Code / HEM18
Level / 7
Credit rating / 20 level 7 points
Pre-requisites / Students should normally hold a degree in Physiotherapy or equivalent. Degree level knowledge and understanding of anatomy, biomechanics, physiology, pathology and clinical syndromes of the neuromusculoskeletal system are essential to the undertaking of this module. The University require students, who are not members of the Chartered Society of Physiotherapy, to take out an appropriate Insurance policy to protect them should they as individuals be held legally liable in the event of a claim. Open to CPD student as standalone module.
Type of module / Intensive
Aims / This module provides an opportunity to develop a high level of expertise in the examination, assessment, treatment and management of people with neuromusculoskeletal conditions affecting the lower quadrant. It also aims to critically evaluate Neuromusculoskeletal physiotherapy practice of the lower quadrant (lower limb and spine) in the light of recent scientific research.
Learning outcomes / On successful completion of this module, students will be able to:
- Evaluate and reflect on the importance of patient centred care.
- Demonstrate critical evaluation, synthesis and application of knowledge of biomedical, clinical and behavioural sciences relevant to the lower quadrant.
- Examine, assess, treat and manage people with neuromusculoskeletal dysfunction of the lower quadrant with a high level of clinical expertise utilising advanced clinical reasoning skills.
- Critically evaluate the examination, differential diagnosis, assessment, treatment and management of a person with neuromusculoskeletal dysfunction (lower quadrant) in the light of theoretical and research evidence.
- Demonstrate ability to present, discuss and defend concepts and opinions of the science of neuromusculoskeletal physiotherapy effectively through written and spoken language.
- Analyse and critically appraise their professional role within the context of the Health Care setting.
Content / Effective communication skills to gain accurate and comprehensive
information about the type and nature of the patient’s complaint. Interpretation
of the subjective information and the development of hypotheses. Differential
diagnosis in examination of patients with neuromusculoskeletal conditions,
including contraindications to neuromusculoskeletal physiotherapy.
Physical examination, assessment and treatment of the
neuromusculoskeletal system of the lower quadrant (the lumbar spine, pelvis,
hip, knee, foot and ankle regions) using a variety of approaches. Development
of hypotheses from the physical examination and the development of an
appropriate management strategy.
Variation in strategies to the examination, treatment and management,
depending on the individual patient.
Above content will be supported with further discussion on relevant anatomy, biomechanics, physiology and pathology of the neuromusculoskeletal system (lower quadrant). Relevant issues related to pain mechanisms and pharmacy will be discussed.
Critical appraisal of the theoretical and research literature relevant to the examination, assessment, treatment and management of people with neuromusculoskeletal disorders of the lower quadrant.
Teaching and learning strategies / A pre-module pack will be posted onto studentcentral at least 6 weeks prior to the start of the module.
Because of the high level of practical skill and clinical reasoning, this module involves 3 weeks of study at the university. The module is delivered over a 2 week block and then a 1 week block approximately 5 weeks later. The practical examination related to this module occurs 2-3 weeks after the end of the module with a2 day revision weekend immediately prior to the practical examination.
Specialist lecturerswill be used as required. Emphasis will be on discussion groups, practical hands on skill development in pairs and small groups, self-directed learning and directed reading. Students act as models for each other and are encouraged to be constructively critical of their own and each other’s performance in the practical sessions.
An online learning package is delivered via student central and supplements the University based parts of the module. Students must contribute to this in line with the attendance regulations detailed in the course handbook.
Learning support / Library, computer centre, colleagues and studentcentral. Students are encouraged to use the module and course discussion boards on studentcentral to discuss issues, share experiences and help each other in the learning process. Students will be advised to practice their handling skills for a minimum of 8 hours following completion of the module. Students will be encouraged to find a suitably qualified mentor to facilitate this practice.
Indicative reading list:
- Boyling, J.D. and Jull, G., 2004.Grieve’s Modern Manual
Livingstone.
- Butler, D.S., 2000. The sensitive nervous system. Adelaide: Noigroup.
- Davies, M., 2004. Evidence-based practice. 2ndedn. Edinburgh: Churchill Livingstone.
- Gifford, L., 1998. Topical issues in pain. Series 1, 2, 3, 4, 5, Kestrel: NOI.
- Herbert, R. et al., 2005. Practical evidence-based physiotherapy. Edinburgh: Churchill Livingstone.
- McCarthy, C., 2010. Manual of Combined Movements.3rd ed. Edinburgh: Churchill Livingstone.
- Middleditch, A. and Oliver, J., 2005. Functional Anatomy of the Spine. 2ndedn. London: Butterworth Heinemann.
- Panjabi, M.M. and White, A.A., 2001. Biomechanics in the musculoskeletal system. New York: Churchill Livingstone.
- Petty, N.J., 2011. Principles of Neuromusculoskeletal Treatment and Management – A Guide for Therapists. 2nd ed. Edinburgh: Churchill Livingstone.
- Petty, N.J., 2011. Neuromusculoskeletal Examination and Assessment - A Handbook for Therapists. 4th ed. Edinburgh: Churchill Livingstone.Sahrmann, S., 2001. Diagnosis and Treatment of Movement Impairment Syndromes. Edinburgh: Churchill Livingstone.
- Shacklock, M., 2005. Clinical Neurodynamics. Edinburgh: Butterworth Heinemann.
- Van Griensven, H., 2005. Pain in practice; theory treatment strategies for manual therapists. Edinburgh: Butterworth Heinemann.
- Waddell, G., 2004. The back pain revolution. Edinburgh: Churchill Livingstone.
Assessment tasks / The assessment of the module will consist of two components 1) a 3000 word written assignment and 2) a 45 minute practical examination.The practical examination will occur 2-3 weeks after the completion of the module.
1. The 3000 word assignment can be either a) an essay critically evaluating an aspect of neuromusculoskeletal physiotherapy practice related to the lower quadrant; or b) a case study demonstrating understanding of the clinical reasoning process and research evidence that underpins examination, assessment, treatment and management of a person with a neuromusculoskeletal dysfunction of the lower quadrant.
Students must have submitted a) and b) following completion of both management modules (HEM18 and HEM 20); that is they cannot submit two essays or two case studies, they must submit a case study for one management module and an essay for the other management module.
This assessment task fulfils learning outcomes 2,4,5,6.
2. The Practical examination and the written assignment will be given a percentage mark, where 50% is the threshold pass mark for each component. Both the Practical examination and the written assignment must each be passed to successfully complete the module. The Practical examination will provide 50% and the written assignment will provide 50% of the final overall mark.
This assessment task fulfils learning outcomes 1,2,3,4,5.
Brief description of module / This module will integrate anatomy, biomechanics, physiology and pathology with the examination, assessment, treatment and management of people with neuromusculoskeletal conditions of the lower quadrant. It will evaluate the theoretical concepts with specialist practical skills used in Neuromusculoskeletal physiotherapy. This module sits alongside the Neuromusculoskeletal Management - Upper Quadrant module in order to prepare the student for the clinical placement modules.
Area examination board to which module relates / School of Health Professions MSc Area Examination Board
Module team / Guy Canby, Clair Hebron, Nikki Petty, Colette Ridehalgh (module coordinator)
Semester offered / Semester 1
Site where delivered / Robert Dodd Building, Eastbourne
Date of first approval / 1997
Date of last revision / 2006
Date of approval of this version / 23rd July 2012
Version number / 5
Replacement for previous module / yes
Field for which module is acceptable and status in that field / Optional module on the Graduate Programme in Health and Social Sciences.
Course for which module is acceptable and status in course / Mandatory module for the Postgraduate Certificate, Postgraduate Diploma and MSc Neuromusculoskeletal Physiotherapy.
School home / School of Health Professions
External examiner / Louise Kedroff1st October 2010 to 30th September 2014
Module Outline
Title / Neuromusculoskeletal Management- Upper QuadrantCode / HEM20
Level / 7
Credit rating / 20 level 7 points
Pre-requisites / Students should normally hold a degree in Physiotherapy or equivalent qualification. Degree level knowledge and understanding of anatomy, biomechanics, physiology, pathology and clinical syndromes of the neuromusculoskeletal system are essential to the undertaking of this module. The University require students, who are not members of the Chartered Society of Physiotherapy, to take out an appropriate Insurance policy to protect them should they as individuals be held legally liable in the event of a claim. Open to CPD student as stand alone module.
Type of module / Intensive
Aims / This module provides an opportunity to develop a high level of expertise in the management of people with neuromusculoskeletal conditions affecting the upper quadrant. It also aims to critically evaluate neuromusculoskeletal physiotherapy practice of the upper quadrant (upper limb and spine) in the light of recent scientific research.
Learning outcomes / On successful completion of this module, students will be able to:
- Evaluate and reflect on the importance of patient centred care.
- Demonstrate critical evaluation, synthesis and application of knowledge of biomedical, clinical and behavioural sciences relevant to the upper quadrant.
- Examine, assess, treat and manage people with neuromusculoskeletal dysfunction of the upper quadrant with a high level of clinical expertise utilising advanced clinical reasoning skills.
- Critically evaluate the examination, differential diagnosis, assessment, treatment and management of a person with neuromusculoskeletal dysfunction (upper quadrant) in the light of theoretical and research evidence.
- Demonstrate ability to present, discuss and defend concepts and opinions of the science of neuromusculoskeletal physiotherapy effectively through written and spoken language.
- Analyse and critically appraise their professional role within the context of the Health Care setting.
Content / Evaluation of efficacy of communication skills in gaining accurate and comprehensive information about the type and nature of the patient’s complaint. Interpretation of the subjective information and the development of hypotheses. Thorough investigation of the contribution of psychosocial factors to the patient’s problem. Differential diagnosis in examination of patients with neuromusculoskeletal conditions, including contraindications to neuromusculoskeletal physiotherapy.
Physical examination, assessment and treatment of the
neuromusculoskeletal system upper quadrant (to include the
temporomandibular joint, cervical spine, thoracic spine, shoulder, elbow, wrist and hand regions) using a variety of approaches. Development of hypotheses from the physical examination and the development of an appropriate management strategy.
Variation in strategies to the examination, treatment and management, depending on the individual patient.
Above content will be supported with critical discussion of relevant anatomy, biomechanics and physiology of the neuromusculoskeletal system (upper quadrant). Relevant issues related to pain mechanisms, and pharmacology will be explored.
Critical appraisal of the theoretical and research literature relevant to the examination, assessment, treatment and management of people with neuromusculoskeletal disorders of the upper quadrant.
Teaching and learning strategies / A pre-module pack will be posted onto studentcentral at least 6 weeks prior to the start of the module.
Because of the high level of practical skill and clinical reasoning, this module involves 3 weeks of study at the university. The module is delivered over 2 week block and then a 1 week block approximately 5 weeks later. The practical examination related to this module occurs 2-3 weeks after the end of the module with a2 day revision weekend immediately prior to the practical examination.
Specialist lecturerswill be used as required. Emphasis will be on discussion groups, practical hands on skill development in pairs and small groups, directed and self-directed learning. Students act as models for each other and are encouraged to be constructively critical of their own and each other’s performance in the practical sessions.
An online learning package is delivered via student central and supplements the University based parts of the module. Students must contribute to this in line with the attendance regulations detailed in the course handbook.
Learning support / Library, computer centre, colleagues and studentcentral. Students are encouraged to use the module and course discussion boards on studentcentral to discuss issues, share experiences and help each other in the learning process. Students will be advised to practice their handling skills for a minimum of 8 hours following completion of the module. Students will be encouraged to find a suitably qualified mentor to facilitate this practice.
- Boyling, J.D. and Jull, G., 2004.Grieve’s Modern Manual
Livingstone.
- Butler, D.S., 2000. The sensitive nervous system. Adelaide: Noigroup. Edeling, J., 1994.Manual Therapy for Chronic Headaches. 2nd ed. Oxford: Butterworth Heinemann.
- Davies, M., 2004. Evidence-based practice. 2ndedn. Edinburgh: Churchill Livingstone.
- Gifford, L., 1998. Topical issues in pain. Series 1, 2, 3, 4, 5, Kestrel: NOI.
- Grant, R.,2002.Physical Therapy of the Cervical and Thoracic Spine. 3rd ed. Edinburgh: Churchill Livingstone.
- Herbert, R. et al., 2005. Practical evidence-based physiotherapy. Edinburgh: Churchill Livingstone.
- McCarthy, C., 2010. Manual of Combined Movements.3rd ed. Edinburgh: Churchill Livingstone.
- Middleditch, A. and Oliver, J., 2005. Functional Anatomy of the Spine. 2ndedn. London: Butterworth Heinemann.
- Panjabi, M.M. and White, A.A., 2001. Biomechanics in the musculoskeletal system. New York: Churchill Livingstone.
- Petty, N.J., 2011. Principles of Neuromusculoskeletal Treatment and Management – A Guide for Therapists. 2nd ed. Edinburgh: Churchill Livingstone.
- Petty, N.J., 2011. Neuromusculoskeletal Examination and Assessment - A Handbook for Therapists. 4th ed. Edinburgh: Churchill Livingstone.Sahrmann, S., 2001. Diagnosis and Treatment of Movement Impairment Syndromes. Edinburgh: Churchill Livingstone.
- Shacklock, M., 2005. Clinical Neurodynamics. Edinburgh: Butterworth Heinemann.
- Van Griensven, H., 2005. Pain in practice; theory treatment strategies for manual therapists. Edinburgh: Butterworth Heinemann.
- Waddell, G., 2004. The back pain revolution. Edinburgh: Churchill Livingstone.
- Von Piekartz, H. and Bryden, L., 2001. Craniofacial dysfunction and pain: manual therapy, assessment and management. Oxford: Butterworth-Heinemann.
module pack.
Assessment tasks / The assessment of the module will consist of two components 1) a 3000 word written assignment and 2) a 45 minute practical examination.The practical examination will occur 2-3 weeks after the completion of the module.
1. The 3000 word assignment can be either a) an essay critically evaluating an aspect of neuromusculoskeletal physiotherapy practice related to the upper quadrant; or b) a case study demonstrating understanding of the clinical reasoning process and research evidence that underpins examination, assessment, treatment and management of a person with a neuromusculoskeletal dysfunction of the upper quadrant.
Students must have submitted a) and b) following completion of both management modules (HEM18 and HEM 20); that is they cannot submit two essays or two case studies, they must submit a case study for one management module and an essay for the other management module.
This assessment task fulfils learning outcomes 2,4,5,6.
2. The assignment and the practical examination must both be passed to successfully complete the module. A student must obtain a distinction in both the assignment and the practical examination to obtain a distinction mark for this module. The essay contributes 50%, and the practical exam 50% of the overall module mark.
This assessment task fulfils learning outcomes 1,2,3,4,5.
Brief description of module / This module will integrate anatomy, biomechanics,physiology, pathology and psychosocial issues with the examination, assessment, treatment and management of people with neuromusculoskeletal conditions of the upper quadrant. It will evaluate the theoretical concepts with specialist practical skills used in Neuromusculoskeletal physiotherapy. This module sits alongside the Neuromusculoskeletal Management- Lower Quadrant module in order to prepare the student for the clinical placement modules.
Area examination board to which module relates / School of Health Professions MSc Area Examination Board
Module team / Guy Canby, Clair Hebron (module co-ordinator), Nikki Petty,
Colette Ridehalgh
Semester offered / Semester 2
Site where delivered / Robert Dodd Building, Eastbourne
Date of first approval / 1997
Date of last revision / 2006
Date of approval of this version / 2011
Version number / 5
Replacement for previous module / no
Field for which module is acceptable and status in that field / Optional module on the Graduate Programme in Health and Social Sciences.
Course for which module is acceptable and status in course / Mandatory module for the Postgraduate Certificate, Postgraduate Diploma and MSc Neuromusculoskeletal Physiotherapy.
School home / School of Health Professions
External examiner / Louise Kedroff 30th September 2010 to 30th September 2014
NEW VERSION
Title / Neuromusculoskeletal Management- Lower QuadrantCode / HEM18
Level / 7
Credit rating / 20 level 7 points
Pre-requisites / Students should normally hold a degree in Physiotherapy or equivalent. Degree level knowledge and understanding of anatomy, biomechanics, physiology, pathology and clinical syndromes of the neuromusculoskeletal system are essential to the undertaking of this module. The University require students, who are not members of the Chartered Society of Physiotherapy, to take out an appropriate Insurance policy to protect them should they as individuals be held legally liable in the event of a claim. Open to CPD student as standalone module.
Type of module / Intensive
Aims / This module provides an opportunity to develop a high level of expertise in the examination, assessment, treatment and management of people with neuromusculoskeletal conditions affecting the lower quadrant. It also aims to critically evaluate Neuromusculoskeletal physiotherapy practice of the lower quadrant (lower limb and spine) in the light of recent scientific research.
Learning outcomes / On successful completion of this module, students will be able to:
- Evaluate and reflect on the importance of patient centred care.
- Demonstrate critical evaluation, synthesis and application of knowledge of biomedical, clinical and behavioural sciences relevant to the lower quadrant.
- Examine, assess, treat and manage people with neuromusculoskeletal dysfunction of the lower quadrant with a high level of clinical expertise utilising advanced clinical reasoning skills.
- Critically evaluate the examination, differential diagnosis, assessment, treatment and management of a person with neuromusculoskeletal dysfunction (lower quadrant) in the light of theoretical and research evidence.
- Demonstrate ability to present, discuss and defend concepts and opinions of the science of neuromusculoskeletal physiotherapy effectively through written and spoken language.
- Analyse and critically appraise their professional role within the context of the Health Care setting.