Universitat Internacional de Catalunya - Barcelona

Specific Intervention Methods in Orthopaedic Physiotherapy. Upper and Lower Extremities

• code 08247
• course 2
• term Semester 1
• type OB
• credits 3

Module: Specific methods of intervention in Physiotherapy

Matter: Specific methods of intervention in Orthopedic Physiotherapy

Main language of instruction: Spanish

Other languages of instruction: Catalan, English,

Head instructor

Dr. Jorge CALVO - jcalvo-alumni@uic.es

Office hours

Professors:

Dr. Jordi Calvo: jcalvo@uic.es

Traumatology is a field of activity in continuous development, which is important for the physiotherapist because of the high percentage of patients it represents. Therefore, it is essential to have full and up-to-date Physiotherapy training in which students complement and relate pathological knowledge to the possibilities of action in Physiotherapy.

No prerequisites are required.

- Understand and know how to apply the applicable physiotherapeutic procedures to the pathology of the musculoskeletal system.

- Know the diagnostic process in Physiotherapy, establishing appropriate therapeutic objectives in the physiotherapeutic approaches to traumatic pathology in the musculoskeletal system.

- Know how to design a physiotherapy intervention plan based on research and scientific evidence.

- Develop the skills necessary to intervene in the process of promotion and health prevention.

- Maintain an attitude of motivation and self-improvement throughout the learning process.

- Develop the skills necessary to work together and communicate verbally as well as in writing.

• 01 - The ability to analysis and synthesis.
• 02 - The ability to organise and synthesize
• 05 - The ability to manage information.
• 06 - To have comprehensive problem-solving skills.
• 07 - Demonstrate decision-making skills.
• 10 - Develop autonomous learning skills.
• 15 - Demonstrate a concern for quality.
• 17 - The ability to work responsibly and autonomously, so as to handle job-related activities without the need for strict supervision.
• 29.1 - Demonstrate a committment to ongoing learning and self-improvement.
• 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 - Ability to establish a physiotherapeutic diagnosis according to international norms and using internationally validated assessment tools.
• 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.
• 53 - Capacity to participate within the areas of health promotion and disease prevention.
• 55 - Capacity to incorporate scientific research and an evidence-based practice within the professional culture.

Students:

• Understand and know how to apply the physiotherapeutic procedures based on the specific methods and techniques applicable to the pathology related to the specialty of medicine and traumatology.
• Know how to apply the diagnostic process in Physiotherapy, establishing a hierarchy of patient needs.
•  Know how to design the Physiotherapy intervention plan incorporating scientific research and evidence-based practice.
•  Have the necessary skills to intervene in the areas of health promotion and disease prevention.
•  Maintain an attitude of motivation and improvement in their learning process.
•  Have the necessary skills to work together and communicate verbally and in writing.

THEORETICAL BLOCK

Unit 1. Introduction to Trauma Physiotherapy

1.1- Basic concepts

1.2- Physiotherapy Diagnosis (Impairments, Disabilities)

1.3- Types of injuries: bone, capsulolligamentàries, muscular, tendon

1.4- Stimulus which is suitable for different tissues: bio-physiological bases of tissue repair

1.5- Physiotherapeutic treatment and technique objectives for each tissue

Unit 2. Physiotherapy treatment in traumatic shoulder pathology

2.1- Physiotherapeutic approach and treatment in bone injuries: clavicle fractures, scapula fractures, fractures of the proximal anatomic humerus-neck, humeral shaft fractures, and shoulder prosthesis.

2.2- Physiotherapeutic approach and treatment in soft tissue injuries: tendon injuries and subacromial conflict.Gleno humeral instability and dislocations (acromioclavicular, glenohumeral). Capsulitis and shoulder stiffness.

Unit 3. Physiotherapeutic treatment in traumatic elbow pathology

3.1- Physiotherapeutic approach in bone lesions: supracondylar fractures, olecranon fractures, radial head fractures, fractures in the shaft of the ulna and radius.

3.2- Physiotherapy treatment: dislocations, elbow instabilities.

3.3- Physiotherapeutic approach and treatment in soft tissue injuries: epicondilytis, epitrochleitis, bursitis.

Unit 4. Physiotherapeutic treatment in traumatic hand pathology.

4.1- Physiotherapeutic approach and treatment of bone injuries: fractures and dislocations of the forearm, dislocations of the wrist and carpals / instabilities, fractures of the distal radius and ulna, carpal bone fractures, metacarpal and phalanges fractures.

4.2- Physiotherapeutic approach and treatment in soft tissue injuries: flexor tendon injuries and finger extensors, carpal tunnel syndrome, synovial cysts

4.3- Physiotherapeutic approach and treatment in finger injuries: sprains and capsulitis.

Unit 5. Physiotherapeutic treatment in traumatic spinal pathology

5.1- Physiotherapeutic approach and treatment in bone lesions, vertebral column fractures without neurological involvement and dorso-lumbar vertebral column fractures.

5.2- Physiotherapeutic approach and treatment in soft tissue injuries: herniated disc, "Whiplash injury", sprained vertebral column related injury.

Unit 6. Physiotherapeutic treatment in traumatic pathology of the pelvis and hip

6.1- Physiotherapeutic approach and treatment in bone injuries.Pelvis fractures, acetabulum fractures, femur fractures (diaphysis and upper extremity 1/3). Hip dislocations.Hip replacement.

6.2- Physiotherapeutic approach and treatment in soft tissue injuries. Bursitis and tendinitis adductors.

Unit 7. Physiotherapeutic treatment in traumatic pathology of the knee

7.1- Basic concepts on the aspects of knee rehab (RHB)

7.2- Physiotherapeutic approach and treatment in bone injuries.Fractures of the femur, patella fractures, tibial plateau fractures, chondral lesions.

7.3- Physiotherapeutic treatment as a result of post-traumatic long term damage: Arthrolysis, Judet intervention, etc.

7.4- Physiotherapeutic extensor treatment

7.5- Physiotherapeutic treatment in dislocations and tendinitis

7.6- Physiotherapeutic treatment in meniscal lesions

7.7- Physiotherapeutic treatment in ligament injuries

7.8- Physiotherapeutic treatment in Osteotomy and knee prosthetic

Unit 8. Physiotherapy treatment in traumatic foot pathology

8.1- Physiotherapeutic approach and treatment in bone injuries.Fractures of the tibial, malleolar fractures, fractures of the calcaneus, metatarsal (MTT) fractures, fractures of the talus.

8.2- Physiotherapeutic approach and treatment of soft tissue injuries. Achilles tendonitis, ankle sprains. phonetically 

Unit  9. The traumatic amputated patient: Rehabilitation approach
9.1-Types and levels of amputation
9.2-Process and RHB phases of the amputated patient
9.3-Possible complications and their treatment
9.4-Aspects to be treated: postural hygiene of the amputee, bandage, sensation and pain of phantom limb ....
9.5- A) Preprosthetic phase: exercises to recover the elasticity and toning of the stump
       B) Prosthetic phase: components of the prosthesis, reeducation of the walking for lower extremities, daily life       activities for superior limbs

Unit 10.The traumatic burned patient: Rehabilitation Approach

10.1-Burn concept / Structure and operation of a burn unit

10.2-Assessment of a burn (zones and classification according to their depth)

10.3-Calculation of the burned area / Zones / Location and risks

10.4-Medical Treatment and Nursing Care

10.5-Approach of physiotherapy:

              -Postural treatment (positioning, edema management, immobilization of grafted areas, splinting and orthopedic devices)

              -Kinesitherapy

              -Sustained skin stretches

              -Respiratory physiotherapy

              -Functional recovery

               -Pressure Therapy

The evaluation of the subject will follow the criteria indicated below:

- Continuous assessment: activities carried out (clinical cases) in the classroom that will represent 25% of the final grade. A total of activities will be considered that will take part in the final mark of continuous evaluation. The NO submission of any of these activities will count as a 0 in the completion of the final average.

- Online self-learning tests will be carried out to assess competencies with a value of 15%. Failure to perform any of these tests will count 0 for the final average of this section

- Final written test of 40 questions, the incorrect answer will remain. It will represent 60% of the final mark of the subject. It will be essential to pass the final test to be able to complete the average with the rest of the assessment blocks.

For the students that go to 2nd call the assessment will consist of a written test "test".With the same evaluation characteristics as the final test of the first call.

The grading system will be used in accordance with current legislation. Currently, according to RD 1.125 / 2003 of September 5.

0-4,9 Suspension.

5.0-6.9 Approved.

7.0-8.9 Very good.

9.0-10 Excellent.

The mention of "Registration of Honor" may be awarded to students who have obtained a grade of 9.0 or higher. Its number cannot be higher than 5% of the students enrolled in a subject in the corresponding academic year, except that the number of students enrolled is less than 20, in which case a single Honor Registration can be granted.

FURTHER READING IN ORTHOPAEDICS

ATKINSON ET ALS. Fisioterapia en ortopedia. 2º edición. Madrid: Ed.Elsevier; 2007.

BASAS, A. FERNÁNDEZ, C. MARTÍN URRIALDE, J.A.Tratamiento fisioterápico de la rodilla.McGRAW-HILL INTERAMERICANA. 2003.

BRENT S., WILK E Kevin. Rehabilitación ortopédica clínica. Madrid: Mosby; 2005.

CASH, J.; DOWNIE, P. A.: Kinesiología en Ortopedia y Reumatología. Ed. Panamericana. Buenos Aires-Madrid. 1987.

CASH, J.; DOWNIE, P. A.: Manual Cash de Fisioterapia: recuperación médica y postoperatoria. Ed. Jims. Barcelona. 1989.

DONATELLI, R.: Fisioterapia del hombro. Ed. Jims. Barcelona. 1993.

ENCICLOPEDIA MÉDICO QUIRÚRGICA: Kinesiterapia. Medicina física (4 Tomos). Paris: Elsevier; 1999.

GÉNOT, C (et al) Kinesioterapia I/II. Editorial Medica Panamericana, SA. 1988

GÉNOT, C (et al ) Kinesioterapia III/IV. Editorial Medica Panamericana, SA. 1988

GRAHAM APLEY, A; SOLOMON, L. Manual de Ortopedia y fracturas. 2ª Edición. Editorial Masson,SA. 1997

HOPPENFELD, S. & MURTHY, V.: Fracturas. Tratamiento y rehabilitación. Ed. Marban. Madrid. 2001.

KRUSEN; KOTTKE, F. J.; LEHMANN, J. F.: Medicina Física y Rehabilitación. Ed. Panamericana. Madrid. 1993.

MANGINE, R. E.: Fisioterapia de la rodilla. Ed. Jims. Barcelona. 1991.

MORA AMERIGO, E.; ROSA PÉREZ, R. DE: Fisioterapia del aparato locomotor. Ed. Síntesis. Madrid. 1998.

MORÁN, C. A.: Fisioterapia de la mano. Ed. Jims. Barcelona. 1990.

PEREZ ARES, SAINZ DE  MURIETA et al. Fisioterapia del complejo articular del hombro. Barcelona: Masson; 2004

PRENTICE W. Técnicas de rehabilitación en medicina deportiva. Barcelona: Paidotribo; 2001

PROUBASTA, I. Lecciones Básicas en Cirugía Ortopédica y Traumatología. Publicaciones Permanyer. 2007

REICHEL H,PLOKE C.E. Fisioterapia del aparato locomotor. Estructuras, funciones y medidas de actuación sobre las afecciones. Exploración y tratamiento de enfermedades ortopédicas. Barcelona: Paidotribo, 2007.

 SERRA GABRIEL, M. R.; DÍAZ PETIT, J.; SANDE CARRIL, M. L.: Fisioterapia en Traumatología, Ortopedia y Reumatología. Ed. Masson. Barcelona. 2003.

SUREDA,S; VILAR,E. Fisioterapia del aparato locomotor. Editorial Mcgraw-Hill Interamericana.2005

XHARDEZ, Y.: Vademécum de Kinesioterapia. Ed. El Ateneo. Barcelona. 2001. 

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 08/01/2020 08:00h
• E2 22/06/2020 08:00h