Physiotherapy in Musculoskeletal Conditions

Course units related to the examination, assessment and practice of musculoskeletal conditions

Lecture. Problem solving based in clinical settings

Hours of attendance of students in the office for placement of questions or problems; placing questions or problems by email

This course is targeted for acquisition and deepening of knowledge in terms of concepts and principles of biomedical sciences (anatomy, physiology, biochemistry, pathology, biomechanics, imaging and pharmacokinetics) that are relevant to neuromusculoskeletal conditions, including mechanisms and perception of pain; the processes of clinical reasoning and problem solving; and the constituent components of the assessment in neuromusculoskeletal conditions and types, sources, meaning and compilation of relevant information available.

Improve dexterity in gathering qualitative and quantitative data relevant to the detection of neuromusculoskeletal problems and capacity to construct a plan of semi-structured assessment based on the work of hypotheses after anamnesis, through the development of evaluative approaches in the management of neuromusculoskeletal dysfunction.

Ability to objectify the deficiency to tissue level, activity limitation and participation restriction; identify priorities and urgency of assessment and intervention; recognize the factors that influence (such as age, occupation, pain, associated conditions, cultural, communication possibilities, level of understanding and context variables) the nature of the means used for evaluation; guide the user during the evaluation; and record the findings of the evaluation.

Develop the level of knowledge, a scientific attitude critical and reflective in interpreting the information; respecting the ethical aspects when gathering information; taking into account the time management; and demonstrating a systematic and comprehensive approach, developing individual skills for evidence-based practice.

 1  Specifies assessment of neuromusculoskeletal conditions -. (1 hours)

      introduction

1.1. clinical reasoning in the neuromusculoskeletal conditions – (3 hours)

      concepts, types and specification of clinical reasoning in NME conditions

      Interpretation and analysis of information gathered in the assessment process creation and confirmation / rejection of hypotheses

      guidelines for collecting and structuring information

      Clinical reasoning in the assessment and Interpretation of pain

      clinical cases

1.2 Realization of the subjective examination – (8 hours)

      body chart

      behavior of  symptoms

      special issues

      story of present episode

      previous history

      story family member

      planning objective examination

      characteristics of different segments / joints

      clinical cases

1.3 Achieving the objective examination – (4 hours)

      observation

      Motion tests

      neurological tests

      specific tests

      tests / functional demo

      palpation

      accessory movements

     Conclusion of the physical examination

      characteristics of different segments / joints

2. Examination and assessment of the components of Functioning and Disability (body functions and structures, activities and participation) and Contextual Factors in musculoskeletal conditions (4h)

2.1. Identification of patterns / diagnosis (1h)

2.2. Determination of prognosis (1h)

Definition of expected objectives;

Frequency and duration of sessions;

Factors that may influence the sessions and the intervention plan;

3. Evidence-based approaches and customer-centered (9h)

Traditional or conservative;

New technologies, including Assistive Technology;

Health promotion and prevention of secondary problems;

Education and counseling;

Community-based rehabilitation;

Other.

NAO

Primary Bibliography

APTA (2001), Guide to physical therapist practice, Physical Therapy, vol.81(1), Jan

Petty, N; Moore, A; Neuromusculoskeletal examination and assessment – A handbook for therapists,Churchill Livingstone, 2ª ed (2001)

Secondary Bibliography

Magee DJ (2005) Orthopedic Physical Assessment Enhanced Edition, WB Saunders, Philadelphia, PA

OMS (2003) Classificação Internacional de Funcionalidade, Incapacidade e Saúde, CIF