NEUROMUSCULOSKELETAL MANAGEMENT

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B125957
Module Leader Janet Bonn
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

Normally includes successful completion of Level 1 BSc Hons Physiotherapy Modules.

Summary of Content

This module relates the pathophysiology of tissue injury to the clinical features of a variety of musculoskeletal conditions and their physiotherapy assessment, planning, treatment and management. It also considers the potential impact of physchosocial factors such as age, gender, culture and socio-economic status. It considers the theory and practical application of a variety of physiotherapy treatment management strategies (including electrophysical agents) used in the treatment of neuromusculoskeletal pathologies of the peripheral and vertebral joints. It considers the indications, dosage, cautions, contraindications, progressions and modifications of all treatments, whilst promoting professionalism, health and safety, infection control, communication skills, clinical reasoning and reflective practice. It also includes critical appraisal of relevant current literature. The ability to document physiotherapy findings in an agreed format (POMR/SOAP) taking credence of professional statutory bodies and legal requirements will be developed. This viva examination format of this module is designed to simulate the clinical neuromuscular assessment, management and clinical reasoning necessary for professional practice.

Syllabus

Applied Pathophysiology -360b7 Pain mechanisms -360b7 Mechanisms of injury and inflammation b7 Tissue healing and repair b7 Bone healing and repair b7 Pathophysiology and biomechanics of bone, joints, muscles, ligaments, capsule, intervertebral discs and neural tissue Treatment and Management Issues -360-1 - Clinical features and -1 therapeutic -1 management of musculoskeletal -1 disorders including: -360b7 Fractures -360b7 Soft Tissue Injuries b7 Mechanical orthopaedic conditions b7 Spinal Conditions and pathology b7 Rheumatological conditions and related inflammatory arthropathies b7 Peripheral and spinal nerve conditions b7 Chronic Pain conditions -360 - Theoretical and practical application of a range of musculoskeletal assessment and treatment approaches to address dysfunction within joint, muscle and neural systems, including: -360b7 Joint mobilisations -360b7 Soft tissue techniques b7 Neural tissue treatment b7 Muscle Balance b7 Exercise therapy b7 Patient education b7 Electrotherapy -359 Evidence from literature related to the management of musculoskeletal problems will be critically appraised and evaluated. - Principals of recording data for clinical records. - Discussion of roles and contributions within the multidisciplinary team in delivery of health and social care. - Discussion of aspects of professionalism and communication in the delivery of health and social care. -359 - Use of clinical reasoning panels to help diagnostic decision making and development of timely interventions within the therapeutic management of patients.

Learning Outcomes

Upon successful completion of the module, students should be able to:-1. Discuss tissue changes that occur as part of the pathophysiology of common musculoskeletal conditions and injuries.2. Plan, implement and appropriately modify an examination programme suitable for acute and chronic musculoskeletal conditions in a safe, professional and competent manner, with consideration given to age, gender, culture, ethnicity and psychosocial factors.3. Analyse pathologies and findings from the examination to formulate an appropriate problem list, treatment plan and long and short term goals.4. Justify and implement treatment techniques, patient education and exercise prescription for acute or chronic musculoskeletal conditions with a full understanding of the contraindications, precautions, health and safety and infection control.5. Justify the management of acute and chronic musculoskeletal conditions using critical analysis of appropriate evidence based literature.6. Understand the role of the musculoskeletal physiotherapist as part of the multi-disciplinary team.7. Record and present data in a format suitable for clinical practice.

Teaching / Learning Strategy

A variety of strategies will be used, with the emphasis on encouraging the student to take an active part in their knowledge and skill acquisition and to engage in critical reflection of their clinical reasoning, problem solving and learning throughout the module. Theoretical elements will be delivered by flipped classroom tutorials, hand outs and workbook based activities. These will be supported by tutorial sessions where clinical reasoning, problem solving, reflective practice and the practical skills required for assessment planning, treatment management and patient education will be used to solve clinical based problems. The breadth of subject area will be addressed by small student working groups who will research specific areas and combing their findings in seminar sessions to the benefit of the class. Practical classes will be used to refine assessment planning, treatment, management techniques, ensuring safety and professionalism. Students will be encouraged to provide formative feedback to peers in these sessions. The subject area will be put in context through clinical casestudies and simulated clinical scenarios. Pathophydiology will developed by memebers of the physiology team.

Indicative Reading

Essential Palastanga, N. & Soames, R. 2011, Anatomy and human movement: structure and function, 6th edn, Butterworth Heinemann, Oxford. Petty, N.J. 2013, Neuromusculoskeletal examination & assessment, 4th edn, Churchill Livingstone, Edinburgh. Petty, N.J. 2013, Principles of neuromusculoskeletal treatment and management, 3nd edn, Churchill Livingstone Edinburgh. Watson T 2008 Electrotherapy Evidence based practice. Churchill Livingstone. Edinburgh. 12th Edition Recommended Atkinson, K., Coutts, F. & Hassenkamp, A.M. 2005, Physiotherapy in orthopaedics, 2nd edn, Churchill Livingstone, Edinburgh. .Butler, D. & Moseley, L. 2003, Explain pain, Noigroup Publications, Adelaide. Clarkson, H.M. 2013, Musculoskeletal assessment: joint motion and muscle testing, 3rd edn, Lippincott Williams & Wilkins, Baltimore. Hengeveld, E. & Banks, K. Eds. 2005, Maitland's peripheral manipulation, 4th edn, Butterworth Heinemann, Oxford. Lee D 2004 The Pelvic Girdle. Churchill Livingstone. Edinburgh. 2nd Ed. Norris C ( 2013) Sports Injuries ( 4th Edition) Butterworth Heinemann, Edinburgh Sahrmann S. 2002 Diagnosis and Treatment of movement impairment syndrome. Mosley Shamley, D. 2005, Pathophysiology: an essential text for the allied health professions, Butterworth Heinemann, Oxford. .Vicenzino, W., Hing, W., Rivett, D. & Hall, D. 2011, Mobilisation with movement, the art and the science, Churchill Livingstone, Edinburgh

Transferrable Skills

In this module there will be the opportunity to develop skills which will be useful in other modules and in clinical practice. In the class emphasis will be placed on professionalism, effective communication, organisatiol, decision making, group work presentation skills ,teaching and clinical reasoning skills.. In addition clinical experiences will enhance the ability to communicate with professional colleagues and patients.

Module Structure

Activity Total Hours
Assessment (FT) 20.00
Tutorials (FT) 24.00
Practicals (FT) 48.00
Independent Learning (FT) 108.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 0.50 20.00 35% MCQ exam. Learning Outcome 1
Exam (Dept) 02 0.75 80.00 35% Viva exam (40 minutes). Learning Outcomes 2-7