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 requisite 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 and numerical calculation, for study of human movement disorders. This course concentrates on physiotherapy assessment and treatment of different cases of traumatology including fractures, dislocations and sports injuries. This course also has detailed information concerning the process of normal and abnormal healing of fractures and the complications of fractures including those related to prolonged bed recumbence. This will include 1 scientific study and application of selected physiotherapy principles in both assessment and treatment. 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. Intended Learning Outcomes: a- Knowledge understanding Knowledge of the anatomy of the joints and muscles of the lower limb 2 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 e- Professional attitude, values, and behaviors Team work 3 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 9 Tuesday 11/11 10 Thursday Tuesday 13/11 18/11 7 راس السنة الهجرية Knee joint anatomy and biomechanics (continued) Common knee fractures + Knee OA Knee OA (continued) Midterm theoretical exam Knee replacement surgeries + answer exam questions Patellofemoral disorders Physical examination and 4 ----------------- Physical examination of the hip (continued) ---------------------------Hip mobilisation + Hip exercise ------Physical assessment of the knee --------- Midterm lab exam -------------- management of PFPS I Physical examination and management of PFPS II 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 13 14 15 16 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 Mark as a percentage 30% 5 Date 6/11/2014 Midterm lab exam Quizzes Final theoretical exam Final lab exam 10% 10% 30% 20% 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 of the lab and leaving without permission from the instructor will be assigned as 6 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. 7