NEUROMUSCULOSKELETAL MANAGEMENT PRACTICE PLACEMENTS

SHE Level 5
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code MMB723234
Module Leader Janet Bonn
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September start)-B (January start)-C (May start)

Pre-Requisite Knowledge

Neuromusculoskeletal Management 1 & 2

Summary of Content

This module is designed to be undertaken following successful completion of Neuromusculoskeletal Management 1 and 2. The module comprises two components A and B each currently of 75 hours duration with all work based on a clinical site with approved supervision. This module will enable the student to develop a high level of clinical expertise in the examination, assessment and management of neuro-musculoskeletal conditions. Clinical reasoning will be enhanced and further developed in the workplace where students will be encouraged to apply and consolidate new principles with patients, reflect on their practice, and collect data for evaluation of practice. During this time the student will have a nominated practice mentor for at least 50% of the module, with whom he or she can seek assistance where required and discuss the clinical learning experiences. Learning outcomes are aligned to the Dimensions of learning within the educational standards as set by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT).

Syllabus

The learning experiences will be determined through the clinical workload which, although set to meet generic criteria, will be specific for each placement and site. The clinical workload will include a mixed caseload of spinal and peripheral (upper and lower quadrant) problems, encompassing patients of various ages, presenting with acute, chronic, simple and complex conditions.

Learning Outcomes

At the end of the module the postgraduate student should be able to;" Consistently demonstrate critical and evaluative evidence based practice in clinical examination skills and be able to interpret findings from valid and reliable differential testing procedures." Demonstrate the critical use of a comprehensive knowledge base of the biomedical, clinical and behavioural sciences in the management of patients with neuromusculoskeletal problems." Demonstrate an advanced level of communication skills enabling effective assessment and management of patients to gain comprehensive information about the type and nature of the presenting conditions." Demonstrate an advanced level of clinical reasoning skills enabling effective assessment and management of patients with neuromusculoskeletal problems." Demonstrate an advanced level of practical skills with sensitivity and specificity of handling, enabling effective assessment and management of patients with neuromusculoskeletal problems." Consistently evaluate the application, progression, and modification of manual therapy management of neuromusculoskeletal problems.

Teaching / Learning Strategy

-108 Due to the nature of this module there will be an emphasis on work based learning, and learning through practical consolidation of principles and skills with a patient workload. Where possible a 2:1 model of supervision will be used allowing students an opportunity to construct knowledge and skills through peer discussions, practical sessions and critical reflection. There will be particular emphasis on critical reflection. Reflective diaries and face to face tutorial sessions with the approved practice placement mentor will be used to facilitate discussion and further develop student's clinical reasoning skills to help them reach a level of mastery in the management of patients with neuromusculoskeletal conditions. Students will be encouraged to explore different learning styles and the degree to which they utilise these styles appropriately in the practice environment. It is expected that students will integrate current published research as part of their practice to justify interventions and demonstrate effective use of an evidence based approach to patient management. Each placement may run over a part-time period as long as it is equivalent to75 hours (eg. 5 weeks of 2 days/week).

Indicative Reading

Adams , M., Bogduk, N., Burton, K. & Dolan, P. 2013. The Biomechanics of Back Pain. 3rd edition. Edinburgh: Churchill Livingstone. Aveyard , H. 2010 Doing a literature review in health and social care. A practical Guide 2nd edition, Maidenhead: Mc Graw Hill. Banks , K. & Hengeveld, E. 2010. Maitland's Clinical Companion. An Essential Guide for Students. Edinburgh: Churchill Livingstone/Elsevier. Black , C. 2008. Working for a Healthier Tomorrow: A Review of the Health of Britain's Working Age Population. London: The Stationery Office. Bogduk , N. 2012. Clinical & Radiological Anatomy of the Lumbar Spine. 5th edition. Edinburgh: Churchill Livingstone. Available as e-book Boyling , JD. & Jull, GA. 2004. Grieve's Modern Manual Therapy: the Vertebral Column. 3rd edition. Edinburgh: Churchill Livingstone. Bullock , MI. (Ed) 1990. Ergonomics: The Physiotherapist in the Workplace. International Perspectives in Physical Therapy (6). Edinburgh: Churchill Livingstone. Butler , D. 2000. The Sensitive Nervous System. Edinburgh: Churchill Livingstone. Butler , D. & Moseley, L. 2013. Explain Pain. 2nd edition. Adelaide: NOI Publications. Comerford , M. & Mottram, S. 2012, Kinetic Control. The Management of Uncontrolled Movement, Churchill Livingstone/Elsevier, Edinburgh. Cook , CE. & Hegedus, EJ. 2013. Orthopedic Physical Examination Tests. An Evidence-based Approach. 2nd edition. Upper Saddle River, New Jersey: Pearson Prentice Hall. Day , R., Fox, J. & Paul-Taylor, G. 2009. Neuromusculoskeletal Clinical Tests. A Clinician's Guide. Edinburgh: Churchill Livingstone Elsevier Dul , J. & Weerdmeester, B. 2008 Ergonomics for Beginners. Oxford: CRC Press Inc., Taylor & Francis Ltd. Ferguson , F. 2009. Managing Lower Back Pain. Edinburgh: Churchill Livingstone/ Elsevier. Greenhalgh , S. & Selfe, J. 2010. Red Flags II. A Guide to Solving Serious Pathology of the Spine. Edinburgh: Churchill Livingstone/Elsevier. Greenhalgh , S. & Selfe, J. 2006. Red Flags. A Guide to Identifying Serious Pathology of the Spine. Edinburgh: Churchill Livingstone/Elsevier. Hodges , P. Cholewicki, J. & Van Dieen, J. 2013. Spinal Control: The Rehabilitation of Back Pain. Edinburgh: Churchill Livingstone/Elsevier. 13 Irnich , D. 2013. Myofascial Trigger Points. Comprehensive Diagnosis and Treatment. Edinburgh: Churchill Livingstone/Elsevier. Jones , MA. & Rivett, DA. 2003. Clinical Reasoning for Manual Therapists. London: Butterworth Heinemann. Jull , G. Sterling, M. Falla, D., Treleaven, J. & O'Leary, S. 2008. Whiplash, Headache and Neck Pain. Research-based directions for physical therapies. Edinburgh: Churchill Livingstone. Kendall , N & Burton K. 2009. Tackling Musculoskeletal Problems - A Guide for the Clinic and Workplace. London: The Stationery Office (TSO) Lee , D. 2012, The Pelvic Girdle: an Integration of Clinical Expertise and Research, 4th edition, Churchill Livingstone, Edinburgh. Maitland , GD., Hengeveld, E., Banks, K. & English, K. 2013. Maitland's Vertebral Manipulation. 8th edition. London: Butterworth Heinemann. Main , CJ., Sullivan, MJ. & Watson, PJ. 2007. Pain Management: practical applications of the biopsychosocial perspective in clinical and occupational settings. 2nd edition. London: Churchill Livingstone. McCarthy , C. 2010. Combined Movement Theory. Rational Mobilization and Manipulation of the Vertebral Column. Edinburgh: Churchill Livingstone/Elsevier. McGill , S. 2007. Low Back Disorders. Evidence-based Prevention and Rehabilitation. 2nd edition. Champain IL: Human Kinetics. McKenzie , R. & May, S. 2003. The Lumbar Spine. Mechanical Diagnosis and Therapy. 2nd edition. New Zealand: Spinal Publications. McKenzie , R. & May, S. 2006 The Cervical and Thoracic Spine. Mechanical Diagnosis and Therapy. 2nd edition. New Zealand: Spinal Publications. Mulligan , BR. 2010. Manual Therapy. Nags, Snags. MWM etc. 6th edition. Wellington: Plane View Services. National Institute for Health and Clinical Excellence . 2009. NICE Clinical Guideline 88. Low Back Pain. Early Management of Persistent Non-specific Low Back Pain. London: NICE. Palastanga , N. & Soames, R. 2012. Anatomy and human movement: structure and function. 6th edn. Oxford: Butterworth Heinemann. Available as e-book. Petty , N. & Moore, A. 2011. Neuromusculoskeletal Examination and Assessment. 4th edition. Edinburgh: Churchill Livingstone. Petty , N. 2012. Principles of Neuromusculoskeletal Treatment and Management. A Guide for Therapists. 2nd edition. Edinburgh: Churchill Livingstone. Shacklock , M. 2005 Clinical Neurodynamics. A New System of Neuromusculoskeletal Treatment. London: Butterworth Heinemann. Strong ,J., Unruh,AM., Wright,A. & Baxter,GD. 2002. Pain; A Textbook for Therapists. Edinburgh: Churchill Livingstone Swain , J., & Bush, KW. 2009. Diagnostic Imaging for Physical Therapists. St Louis: Saunders/ Elsevier. Van Griensven , H. Strong, J. & Unruh, A. 2013. Pain. 2nd edition. Edinburgh: Churchill Livingstone Vincenzo , B. Hing, W. Rivett, D. & Hall, T. 2011. Mobilisation with Movement. The Art and the Science. Edinburgh: Churchill Livingstone Waddell , G. & Burton, AK. 2006. Is work good for your health and well-being? The Stationery Office, London. 14 Waddell , G., Burton, AK. & Kendall, NAS. 2008. Vocational Rehabilitation: what works, for whom, and when? London: The Stationery Office. Watson ,T. 2008 Electrotherapy. Evidence Based Practice. Edinburgh: Churchill Livingstone.

Transferrable Skills

This module will allow the postgraduate student opportunity to further develop and refine skills in: i) Assessment and management of patient's with complex neuromusculoskeletal problems ii) Clinical reasoning iii) Reflection in/on practice iv) Critical appraisal of literature v) Participation in and facilitation of debate vi) Presentation/Dissemination of work vii) Writing viii) Research in Practice

Module Structure

Activity Total Hours
Practicals (PT) 75.00
Assessment (PT) 35.00
Independent Learning (PT) 150.00
Tutorials (PT) 40.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (School) n/a 20.00 45% Assessment of Current Patient
Exam (School) n/a 30.00 45% Assessment of Practice Component A
Exam (School) n/a 30.00 45% Assessment of Practice Component B
Exam (School) n/a 20.00 45% Assessment of New Patient