NEUROMUSCULOSKELETAL 2

SHE Level 5
SCQF Credit Points 15.00
ECTS Credit Points 7.50
Module Code MMB125971
Module Leader Emma-Jane Murchie
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • C (May start)

Summary of Content

This -1 module -1 aims to develop knowledge and understanding of function and -1 dysfunction of the neuromusculoskeletal -1 system within the -1 vertebral spine and -1 lumbopelvic region. -1 The structural, physiological and -1 psychosocial -1 impact of-1 dysfunction-2 -1 will-2 be-2 -1 explored-3 with-2 particular-4 -1 consideration-2 to-2 pain-1 mechanisms in-3 acute-2 and-3 chronic-1 presentations-2 in-2 a-3 -1 range-2 of groups and -1 individuals. A -1 variety of -1 physiotherapeutic approaches to -1 assessment and -1 management for -1 dysfunction -2 of -1 the neuromusculoskeletal -1 system within the -1 vertebral spine and -1 lumbopelvic region will be -1 considered with -1 critique-7 -2 of-5 their-8 theoretical-6 -1 and-8 evidence-7 based-8 -1 underpinning. Students will actively participate in their own learning on this module through independent study prior to tutorials and practical classes where clinical case studies will be used to guide discussion, clinical reasoning and practical application of evidence based assessment, treatment and management of neuromusculoskeletal-9 -1 dysfunction-10 within-11 the-9 -1 vertebral spine and -1 lumbopelvic region.

Syllabus

-360b7 Applied functional -1 anatomy of the -1 vertebral spine and -1 lumbopelvic region -1b7 The anatomical and -1 physiological -1 basis -2 of pain -1 classification -1 (including peripheral -1 nociceptive, peripheral neurogenic, central -1 sensitization) with -1 consideration to -1 clinical -1 indicators on -1 examination and possible -1 management strategies. b7 Pathophysiology and age related changes -2 of the -1 vertebral column.-5 -1b7 Diagnostic-6 -1 imaging-7 of-4 the-8 spine to illustrate pathological changes and conditions. -1b7 Clinical features and -1 therapeutic -1 management of neuromusculoskeletal -1 disorders of the -1 vertebral spine and -1 lumbopelvic region in a -1 range of -1 different groups and individuals (including: -360-1 o spondylosis/spondylolisthesis, -1 o degenerative-6 joints-5 -1 o intervertebral-5 disc-6 -1 lesions o vertebra-basilar-8 -1 insufficiency -1 o headaches -1 o whiplash-5 -1 associated-5 disorders -1 o cervical -1 instability o thoracic -1 outlet -1 syndrome o spinal -1 nerve/nerve -1 root o cauda equina and -1 spinal cord lesions o neural -1 tissue dysfunction o myofascial -1 pain).

Learning Outcomes

Upon Successful completion of the module the student should be able to:-1) Analyse the anatomic structure of the vertebral spine and lumbopelvic region in relation to their function, and critically discuss the impact of age, gender, ethnicity, culture, activity and pathology on normal function2) In simulated conditions, perform assessment and treatment techniques in a competent and safe manner, taking into account relevant dangers, safety precautions and contra-indications in relation to 'patient' and self.3) Critically discuss and justify using current research evidence the assessment, clinical reasoning, diagnosis and management of simulated patients with neuromusculoskeletal dysfunction of the vertebral spine and lumbopelvic region with consideration to various underlying pain mechanisms4) Critically discuss the impact of psychosocial factors in relation to assessment and management of neuromusculoskeletal function and dysfunction of the vertebral spine and lumbopelvic region5) Demonstrate the ability to record physiotherapy findings and interventions in an agreed format (e.g. POMR/SOAP) taking credence of professional and legal requirements

Teaching / Learning Strategy

It is -1 expected that students will -1 take -1 responsibility for -1 knowledge and -1 skill -1 acquisition by actively participating -1 in the learning process,-7 with-6 tutors-6 -1 primarily-7 taking-7 the-6 role-6 -1 of-7 facilitators-7 and-6 -1 advisors. Directed reading and tutor-led tutorials -1 will -1 initially -1 introduce new theoretical -1 concepts but the -1 emphasis in -1 this -1 module is on experiential and shared learning through student-led -1 seminar presentations, group -1 discussion and case study -1 material. -1 GCU Learn (Blackboard -1 Virtual Learning -1 Environment) will be used as an -1 interactive teaching resource to -1 facilitate and deepen learning-10 -1 throughout-9 the-10 module. -1 Critical evaluation -2 of -1 physiotherapeutic approaches to -1 assessment and management of -1 spinal -1 disorders in -1 current -1 clinical practice-7 -1 will-4 be-6 encouraged-7 -1 through-6 group-6 work-6 and-5 -1 discussion-7 -1 of-4 the-5 research-7 -1 evidence-6 and-7 its-4 -1 application. -1 Psychomotor -1 skills -1 will be -1 demonstrated and practiced -1 utilising the -1 application of -1 theoretical -1 concepts in practical -1 skills workshops. -1 Tutor -1 support will be available during -1 these -1 sessions to -1 provide -1 formative feedback -1 however students are encouraged to practice -1 independently using peer -1 review and self-appraisal. -1 Audio-visual -1 material of -1 assessment and -1 treatment techniques-7 -1 will-8 further-8 -1 enable-8 such-8 -1 practice. Students' learning -1 will be -1 enhanced by -1 participating in -1 case -1 study/clinical reasoning panels. These panels -1 will -1 provide a forum for the student to -1 critically explore their knowledge, -1 understanding and application -2 of -1 theoretical -1 concepts. -1 They will -1 also enable the development of the communication -1 skills -1 required to competently express their -1 cognitive processes -1 relating to patient -1 assessment-9 and-8 management-8 with-9 experienced-8 -1 therapists-7 and-8 their-8 -1 peers.

Indicative Reading

Berryman Reese, N & Bandy, WD. 2017. Joint Range of Motion and Muscle Length Testing. 3rd edition. Churchill Livingstone/Elsevier, Missouri. Bogduk, N. 2012, Clinical and Radiological Anatomy of the Lumbar Spine, 5th edition, Churchill Livingstone, Edinburgh Butler, D. & Moseley, L. 2013, Explain Pain, 2nd edition. NOI Publications, Adelaide. Ferguson, F. 2009, Managing Lower Back Pain, Churchill Livingstone/Elsevier, Edinburgh. Fernandez-de-las-Penas, C. Cleland, JA & Dommerholt, J. 2015, Manual Therapy for Musculoskeletal Pain Syndromes. An Evidence and Clinical Informed Approach, Churchill Livingstone/Elsevier, Edinburgh. Goodman, CC. & Fuller, KS. 2015, Pathology. Implications for the Physical Therapist. Elsevier/Saunders, St Louis. Greenhalgh, S. & Selfe, J. 2010, Red Flags II. A Guide to Solving Serious Pathology of the Spine, Churchill Livingstone/Elsevier, Edinburgh. Greenhalgh, S. & Selfe, J. 2006, Red Flags. A Guide to Identifying Serious Pathology of the Spine, Churchill Livingstone/Elsevier, Edinburgh. Jull, G. Moore, A. Falla, D. Lewis, J et al. 2015, Grieve's Modern Musculoskeletal Physiotherapy, 4th edition. Churchill Livingstone, Edinburgh. Jull, G. Sterling, M. Falla, D., Treleaven, J. & O'Leary, S. 2008, Whiplash, Headache and Neck Pain. Research-based Directions for Physical Therapies, Churchill Livingstone, Edinburgh. Hengeveld, E. and Banks, K. 2013, Maitland's Vertebral Manipulation. 8th edition, Churchill Livingstone/Elsevier, Edinburgh. 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 Van Griensven, H., Strong, J., and Unruh, AM. 2014, Pain; A Textbook for Health Professionals, 2nd edition, Churchill Livingstone, Edinburgh.

Transferrable Skills

In undertaking this -1 module students will develop and consolidate -1 skills in the -1 following areas: -1 critical -1 enquiry, communication, -1 psychomotor, -1 moving and handling, health & -1 safety, hand hygiene, -1 risk -1 assessment, clinical reasoning, -1 analytical problem -1 solving, -1 reflective practice, -1 clinical debate, teaching, -1 organization, planning, -1 time -1 management, utilization of -1 technology and -1 equipment, accessing -1 information sources, independent -1 study, -1 critical reading and appraisal of -1 literature, presentation -1 and dissemination -2 of knowledge, peer learning and group work, personal/professional -1 development planning, data -1 collection -1 and recording

Module Structure

Activity Total Hours
Tutorials (FT) 30.00
Practicals (FT) 30.00
Independent Learning (FT) 69.00
Assessment (FT) 15.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 0.50 100.00 50% Practical Viva - 30 mins