PHTY41160 Advanced Musculoskeletal Theory and practice

Academic Year 2023/2024

During this module, students revisit spinal and lower limb anatomy.
This module further develops musculoskeletal physiotherapy skills in screening, assessment, diagnosis and management of adult and paediatric musculoskeletal disorders, concentrating on the lower limb and spine.
The module will include critical appraisal of the current literature, advanced clinical reasoning, with an emphasis on evidence-based management of musculoskeletal disorders of the spine and lower limb.
The module will explore the role of exercise and physical activity in the management and prevention of chronic musculoskeletal spinal and lower limb disorders.
Practical classes will facilitate the development of skill in communication, assessment, manual therapy and exercise prescription for lower limb and spinal disorders.
The module will include soft tissue therapy.
The module will include advanced case-study based clinical reasoning sessions using the International Classification of Functioning, Disability and Health (ICF) as a framework, to show students how to: assess patients and plan treatment accordingly, setting SMART short and long-term goals; use outcome measures to assess effectiveness of treatment; modify treatment if necessary and know when referral to another discipline is indicated.

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Curricular information is subject to change

Learning Outcomes:

On completion of the module the student shall be able to:
1. Demonstrate detailed knowledge of human anatomy of the lower limb and spine and the ability to apply this knowledge in their understanding of musculoskeletal pathology; musculoskeletal assessment and physiotherapy management.
2. Demonstrate advanced understanding of the pathology, clinical presentation and conservative/surgical management of common adult and paediatric musculoskeletal disorders of the lower limb and spine and evaluate the current evidence for physiotherapy management of musculoskeletal disorders.
3. Demonstrate competence and safety in the subjective and physical examination of the lower limb and spine; and the ability to apply advanced clinical reasoning skills throughout the assessment process.
7. Demonstrate advanced and detailed knowledge of the current evidence base for the management of musculoskeletal disorders of the lower limb and spine, including the role of exercise and physical activity in the management and prevention of chronic musculoskeletal disorders.
8. Demonstrate competence and safety in the administration of lower limb and spinal manual therapy physiotherapy techniques and demonstrate the ability to adapt and progress manual therapy based on patient evaluation.
9. Demonstrate competence and safety in exercise testing and prescription for individuals with lower limb and spinal musculoskeletal disorders and demonstrate the ability to apply knowledge of current evidence to adapt exercise programmes for distinct patient populations.
10. Use outcome measures to determine effectiveness of treatment and modify treatment in response to findings and demonstrate the ability to evaluate and interpret findings.
11. Demonstrate the ability to apply advanced clinical reasoning skills, using the ICF as a framework, to enable safe and effective musculoskeletal physiotherapy practice in a variety of environments, within a multi-disciplinary context and know when referral to another discipline is indicated.

Indicative Module Content:

Functional Anatomy
Principles of Subjective and Physical Assessment
Outcome measurement
Clinical reasoning, differential diagnosis
Musculoskeletal conditions
Orthopaedic surgery
Rheumatological diseases
Cancer
Manual therapy techniques
Soft tissue techniques
Exercise assessment, prescription and progression
Assistive devices

Student Effort Hours: 
Student Effort Type Hours
Lectures

33

Small Group

4

Practical

48

Total

85

Approaches to Teaching and Learning:
Practical classes
Active/task-based learning
Peer and group work
Lectures
Case-based learning
Student presentations
 
Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
Equivalents:
Musculoskeletal (PHTY40880)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Presentation: Evidence based practice presentation Varies over the Trimester n/a Graded No

10

Practical Examination: End of trimester practical examination Unspecified n/a Graded Yes

30

Examination: End of trimester written examination 2 hour End of Trimester Exam No Graded No

60


Carry forward of passed components
Yes
 
Resit In Terminal Exam
Summer No
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Group/class feedback, post-assessment

How will my Feedback be Delivered?

- Group /class feedback will be provided post assessment - Opportunities will be provided to students to receive face to face individual feedback following assessment - On-going feedback is provided to students during practical classes on practical skill performance

Reading list:

Anatomy and Functional Anatomy*
*Please use anatomy books from undergraduate studies. Some examples available at UCD library are below:

1. Moore KL, Dalley AF, Agur AM. (2017) , 8th Ed. Wolters Kluwer
2. Netter F (2014) Atlas of human anatomy , 6th Ed. Elsevier
3. Gray’s anatomy 40th ed. 2008, Elsevier Churchill Livingstone, Edinburgh

Assessment and Clinical Reasoning

1. Petty, NJ, Moore AP (2011), 4th ed, Neuromusculoskeletal Examination and assessment. A Handbook for Therapists. Churchill Livingstone
2. Kesson M, Atkins F. (2005), 2nd ed. Orthopaedic Medicine; A Practical Approach. Butterworth Heinemann.
3. Higgs J, (2008) Clinical reasoning in the health professions 3rd Ed. Butterworth Heinemann.
4. Jones MA, Rivett DA (2004) Clinical reasoning for manual therapists. Butterworth Heinemann, Edinburgh

Exercise Testing and Prescription

1. American College of Sports Medicine. (2017) ACSM's guidelines for exercise testing and prescription, 10th Ed. Wolters Kluwer
2. American College of Sports Medicine. (2016) Exercise Management for persons with chronic diseases and disabilities. 4th edition. J. Larry Durstine, Geoffrey E. Moore
3. American College of Sports Medicine. (2010) ACSM's resource manual for guidelines for exercise testing and prescription. 6th ed. Lippincott Williams & Wilkins

Manual Therapy

1. Maitland G D, Hengeveld D, Banks K, English K (2005). Vertebral Manipulation. 7th Edition. Elsevier Butterworth Heinemann.
2. Hengeveld E, Banks K, Wells P (eds) (2005). Maitland’s Peripheral Manipulation. 4th Ed. Butterworth Heinemann.
3. Petty, NJ ,Barnard, Kieran (2018). 3rd ed. Principles of neuromusculoskeletal treatment and management: A handbook for therapists. Churchill Livingstone, Edinburgh.

Pathology

1. Solomon L, Warwick D, Nayagam S. (2005) Apley's concise system of orthopaedics and fractures. 3rd Ed.
2. Brunkner P, Khan K (2019) Clinical Sports Medicine. 5th edition. McGraw Hill
Name Role
Ms Sarah Crosbie Lecturer / Co-Lecturer
Ms Nessa Healy Lecturer / Co-Lecturer
Assoc Professor Ulrik McCarthy Persson Lecturer / Co-Lecturer
Assoc Professor Cliona O'Sullivan Lecturer / Co-Lecturer
Dr Keith Smart Lecturer / Co-Lecturer
Ms Laura McMahon Tutor
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 
Spring
     
Lecture Offering 1 Week(s) - 20, 21, 23, 24, 25, 29, 31 Mon 09:00 - 10:50
Practical Offering 1 Week(s) - 20, 21, 23, 24, 25, 26, 29, 31, 32, 33 Mon 16:00 - 17:50
Practical Offering 1 Week(s) - 20, 22, 23 Thurs 09:00 - 10:50
Lecture Offering 1 Week(s) - 20, 21, 22, 23, 24, 25, 26, 29, 30, 32 Tues 09:00 - 10:50
Practical Offering 1 Week(s) - 20, 21, 22, 23, 24, 25, 26, 29, 30, 31, 32, 33 Tues 16:00 - 17:50
Spring