22038 - ADVANCED SKELETON MUSCLE PHYSIOTHERAPY

Subject type: Mandatory

Coordinator: Marc Terradellas Fernández

Trimester: First term

Credits: 4

• Catalan
• Spanish

Spinal pain is one of the main causes of absenteeism and disability in our society. For this reason it is done
specific training aimed at the acquisition of skills that allow a correct assessment and application of therapeutic procedures is necessary
aimed at the prevention and treatment of spinal pathologies and dysfunctions.
This subject presents three distinct blocks that give an analytical and global approach to the therapeutic approach of physiotherapy in
spinal pathologies and injuries. The general objective of the subject is for students to develop the procedural skills necessary to be able to do
a correct application of the analytical techniques of mobilization in the different segments of the spine. Likewise, they will also integrate active work and
proprioceptive, basic for vertebral segmental stabilization and the treatment of vertebral pain. In a complementary and integrated way, too
will consider the evaluation and treatment through the mobilization of the neuromeningeal system in relation to those clinical entities in which
produce symptoms due to nervous system involvement.

This subject aims to introduce the gender perspective in its content and development. In addition, the objectives are aligned with the Sustainable Development Goals (SDGs) of the 2030 Agenda of the United Nations.

As a requirement to be able to take this subject, it will be necessary to have passed the Musculoskeletal Physiotherapy I and II subjects, as well as the Musculoskeletal Pathology subject.

Manual therapy of the spine:
1. Pelvic girdle:
1.1. Biomechanics of sacroiliac joints
1.2. Sacroiliac pathomechanics
1.3. Functional assessment of sacroiliac mobility
1.4. Manual passive sacroiliac mobilization techniques
1.5. Additional orthopedic clinical tests
2. Lumbar spine:
2.1. Lumbar spine biomechanics
2.2. Lumbar pathomechanics
2.3. Functional assessment of lumbar mobility
2.4. Manual soft tissue treatment techniques
2.5. Manual techniques of passive lumbar mobilization
2.6. Additional orthopedic clinical tests
3. Thoracic spine:
3.1. Spine biomechanics
3.2. Dorsal pathomechanics
3.3. Functional assessment of thoracic mobility
3.4. Manual treatment techniques in soft tissues
3.5. Manual techniques of passive thoracic mobilization
4. Cervical spine
4.1. Cervical spine biomechanics
4.2. Cervical pathomechanics
4.3. Functional assessment of cervical mobility
4.4. Manual soft tissue treatment techniques
4.5. Manual techniques of passive cervical mobilization
4.6. Additional orthopedic clinical tests

Active spinal therapy:
1. Therapeutic exercise of the lumbar spine
2. Therapeutic exercise of the cervical spine
3. Therapeutic exercise of the thoracic spine

Neurodynamics:
1. Introduction to the anatomy, physiology, pathophysiology, mechanics and pathomechanics of nervous tissue.
2. Concept of neural mechanosensitivity and more prevalent clinical pictures related to the peripheral nervous system.
3. Assessment, treatment and self-treatment techniques.

This subject may consider the following indicators detailed in the table in the evaluation proposal:

A system of quantitative (from 0 to 10) and qualitative (suspended, approved, notable, excellent, honorary registration) is used according to RD 1125/2003.  

According to UPF regulations, students who have the option to retake the subject are those who have obtained a "failing" grade, which is the only one that can be modified in the retake process. 

The evaluation system and the recovery period are detailed in the Learning Plan that is available in the virtual classroom at the beginning of the subject.  

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.

Assistance and Rules of Conduct

Attending class without respecting the basic rules of hygiene and uniform dress may be sanctioned. During the practices in class and especially during the assessment tests, students may not wear objects that could interfere with the execution of the techniques, such as rings, watches, bracelets, long earrings, etc. Likewise, hand hygiene will be essential, with short, clean, unpainted nails. Given the practical nature of the classes and in order to facilitate and correctly perform the manual palpation procedures and the execution of the evaluation tests, it will be necessary to wear appropriate clothing such as shorts and a top, considering that in many situations the anatomical region evaluated must be stripped of clothing to be able to observe and palpate the anatomical reliefs.

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.

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