Universitat Internacional de Catalunya

Therapeutic Exercises for the Lower Extremities

Therapeutic Exercises for the Lower Extremities
3
13885
1
First semester
OB
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Dra. CABANILLAS BAREA, Sara - scabanillas@uic.es

Introduction

Physical activity for health is a fundamental element to prevent and treat pathologies and diseases and also to maintain the benefits achieved with multiple types of treatments. The physiotherapist is the professional responsible for prescribing and executing therapeutic physical exercise programs. In this subject, the student will be provided with knowledge and skills in order to achieve the necessary skills to develop a therapeutic exercise program applied to the lower extremity.

Pre-course requirements

No prerequisites are specified.

Objectives

  1. Know the indications, contraindications and objectives of training as a component of the OMPT multimodal intervention. 
  2. Know the fundamental principles of exercise physiology applied to therapeutic exercise programs in the lower extremity. 
  3. Integrate therapeutic exercise in the areas of prevention, treatment and training in OMPT of lower extremity dysfunctions. 
  4. Execute and instruct self-treatment exercises and techniques for the lower extremity (joint self-management, self-stretching, functional self-massage and neural self-management). 
  5. Execute and instruct active stabilization exercises of the lower extremity regions.

Competences/Learning outcomes of the degree programme

Basic and general skills

  • CB7: To develop the skills to apply the knowledge acquired and their ability to solve problems in new or little-known environments within broader (or multidisciplinary) contexts related to their area of study.
  • CB8: To have the skills to integrate knowledge and face the complexity of formulating judgments based on information that, being incomplete or limited, includes reflections on the social and ethical responsibilities linked to the application of their knowledge and judgments.
  • CB9: To have the skills to communicate their conclusions as well as the knowledge and ultimate reasons that support them, aimed at specialized and non-specialized audiences in a clear and unambiguous way.
  • CB10: To have the ability to develop learning skills that allow them to continue studying in a way that will be largely self-directed or autonomous.
  • CG1: That students demonstrate a critical, analytical, evaluative and evidence-based clinical practice of the OMPT area of specialization.
  • CG3: Knowing how to carry out specific evaluation and treatment procedures for arthro-neuro-muscular dysfunctions, establishing a diagnosis of Orthopedic Manual Physiotherapy based on the findings.
Transversal competencies: 
  • CT1: Being able to communicate effectively and to carry out an anamnesis, an evaluation and treatment of arthro-neuro-muscular dysfunctions, in interpersonal relationships so that they lead to enhancing the health status of the patient/user and the collaboration of the multidisciplinary team.
  • CT2: Show communication skills in interpersonal relationships that lead to enhancing the health status of the patient/user and the collaboration of the multidisciplinary team.
Specific competencies:
  • CE1: To determine and apply the most appropriate treatment, taking into account the indications, contraindications, precautions and effects of Manual Orthopedic Physiotherapy in the framework of the management of pain mechanisms and dysfunctions of the arthro-neuro-muscular system.
  • CE2: That students know the indications, contraindications, precautions and effects of OMPT in the framework of the management of pain mechanisms and dysfunctions of the arthro-neuro-muscular system.
  • CE4: To have the ability to specifically execute the principles of mobilization, manipulation, motor learning, exercise physiology, ergonomic strategies, among other therapeutic modalities, for the treatment of pain and function of the arthro-neuromuscular system specifically, such as multimodal elements of the therapeutic approach of Orthopedic Manual Physiotherapy.

Learning outcomes of the subject

The student: 

  • Demonstrates a broad understanding of the indications, contraindications, and objectives of training as a component of the OMPT multimodal intervention. 
  • Knowing the fundamental principles of exercise physiology applied to therapeutic exercise programs. 
  • Demonstrates critical awareness of the need to integrate therapeutic exercise in the areas of prevention, treatment and OMPT training. 
  • Demonstrates critical awareness of the importance of learning the correct performance of the exercises by the physiotherapist in order to be able to later show them to the patient. 
  • It demonstrates abilities and stresses in the execution and instruction of the exercises and the techniques of self-treatment of the lower extremity (joint self-mobilization, self-stretching, functional self-massage and neural self-mobilization). 
  • Demonstrates abilities and skills in the execution and instruction of the active stabilization exercises of the lower extremity regions.

Syllabus

  1. The therapeutic exercise as a component of the multimodal intervention of OMPT in the preventive, therapeutic and training areas of arthro-neuromuscular dysfunctions. 
  2. Principles of exercise physiology applied to OMPT. 
  3. General principles of training: specificity, overload and progress. 
  4. Physiological adaptations of exercise to short and long term. 
  5. Benefits, risks and disadvantages. 
  6. Phenomena of overcompensation, fatigue and pain. 
  7. Proprioception and motor control and motor imaging. 
  8. Principles of information, instruction and education of the patient/user. 
  9. L'autotractament con a formalitat fonamental d'exercici therapeutic to manage the state of health. 
  10. Tècniques d'autotractament per al tractament de la hipomobilitat: 
    1. Joint self-mobilization 
    2. Neural automobilization 
    3. Muscle self-stretching 
    4. Functional self-massage 
  11. Therapeutic exercise specializing in active stabilization for the treatment of hypermobility 
  12. Articular centralization 
    1. Strength training
    2. Resistance and muscle coordination 
    3. Motor control 
  13. Therapeutic exercise specializing in the most frequent clinical subgroups of lower extremity.

Teaching and learning activities

In person



  • TC (Theoretical classes): The teacher is the one who exposes in a systematic and orderly manner the information corresponding to the different subjects and the student has a role mainly as a receiver. The scenario in which the teacher transmits knowledge is the classroom and he does it to the entire group of students. The theoretical class format allows the introduction of group activities in the classroom and the development of strategies that encourage the active participation of students.
  • PC (Practical classes):  It includes any type of classroom and/or laboratory practice (practices among students, case studies, problems, activities in the computer room, search for information,...)
  • SLA (Self-learning activities: These activities are designed so that the student solves problems on their own with the help of the material provided and the information from the face-to-face activities and/or available in the virtual environment in which the online subjects are developed.
  • SIS (Student independent study): It is a process aimed at the formation of an autonomous student capable of learning to learn; It consists of developing study skills, establishing educational goals and objectives based on the recognition of the weaknesses and strengths of the individual, which will respond to the needs and expectations of each one. It implies the possibility that each student makes their own decisions in relation to the organization of their time and their learning pace, which is why it requires a high degree of responsibility to make the most of resources.Includes study of contents related to "theoretical classes" and "practices" (studying exams, carrying out individual and group theoretical work, library work, complementary reading, etc.).
  • MC (Master Class): Transmission of knowledge and activation of cognitive processes in the student.
  • CL (Cooperative learning): Development of active and significant learning cooperatively.
  • FL (Flipped learning): Systems based on new technologies as basic knowledge tools outside the classroom, so that when students arrive to class they put their ideas and impressions together, giving teachers the opportunity to personalize their instruction according to the needs of each one.
  • PBL (Problem based learning): Development of active learning through problem solving.
  • RP (Role playing): Transfer to the classroom of situations typical of reality that will serve the student to apply them in their future life.
  • CS (Case studies): Acquisition of learning through the analysis of clinical or professional cases, real or simulated.

Evaluation systems and criteria

In person



  • Theoretical evaluation: 20%
  • Practical evaluation: 40%
  • Self-assessment: 20%
  • Co-assessment: 20%

The grading system will be used in accordance with current legislation. Actually, according to RD 1.125/2003 del 5 de septiembre.

  • 0-4,9 Fail.
  • 5,0-6,9 Pass.
  • 7,0-8,9 Notable.
  • 9,0-10 Outstanding.

The Honor Roll mention may be awarded to students who have obtained a grade equal to or greater than 9.0. Their number may not exceed 5% of the students enrolled in a subject in the corresponding academic year, unless the number of students enrolled is less than 20, in which case a single Honors may be awarded.

Bibliography and resources

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  • Freddy M. Kaltenborn. Fisioterapia Manual. Volumen III Manipulación – Tracción de las extremidades y la columna. 1ª Ed. Zaragoza. OMT España; 2009.
  • M. Tricás, César Hidalgo, Orosia Lucha, Olaf Evjenth. Estiramiento y Autoestiramiento muscular en Fisioterapia OMT. Volumen I: Extremidades. OMT-España, 2012.
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  • Estébanez-de-Miguel E, López-de-Celis C, Caudevilla-Polo S, González-Rueda V, Bueno-Gracia E, Pérez-Bellmunt A. The effect of high, medium and low mobilization forces applied during a hip long-axis distraction mobilization on the strain on the inferior ilio-femoral ligament and psoas muscle: A cadaveric study. Musculoskelet Sci Pract. 2020;47(March):3–7.
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