directed Study
| | Student-centred learning
| 55 |
Private Study
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| 50 |
Mode of Delivery
Key-note workshops, tutorials, seminars, student-led sessions, practical sessions, individual tutorials.
Assessment Plan
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Learning Outcomes Assessed
| | Component 1 | 1,2,3,4,5
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The module is assessed by a 3,500 word assignment
Indicative Bibliography
| 1. | BOGDUK, N. and MCGUIRK, B., 2006. Management of Acute and Chronic Neck Pain: An Evidence-based Approach. Elsevier
| | 2. | DONATELLI, R.A., 2004. Physical Therapy of the Shoulder, 4th ed. Churchill Livingstone
| | 3. | GIFFORD, L., 1998-2006. Topical Issues in Pain Series 1-5. Physiotherapy Pain Association
| | 4. | GRANT, R., 2002. Physical Therapy of the Cervical and Thoracic Spine, 2nd ed. Churchill Livingstone
| | 5. | JONES, M. and RIVETT, D., 2004. Clinical Reasoning for Manual Therapists. Elsevier
| | 6. | MAITLAND, G. et al. 2005. Maitland’s Vertebral Manipulation, 7TH ed. Elsevier
| | 7. | MCKENZIE, R., and MAY, S., 2006. The Cervical & Thoracic Spine Mechanical Diagnosis & Therapy, Vols 1 & 2, 2nd ed. New Zealand: Spinal Publications Ltd
| | 8. | SHACKLOCK, M., 2005. Clinical Neurodynamics. Elsevier
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