Universitat Internacional de Catalunya - BarcelonaTreatment Methods in Orthoprosthetics
Module: ELECTIVE
Matter: ELECTIVE
Main language of instruction: English
Other languages of instruction: Catalan, Spanish
Head instructor
Dr. Mariano FERNÁNDEZ - RODRIGUEZ - mfernandezfa@uic.es
Office hours
Email Mariano Fernández mfernandezfa@uic.es
The subject makes available to the student the knowledge in the currently existing procedures to correct organic deficiencies, anomalies and alterations of the Musculoskeletal System by means of the indication? and preparation of external correction devices (orthosis) or the replacement of organic segments by prostheses, all following the rules and determinants of human biomechanics.
Advances in materials, electronics, computing and robotics, together with the enormous development of diagnostic means and surgical techniques for neurotisation of these elements, makes a review of all these possibilities mandatory to provide the patient with the most effective, useful, versatile, comfortable and "physiological" implements in an attempt to return them to "normal".
Based on a theoretical knowledge of these principles, it is mandatory to move on to the practical field and work in the ortho-prosthetic laboratory on the design and production of the different types of orthoses and prostheses with which to make these procedures available to the patient. Working side-by-side with renowned professionals in this field will lead to the understanding and implementation of the theoretical knowledge acquired, introducing the student to the real world of ortho-prosthetic techniques.
To have passed the following subjects of the First Year of Bioengineering: Anatomy and Physiology, and Biomaterials and Biocompatibility, and of the Second Year: Fundamental Biomechanics, Applied Pathology, and Fundamentals and Electronic Systems.
Complementary subjects
Neurosciences Applied to Orthotics, Computation, Robotics and Bionics, and Design and Image Diagnosis.
To know the existing types of orthotics and prostheses.
To know their biomechanics and performance.
To know their indications.
To know and be able to assess the complementary means for diagnosing the deficiencies to be treated.
To know their design and customisation.
To know the materials used in their manufacture.
To know the electronic systems used in these products.
To know the manufacturing procedures and processes.
3D in design and manufacture of orthotics and prostheses.
Applied bionics.
To know how to adapt orthotics and prostheses to each patient.
Assessment of the different products in view of their functional capacity and results.
Presentation: Transmitting knowledge and activating cognitive processes in the student, involving their participation, through lessons on each of the topics.
Cooperative learning: Develop active learning through cooperative work strategies among students and fostering shared responsibility to achieve group goals.
Practical learning: The students will attend an Orthotics clinic and laboratory where they will acquire the necessary practical knowledge to indicate an orthosis or prosthesis according to the patient's needs. They will know the different options that exist to solve the different problems presented and will become familiar with the design, preparation, adaptation and repair of the aforementioned elements.
Problem-Based Learning:
From the statement, analysis, processing and solution of real problems
Promoting in the student the responsibility for their own learning
Developing a relevant knowledge base
Developing skills for critical evaluation and the acquisition of new knowledge
Developing skills to address complex problems and possible solutions
Develop skills for interpersonal relationships
Involve the students by encouraging their initiative and enthusiasm
Developing their cognitive, integrative, expression and communication skills
The course aims to provide theoretical-practical knowledge for students in the fourth year of the Degree in Bioengineering. Understanding ortho-prostheses is one of the aspects that can be studied within this science.
Following a topographical order:
1.- Upper limb orthosis
Shoulder
Elbow
Wrist
Hand
2.- Lower limb orthosis
Hip
Knee
Ankle
Foot
3.- Spinal orthosis
Cervical
Dorsal
Lumbar
4.- Upper limb prosthesis
Shoulder disarticulation
Arm
Forearm
Hand
5.- Lower limb prosthesis
Hip disarticulation
Thigh
Leg
Ankle and foot
6.- Aid and assistance devices and instruments
In each of these sections the following will be analysed:
a) Fundamentals
Types
Biomechanics
Indications
Diagnostic aids
Psychological approach to the patient
b) Design
CAD-CAM
c) Materials
d) Manufacturing
3d printing
e) Personal adaptation
Prefabricated products
f) Product repair
g) Results evaluation
Instruments
Previous fulfilled patient and professional expectations and satisfaction
Cost-effectiveness of systems, methods, and products
Totally participatory.
Expositive: Transmitting knowledge and activating cognitive processes in the student, involving their participation, through lessons on each of the topics.
Cooperative learning: Developing active learning through cooperative work strategies among students and promoting shared responsibility to achieve group goals.
Practical learning: The students will attend an Orthotoprosthetic clinic and laboratory where they will acquire the practical knowledge necessary to indicate an orthosis or prosthesis based on the patient's needs. They will know the different options that exist to solve the different problems presented, and they will become familiar with the design, preparation, adaptation and repair of such elements.
Problem Based Learning:
• From the statement, analysis, processing and solution of real problems
• Promoting in the student responsibility for their own learning
• Developing a relevant knowledge base
• Developing skills for critical evaluation and the acquisition of new knowledge
• Developing skills to pose complex problems and possible solutions
• Develop skills for interpersonal relationships
• Involve the student by increasing their initiative and enthusiasm
• Developing their cognitive, integrative, expression and communication skills.
Final exam: first sitting in January; second sitting in June.
The subject is passed or failed in its entirety.
The mark will be averaged between the completion of a written work analysing a clinical case of a patient with a musculoskeletal pathology that is treatable through ortho-prosthetic care, and the score awarded based on the performance obtained in practices.
The lecture in charge of the subject will provide the clinical data, complementary tests, and diagnosis of the case in question, for the subsequent description of the issue, analysis, action proposal and discussion in view of the existing literature.
The work must be presented in DIN-A4, with Times New Roman typeface, font size 12, double spaced, with 6-8 bibliographic references. A copy of the works cited may be requested.
Important considerations:
Plagiarism, copying or any other action that may be considered cheating will score zero in that evaluation section. Moreover, plagiarism during exams will mean the immediate failure of the whole subject.
In the second-sitting exams, the maximum mark students will be able to obtain is "Excellent" (a mark with honours distinction will not be possible).
Changes of the calendar, exam dates or the evaluation system will not be accepted.
Exchange students (Erasmus and others) or students resitting will be subject to the same conditions as the rest of the students.
Bibliographic, image and video resources inserted in the subject's web page.
Complementary basic bibliography
Joseph Webster Douglas Murphy, Atlas of Orthoses and Assistive Devices, 5th Edition. Elsevier 2018. ISBN: 9780323483230.