MUSCULOSKELETAL STRUCTURE & PATHOLOGY

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B226091
Module Leader Lisa Newcombe
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • B (January start)

Summary of Content

This module is focused on musculoskeletal (MSK) structure and pathologies of the lower limb, foot and ankle. In this module, students will learn about the fundamental principles involved in common MSK pathologies, for application in the foot, ankle and lower limb. Students will learn how to undertake and evaluate evidence-based assessment techniques for these pathologies, inclusive of open and closed kinetic chain assessment, static postural assessment and dynamic gait analysis. On completion of this module, students will be able to diagnose, assess and manage a range of MSK conditions affecting the foot, ankle and lower limb using evidence-based guidelines and local protocols. Students will learn how to link these conditions to postural conditions, leg length differences and biomechanical dysfunction of joints and muscles through gait.

Syllabus

On completion of this module, students will learn about the following topics: Musculoskeletal Assessment -284b7 Postural/Static assessment o Spine (lordosis, kyphosis, scoliosis) o Hip (coxa vara/valgum, pelvic tilt) o Knee (genu varum/valgum, Recurvatum) o Ankle equines o Forefoot equines & plantarflexed first ray o Pes cavus/planus o Leg length differences -284b7 Dynamic Gait Assessment/Analysis, Closed/Open Kinetic Chain Assessment o Biomechanical dysfunction through gait (lower limb joint & muscular dysfunction) Musculoskeletal Conditions -284b7 Accessory ossicles b7 Principles of Tendinopathies b7 Forefoot conditions o Functional Hallux Limitus o Hallux Abducto Valgus (HAV) & associated pathologies (lesser toe deformities) o Plantar plate tear o Plantar digital neuritis/neuroma -284b7 Rearfoot/Midfoot conditions b7 Tarsal coalitions b7 Tibialis posterior tendon dysfunction b7 Heel conditions o Plantar Fasciopathy o Calcaneal Apophysitis o Achilles tendinopathy (insertional & mid-portion) o Bursitis (Retrocalcaneal, Supra-calcaneal, plantar calcaneal) o Nerve entrapments o Soft tissue/bone injury & atrophy o Soft tissue/bone tumours Enthesopathies/Enthesitis

Learning Outcomes

Upon successful completion of this module the student should be able to: 1. Understand the principles and mechanisms underpinning structural and soft tissue MSK pathologies, for application into a range of podiatric conditions 2. Identify and differentiate the pathology, aetiology, clinical presentation and management of a range of podiatric conditions affecting the musculoskeletal system3. Select and apply evidence-based musculoskeletal assessment techniques for a range of structural and soft tissue podiatric pathologies 4. Evaluate the existing evidence base & clinical guidelines underpinning theory, assessment & management across a range of structural and soft tissue podiatric pathologies

Teaching / Learning Strategy

Teaching and learning in this module will include a range of blended learning activities including: -284b7 Keynote lectures to establish a sound theoretical framework. b7 Tutorials to clarify, reinforce, integrate and clinically apply knowledge, inclusive of patient-based case studies b7 Practical sessions to integrate and apply theoretical knowledge & assessment techniques to the living subject using evidence based guidelines and local protocols b7 Online learning activities b7 Independent & directed learning inclusive of: -284 o Student-led presentations & tasks o Videos of practical assessment techniques (tutor and student led) o Reading & weekly research of MSK conditions encountered during practice placement o Formative assessment

Indicative Reading

-284 Key Indicative Reading b7 FROWEN, P., O'DONNELL, M., LORIMER, D. L., BURROW, J. G., 2010. Neale's Disorders of the Foot. 8th edition. Edinburgh: Churchill Livingstone b7 LEVINE, D., RICHARDS J., WHITTLE, M, W. 2012. Whittle's Gait Analysis. 5th Edition Churchill Livingstone: Elsevier Further Indicative Reading b7 ANTHONY, R, J. 1991. The manufacture and use of the functional foot orthosis. Basel: Karger. b7 DONATELLI, R. 1995. The biomechanics of the foot and ankle. 2nd Edition. F A Davis b7 EUSTACE, S, J. et al. 2006. Sports Injuries- Examination, imaging and management. Churchill Livingstone. b7 FOSTER, A., EDMONDS, M,.2007. Colour Atlas of Foot and Ankle Disorders. Churchill Livingstone b7 MENZ, H, B. 2008. Foot problems in older people: assessment and management. New York, Edinburgh: Churchill Livingstone. b7 THOMSON, C, E., GIBSON, J, N, A., 2009. 50+ Foot Challenges: Assessment and Evidence-Based Management. 2nd Edition. New York, Edinburgh: Churchill Livingstone /Elsevier b7 TURNER, W., & MERRIMAN, L, M., 2005. Clinical Skills in Treating the Foot. 2nd Edition. Churchill Livingstone/Elsevier b7 HELLIWELL, P., WOODBURN, J., REDMOND, A., TURNER, D., DAVYS, H., 2007. The Foot and Ankle in Rheumatoid Arthritis: A Comprehensive Guide. Churchill Livingstone/Elsevier b7 KERR, A. 2010. Introductory Biomechanics. Edinburgh. Churchill Livingstone /Elsevier b7 KERR, A., ROWE, P. 2019. An Introduction to Human Movement and Biomechanics, 7th Edition. Elsevier b7 KIRTLEY, C. 2006. Clinical Gait Analysis: theory & practice. New York: Churchill Livingstone b7 PALASTANGA, N., SOAMES, R., 2012. Anatomy and Human Movement. 6th Edition. New York, Edinburgh: Churchill Livingstone Elsevier b7 RANAWAT, C, S., POSITANO, R, G. 1999. Disorders of the heel, rearfoot and ankle. New York: Churchill Livingstone b7 RICHARDS, J. 2008. Biomechanics in Clinic and Research. Churchill Livingstone b7 RICHARDS, J. 2018. The Comprehensive Textbook of Clinical Biomechanics. 2nd edition. Amsterdam, The Netherlands: Elsevier b7 WATKINS, J. 2009. The Pocket Podiatry Guide: Functional Anatomy. Churchill Livingstone /Elsevier b7 WILLIAMS, A. & NESTER, C., 2010. The Pocket Podiatry Guide: Footwear and Foot Orthoses. New York: Churchill Livingstone/Elsevier b7 YATES, B. & MERRIMAN, L, M., 2009. Merriman's Assessment of the Lower limb. 3rd Edition. New York, Edinburgh: Churchill Livingstone /Elsevier b7 VALMASSEY, R, L., 1996. Clinical Biomechanics of the Lower Extremity. Mosby b7 WATKINS, J. 2007. An introduction to Biomechanics of Sport and Exercise. Churchill Livingstone Journals & Useful Websites o Journal of Foot and Ankle Research (JFAR) o The Foot o Foot & Ankle International o British Medical Journal (BMJ) o <https://cop.org.uk/>

Transferrable Skills

Generic skills - communication, presentation skills, teamwork, ethics, learning to learn, self-motivation, problem solving, problem-based learning Employability skills - working with others, prioritisation, time management, interview techniques Digital capabilities - ICT proficiency, information literacy, media literacy, digital creation, digital research and problem solving, digital communication & participation, digital learning.

Module Structure

Activity Total Hours
Practicals (FT) 12.00
Assessment (FT) 20.00
Tutorials (FT) 12.00
Independent Learning (FT) 108.00
Lectures (FT) 48.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam 01 2.00 50.00 35% Exam LO1, LO2
Course Work 01 n/a 50.00 35% LO3, LO4 - Case study presentation 20 minutes maximum.