HUMAN MOVEMENT: ANATOMY & EXAMINATION

SHE Level 1
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code M1B122672
Module Leader Janet Bonn
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

None

Summary of Content

This module aims to introduce and underpin essential requirements of professional practice in physiotherapy. Running in tandem with Human Movement: Biomechanics & Physical Activity module, which takes a more global perspective to biomechanics of movement and exercise, it introduces concepts related to human movement with a focus on equipping students with the required knowledge and skills to conduct, interpret and record a standardised physiotherapeutic examination of major peripheral joints on individual simulated clients. The module introduces students to the anatomical basis of human movement relating structure to function of relevant bones, joints, muscles, peripheral nerves and vascular structures while concomitantly providing the foundation for development of essential manual skills required to test individual anatomical structures. The influence of measurement, communication and health and safety considerations are introduced as essential components of client examination. A regional application of theory is adopted so that the lower limb (hip, knee and ankle/foot) are studied in-depth in Trimester A while the upper limb (shoulder, elbow, wrist/hand) are studied in Trimester B. The manual therapy skills of passive physiological and accessory movements, manual muscle testing, neurodynamic testing and limited special tests will be introduced in a manner that facilitates the consolidation of both knowledge and skills into the conducting of a standardised objective examination. The principles of objective examination are introduced and applied regionally in Trimester A and continue to be applied regionally in Trimester B. The principles of subjective examination are introduced and practised in Trimester B.

Syllabus

The syllabus will cover: -360 - An early overview of bones, joints & muscles and their general functions. - Types of movements and requirements for normal movement. - Anatomical terminology. - Details of specific bones and palpation of their superficial parts. - Classifications of joints and detailed structure and function of constituent parts. - Palpating and marking joint lines. - Instructing and measuring active range of movement of major peripheral joints. - Factors limiting movement. - Contribution of accessory movement to physiological range of movement. - Performing passive physiological and accessory movements to full range. - Concepts of end feel, capsular pattern and close packed positions. - Performing a range of special tests including ligament testing. - Role of muscles in human movement. - Position, origin, insertion and actions of muscles. - Analysing movement terminology. - Performing manual assessment of muscle strength and length including static and dynamic contractions and passive longitudinal stretching. - Concepts of active and passive insufficiency. - Anatomy of spinal/peripheral nerves and main plexuses. - Course of main peripheral nerves. - Performing neurodynamic testing. - Anatomy of main vascular structures of limbs. - Palpating pulses. - Performing a standardized objective examination of major peripheral joints. - Observing and analysing posture. - Touching for temperature. - Instructing and analysing active movements. - Performing and analysing passive physiological and accessory movements. - Performing and analysing a basic range of special tests. - Palpation of relevant structures. - Role of subjective examination in gathering client data. - Standardised structure of general subjective examination. - Performing a standardized subjective examination. - Facets of communication that enhance client interactions. - Informed consent. - Medico-legal aspects of recording client data. - Recording client data. - Health and safety issues relating to manual handling of clients.

Learning Outcomes

On completion of the module students should be able to:1. Analyse and explain the function of anatomical structures in relation to movement (bones, ligaments & capsules, muscles, neural and vascular structures). 2. Analyse and explain the effect of movement on specific anatomical structures.3. Demonstrate appropriate palpation skills to assist safe performance of manual techniques.4. Demonstrate appropriate skills in the measurement of active movements. 5. Demonstrate professional communication and behaviour in relation to staff and peers in accordance with university, professional and regulatory bodies. 6. Select and safely perform appropriate manual techniques to test specific anatomical structures.7. Conduct a basic standardised subjective examination.8. Interpret the findings of a subjective examination from an anatomical perspective. 9. Conduct a safe standardised objective examination. 10. Interpret the findings of an objective examination from an anatomical perspective.11. Accurately record appropriate information from a subjective and objective examination in accordance with professional and regulatory body guidance.12. Demonstrate awareness of factors that impact on client assessment (culture, age, gender, religion, socio-economic status, health status, & language barriers).13. Develop professional attributes that foster reflective practice and self-directed learning and promote a duty of care to others.

Teaching / Learning Strategy

A variety of blended learning and teaching strategies will be used to encourage active student engagement and to foster independent learning. The use of podcasts and lectures (some of which may be shared with the BPA module) will direct students to relevant theory for practical classes which will utilise a mix of paper-based and electronic books. Most of the face to face contact will utilise task-oriented role play and pair/group work while students practice skills on each other. Shared peer-led workshops with the HM: BPA module, where module concepts from both modules are integrated and applied to wider case scenarios will be utilised to contextualise and deepen learning. Issues relating to equality, diversity, age and breadth of practice will be introduced through such case scenarios. The GCU Learn VLE will be used as a medium for providing with/directing students to additional learning materials and activities to encourage and enhance their independent learning. Links to appropriate online materials will also be utilised. On-going formative feedback from tutors and peers using GCU's 8 principle feedback principles will be utilised throughout the module, particularly during all practical classes. Self-assessment questions relating to weekly objectives will be utilised to facilitate independent learning and achievement of objectives.

Indicative Reading

ESSENTIAL READING Clarkson, H.M., 2011. Musculoskeletal Assessment. Joint Motion and Muscle Testing, 3rd Edn, Wolters Kluwer / Lippencott Williams and Wilkins,Baltimore. Palastanga, N., Soames, R.W., & Palastanga, D. 2008 Anatomy and Human Movement Pocketbook, Churchill Livingstone/Elsevier, Edinburgh. Petty, N. 2011 Neuromuscular Examination and Assessment. A Handbook for Therapists. 4th Edn, Churchill Livingston/Elsevier, Edinburgh. RECOMMENDED READING Banks, K. & Hengeveld, E. 2010, Maitland's Clinical Companion, Churchill Livingstone/Elsevier, Edinburgh. Cael, C. 2010, Functional Anatomy: Musculoskeletal Anatomy, Kinesiology and Palpation for Manual Therapists, Wolters Klower / Lippencott, Williams &Wilkins, Baltimore. Chartered Society of Physiotherapy, 2011. Code of Members' Professional Values and Behaviour. CSP: London, [Online]. Available at: <http://www.csp.org.uk/publications/code-members-professional-values-behaviour> [Accessed 26th June 2013]. Chartered Society of Physiotherapy, 2012 Information paper: Record Keeping guidance PD061, CSP London,[Online], Available at <http://www.csp.org.uk/publications/record-keeping-guidance> . [Accessed 26th June 2013]. Chartered Society of Physiotherapy, 2013a. Quality Assurance Standards for Physiotherapy Service Delivery. CSP London [Online], Available at <http://www.csp.org.uk/publications/quality-assurance-standards> . [Accessed 11 th October 2013]. Chartered Society of Physiotherapy , 2013b. Practice Education: guidance, Support and Information. CSP London [Online], Available at <https://v3.pebblepad.co.uk/v3portfolio/csp/Asset/View/6jqbh3H5jdtc49hjMZs576jZWZ/6jqbh3H5jdtc5hmGbm5rkr9H3y> . [Accessed 11 th October 2013]. Clark, M. A. & Lucett, S. C. 2011. NASM's Essentials of Corrective Exercise Training, Wolters Kluwer/Lippencott Williams & Wilkins, Philadelphia. Drake, R.L., Vogl, W. & Mitchell, A.W.M. 2010, Gray's Anatomy for Students, 2nd Edn, Churchill Livingstone, Edinburgh. Everett T & Kell C, (2010) Human Movement: An Introductory Text. 6 th Edition. Churchill Livingstone, Edinburgh, UK. Field, D. & Hutchinson, J.O. 2012, Field's Anatomy Palpation and Surface Marking, 5th Edn, Elsevier / Churchill Livingstone, Edinburgh. Fox, J. & Day, R. 2009, A Physiotherapist's Guide to Clinical Measurement, Churchill Livingstone, Edinburgh. Franklyn-Miller, A., Falvey, E. & McCrory, P. 2010. Clinical Sports Anatomy, McGraw Hill Education Glasgow Caledonian University, 2013, Protocols for Practical Skills Procedures [Online], available at <https://blackboard.gcal.ac.uk> , [Accessed 11 th September 2013]. Health and Care Professions Council, 2012. Standards of conduct, performance and ethics. HCPC: London, [Online]. Available at: <http://www.hpc-uk.org/aboutregistration/standards/standardsofconductperformanceandethics/> . [Accessed 26 th June 2013]. Health and Care Professions Council, 2013. Standards of Proficiency - Physiotherapists. HCPC London [Online], Available at http://www.hpc-uk.org/publications/index.asp?id=49#publicationSearchResults <http://www.hpc-uk.org/publications/index.asp?id=49> . [Accessed 11 th October 2013]. Kendall, F.P., McCreary, E.K., Provance, P.G., Rodgers, M., Romani, W. 2010. Muscle Testing and Function with Posture and Pain, 5th Ed. Lippincott Williams and Wilkins, Baltimore Kendall, F.P. Muscles testing and function. Wolters Klower/Lippincott, Williams & Wilkins, Baltimore Lockwood, J. 1998, "Chapter 2: The Musculoskeletal Requirements for Normal Movement", in Rehabilitation of Movement. Theoretical Basis of Clinical Practice, ed J, Pitt-Brooke et al, WB Saunders, Oxford, pp. 53-120 Levangie, P. K. & Norkin, C.C. 2011, Joint structure and Function: A Comprehensive Analysis, 5 th Edn, FA Davis Company, Philadelphia. Moses, K.P., Banks, J.C., Nara P.B., Peterson, D. 2012, Atlas of Clinical Gross Anatomy, 2nd Edn, Elsevier Mosby, Philadelphia. Norkin, C.C. & White, D.J. 2007, Measurement of Joint Motion. A Guide to Goniometry, 4th Edn, FA Davis, Philadelphia. Palastanga, N., & Soames, R.W., 2011 Anatomy and Human Movement: Structure and Function, 6 th Edn, Churchill Livingstone/Elsevier, Edinburgh. Petty, N. 2011, Principles of Neuromusculoskeletal Treatment and Management. A Guide for Therapists. 2nd Ed. Churchill Livingstone/Elsevier, Edinburgh. Tortora, G.J. & Derrickson, B.H. 2013. Essentials of Anatomy and Physiology, 13 th Edn, Wiley.

Transferrable Skills

As part of the learning process within the module, students will develop professional skills associated with: communication / interviewing / working with simulated clients; working as part of a group; time management; personal presentation, compiling and presenting material to groups. Enhancement of digital literacy will develop through the use of electronic resources.

Module Structure

Activity Total Hours
Seminars (FT) 24.00
Practicals (FT) 120.00
Independent Learning (FT) 102.00
Assessment (FT) 30.00
Lectures (FT) 24.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 02 0.75 40.00 35% Practical Exam - 40 Mins
Exam (Dept) 04 0.75 40.00 35% Practical Exam - 40 Mins
Coursework 1 0.00 20.00 35% Coursework