NEUROMUSCULOSKELETAL 1

SHE Level 5
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code MMB125968
Module Leader Fiona Gough
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • B (January start)

Summary of Content

This module aims to develop students' knowledge and understanding of function and dysfunction of the neuromusculoskeletal system within the upper and lower limb regions. Neuromusculoskeletal 1 will enable students to analyse and evaluate the anatomical, physiological, biomechanical, pathological and psychosocial impact of dysfunction with particular consideration to underlying pain mechanisms in acute and chronic presentations within a range of client populations and practice settings. Students will be given the opportunity to develop their knowledge and understanding of the theories, principles and concepts relevant to the assessment and management for dysfunction within the neuromusculoskeletal system in the upper and lower limbs. This theoretical underpinning will be utilised to enable the development of practical skills and clinical reasoning capabilities.

Syllabus

Theory: Structure & Function (Impact of Loading); Tissue response to injury (inflammatory process and impact of non-loading); Theories of pain and pain modulation; Soft tissue injuries; Degenerative disorders; Fractures; Inflammatory Arthropathies Skills: Anatomy and Manual Therapy Structure and function of key anatomical features: osteology, arthrology, myology and neurology of the upper and lower limb. Principles and theories underpinning the selection, application and interpretation of manual therapy procedures to identify anatomical landmarks and to conduct objective examination procedures for specific anatomical structures e.g. joint, ligaments, muscles. Principles and theories underpinning the selection, application, modification and progression of manual therapy management approaches e.g. joint mobilisation and soft tissue massage Skills: Therapeutic Exercise Principles and theories underpinning the selection, application, modification and progression of therapeutic exercise management approaches e.g. biomechanics; range of motion and stretching; strengthening; muscle balance and recruitment; posture; motor control/proprioception/balance; gait re-education. Skills: EPA Principles and theories underpinning the selection, application, modification and progression of management approaches using electrotherapy modalities e.g. cryotherapy; ultrasound; thermal techniques; interferential therapy, transcutaeneous neuromuscular stimulation; pulsed electromagnetic energy; high frequency currents. Integrated Neuromusculoskeletal Practice Theories of clinical reasoning frameworks used in physiotherapy practice.

Learning Outcomes

Upon Successful completion of the module the student should be able to:-1. Critically identify and analyse relevant anatomical structures of the upper and lower limbs with consideration to their function within the neuromusculoskeletal system.2. In simulated conditions, demonstrate assessment and treatment techniques/approaches in a competent and safe manner, with consideration to relevant cautions, precautions and contraindications in relation to client and self.3. Justify the selection and/or modification of assessment and treatment techniques/approaches employed in the management for dysfunction within the neuromusculoskeletal system in the upper and lower limbs4. Critically appraise, evaluate and apply relevant theories and/or research evidence to underpin clinical reasoning and decision making in relation to the assessment and/or management for dysfunction within the neuromusculoskeletal system in the upper and lower limbs5. Critically analyse and evaluate clinical data for simulated case scenarios with consideration to underlying pain mechanisms in acute and chronic presentations within a range of client populations and practice settings.

Teaching / Learning Strategy

This module will adopt a constructivist and socio-constructivist approach to underpin the students' learning experience. Students will be expected to take responsibility for knowledge and skill acquisition by actively participating in the learning process, with tutors primarily assuming a facilitatory role.Theoretical concepts will be explored through masterclasses, tutorials and seminars using teaching and learning strategies which include; problem-based learning, group discussion, peer-assisted learning, role modelling, and independent learning. GCU Learn virtual learning environment (and other online media) will be employed to facilitate and deepen learning in a blended fashion using strategies such as; reflective tasks and flipped classrooms/directed activities. Practical skills will be developed within practical workshops utilising the application of relevant theories, principles and concepts. These practical sessions will employ the following teaching and learning strategies; tutor demonstration, peer-assisted learning and peer review. VLE will also be utilised to support practical skill development, for example: audio-visual material and directed study. Students' learning will also be facilitated by participation in clinical reasoning panel seminars throughout the module. Using low fidelity case simulation, these panels will provide a forum for the student to apply, analyse and evaluate their knowledge and understanding of a range of theoretical concepts. They will also provide the opportunity for students to demonstrate the communication skills required to competently express their clinical reasoning and decision-making in a professional manner.

Indicative Reading

Atkinson, K., Coutts, F. & Hassenkamp, A.M. 2005. Physiotherapy in Orthopaedics. 2nd edition. Edinburgh: Churchill Livingstone. Cleland, J.A., Koppenhave, S. & Su, J. 2016. Netter's Orthopaedic Clinical Examination. 3rd edition. Philadelphia: Churchill Livingstone/Elsevier. Comerford, M. & Mottram, S. 2012. Kinetic Control. The Management of Uncontrolled Movement. Edinburgh: Churchill Livingstone. David, C. & Lloyd, J. 1999. Rheumatological Physiotherapy. London: Mosby. Fernandez-de-las-Penas, C., Cleland,J., & Dommerholt, J. 2016. Manual Therapy for Musculoskeletal Pain Syndromes. Edinburgh: Elsevier Livingstone. Fox, J. & Day, R. 2009. A Physiotherapists Guide to Clinical Measurement. Edinburgh: Elsevier/Churchill Livingstone Huber, F.E. & Wells, C. 2006. Therapeutic Exercise: Treatment Planning for Progression. London: Elsevier. Norris, C.M. 2004. Sports Injuries. 3rd edition. Edinburgh: Butterworth Heinemann. Petty, N.J. & Ryder, D. 2018. Musculoskeletal Examination and Assessment. A Handbook for Therapists. 5th Edition. Edinburgh: Churchill Livingstone. Petty, N.J. & Ryder, D. 2018. Principles of Neuromusculoskeletal Treatment and Management. A Handbook for Therapists. 3rd edition. Edinburgh: Churchill Livingstone. Soames, R. & Palastanga, N. 2019. Anatomy and Human Movement. Structure and Function. 7th edition. Edinburgh: Elsevier. Thein Brody, L. & Hall, C.M. 2011. Therapeutic Exercise: Moving Towards Function. Baltimore: Lippincott, Willliams & Wilkins. Watson, T. 2008, Electrotherapy: Evidence Based Practice. 12th edition. Edinburgh: Churchill Livingstone. Whittle, M. 2012. Gait Analysis. 5th edition. Oxford: Butterworth Heinemann.

Transferrable Skills

Participation in this module will enable students to develop and consolidate the following transferable skills: Generic (critical thinking, problem-solving and decision-making, communication, presentation, teamwork, self-directed learning, organisation and time management) Employability (working with others, organisation and time management, personal and professional development, reflective practice, professionalism) Digital Capabilities (ICT proficiency, information literacy, media literacy, data literacy, digital communication, digital learning)

Module Structure

Activity Total Hours
Independent Learning (FT) 126.00
Tutorials (FT) 36.00
Practicals (FT) 84.00
Seminars (FT) 24.00
Assessment (FT) 30.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 1.00 100.00 50% OSPE