Physiotherapy of the Muscular-Skeletal System III

Other teachers

• Jordi Alcaide Altet
• Ramon Jolis Prat
• Josep Arimany González
• Daniel Alonso Masmitja
• Gerard Baulenas Iborra

Objectives

This subject belongs to the subject Assessment and Intervention in Musculoskeletal System Disorders. This subject aims to introduce the student to the knowledge, functional diagnosis and physiotherapy treatment aimed at the most prevalent diseases and disorders in the field of traumatology, rheumatology and orthopedics.

The main objectives are aimed at allowing the student to know how to assess and treat the patient, from the perspective of physiotherapy, in the different pathologies of the musculoskeletal system and identify the most appropriate physiotherapy treatment in the different stages of the patient's illness or functional impairment.

Learning outcomes

• LO1. Identify and record the physiological and structural changes that occur in a patient with diseases of traumatic and rheumatic origin.
• LO2. Locates and assesses anatomical structures and relates them to functional alterations of the musculoskeletal system through different observation, palpation and measurement maneuvers according to validation criteria.
• LO3. Develops a physiotherapy diagnosis based on structural and functional alterations in activity and participation according to internationally recognized standards and designs therapeutic objectives based on criteria of specificity, assessment of performance and time limitation.
• LO4. Identifies, describes and applies the different types of therapeutic exercise and applies the different procedures in relation to the clinical indication and the established objectives.
• LO5. Creates and argues a basic intervention program through clinical reasoning in physiotherapy.
• LO6. Selects, argues and applies physiotherapy methods and techniques with criteria of effectiveness, evidence and clinical relevance, for the prevention and treatment of alterations of the musculoskeletal system.
• LO7. Demonstrates skills for critical reflection in processes linked to manual therapy and therapeutic exercise.

Competencies

Specific skills

• Act professionally in accordance with the values inherent to the profession, as stated in the ethical code of physiotherapy, respecting the legal framework and with a critical approach.
• Build and implement a physiotherapy intervention plan based on diagnosis, input from other professionals, available scientific evidence, and with the participation of the user/patient and their context, taking into account personal, relational and methodological aspects, and safety and efficiency.
• Collect, analyze and critically interpret relevant information on the user/patient and their context, within a biopsychosocial approach, to evaluate and make a clinical assessment of functional impairment, activity or participation.
• Communicate with patients/users, with significant others in their context or family, and with other professionals and managers. Use a register and channel of communication that is suited to their needs and characteristics, and the communicative context.
• Critically assess and reflect on the physiotherapy intervention plan and make adjustments as necessary based on dialogue with users/patients and on their context.
• Design, implement and evaluate risk prevention and health promotion actions that have an impact on factors determining health (lifestyle, social and community networks, work environment, etc.), on the basis of development, maintenance and improvement in activity and movement, within a biopsychosocial framework.
• Incorporate research and lifelong learning into professional practice through use of the best available evidence, formulating questions on the basis of one's own practice and informing and designing research projects.
• Make physiotherapy diagnoses based on analysis and critical interpretation of the relevant information and assessment, using internationally recognized classifications of functionality, disability and health, and clinical reasoning as a basis for decision making.
• Participate as a physiotherapist in an interdisciplinary context, coordinating with other professionals and routinely participating in work teams in practice.

Basic skills

• Students can apply their knowledge to their work or vocation in a professional manner and have competencies typically demonstrated through drafting and defending arguments and solving problems in their field of study.
• Students have demonstrated knowledge and understanding in a field of study that builds on general secondary education with the support of advanced textbooks and knowledge of the latest advances in this field of study.

Core skills

• Communicate orally, in writing and audiovisually, in one's own language and in foreign languages, with proficiency in form, content and use.
• Make use of professional skills in multidisciplinary, complex, networked environments, whether on-site or online.
• Reflect critically on knowledge of all kinds, with a commitment to professional rigor and quality.
• Take control of one's learning process with a view to personal and professional growth and an all-round education.

Content

Theoretical block

1. Generalities of physiotherapy of the musculoskeletal system and concepts of therapeutic exercise and their applicability in the different phases of the rehabilitation process
2. Pathologies of the musculoskeletal system of the upper limbs (ES). Exploration, evaluation and planting of ES. Physiotherapy treatment applied to traumatic and rheumatological lesions of ES. Therapeutic exercise in the recovery of ES injuries
3. Pathologies of the musculoskeletal system of the lower limbs (EI). Exploration, assessment and planting of EI. Physiotherapy treatment applied to traumatic and rheumatological lesions of EI. Therapeutic exercise in the recovery of EI injuries
4. Medical and surgical pathologies of rheumatology
5. Diagnostic imaging: ultrasound and radiology

Practical blog

1. Evaluation and functional diagnosis of pathologies of the musculoskeletal system
2. Therapeutic objectives and most indicated treatments in the different phases of recovery from pathologies of the musculoskeletal system
3. Monitoring of the traumatic and rheumatic patient and the physiotherapist's action in the different evolutionary phases using the most appropriate therapeutic exercise
4. Upper and lower limb restraint and immobilization systems
5. Resolution and simulation of clinical cases

Evaluation

According to the Academic Regulations for undergraduate studies at UVic-UCC, there is only one official call for applications that provides for two different evaluation periods:

• Ordinary period, which takes place as part of the training process and during the school period.
• Complementary evaluation period, in which the student can be evaluated again for tasks, activities or tests that have not been satisfactorily passed within the framework of the first period and that are retrievable.

Ordinary period

Continuous evaluation of the activities carried out by the student is carried out through:

• Two written tests of the theoretical content that can be multiple-choice exams or short-answer questions. They are equivalent to 25% of the final grade. Can be retaken during the complementary period.
• Critical reasoning on a scientific article in English. It is equivalent to 5% of the final grade and is not recoverable.
• Preparation and simulation of a clinical case during practical classes. This is equivalent to 10% of the final grade and is not recoverable.
• Practical examination of the content explained in the practical sessions of Physiotherapy in Traumatology. It is equivalent to 25% of the final grade and is recoverable during the supplementary period.
• Monitoring of the work carried out in the practical sessions on functional bandages. Continuous assessment that is equivalent to 30% of the final grade and is not recoverable during the complementary period.
• Attendance and participation in practical sessions. Mandatory attendance at a minimum of 80% of the sessions. Equivalent to 5% of the final grade. It is not recoverable.

The final grade for the subject is the result of the weighting of the grades obtained in each of the parts. The subject is passed if a grade equal to or greater than 5 is obtained. In the event that there are exams, the average grade of the exams must be equal to or greater than 5 and that no exam has a grade lower than 4.5. Likewise, in order to make a weighted average, the retrievable activities must have a minimum grade of 5.

The grades for non-recoverable parts are weighted even if they are not approved.

If a minimum of 80% attendance is not met in the practical sessions, the practical assessment is considered failed and, therefore, the subject is failed.

Complementary evaluation period

Students who do not pass any of the activities considered remediable may make them up during this period. The evaluation of this second period cannot exceed more than 50% of the subject grade.

The final grade for this period is calculated by taking the weighted average of the grades obtained during the regular period and, if some activities have been made up, in the complementary assessment. The subject is passed if a grade equal to or greater than 5 is obtained.

Important

Plagiarism or copying someone else's work is penalized in all universities and, according to the UVic-UCC coexistence rules, constitute serious or very serious faults. Therefore, during the course of this subject, plagiarism or the improper appropriation of texts or ideas from other people (see What is considered plagiarism?) and the improper or undeclared use of artificial intelligence in an activity automatically result in suspension or other disciplinary measures.

To cite texts and materials appropriately, you must consult the academic citation guidelines and guidelines available on the UVic Library website.

Methodology

The teaching-learning model is face-to-face. Theoretical content classes are held with the entire group, while in practical content classes the group is divided into smaller subgroups to be able to do the practical work in the laboratories.

These laboratory practice sessions serve to acquire the skills and abilities necessary to apply the various treatments of the musculoskeletal system.

The preparation and simulation of clinical cases based on evidence is worked on and work is also done on reading and reasoning about scientific articles related to the subject taught.

Individual or group tutoring sessions are held, face-to-face or online.

Independent individual or group work sessions are held.

Bibliography

Key references

• Atkinson, K., Coutts, F., Hassenkamp, A. (2007). Fisioterapia en ortopedia: Un enfoque basado en la resolución de problemas (2 ed.). Elsevier.
• Brotzman, S. B., Wilk, K. E. (2005). Rehabilitación ortopédica clínica (2 ed.). Elsevier.
• Carrie, M., Hall, Lori Thein, B. (2006). Ejercicio terapéutico: Recuperación funcional. Paidotribo.
• Kisner, Carolyn (2005). Ejercicio terapútico: Fundamentos y técnicas (5 ed.). Paidotribo.
• Seco Calvo, J. (2017). Afecciones medicoquirúrgicas para fisioterapeutas (sistema músculosquelético-III). Panamericana.

Further reading

Teachers will provide complementary bibliography and compulsory reading throughout the course via the Virtual Campus.