General information


Subject type: Mandatory

Coordinator: Jorge Castizo Olier

Trimester: Second term

Credits: 4

Teaching staff: 

Marta Franco Blasco
Daniel Martinez Jimenez 

Teaching languages


Classes will be held in Catalan and Spanish.

Skills


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

     

  • E6_F Assess the diagnosis of physiotherapy care according to internationally recognized standards and validation instruments

     

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

     

  • E10_F Prepare the discharge report for physiotherapy care once the proposed objectives have been met

     

  • E13_F Ability to work in professional teams as a basic unit in which professionals and other staff of healthcare organizations are structured in a uni- or multidisciplinary and interdisciplinary way

     

Transversal competences
  • T1_F Acquire the ability to communicate in a foreign language and work in an international context

     

  • T2_F Demonstrate ability to organize and plan

     

  • T3_F The student must be able to develop skills in interpersonal relationships and be able to work within an intra and interdisciplinary team

     

Description


The subject of musculoskeletal pathology includes three medical specialties such as rheumatology, traumatology and physical medicine - rehabilitation. In this subject we will focus on the first two.

Rheumatic pathology will help us to establish the basis of non-traumatic pathology of the musculoskeletal system and which is susceptible to physiotherapy treatment.

Traumatic pathology will help us to know the injuries that can occur in the musculoskeletal system, allowing them to take a multidisciplinary approach with other health professionals who work together with the physiotherapist for the improvement of the patient, as well as their evolution.

 

This subject has methodological and digital resources to make possible its continuity in non-contact mode in case it is necessary for reasons related to the Covid-19. In this way, the achievement of the same knowledge and skills specified in this teaching plan will be ensured.

The TecnoCampus will make available to teachers and students the digital tools needed to develop the subject, as well as guides and recommendations that facilitate adaptation to the non-contact mode.

Learning outcomes


LO20. Identifies the main physical agents used in physiotherapy interventions. Classify them according to their effect and importance and establish order of priorities in their therapeutic application.

LO21. Analyzes the patient's expectations regarding their evolution, demands and needs.

LO22. Establishes the intervention protocol based on the joint negotiation between therapist and patient.

LO23. Perform the physiotherapy diagnosis to determine the dysfunctions and disabilities that will require a specific physiotherapy intervention.

LO24. Interact with other health and physical activity professionals to base an intervention plan based on the specific clinical diagnoses of each of the professions.

LO25. Learn the basics of physiotherapy in musculoskeletal disorders. Specific evaluation of musculoskeletal dysfunctions. Main intervention techniques. Classification according to the physical principles and effects on the organism.

LO26. Identifies the main musculoskeletal disorders. Learn medical-surgical interventions, effects and results. Contribution of physiotherapy in the treatment and improvement of medical and / or surgical interventions.

LO27. Interacts with medical professionals to gain therapeutic efficacy. Set joint intervention goals.

Working methodology


LECTURE: 32h

GROUP WORK: 15 p.m.

GROUP / INDIVIDUAL TUTORING: 2h

PORTFOLIO: 20 p.m.

PERSONAL STUDY: 31h

Contents


INTRODUCTION

- Presentation

- Evaluation methods

- Mail - Contacts

- Working groups + raffle topics and day-time presentation

 

RHEUMATOLOGY

1. Joint structure.

2. Anamnesis.

3. Bone remodeling.

4. Pathology according to age and sex.

5. Osteoporosis.

6. Osteoarthritis.

7. Rickets and osteomalacia.

8. Paget's disease

9. Rheumatoid arthritis.

10. Other arthritis.

11. Spondyloarthritis.

12. Ankylosing spondylitis.

13. Microcrystalline arthritis.

14. Drop.

15. Calcium deposit arthritis.

16. Chronic arthropathy.

17. Other diseases

TRAUMATOLOGY

1. General concepts: types of injuries and their causes.

2. Upper limb:

                a. Shoulder.

                               i. Anatomy and exploration.

                               ii. Fractures:

                                               1. Clavicle.

                                               2. Scapula.

                                               3. Humerus.

                               iii. Dislocations:

                                               1. Acromioclavicular.

                                               2. Scapulohumeral / Glenohumeral.

                                               3. Sternoclavicular.

                               iv. Painful shoulder:

                                               1. Tendinitis.

                                               2. Subacromial conflict.

                                               3. Acromioclavicular arthropathy.

                               v. Shoulder instability.

                b. Elbow and Arm.

                                i. Anatomy and exploration.

                                ii. Fractures:

                                               1. Radius head

                                               2. Olecranon.

                                               3. Forearm shaft.

                                               4. Distal radius.

                                               5. Fractures of Galeazzi and Monteggia.

                                iii. Elbow dislocations.

                                iv. Painful elbow:

                                               1. Epicondylitis.

                                               2. Epitrocleitis.

                c. Wrist, hand and fingers.

                                i. Anatomy and exploration.

                                ii. Fractures:

                                               1. Scaphoids.

                                               2. Metacarpals.

                                               3. Phalanges.

                                iii. Carpal dislocations.

                                iv. Painful wrist:

                                               1. Carpal tunnel syndrome.

                                               2. Quervain's tendinitis.

                                               3. Dupuytren's syndrome.

                                               4. Synovial ganglia or cysts.

                                               5. Spring fingers.

3. Lower extremity:

                a. Pelvis and hip.

                               i. Anatomy and exploration.

                               ii. Fractures:

                                               1. Pelvis.

                                               2. Acetabulum.

                                               3. Proximal femur.

                                               4. Femoral shaft.

                               iii. Dislocations:

                                               1. Hip.

                b. Thigh.

                               i. Muscle strains.

                               ii. Trocentric bursitis.

                               iii. Trochanteritis.

                c. Knee.

                               i. Anatomy and exploration.

                               ii. Fractures:

                                               1. Distal femur.

                                               2. Tibial plateau.

                                               3. Patella.

                               iii. Dislocations:

                                               1. Patella.

                                               2. Knee.

                               iv. Soft tissue injuries:

                                               1. Knee sprain.

                                               2. Anterior Cruciate Ligament (ACL).

                                               3. Posterior Cruciate Ligament (LCP).

                                               4. Meniscal injuries.

                                               5. Quadricipital tendon rupture.

                                               6. Rupture of the patellar tendon.

                d. Bed.

                               i. Anatomy and exploration.

                               ii. Fractures:

                                               1. Tibial diaphysis.

                               iii. Soft tissue injuries:

                                               1. Muscle strains.

                e. Ankle.

                               i. Anatomy and exploration.

                               ii. Fractures:

                                               1. Infrasyndesmals.

                                               2. Transindesmals.

                                               3. Suprasyndesmals.

                               iii. Soft tissue injuries

                                               1. External lateral ligament sprain.

                                               2. Internal lateral ligament sprain.

                                               3. Tarsal canal syndrome.

                                               4. Subluxations of the peroneal tendons.

                                               5. Achilles tendon (rupture / tendinitis).

                f. Foot.

                               i. Anatomy and exploration.

                               ii. Fractures:

                                               1. Astragalus.

                                               2. Heels.

                                               3. Metatarsus.

                                               4. Phalanges.

                               iii. Dislocations.

                                               1. Dislocation of Lisfranc.

                                               2. Chopart dislocation.

                               iv. Soft tissue injuries

                                               1. Morton's neuroma.

                                               2. Hallux valgus.

                                               3. Said in hammer / claw.

4. Spines:

                a. Fractures, spinal deviations, pain.

                               i. Cervical.

                               ii. Dorsal

                               iii. Lumbar

5. Miscellaneous:

                a. Burns.

                b. Wounds.

                c. Amputations.

                d. Post-surgical complications.

                e. Children's orthopedics.

                f. Childish foot.

                g. Children's hip.

                h. Injury prevention.

 

Learning activities


MD1. Expository method or master class: transmitting knowledge and activating the student's cognitive processes through one-way learning

MD2. Case study: acquiring learning through the analysis of real or simulated cases

MD3. Solving exercises and problems: exercising, rehearsing and putting into practice previous knowledge

MD4. Problem-based learning (PBL): developing active knowledge through problem solving

MD5. Project-oriented learning: carrying out a project to solve a problem, applying skills and knowledge acquired

MD6. Cooperative learning: fostering active and meaningful knowledge in a cooperative way

Evaluation system


- SE3: 60% Exam (Must have passed the exam: 5/10).

- SE2: 15% Group work

- SE1: 25% Portfolio divided into:

o Upper limb 10%

o Lower limb 10%

o Spine 5%

FINAL EXAMINATION:

- In order to take the final exam, you must have handed in your portfolio and made the group presentation.

- The final exam will have a weighting of 60% on the final mark and it will be compulsory to pass with a 5 in order to pass the subject and average with the rest of the marks (portfolio + group work).

- The final exam will be test type, with 4 possible answers being only one correct.

- Test score will be:

o Correct question 1 point.

o Wrong question will subtract 0,25 points.

o Unanswered question: 0 points.

UP NOTE:

- It will be possible to raise note of the individual part of the work of the asignatura (portfolio), delivering a new exercise. This can be of the three joint parts (Upper extremity, Lower extremity, Spines) or of those by individual that the student considers that he has to raise of note.

EXCEPTIONS:

- In the event of not being able to give the oral presentation, for justified reasons, this note may be recovered individually.

PORTFOLIO:

- The portfolio can be delivered from the moment of the end of the subject in class, and as a deadline the one that appears in the attached academic calendar. After this date, no deliveries will be accepted.

- If the delivery of the portfolio is made after the delivery period and the deadline, it will be scored as not submitted and will not be weighted for the final grade, having to be submitted for recovery.

 

An NP on the final exam will not allow the student to take the resit exam.

The total or partial copy in any of the learning activities will mean a “NO presented” to the asignatura, without option to present in the proof of recovery and without prejudice of the opening of a file for this reason.

REFERENCES


Basic

Rafael Ballesteros Masso, Enric Gómez Barrena, José Luis Jumilla, Marta Chacón Castillo et al. Traumatology and sports medicine

Canale, ST, Beaty, JH, & Atzar, FM (Eds.). (2015). Campbell. Main procedures in orthopedic surgery and traumatology + ExpertConsult. Elsevier Spain.

Buckup, K., & Buckup, J. (2019). Clinical tests for bone, joint and muscle pathology: examinations, signs and symptoms. Elsevier.

Bahr, R., & Maehlum, S. (2007). Sports Injuries: Diagnosis, Treatment and Rehabilitation. Ed. Pan American Medical.

Complementary

Rouvière: Descriptive, Topographic and Functional Human Anatomy. Volume 1,2,3. 

Farreres, R., Rozman, C., & Cardellach, F. (2012). Internal Medicine. 17th edition. Editorial Elsevier, 787-791.