This course includes a study of applied anatomy and physiology of the musculoskeletal system and pathological changes of the system and function, including diagnostic tests and measurements. The use of evidence-based physical therapy intervention for musculoskeletal conditions will be emphasized. The course will focus on medical terminologies, clinical examination, evaluation, comparing contemporary, traditional interventions and the impact of evolving technology in the area of musculoskeletal physical therapy
Describe in detail applied anatomy and physiology of the musculoskeletal system. Explain physiotherapy terminologies regarding musculoskeletal system. Describe in detail principles and concepts of musculoskeletal physical therapy examination, evaluation, assessment, documentation and management
Patient history
Observation
Examination
Principles, vital signs, examination of specific joints, functional assessment, specific diagnostic test, reflexes and cutaneous
distribution, joint play movements, palpation
Evaluation /Assessment of spine and peripheral joints
Causes
Effects of range limitation on functional activities
Principles of assessment and outcome measures
Documentation in SOAP notes format
Evidence based musculoskeletal Physical Therapy Treatment protocols
PRINCIPLES OF INTERVENTION
SOFT TISSUE INJURY, REPAIR, AND MANAGEMENT
Soft tissue lesions
Management during the acute stage
Management during the sub-acute
Management during the chronic stage
Cumulative trauma chronic recurring pain
Arthritis arthrosis
Fibromyalgia and myofascial pain syndrome
Osteoporosis
Fractures post-traumatic immobilization.
Guidelines for preoperative and Postoperative management; considerations for preoperative management, considerations for postoperative management, potential postoperative complications Error! Filename not specified. Overview of common orthopedic surgeries and postoperative management; surgical approaches open, arthroscopic, and arthroscopically assisted procedures, use of tissue grafts, repair, reattachment, reconstruction, stabilization, or transfer of soft tissues, release, lengthening, or decompression of soft tissues.
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.
GUIDELINES
Review of the structure and function of the spine.
SPINAL PATHOLOGIES AND IMPAIRED SPINAL FUNCTION
Pathology of the intervertebral disk
Patho mechanical relationships of the intervertebral disk and facet
joints
Pathology of the zygapophyseal (facet)
Pathology of muscle and soft tissue injuries: strains, tears, and consumption
Patho mechanics 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
Error! Filename not specified. 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.
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
Exercise 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 syndrome/overuse syndromes: non-operative management
Exercise interventions for the hip region
Exercise techniques to increase flexibility and range of motion
specified. 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
Error! Filename is not specified. 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.
Error! Filename is not specified. Note: The students are expected to make a record of his/her achievements in the logbook. The logbook is a collection of evidence that learning has taken place. It is a reflective record of achievements. The logbook shall also contain a record of the procedures which students have performed/observed.