General information


Subject type: Mandatory

Coordinator: Marc Terradellas Fernández

Trimester: Third term

Credits: 6

Teaching staff: 

Juan José García Tirado
Jordi Calvo Sanz 
Luciana Moizé Arcone 
Rachel Munoz Castro 

Teaching languages


  • Catalan
  • Spanish

Skills


Basic skills
  • B3_F That students have the ability to gather and interpret relevant data (usually within their area of ​​study), to make judgments that incorporate a reflection on relevant social, scientific and ethical issues

     

Specific skills
  • E3_F Know and understand the methods, procedures and physiotherapeutic actions, aimed both at the actual therapy to be applied in the clinic for re-education or functional recovery, as well as carrying out activities aimed at promoting and maintaining health

     

  • E5_F Assess the functional status of the patient, considering the physical, psychological and social aspects

     

  • E7_F Design the physiotherapy intervention plan according to criteria of adequacy, validity and efficiency

     

Transversal competences
  • T2_F Demonstrate ability to organize and plan

     

Description


The subject of Skeletal Muscle Physiotherapy is compulsory in the Degree in Physiotherapy. The aim is to provide students with the theoretical and procedural knowledge necessary to understand the pathophysiology and therapeutic approach from Physiotherapy of the main clinical entities, related to traumatology and rheumatology, of the musculoskeletal system.

This subject is made up of a theoretical block in which the interventions from the physiotherapy in the pathologies of the locomotor system are reviewed, incorporating the clinical reasoning and the current scientific evidence. In parallel, two practical seminars are held where students have just integrated the theoretical knowledge and developed the necessary procedural skills, related to the programming of therapeutic exercise and the application of specific techniques of joint mobilization in the treatment of joint pain and mobility in the peripheral musculoskeletal system.

Therefore, the subject consists of three interrelated blocks, which are indicated below:

  • Theoretical block
  • Practical block:
  • Therapeutic exercise seminar
  • Manual therapy seminar

 The teaching given in this subject will take into account the perspective of sex and gender considering those situations of physiology and pathology related to the expression of some injuries or clinical entities with an incidence linked to sex.

Learning outcomes


RA20. Identifies the main physical agents used in physiotherapy interventions. Classify them according to their effect and importance and establish the order of priorities in their therapeutic application.

RA.21. Analyzes the patient's expectations regarding their progress, demands and needs.

RA.22. It establishes the intervention protocol based on the joint negotiation between the therapist and the patient.

RA23. Perform the physiotherapeutic diagnosis to determine the dysfunctions and disabilities that will require a specific physiotherapy intervention.

RA25. Learn the basics of physiotherapy in musculoskeletal disorders. Specific evaluation of musculoskeletal dysfunctions. Main intervention techniques. Classification based on its physical principles and effects on the body.

RA26. Identifies the main musculoskeletal pathologies. Learn medical and surgical interventions, effects and results. Contribution of physiotherapy in the treatment and improvement of medical and / or surgical interventions.

Working methodology


The subject will include theoretical classes with a single group and theoretical and practical classes with small groups in Physiotherapy gyms. The classes will have the appropriate audiovisual support, as well as the provision of specific material in the practical demonstrations. The subject will have the teaching methodological resources allowed by the Moodle platform where teachers will generate learning activities and make available material and information to support learning.

Contents


The contents of the three blocks that make up the subject are detailed below:

Theoretical Block:

Topic 1. Introduction to traumatological physiotherapy

- Generalities

-Diagnosis of Physiotherapy (Deficiencies, Disabilities)

-Types of injuries: bone, capsulo-ligamentary, muscular, tendon

-Ideal stimulus for different tissues: bio-physiological bases of tissue repair

-Objectives of the treatment and physiotherapy techniques for each tissue

Item 2. Physiotherapy treatment in traumatic shoulder pathology

-Approach and general considerations in the treatment of physiotherapy in the most common bone and soft tissue injuries: From fractures of the proximal extremity of the humerus to tendon injuries and subacromial conflict.

Item 3. Physiotherapy treatment in traumatic pathology of the elbow

-Approach to physiotherapy in the most frequent bone and soft tissue injuries: From fractures of the head of the radius and of the diaphysis of the ulna and radius to lateral epicondylopathies.

Item 4. Physiotherapy treatment in the traumatic pathology of the hand

-Approach and physiotherapy treatment of the most frequent bone and soft tissue injuries: From fractures of the distal extremity of the radius and ulna to tendon injuries of flexors.

Item 5. Physiotherapy treatment in the traumatic pathology of the spine

-Approach and treatment of physiotherapy in the most frequent bone and soft tissue injuries: From spinal fractures to the sde of the whiplash injury or "wiplash injury".

Item 6. Physiotherapy treatment in traumatic pathology of the pelvis and hip

-Approach and treatment of physiotherapy in the most frequent bone and soft tissue injuries: From femoral fractures (diaphyseal and upper 1/3 upper extremity) to painful sde of the greater trochanter.

Item 7. Physiotherapy treatment for traumatic knee pathology

-Approach and treatment of physiotherapy in the most frequent bone and soft tissue injuries: From tibial platelet fractures to ligament injuries of the anterior cruciate ligament.

Item 8. Physiotherapy treatment in traumatic foot pathology

-Approach and treatment of physiotherapy in the most frequent bone and soft tissue injuries: from ankle fractures to the external lateral ligament sprain. 

Item 9. General considerations in the approach of physiotherapy in rheumatic pathologies

-General considerations in the approach to physiotherapy of the hip and knee degenerative EEII: Hip and knee prosthesis.

-General principles and considerations of a physiotherapeutic approach in inflammatory arthropathies, osteoarthritis, osteoporosis and soft tissue rheumatism.

 

Practical Block:

Therapeutic Exercise Seminar:

Topic 1. Definition of therapeutic exercise / active kinesitherapy. Classification, physiological effects, indications and contraindications.

Item 2. Types of muscle contraction. Kinetic chains. Strength and endurance.

Topic 3. Basics of motor control. Neutral joint area. Relative rigidity / flexibility. Influence of pain on motor control.

Subject 4. Active kinesitherapy of the EEII (Hip / Knee / Foot)

Item 5. Active kinesitherapy of the EESS (Scapular waist / Shoulder / Elbow / Wrist-hand)

 

Manual Therapy Seminar:

In this theoretical-practical block the following contents will be approached in an integrated way.

  • Review of the basic descriptive anatomy of the limbs: joint surfaces and elements of passive capsular and ligamentary stabilization.
  • Joint arthrokinetics: explanation of the concepts of rolling and sliding in the joints of the limbs.
  • Description and application of traction joint mobilizations on the upper and lower limbs.
  • Description and application of specific passive mobilizations in joint sliding.

 

 

Learning activities


 

training activities

 

TYPE OF ACTIVITY

HOURS

 

AF1. Theoretical classes

47,14 hours

AF3. Practical classes

15 hours

AF5. Tutorials

2,14 hours

AF6. Study and group work

21,43 hours

AF7. Study and autonomous, individual work

64,29 hours

Total

150 hours

Teaching methodologies

MD1 (expository method or master class), MD2 (case study), MD3 (Solving exercises and problems), MD4 (ABP), MD5 (Project-oriented learning), MD6 (Cooperative learning).

Evaluation system


Assessment systems

Evaluation system

Minimum weighting

Maximum weighting

SE1. Electronic portfolio

10%

40%

SE2. Oral presentation

20%

50%

SE3. Exam

30%

60%

SE4. Self evaluation

5%

30%

SE5. Peer evaluation (2P2) or co-evaluation

5%

30%

 

The subject is made up of a total of three blocks that will weigh in the same proportionality on the final grade of the subject (33,33% for each of the blocks). The following is the assessment system proposed in the set of three blocks that make up the subject:

Theoretical block:

The evaluation of this blog will consist of the following activities:

  • Final theoretical test-type exam of 40 questions (50% of the grade for this blog). It will be a mandatory requirement to be able to pass this block, obtaining a minimum grade of 4 in this final theoretical exam.
  • Individual Continuous Assessment (AC) -Self-assessment (30% of the grade in this block). Class exercises and / or questionnaires.
  • Oral presentation (20% of the grade in this block) of a group work on rheumatic pathologies.

Practical block Therapeutic Exercise seminar:

  • Final practical exam (60% of the grade for this block): it will consist of the evaluation of the execution of a practical therapeutic exercise procedure. It will be a mandatory requirement to be able to pass this seminar, to obtain a grade in this final practical exam equal to or higher than 5.
  • e-Portfolio (40% of the grade in this blog): will consist of completing via Moodle a total of 3 questionnaires:
    • Questionnaire 1 (33,33%): items 1, 2 and 3.
    • Questionnaire 2 (33,33%): item 4.
    • Questionnaire 3 (33,33%): item 5.

Practical block of Manual Therapy seminar:

  • Final practical exam (60% of the mark for this block): will consist of the evaluation of the execution of a practical manual therapy procedure. It will be a mandatory requirement to be able to pass this seminar, to obtain a grade in this final practical exam equal to or higher than 5.
  • e-Portfolio (40% of the mark of this blog): will consist of the delivery via Moodle of a total of 4 related activities:
  • Delivery 1 (5%): joint anatomical description.
  • Delivery 2 (15%): joint physiology.
  • Delivery 3 (10%): mobility maintenance techniques (video format).
  • Delivery 4 (10%): mobility improvement techniques (video format).

In a general way, it will be essential to have independently passed each of the three blocks with a grade equal to or higher than 5 points in order to pass the subject, applying in this case, the average of the grades obtained between the three blocks.

It is an essential requirement to attend 80% of each of the practical blocks. Failure to comply with this requirement will result in the subject being suspended and having to be taken again next year.

 

Recovery period

Students will have the option to make up the subject when the activities have been presented evaluators. In each of the blocks, the type of evaluation activity that can be recovered is determined:

Theoretical block:

Students who have not passed this blog will be able to retake the following activities:

- Theoretical final test in test-type format (those who have failed the final theoretical exam).

- Completion and delivery of the resolution of a clinical case (30% of the final grade) by those who, having passed the final theoretical exam, do not pass the block with a final grade of less than 5).

It should be considered in this block, that the oral presentation activity will not be recoverable.

 

Practical block Therapeutic Exercise seminar:

Students who have not passed this block of the subject will only be able to retake the final practical exam.

Practical block of Manual Therapy seminar:

Students who have not passed this block of the subject will only be able to retake the final practical exam.

 

The total or partial copy in any of the learning activities will mean a "Not Presented" in the subject, without option to present in the proof of recovery and without prejudice of the opening of a file for this reason.


 

 

 

REFERENCES


Basic

Liebenson, Craig. Spine Rehabilitation Manual. Editorial Paidotribo, 2008.

Reichel H, Ploke CE Physiotherapy of the musculoskeletal system. Structures, functions and action measures on conditions. Exploration and treatment of orthopedic diseases. Barcelona: Paidotribo, 2007

Gree, Andrew; Hayda, Roman. Postoperative Orthopedic Rehabilitation. Lippincott Williams & Wilkins, 2017.

Kisner C. Allen L. Therapeutic Exercise: Fundamentals and Techniques. Ed. Panamericana; 2010.

Neiger H. Leroy A, Dufour M, Péniou G, Pierro G, Génot C. Kinesioterapia. Principles. Lower limbs. Evaluations. Passive and active techniques of the musculoskeletal system. Editorial Médica Panamericana; 2010.

Sharmann SA, Diagnosis and treatment of movement disorders. Ed. Paidotribo; 2006.

Atkinson et al. Physiotherapy in orthopedics. 2nd edition. Madrid: Ed.Elsevier; 2007.

Di Giacomo, Giovanni; Bellachioma, Silvia (ed.). Shoulder surgery rehabilitation: a teamwork approach. Springer, 2016.

Graham Apley, A; Solomon, L. Handbook of Orthopedics and Fractures. 2ª Editing. Editorial Masson, SA. 1997.

Hoppenfeld, S. & Murthy, V .: Fractures. Treatment and rehabilitation. Ed. Marban. Madrid. 2001.

Magee, David J., et al. Pathology and intervention in musculoskeletal rehabilitation. Elsevier Health Sciences, 2015.

Maxey, Lisa; Magnuson, Jim. Rehabilitation for the postsurgical orthopedic patient. Elsevier Health Sciences, 2013.

Pérez Ares, Sainz De Murieta et al. Physiotherapy of the shoulder joint complex. Barcelona: Masson; 2004.

Prentice W. Rehabilitation techniques in sports medicine. Barcelona: Paidotribo; 2001.

Suredas, S; Vilar, E. Physiotherapy of the locomotor system. Editorial Mcgraw-Hill Interamericana.2005.

Brotzman, S. Brent; Manske, Robert C. Clinical orthopedic rehabilitation: an evidence-based approach. Elsevier Health Sciences, 2011.

Mesplié, Grégory. Hand and wrist rehabilitation: Theoretical aspects and practical consequences. Springer, 2015.

Igual, C .; Muñoz, E .; Aramburu, C; General physiotherapy: kinesitherapy. Madrid. Ed. Synthesis.

Fernández de las Peñas, C; Meilán Ortiz, A. Kinesitherapy. Physiological bases and practical application. Elsevier; 2019.

Floyd RT. Manual of structural kinesiology. Ed. Paidotribo; 2008.

Basas, A. Fernández, C. Martín Urrialde, JAThe physiotherapeutic treatment of the knee.McGRAW-HILL INTERAMERICANA. 2003.

Brent S., Wilk and Kevin. Clinical orthopedic rehabilitation. Madrid: Mosby; 2005.

Genot, Neiger. Pierron, Péniou. Kinesiotherapy. Volumes I, II, III, IV. Madrid. Ed. Panamericana. 1988.

Saunders, Rebecca, et al. Hand and upper extremity rehabilitation: a practical guide. Elsevier Health Sciences, 2015.

Surgical Medical Encyclopedia: Kinesitherapy. Physical medicine (4 Volumes). Paris: Elsevier; 1999.

Proubasta, I. Basic Lessons in Orthopedic Surgery and Traumatology. Permanyer Publications. 2007.

Xhardez, Y .: Vademecum of Kinesiotherapy. Ed. The Athenaeum. Barcelona. 2001.

Complementary

Butler D. Mosley G. Explaining Pain. Ed Noigroup; 2010.

Hainaut, K. Introduction to biomechanics. Editorial Jims, Barcelona, ​​1976.

Jull G. Moore A. Falla D. Lewis j. McCarthy C. Sterling M. Grieve´s Modern Musculoskeletal Physiotherapy. 4th ed. Elsevier; 2015.

Medina I. Jury A. Diagnostic Test Manual. Traumatology and orthopedics. Ed. Paidotribo; 2015.

Kapandji, IA Cuadernos de fisiología articular I. Barcelona: Ed. Masson, 6th edition. 2006.