PHTY41150 Foundations of Musculoskeletal Theory and practice

Academic Year 2023/2024

During this module, students revisit upper limb anatomy and are introduced to human pathology with provision of a theoretical basis in immunology, rheumatology, orthopaedics and oncology.
This module will introduce the student to musculoskeletal physiotherapy skills in screening, assessment, diagnosis and management of disorders of the upper limb, including soft tissue injuries, fractures and rheumatological disease.
The module will include critical appraisal of the current literature with an emphasis on evidence-based management of musculoskeletal disorders of the upper limb.
The module will explore the role of exercise and physical activity in the management and prevention of chronic musculoskeletal disorders.
Practical classes will facilitate the development of skills in communication, assessment, manual therapy and exercise prescription.
The module will include musculoskeletal pharmacology.
The module will include case-study based clinical reasoning sessions using the International Classification of Functioning, Disability and Health (ICF) as a framework, to show students how to: assess patients and plan treatment accordingly, setting SMART short and long-term goals; use outcome measures to assess effectiveness of treatment; modify treatment if necessary and know when referral to another discipline is indicated.

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Curricular information is subject to change

Learning Outcomes:

On completion of the module the student shall be able to:
1. Demonstrate detailed knowledge of human anatomy of the upper limb and the ability to apply this knowledge in their understanding of musculoskeletal pathology; assessment and physiotherapy management of musculoskeletal disorders.
2. Discuss in detail the body’s response to injury including the inflammatory process, wound healing and principles of soft tissue healing; and the application of this knowledge to physiotherapy practice.
3. Demonstrate understanding of the pathology, clinical presentation and conservative and surgical management of common musculoskeletal disorders of the upper limb and evaluate the current evidence for physiotherapy management of these disorders.
4. Demonstrate an understanding of the classification of fractures, the principles of fracture healing, and the aetiology, clinical presentation and management of fractures and demonstrate the ability to apply this knowledge to physiotherapy practice.
5. Display knowledge of the pathological processes associated with cancer and common cancer treatments and evaluate the evidence for exercise in both the prevention and management of cancer.
6. Demonstrate competence and safety in the subjective and physical examination of the upper limb; and the ability to apply advanced clinical reasoning skills throughout the assessment process.
7. Demonstrate knowledge of the current evidence base for the management of musculoskeletal disorders of the upper limb, including the role of exercise and physical activity in the management of these disorders.
8. Demonstrate competence and safety in the administration of upper limb manual therapy physiotherapy techniques and demonstrate the ability to adapt and progress manual therapy based on patient evaluation.
9. Demonstrate competence and safety in exercise testing and prescription for individuals with musculoskeletal disorders of the upper limb and demonstrate the ability to apply knowledge of current evidence to adapt exercise programmes for distinct patient populations.
10. Use outcome measures to determine effectiveness of treatment and modify treatment in response to findings and demonstrate the ability to evaluate and interpret findings.

Indicative Module Content:

Functional Anatomy
Principles of Subjective and Physical Assessment
Outcome measurement
Clinical reasoning, differential diagnosis
Musculoskeletal conditions
Orthopaedic surgery
Rheumatological diseases
Cancer
Manual therapy techniques
Soft tissue techniques
Exercise assessment, prescription and progression
Assistive devices
Pharmacology

Student Effort Hours: 
Student Effort Type Hours
Lectures

24

Small Group

4

Practical

44

Total

72

Approaches to Teaching and Learning:
Active/task-based learning
Peer and group work
Lectures
Case-based learning
Student presentations 
Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
Equivalents:
Musculoskeletal (PHTY40880)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Presentation: Evidence based practice presentation Varies over the Trimester n/a Graded No

10

Examination: End of trimester written examination 1 hour End of Trimester Exam No Graded No

60

Practical Examination: End of trimester practical examination Unspecified n/a Graded Yes

30


Carry forward of passed components
Yes
 
Resit In Terminal Exam
Spring No
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, post-assessment
• Group/class feedback, post-assessment

How will my Feedback be Delivered?

Group /class feedback will be provided post assessment Opportunities will be provided to students to receive face to face individual feedback following assessment On-going feedback is provided to students during practical classes on practical skill performance

Below are some examples of textbook resources that complement learning for this module. Please note that all are available in the UCD library.

Anatomy and Functional Anatomy*
*Please use anatomy books that you may have from undergraduate studies. Some examples available at UCD library are below:

1. Moore KL, Dalley AF, Agur AM. (2017) , 8th Ed. Wolters Kluwer
2. Netter F (2014) Atlas of human anatomy , 6th Ed. Elsevier
3. Gray’s anatomy 40th ed. 2008, Elsevier Churchill Livingstone, Edinburgh

Assessment and Clinical Reasoning

1. Petty, NJ, Moore AP (2011), 4th ed, Neuromusculoskeletal Examination and assessment. A Handbook for Therapists. Churchill Livingstone
2. Kesson M, Atkins F. (2005), 2nd ed. Orthopaedic Medicine; A Practical Approach. Butterworth Heinemann.
3. Higgs J, (2008) Clinical reasoning in the health professions 3rd Ed. Butterworth Heinemann.
4. Jones MA, Rivett DA (2004) Clinical reasoning for manual therapists. Butterworth Heinemann, Edinburgh

Exercise Testing and Prescription

1. American College of Sports Medicine. (2017) ACSM's guidelines for exercise testing and prescription, 10th Ed. Wolters Kluwer
2. American College of Sports Medicine. (2016) Exercise Management for persons with chronic diseases and disabilities. 4th edition. J. Larry Durstine, Geoffrey E. Moore
3. American College of Sports Medicine. (2010) ACSM's resource manual for guidelines for exercise testing and prescription. 6th ed. Lippincott Williams & Wilkins


Manual Therapy

1. Maitland G D, Hengeveld D, Banks K, English K (2005). Vertebral Manipulation. 7th Edition. Elsevier Butterworth Heinemann.
2. Hengeveld E, Banks K, Wells P (eds) (2005). Maitland’s Peripheral Manipulation. 4th Ed. Butterworth Heinemann.
3. Petty, NJ ,Barnard, Kieran (2018). 3rd ed. Principles of neuromusculoskeletal treatment and management: A handbook for therapists. Churchill Livingstone, Edinburgh.

Pathology

1. Solomon L, Warwick D, Nayagam S. (2005) Apley's concise system of orthopaedics and fractures. 3rd Ed.
2. Brunkner P, Khan K (2019) Clinical Sports Medicine. 5th edition. McGraw Hill
Name Role
Dr Cailbhe Doherty Lecturer / Co-Lecturer
Assoc Professor Catherine Doody Lecturer / Co-Lecturer
Assoc Professor Deirdre Hurley Osing Lecturer / Co-Lecturer
Mr Frank Kenny Lecturer / Co-Lecturer
Assoc Professor Gráinne O'Donoghue Lecturer / Co-Lecturer
Ms Deirdre Phelan Lecturer / Co-Lecturer
Garett Van Oirschot Lecturer / Co-Lecturer
Ms Laura McMahon Tutor
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 
Autumn
     
Lecture Offering 1 Week(s) - 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 Thurs 09:00 - 10:50
Practical Offering 1 Week(s) - 12 Thurs 09:00 - 10:50
Practical Offering 1 Week(s) - 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12 Thurs 11:00 - 12:50
Practical Offering 1 Week(s) - 8 Thurs 11:00 - 12:50
Lecture Offering 1 Week(s) - 4 Thurs 14:00 - 15:50
Lecture Offering 1 Week(s) - 5, 6, 9, 10 Thurs 14:00 - 15:50
Lecture Offering 1 Week(s) - 7 Thurs 14:00 - 15:50
Tutorial Offering 1 Week(s) - 6 Tues 12:00 - 13:50
Practical Offering 1 Week(s) - 1 Wed 11:00 - 12:50
Practical Offering 1 Week(s) - 10 Wed 11:00 - 12:50
Practical Offering 1 Week(s) - 2, 3, 4, 5, 6, 7, 8, 9, 11, 12 Wed 11:00 - 12:50
Autumn