The University of Jordan
Faculty: Rehabilitation Sciences
Department: Physiotherapy
Academic Program: BSc Physiotherapy
Academic year\ Semester: 2014/2015 Semester 1
Musculoskeletal Physiotherapy I
1801313
Credit hours 3
Level
3
Lecture
time
Theory: 9-10am
Venue
Theory:106
Module
website
Moodle
http://elearning.ju.edu.jo/cours
e/view.php?id=6411
Practical: 12-4pm
Practical:
Therapeutics lab
Pre request
0507102 / 0507103
Module coordinators
Dr. Lara Al-Khlaifat
Dr. Ibrahim Altubasi
E-mail
l.khlaifat@ju.edu.jo
i.tubasi@ju.edu.jo
304
454
Mon. & Wed 10-12
Sun. & Tue. 11-12
Office number
Office hours
Module description:
This course covers skills in analytical thought for study of human movement
disorders. This course concentrates on physical therapy assessment and treatment
of different cases of traumatology including fractures, and dislocations and sport
injuries. This course also enables the student to have detailed information
concerning the process of normal and abnormal healing of fractures and the
complications of fractures including those related to prolonged bed recumbence.
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This will include scientific study and application of selected physical therapy
principles in both assessment and treatment. This course also focuses on standard
safety precautions, new research and clinical experiences concerning evaluation and
treatment of different orthopaedic diseases affecting the lower limb. Indications,
contra indications and precautions of different physical therapy techniques for
treatment of surgical orthopaedic conditions will be discussed. This is achieved by
close integration between theoretical and practical sessions.
Module aims:
General aims:
To prepare the students for clinical placement by providing them with the knowledge
about the different medical conditions affecting the lower limbs, which are commonly
managed by physiotherapists, and their evidence-based management approaches.
Specific aims:

Explain what are the pathological and traumatic conditions affecting the
lower limb joints of the body including: hip, knee and ankle joints.

Understand and discuss the different types of treatment approaches for
each fracture.

Analyze how to detect complications of fractures including local and
general ones.

Explain the cause/mechanism of injury of each lower limb pathology

Understand and discuss the different types of treatment approaches for
each condition.

Undertake full physical examination of lower limb joints related to
suspected medical conditions including history taking, observation,
assessment and planning treatment

Develop clinical reasoning skills

Explain how to plan and conduct an effective physical therapy program.

Be able to consider the especial precautions in each condition.

Performing the different management approaches effectively including
stretching, strengthening and mobilization exercises.

Integrate the theoretical and practical skills.
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Intended Learning Outcomes:
a- Knowledge understanding

Knowledge of the anatomy of the joints and muscles of the lower limb

Understand the different mechanisms of injury of the pathological and
traumatic conditions affecting the hip, knee and ankle joints.

Demonstrate understanding of the different treatment approaches and their
underlying biomechanics

Understand the wide range of operative techniques used with lower limb
injuries

Recognize the role of education in addition to therapeutic exercises in the
management of lower limb injuries/diseases

Comprehend the precautions in the rehabilitation of lower limb injuries
b- Intellectual thinking skills

Develop clinical reasoning skills by linking history taking, observation, and
assessment and determine the proper management accordingly

Explain how to plan and conduct an effective physical therapy program
based on theoretical knowledge.

The ability to link the management approaches with the latest available
evidence

Integrate the theoretical and practical skills.
c- Practical skills

Undertake full physical examination of lower limb joints including proper
history taking, observation, and assessment

Perform the different management approaches effectively including
stretching, strengthening and mobilization exercises.
d- Transferable Skills

Clinical reasoning

Decision making

Communication skills

Team work
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e- Professional attitude, values, and behaviors

Team work

Patient centered approach

Ethical handling of patients according to the code of conduct
Module contents:
Weeks
1
Day
Tuesday
Date
16/9
Theoretical sessions
Introduction to MSK
physiotherapy
Principle of MSK
assessment
Principle of MSK
assessment (continued)
Lab sessions (Thur.)
---------
Thursday
18/9
Tuesday
23/9
Thursday
25/9
Introduction to fractures +
Healing & Complications of
fractures
Tuesday
Thursday
30/9
2/10
Principle of # management
Hip joint anatomy and
biomechanics + Intraarticular hip pathologies.
4
Tuesday
Thursday
7/10
9/10
5
Tuesday
14/10
Thursday
16/10
Tuesday
21/10
‫عيد االضحى‬
Extra-articular hip
pathologies
Hip joint fractures and
dislocations
Total hip
arthroplasty/dynamic hip
screw
Knee joint anatomy and
biomechanics
Principles of physical
assessment +
Revision of Lower
limb ROM testing
------Revision of Lower
limb MMT +
Physiotherapy and
fractures + use of
crutches and walkers
---------Physical examination
of the hip
-------
3
2
6
Thursday
Tuesday
23/10
28/10
Thursday
30/10
8
Tuesday
Thursday
4/11
6/11
‫راس السنة الهجرية‬
Knee joint anatomy and
biomechanics (continued)
Common knee fractures +
Knee OA
Knee OA (continued)
Midterm theoretical exam
9
Tuesday
11/11
Knee replacement
7
4
-----------------
Physical examination
of the hip (continued)
---------------------------Hip mobilisation + Hip
exercise
------Physical assessment
of the knee
---------
surgeries + answer exam
questions
Patellofemoral disorders
Physical examination and
management of PFPS I
Physical examination and
management of PFPS II
Thursday
Tuesday
13/11
18/11
Thursday
20/11
11
Tuesday
Thursday
25/11
27/11
Meniscal injuries
Meniscal injuries
(continued)
12
Tuesday
2/12
Anterior Cruciate Ligament
injury
Thursday
4/12
Knee management
(continued)
Tuesday
9/12
Thursday
11/12
PCL injury
Medial and Lateral Cruciate
Ligaments injury
Foot and ankle anatomy
and biomechanics I
Foot and ankle anatomy
and biomechanics II
Tuesday
16/12
--------------
Thursday
18/12
Tuesday
Thursday
Tuesday
23/12
25/12
30/12
Ankle fractures + sprain
(inversion, eversion and
high ankle), sinus tarsi
syndrome
Foot pathologies: Plantar
fasciitis, Shin splint, tarsal
tunnel syndrome, Morton’s
neuroma, turf toe
Final practical exam week
Christmas
Final exams
10
13
14
15
16
5
Midterm lab exam
-------------Physical assessment
of the knee  PFPS
assessment and
management + Knee
taping
---------Physical assessment
of the knee 
Meniscal and
ligamentous injury
tests+ swelling tests+
Knee joint
management
(mobilisation +
exercises)
----------
------Physical examination
of the ankle and foot
Physical examination
of the ankle and foot
(cont.) + mobilisation
+ exercises
-------------------------------
Evaluation:
Assessment tool
Midterm theoretical exam
Midterm lab exam
Quizzes
Final theoretical exam
Final lab exam
Mark as a percentage
30%
10%
10%
30%
20%
Date
6/11/2014
13/11/2014
Before the 10th week
Week sixteen
Week fifteen
Methods of teaching:

Slide-show

Group activity

Problem solving techniques

Case studies

Practical skills
Key References
- Magee D. (2008) Orthopaedic physical assessment. 5th edition, Saunders Elsevier
- Brotzman SB and Manske RC (2011) Clinical orthopaedic rehabilitation. An
evidence-based approach. 3rd edition, Mosby Inc., Philadelphia
- Articles provided by lecturer.
Other References
- Richardson JK and Iglarsh ZA (1994) Clinical orthopaedic physical therapy.
W.B. Saunders Company, Philadelphia
- Mascal CL., Landel R., and Powers C (2003). Management of
Patellofemoral Pain Targeting Hip, Pelvis, and Trunk Muscle Function: 2
Case Reports. Journal of Orthopaedic & Sports Physical Therapy, 3:642660.
- Kinser C. and Colby LA. (2012) Therapeutic Exercises Foundations and
Techniques. 6th edition, F.A. Davis Company
Attendance:
For lectures, all students are required to be in class and ready for lecture on time. All
students are expected to attend all classes. Beyond absence of 15% of the course
sessions, the student will not be allowed to sit for the final exam. Attendance of part
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of the lab and leaving without permission from the instructor will be assigned as
missing the whole lab. Students should discuss any concerns regarding this matter
with the course instructor.
In-Class behaviour:
1. Students are required to actively contribute to class discussions as well as
volunteering to act as the “patient” in practical classes.
2. In all practical sessions, students are expected to dress properly and
decently.
3. Professional behavior is expected during classes. No side conversations. No
cell phones. No arriving late to classes. Students caught cheating or
attempting to cheat during exams will be assigned ZERO grade in that exam
and will be reported to the Dean.
4. No make-up exams will be given except in an emergency. Both the instructor
and the head of the department must be consulted PRIOR to a missed exam.
The make-up exam will be different from the one taken by the rest of the
class.
5. Academic honesty and integrity are crucial parts of the academic experience.
Honesty is expected with the class instructor and students. All work turned in
must be completed by the student. Plagiarism or cheating on tests or papers
is unaccepted. Failure to follow this policy could lead to an “F” in the course.
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