Clinical Sciences: Clinical Sciences-III Pathoanatomy & Mechanics of the Vertebral Column (793)

Clinical Sciences-III

Pathoanatomy & Mechanics of the Vertebral Column

Credit  Hours    3(2+1)

This course covers critical aspects of articular and neuroanatomy and pathology of the vertebral column from a clinical perspective. Issues reviewed in the course relate specifically to examination techniques and clinical reasoning. Content includes adaptations of the spine to load bearing, intervertebral disc and zygapophyseal joint pathoanatomy, biomechanics, and clinical presentations. 

1. Anatomy, Physiology and Biomechanics of the spine:

• The vertebral column taken as a whole
• The Bony pelvis and the Sacro-Iliac Joint
• The Lumbar Vertebral Column
• The Thoracic Vertebral Column
• The Cervical Vertebral Column

2. Vertebral Motion Dynamics:

• Physiologic Motion
• Motion Axes
• Rule of Superior Motion
• Rule of Vertebral Body Motion
• Fryette’s Rules of Spinal Motion
• Apophyseal Joint Kinematics
• Motion Barriers

3. Tempomandibular Disorders, Head and Orofacial pain: Cervical Spine Consideration.

4. Cervical Spine & Thoracic Inlet:

• Dysfunction
• Evaluation
• Treatment
• Differential Diagnosis
• Cervical and Upper thoracic Mobilization

5. The Lumbopelvic System:

• Anatomy
• Physiology
• Motor Control
• Instability
• Description of a Unique Treatment Modality

6. Lumbar Spine Instibility: Assessment and Exercises Based Restabilization:

• The Injury process-Tissue Damage
• Summary of Specific Tissue Injury Mechanism Relevant for Therapeutic Exercises
• The Injury Process-Motor Changes
• Instability as a cause of Injury
• On Stablity: The Foundation
• The stabilizers of the Lumbar Torso

7. Advances in Lumbar Spine Surgery:

• Intervertabral Disc and The degenerative Lumbar Spine
• General Indications for the Surgical Treatment of the Lumbar Spine
• Discogenic Low-back Pain and Degenerative Disc Disease
• Standard Techniques for Surgical Treatment

8. Lumbar-Pelvic-Hip Complex:

• Evaluation
• Diagnosis
• Treatment

9. Soft Tissue Mobilization-Special Considerations:

• Soft tissue Components
• Connective-Tissue Structures
• Functional Joint Concept
• Dysfunctional Factors
• Response to Treatment
• Dysfunctions of the Myofascial Unit
• Evaluation Process

• The students will have advance knowledge about anatomy, physiology and mechanical properties of intervertabral disc.
• The students will be able to understand the mechanism of injury to the intervertabral disc.
• The students will be able to understand the biomechanics of the vertebral column and zygapophyseal joints.
• The students will be able to understand the consequences of injury and its effects on the body over all function and posture.