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Musculoskeletal Physical Therapy (Dpt): Course Outline

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

Course description

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

Learning objectives

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

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Course description

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.

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