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

  • CN02 - Select the most appropriate tools and techniques of Manual Orthopedic Physiotherapy in terms of reliability, validity, and diagnostic accuracy, allowing for selective tissue stress on different structures, for the assessment and treatment of pain and dysfunction of the musculoskeletal system.
  • CP03 - To effectively communicate their conclusions regarding clinical knowledge and reasoning to both specialized and non-specialized audiences in a clear and unambiguous manner.
  • CP05 - Apply the most appropriate treatment, taking into account the indications, contraindications, precautions, and effects of Orthopedic Manual Therapy within the framework of managing and/or addressing pain mechanisms and dysfunctions of the musculoskeletal system.
  • CP07 - To provide specialized manual orthopedic physiotherapy treatment to any patient with neuromuscular-skeletal dysfunction, while respecting the fundamental rights of equality between men and women, promoting human rights, and upholding the values ​​of a culture of peace and democratic principles, including the use of inclusive, non-discriminatory, and non-stereotypical language.
  • HB01 - To develop a critical and analytical clinical practice with a sufficient level of autonomy, demonstrating that advanced knowledge of the specialty area of ​​Orthopedic Manual Therapy has been acquired, based on current scientific evidence.
  • HB02 - Apply specific assessment and treatment procedures for musculoskeletal and neuromuscular dysfunctions, establishing a diagnosis of Orthopedic Manual Therapy based on the findings.
  • HB04 - To solve problems in new or unfamiliar environments within broader (or multidisciplinary) contexts related to their field of study.
  • HB05 - To interpret information from the clinical field, identifying the ethical aspects and social responsibilities related to clinical practice, while adhering to standards of equality and sustainability.
  • HB06 - Demonstrate the ability to engage in independent, in-depth learning, enabling them to continuously improve their clinical practice throughout their careers.
  • HB08 - Specifically apply the principles of mobilization, manipulation, motor learning, exercise physiology, ergonomic strategies, and other therapeutic modalities for the treatment of pain and dysfunction of the musculoskeletal system, as multimodal components of the therapeutic approach in Manual Orthopedic Physiotherapy.

Learning outcomes of the subject

  • MAT02 - 03. Work in the areas of prevention, treatment, and training in OMPT, demonstrating a critical awareness of the need to integrate therapeutic exercise.
  • MAT02 - 01. Describe the indications, contraindications, and objectives of exercise training as a component of multimodal OMPT intervention, demonstrating a comprehensive understanding of these aspects.
  • MAT02 - 02. Identify the fundamental principles of exercise physiology as applied to therapeutic exercise programs.
  • MAT02 - 04. Develop exercises and self-treatment techniques for the lower and upper extremities, spine, and temporomandibular joint (joint mobilization, self-stretching, functional self-massage, and neural mobilization), demonstrating proficiency and skill in their execution and instruction.
  • MAT02 - 05. Develop exercises for active stabilization of the lower and upper extremities, spine, and temporomandibular joint, demonstrating proficiency and skill in both performing and instructing these exercises.
  • MAT02 - 06. Prepare patients/users by demonstrating creativity, adaptability, and innovation in their instruction, information, and training, in order to improve their adherence to a rehabilitation program.
  • MAT02 - 07. Plan a therapeutic training program, ensuring that it is implemented in a way that is adapted to the patient/user's physical diagnosis, functional status, and expectations.
  • MAT02 - 08. Identify the neutral zone, feedforward mechanisms, and postural control, as well as the feedback tools used for monitoring baseline activation, demonstrating a comprehensive understanding of all these aspects.

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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