Musculoskeletal Physical Therapy (MSKL401): Course Outline (MSKL 401)

EXERCISE INTERVENTIONS BY BODY REGION THE SPINE AND POSTURE: STRUCTURE, FUNCTION, POSTURAL IMPAIRMENTS & MANAGEMENT GUIDELINESPOSTURE AND BIOMECHANICAL INFLUENCES Alignment Stability. IMPAIRED POSTURE

Etiology of pain Common faulty postures: characteristics and Impairments.

MANAGEMENT OF IMPAIRED POSTURE

General management guidelines Tension headache/cervical headache.

THE SPINE: IMPAIRMENTS, DIAGNOSES, & MANAGEMENT GUIDELINES

Review of the structure and function of the spine.

SPINAL PATHOLOGIES AND IMPAIRED SPINAL FUNCTION

Pathology of the intervertebral disk Pathomechanical relationships of the intervertebral disk and facet joints Pathology of the zygapophyseal (facet) Pathology of muscle and soft tissue injuries: strains, tears, and contusions Pathomechanics of spinal instability.

MANAGEMENT GUIDELINES BASED ON IMPAIRMENTS

Principles of management for the Spine Management guidelines–non-weight-bearing bias Management guidelines–extension bias Management guidelines–flexion bias Management guidelines–stabilization Management guidelines–mobilization Management guidelines–soft tissue injuries Management Guidelines–Temporomandibular Joint Dysfunction. THE SPINE: EXERCISE

INTERVENTIONS

Basic concepts of spinal management with exercise Fundamental interventions Patient education General exercise guidelines Kinesthetic awareness Elements of kinesthetic training–fundamental techniques Progression to active and habitual control of Posture Mobility/flexibility Cervical and upper thoracic Region–stretching techniques Mid and lower thoracic and lumbar Regions–stretching techniques Muscle performance: stabilization, muscle endurance, and strength training Stabilization training–fundamental techniques and Progressions Isometric and dynamic exercises Cardiopulmonary endurance Common aerobic exercises and effects on the spine Functional activities Early functional training–fundamental techniques Preparation for functional activities–basic exercise Techniques Body mechanics and environmental adaptations Intermediate to advanced exercise techniques for Functional training Education for prevention.

THE SHOULDER AND SHOULDER GIRDLE

Examination, evaluation and assessment of shoulder joint Referred pain and nerve injury Management of shoulder disorders and surgeries Joint Hypomobility: non-operative management Glenohumeral joint surgery and postoperative management Painful shoulder syndromes (rotator cuff disease, impingement syndromes, shoulder instabilities): Non-operative management Painful shoulder syndromes: surgery and postoperative management Shoulder dislocations: non-operative management Shoulder instabilities: surgery and post-operative management Exercise interventions for the shoulder Girdle Exercise Techniques During Acute And Early Subacute Stages of tissue healing Exercise techniques to increase flexibility and range of motion Exercises to develop and improve muscle performance and functional control.

THE ELBOW & FOREARM COMPLEX

Examination, evaluation and assessment of elbow and forearm complex Referred pain and nerve injury in the elbow region Management of elbow and forearm disorders and surgeries Joint Hypomobility: nonoperative management Joint surgery and postoperative management Myositis ossificans Overuse syndromes: repetitive trauma syndromes Exercise interventions for the elbow and Forearm Exercise techniques to increase flexibility and range of Motion Exercises to develop and improve muscle performance and functional.

THE WRIST & HAND

Examination, evaluation and assessment of wrist and hand Major nerves subject to pressure and trauma at the Wrist and hand Management of wrist and hand disorders And surgeries Joint Hypomobility: non-operative management Joint surgery and postoperative management Repetitive trauma syndromes/overuse Traumatic lesions in the wrist and hand Exercise interventions for the wrist and Hand Techniques for musculotendinous mobility Exercise techniques to increase flexibility and range Of motion Exercises to develop and improve muscle Performance, neuromuscular control, and coordination.

THE HIP

Examination, evaluation and assessment of hip joint The hip and gait Referred pain and nerve injury Management of hip disorders and surgeries Joint Hypomobility: non-operative management Joint surgery and post-operative management Fractures of the hip–surgical and postoperative management Painful hip syndromes/overuse syndromes: non-operative management Exercise interventions for the hip region Exercise techniques to increase flexibility and range of motion • Exercises to develop and improve muscle performance and functional control.

THE KNEE

Examination, evaluation and assessment of knee joint Referred pain and nerve injuries Management of knee disorders and surgeries Joint Hypomobility: non-operative management Joint surgery and post-operative management Patellofemoral dysfunction: non-operative management Patellofemoral and extensor mechanism dysfunction: Surgical and postoperative management Ligament injuries: non-operative management Ligament injuries: surgical and postoperative Management Meniscal tears: non-operative management Meniscal tears: surgical and postoperative management Exercise interventions for the knee Exercise techniques to increase flexibility and range of motion Exercises to develop and improve muscle performance and functional control.

THE ANKLE & FOOT

Examination, evaluation and assessment of ankle and foot joint Referred pain and nerve injury Management of foot and ankle disorders and surgeries Joint Hypomobility: non-operative management Joint surgery and post-operative management Overuse (repetitive trauma) syndromes: non-operative management Ligamentous injuries: non-operative management Traumatic soft tissue injuries: surgical and postoperative management Exercise interventions for the ankle and foot Exercise techniques to increase flexibility and range of motion Exercises to develop and improve muscle performance and functional control

1. Describe in detail applied anatomy and physiology of the musculoskeletal system.
2. Explain physiotherapy terminologies regarding musculoskeletal system.
3. Describe in detail principles and concepts of musculoskeletal physical therapy examination, evaluation, assessment, documentation and management.

The practical training will be sought in physiotherapy treatment based settings. Keeping in view therapeutic principles, management of various pre and post-operative conditions will be practiced under supervision and later independently by the students, the practical work might include Therapeutic Management of conditions of spine, and extremities. Reflective clinical case studies Supervised and independent Practical application of therapeutic techniques on patients in outdoor and indoor physiotherapy treatment settings.

The students are expected to make a record of his/her achievements in the log book. The log book is a collection of evidence that learning has taken place. It is a reflective record of achievements. The log book shall also contain a record of the procedures which student would have performed/observed.