Universitat Internacional de Catalunya
Physiotherapy Applied to Processes of Growth and Ageing
Other languages of instruction: Catalan
Teaching staff
Mrs. Inés Ramírez García
inesrg@uic.es
Introduction
Physiotherapy and pregnancy
The role of the physiotherapist in the field of gynecology and obstetrics is increasingly known and recognized, thanks to the great benefits it provides when applied in this period of a women's life.
The physiotherapist, along with the team caring for pregnant women, can work so that both pregnancy and childbirth and recovery are carried out in the most harmonious and conscious way possible, helping women to prepare their body and mind during this important time in their life process.
Preparation for maternity and post-natal physiotherapy, permit women to prepare themselves physically to better cope with pregnancy and childbirth and to prevent possible complications in the postpartum period.
The course will provide the student with the basic knowledge of Obstetric physiotherapy (preventive and therapeutic). During the sessions, physiological processes that accompany pregnancy, childbirth and postpartum, as well as the basic procedures of physiotherapy in this field will be studied.
Physiotherapy in Geriatrics
The progressive aging of the population, directly related to the increase in life expectancy, makes the elderly population the population that requires the attention of the physiotherapist and other health professionals the most.
This course aims to provide students with knowledge of the characteristics of aging and the specific needs of this population. It will also provide the students with resources and tools so that the future physiotherapist will be able to promote active aging and prevent or give attention to the dependence of the elderly.
Pre-course requirements
Physiotherapy and pregnancy.
Not specified.
Objectives
Physiotherapy and pregnancy
Those who pass this course will be acquire the knowledge and develop the skills listed below:
1. Demonstrate knowledge and understanding of the anatomy and physiology of the female reproductive system.
2. Demonstrate knowledge and understanding of the physiological and structural changes that may occur as a result of the application of physiotherapy in the urological, gynecological and obstetrics field.
3. Assess the patient's functional status by applying appropriate obstetric physiotherapy evaluation procedures.
5. Designing a obstetric Physiotherapy intervention plan (pre and postpartum)
6. Provide Physiotherapy care effectively, taking into account the biological, psychological and social aspects of the person (bio-psycho-social model).
7. Learning to evaluate the evolution of the results obtained with the application of physiotherapy treatment.
Competences/Learning outcomes of the degree programme
- 01 - The ability to analysis and synthesis.
- 02 - The ability to organise and synthesize
- 05 - The ability to manage information.
- 09 - Demonstrate critical thinking skills.
- 10 - Develop autonomous learning skills.
- 11 - The ability to adapt to new situations.
- 12 - To be creative
- 17 - The ability to work responsibly and autonomously, so as to handle job-related activities without the need for strict supervision.
- 21 - Knowledge of the physiological and structural changes that can occur after physiotherapeutic interventions.
- 22 - Knowledge of factors that affect human growth and development throughout the lifespan.
- 28.3 - Show respect, appreciation and sensitivity towards the work of others.
- 29.1 - Demonstrate a committment to ongoing learning and self-improvement.
- 30.1 - Teamwork skills.
- 37.1 - Use discretion, use available information appropriately and respect patient dignity and confidentiality
- 37.5 - knowledge of the profession's deontological ethics codes
- 38.1 - Respect for the rights of the patient and their family.
- 43 - Knowledge of physiotherapeutic procedures based on techniques and methods specific to physiotherapy interventions applied to the various disorders of all systems and medical and surgical specialisations, as well as health promotion and disease prevention.
- 48.2 - Ability to assess the patient's/client's needs in order to give priority to the ones that could compromise the rehabilitation process.
- 49 - Ability to design a physiotherapy treatment plan.
- 49.1 - Ability to develop a specific physiotherapy treatment plan through clinical thinking and problem-solving skills.
- 50 - Ability to execute, direct and coordinate a physiotherapy treatment plan while attending to the client's individual needs and using therapeutic tools specific to the physiotherapy profession.
- 50.1 - Ability to establish and implement physical therapy in treatments provided by all other medical and surgical specialties whenever it is deemed necessary.
- 50.2 - Ability to design and apply therapeutic exercises specifically designed for cardiorespiratory, orthopedic, traumatologic, pediatric, rheumatologic, geriatric, neurologic, pulmonary, and sport-related diseases and injuries, as well as those for spine defects, urinary and fecal incontinence and pre/post-partum exercises.
- 50.8 - Ability to encourage the client and family to participate in the rehabilitation process.
- 51.1 - Ability to design and set up activities related to disease prevention and health promotion.
- 51.2 - Ability to assess the patient's /client's progress.
- 51.3 - Ability to re-assess and modify treatment goals if necessary, and to adjust the intervention or treatment plan according to the new goals.
- 52 - Ability to provide effective physiotherapeutic care by providing comprehensive assistence to patients/clients.
- 52.1 - Ability to interpret medical prescriptions.
- 52.2 - Capacity to prepare a comfortable environment in which physiotherapy will be provided.
- 52.3 - Ability to keep the patient informed about the treatment by explaining the tests and techniques that are involved, the preparation they require, to ensure the patient's collaboration at all times.
- 53 - Capacity to participate within the areas of health promotion and disease prevention.
- 53.1 - Ability to design and set up activities related to health promotion and disease prevention.
- 53.2 - Capacity to participate within the areas of health promotion and disease prevention.
- 54 - Ability to interact effectively in a multidisciplinary team.
- 57 - Ability to keep up-to-date on knowledge, skills and attitudes related to professional competencies through continuous education.
- 57.1 - Ability to critically appraise methods, protocols and treatments applied in physiotherapy, and ensure they are always based current scientific evidence.
Learning outcomes of the subject
Physiotherapy and pregnancy.
Regarding the objectives and skills, students who have completed the classes:
- Know how to demonstrate knowledge and understanding of the anatomy and physiology of the female reproductive system in each of the stages of obstetrical process.
- Know the general principles of physiotherapy applied to the preparation for the birth and postpartum.
- Understand the bio-psycho-social factors that influence the health / disease state.
Know how to evaluate the functional state of the obstetric patient and design a physiotherapeutic intervention plan according to criteria of adequacy, validity and efficiency.
- Know and describe the basis of the assessment of the urogenital system
- Is able to participate in the development of physiotherapy care protocols based on scientific evidence, promoting professional activities that stimulate research in physiotherapy.
Syllabus
Physiotherapy and pregnancy.
1. Physiotherapy in the obstetrical field
1.1. Physical therapy in obstetric care
1.2. Anatomy of the female reproductive system
1.3. Physiology of the female reproductive system
2. Pregnancy
2.1. Fertilization and prenatal Process Development
2.2. Anatomophysiological modifications and Gestational Pathology.
2.3. Emotional changes and fears
2.4. Preparation for motherhood. Physiotherapy and other methods
2.5.Obejectives of the preparation for motherhood
2.6. Pre-natal physiotherapy
· Flexibility exercises
. breathing exercises
. Dilation postures
. relaxation
. Urinary incontinence in pregnancy. Pelvic floor preparation for childbirth.
. Cardiovascular exercise during pregnancy.
3. Childbirth
3.1. Mechanism and process
3.2. Types of delivery and perineal trauma.
4. postpartum
4.2. Stages and physiological changes
4.3. Postpartum complications
4.3. Physiotherapy postpartum. Uro-gynecological assistance
. female pelvic floor dysfunctions
. techniques and procedures
Physiotherapy in Geriatrics
UNIT I: GERONTOLOGY AND GERIATRICS
Geriatrics and Gerontology: Basic concepts
Definition of Gerontology
Definition and purposes of Geriatrics
Characteristics of human aging
Physiological aging and pathological aging
Healthy, geriatric and frail elders.
Geriatric syndromes
Comprehensive and integrated care
Strategic health and social perspectives
Community care
Chronic patient care with complex needs
Social and health care resources for the elderly
Care network and social resources for the elderly.
The interdisciplinary team.
Role of physical therapist in different nursing care services.
Comprehensive geriatric assessment
Comprehensive geriatric assessment: definition and basic concepts.
Geriatric assessment scales.
Geriatric assessment scales most used the physiotherapist through functional assessment.
UNIT II: Geriatric Rehabilitation and Physiotherapy
Geriatric Rehabilitation: Overview
Comprehensive attention.
The person and the family as a unit to treat.
Promotion of autonomy and personal dignity.
Active therapeutic conception.
Importance of the environment.
Geriatric syndromes and treatment in physiotherapy
Prevention and treatment of geriatric syndromes
Management of geriatric syndromes that may influence physiotherapeutic treatment
Pathology in the older and physiotherapy
The most common diseases in people over 65
Progressive, degenerative and disabling diseases
Functional recovery principles
Psychogeriatric principles
Presentation of atypical diseases
Rehabilitation techniques indicated in geriatrics:
-Neurological processes
-Cardio-respiratory processes
-Osteoarticular processes
UNIT III: Ethics in therapeutic decision-making in the elderly
Bioethical principles and legal basis for older people
End-of-life care in older adults
UNIT IV: Active aging
Active aging and satisfactory aging
Active aging and successful aging: definitions
Role of physical therapist in promoting active aging
Therapeutic exercise and the elderly
Characteristics of therapeutic exercise in older people
Programs to promote physical activity in the elderly
Teaching and learning activities
In blended
Physiotherapy and Aging Module: Theoretical sessions, online.
Physiotherapy and Pregnancy: Theoretical-practical sessions, in person.
Bibliography and resources
- Calais–Germain B. Anatomía para el movimiento. Barcelona: La Liebre de Marzo; 1994
- Calais-Germain B. El periné femenino y el parto. Barcelona: La Liebre de Marzo; 1998.
- Calais-Germain B. Abdominales sin riesgo. Barcelona: La Liebre de Marzo; 2010.
- Calais-Gernain B. Parir en movimiento. La movilidad de la pelvis en el parto. Barcelona: La liebre de marzo; 2009
- Walker C. Fisioterapia en obstetricia y uroginecologia. Barcelona: ELSEVIER; 2006.
- Grosse D. Reeducación del periné: fisioterapia en las incontinencias urinarias. Barcelona: Masson; 2001.
- Sthephenson, R. G. Fisioteràpia en obstetrícia y ginecologia. Madrid: Mc Graw Hill- Interamericana; 2003
- Kauffmann S, Blanco l, Ramírez I. Reeducación de las disfunciones del suelo pelviano. Madrid: Springer Healthcare; 2012
- Walker C. Fisioterapia en obstetricia y ginecologia 2a Ed. Barcelona: Elsevier Masson; 2013
- Ramírez I, Kauffmann S, Blanco L. Rehabilitación del suelo pélvico femenino. Pactica clínica basada en la evidencia. Madrid: Ed Panamericana; 2013
Bibliografia complementària:
- Espuña M, Rebollo P, Puig M. Validación de la versión española del ICIQ-IU SF. Un cuestionario para evaluar la incontinencia urinaria. Med Clin (Barc) 2004; 122:288-292 .
- Espuna Pons M, Castro Diaz D, Carbonell C, Dilla T. Comparison between the "ICIQ-UI Short Form" Questionnaire and the "King's Health Questionnaire" as assessment tools of urinary incontinence among women. Actas Urol Esp 2007 May;31(5):502-510.
- Caufriez M, Pinsach P, Fernandez JC. Abdominales y periné. Mitos y realidades. Mallorca: MC Editions; 2010
- Papa Petros, P. Suelo Pélvico en la mujer. Función, disfunción y tratamiento según la teoría integral. España: Mayo ediciones;2006
- Pilat A. Fascial Integrity. En: Chaitow Leon. Pelvic Chronic Pain & Disfunction. London; Elsevier; 2011. p. 14-16.
- Laycock J. Patient assessment. En: Laycock J, Haslam J, editors. Therapeutic management of incontinence and pelvic pain. London: Springer Verlag; 2002. P.45-54
- Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 2003 Jan;61(1):37-49.
Delgado Ojeda MA. Rehabilitación y fisioterapia en geriatría. Jaén: Formación Alcalá; 2000.
Durante Molina P, Pedro Tarrés P. Terapia ocupacional en geriatría: principios y práctica. 1ª ed. Barcelona: Masson; 2001.
Durante Molina P, Pedro Tarrés P. Terapia Ocupacional en Geriatría. Principios y Práctica. 3ª ed. Barcelona: Elsevier España; 2010.
Forciea MA, Lavizzo-Mourey R. Secretos de la geriatría. 2ª ed. México: McGraw-Hill; 2002.
Millán Calenti JC. Gerontología y geriatría: valoración e intervención. 1ª ed. Buenos Aires: Panamericana; 2010.
Pinazo Hernandis S, Sánchez Martínez M. Gerontología: actualización, innovación y propuestas. 1ª ed. Madrid: Pearson; 2005.
Rebelatto JB, Silva Morelli JG. Fisioterapia geriátrica: práctica asistencial del anciano. 1ª ed. Madrid: McGraw-Hill; 2005.
Ribera Casado JM, Cruz Jentoft. Geriatría. 1ª ed. Madrid: Idepsa; 1991.
Sackett DL. Medicina basada en la evidencia: cómo ejercer y enseñar la MBE. 1ª ed. Madrid: Churchill Livingstone; 1997.
Salgado Alba A, Guillén Llera F. Manual de geriatría. 3ª ed. Barcelona: Masson; 2003.
Timiras Paolas S. Bases fisiológicas del envejecimiento y geriatría. 1ª ed. Barcelona: Masson; 1997.
Sociedad Española de Geriatría y Gerontología. Tratado de Geriatría para residentes. Sociedad Española de Geriatría y Gerontología; 2006. Disponible a www.segg.es/tratadogeriatria/index.html
Evaluation period
- E1 22/02/2021 A14 08:00h
- E1 22/02/2021 A12 08:00h
- E1 23/02/2021 G4 10:00h
- E1 23/02/2021 G3 10:00h
- E1 25/02/2021 A10 10:00h
- E1 25/02/2021 A09 10:00h
- E2 22/06/2021 08:00h