physiotherapy degree euif gimbernat course ......physiotherapy degree euif gimbernat course guide...

PHYSIOTHERAPY DEGREE

COURSE GUIDE EUIF GIMBERNAT

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GENERAL INFORMATION

COURSE DATA

Course TECHNICAL ENGLISH Code 200562 Academic Year 2019-2020

ECTS Credits 6 Course Type REQUIRED

Year of Study 3 Semester 1

Schedule Available anytime to students enrolled in this course through the virtual campus

Teaching Language ENGLISH

FACULTY DATA

Professor In Charge Professor’s Name MRS. CARME SANAHUGES

Email [email protected]

Tutorial Schedule To Be Arranged

Other Professors

Professor’s Name MR. NICK EDWARDS



PREREQUISITES

There are no formal prerequisites

CONTEXTUALIZATION OF THE COURSE

Subject: Technical English.

This course aims to lay the foundations of knowledge of the English language to facilitate communication with patients and other health professionals, to understand and work with data and information in this language effectively, and to communicate and present oral and written arguments. In short, to lay the foundations of knowledge of the English language to be able to demonstrate sufficient linguistic competence to be able to function fluently within the context of professional and student exchanges. The course is extremely practical. The four fundamental linguistic skills of reading, writing, listening, and speaking are developed through different types of activities. At the same time, the most common grammatical and discursive structures in medical English are addressed.

https://mail.eug.es/src/[email protected]



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Knowledge of the English language is essential to the profile of the degree program and the profession. English is, in fact, the current lingua franca that allows us to participate in many academic and professional events, especially at the international level. Having a good knowledge of this language will enable us to keep abreast of discoveries, studies, and any type of research on a global scale and to take part in multilingual and multicultural contexts.

COMPETENCIES AND LEARNING OUTCOMES

Specific Competencies

Competency E18. Maintain knowledge, skills, abilities, and aptitudes of professional expertise up to date.

Learning outcomes E18.1. Interpret and analyze information in English derived from documentary sources in the field of health sciences.

Specific Objectives: E18.1.1. Use essential linguistic tools to correctly interpret a written text on health science topics. E18.1.2. Identify the underlying idea. E18.1.3. Identify the most specific and detailed information from a documentary source.

Competency E21. Communicate effectively and clearly, both orally and in writing, with all health system users, as well as with other professionals.

Learning outcomes E21.3. Employ your knowledge of English to communicate within the professional field.

Specific Objectives: E21.3.1. Use the appropriate register according to the speaker. E21.3.2. Communicate in a grammatically correct manner both orally and in writing within a professional environment. E21.3.3. Write a written text on a health issue from a formal point of view in a correct, precise, and coherent way. E21.3.4. Correctly express various linguistic functions (recommendations, obligations, requests, opinions...) that are intended for the professional field in question.

Transversal Competencies

Competency T1. Analyze and summarize.

Learning outcomes Specific Objectives: T1.1. Identify the underlying idea of a text. T1.2. Identify the parts of a text.



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Competency T7. Work as a team.

Learning outcomes Specific Objectives: T7.2. Demonstrate organizational, negotiation, and cooperation skills within the group. T7.3. Develop critical and self-critical skills when working in a team. T7.4. Demonstrate the ability to adapt to the group with an open and flexible attitude. T7.5. Consider and respect other opinions/ideas that are different from your own. T7.6. Demonstrate initiative and the ability to act.

General Competencies

Competency G1. Develop critical thinking and reasoning skills and know how to communicate your thoughts effectively, both in your own languages as well as in a third language.

Learning outcomes Specific Objectives: G1.1. Structure and express one's own reasoning and ideas logically and clearly. G1.2. Argue the rationale that leads to a particular suggestion or that supports an idea. G1.3. Logically and coherently connect different assumptions to reinforce a conclusion.



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CONTENTS

1. Taking a history

1.1. Asking basic questions to the patient 1.2. Common abbreviations in history taking 1.3. Filling in case notes 1.4. Asking about different body systems

2. Examining the patient

2.1. Giving instructions 2.2. Common examination equipment and instruments 2.3. Common medical tests

3. Common medical terminology.

3.1. Medical terms versus everyday English terms for common symptoms and conditions 3.2. Vocabulary of injury 3.3. Word formation

3.3.1. Common prefixes and suffixes 3.3.2. Compound words 3.3.4. Irregular plurals

4. Terms used in anatomy.

4.1. Medical terms versus everyday English terms for anatomical structures 4.2. Describing and locating parts of the body 4.3. Muscles and muscle tone 4.4. Joints

5. Explaining a diagnosis 4.1. Discussing a diagnosis 4.2. Points covered in the explanation of a diagnosis 4.3. Describing technical terms to the patient 4.4. Treatments 6. Reading charts 6.1. Types of charts 6.2. Presenting and describing information shown on a graph or chart 6.3. Describing trends 7. Some medical conditions 7.2. Fractures 7.3. Back pain 7.4. Osteoporosis 7.5. Others 8. The aging process 8.1. Physical and physiological changes 8.2. The physiotherapist and the older adult



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TEACHING METHODOLOGY AND TRAINING ACTIVITIES

DIRECTED ACTIVITIES

Theoretical classes where the basic concepts of medical English are introduced.

Activities aimed at expanding and practicing theoretical concepts.

Estimated hours: 45 SUPERVISED ACTIVITIES

Activities that are mainly communicative in nature, such as role-playing, debates, and expressing opinions. Estimated hours: 7.5.

INDEPENDENT ACTIVITIES

Reading comprehension of English texts from the health field. Estimated hours: 24.

Both individual and group activities proposed in class. Estimated hours: 25.

Independent self-study work for exam preparation, notes and/or materials organization, independent tutorials: individual or group. Estimated hours: 43.5.

TYPE OF ACTIVITY

ACTIVITY LEARNING OUTCOMES STUDENT HOURS

Directed Activities

Theoretical classes E18, E21, T1, T7, G1

45 Expanding and practicing theoretical concepts

E18, E21, T1, T7, G1

Supervised activities

Highly communicative activities

E21, G1, T7 7.5

Independent Activities

Reading comprehension

E18, T1, G1 24

Activities proposed in class

E18, E21, T1, T7, G1 25

Independent work E21 43.5

TOTAL HOURS 145



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ASSESSMENT

The assessment system will be made up of:

Acquired knowledge and specific skills will be assessed using two written tests with an overall weight of 60%.

Text analysis and vocabulary acquisition will be assessed using multiple-choice tests with an overall weight of 30%.

Activities carried out during the course will have an overall weight of 10%. See Appendix I for details of assessment activities. To pass the course, it will be necessary to:

Submit all work following the criteria set by the professor.

Obtain an overall grade for the course equal to or greater than 5. Date of continuous evaluation: 10/28/2019 and 12/12/2019. Procedure for reviewing grades: see the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.

EVALUATION ACTIVITIES PERCENTAGE FINAL GRADE

LEARNING OUTCOMES

STUDENT HOURS

Written tests 60% E18, E21, T1, G1 3

Text analysis and vocabulary acquisition

30% E18, E21, T1, G1 2

Activities carried out during the course

10% E18, E21, T1, T7, G1 ---

TOTAL HOURS 5



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BIBLIOGRAPHY AND WEB LINKS / SOURCES OF BASIC INFORMATION

Other

Title Description

“Inglés Técnico” Packet Necessary material for the classes is accessible through the course's website

BIBLIOGRAPHY AND WEB LINKS / SOURCES OF SUPPLEMENTARY INFORMATION Books

Author(s) Year Title Edition Place Publisher

Murphy, Raymond 1996 English Grammar in Use Cambridge CUP

Web references

Title Description URL

Chartered Society of

Physiotherapy

College of English Physiotherapists

http://www.csp.org.uk

British Medical Journal

Medical journal http://www.bmj.com

The Lancet Medical journal

http://thelancet.com

Stedman’s Medical

Dictionary

Medical dictionary

http://stedmans.com

Medilexicon Medical

dictionary http://pharma-lexicon.com

MedlinePlus Medical

Encyclopedia

Medical dictionary

http://www.nlm.nih.gov/medlineplus/encyclopedia.html

Online Medical Dictionary

Medical dictionary

http://www.online-medical-dictionary.org/

The Terminology of Health and

Medicine A Self-

Instructional Program Jane Rice

Online program for practicing

medical terminology

http://wps.prenhall.com/chet_rice_terminolog_2/3/775/198649.cw/index.html

Oxford English Grammar Course

Online

Interactive exercises to

practice English grammar

www.oup.com/elt/oxfordenglishgrammar

ESOL Courses English Lessons Online



www.esolcourses.com

British Council Learn English



http://learnenglish.britishcouncil.org/en/

English Club

Links and advice to improve

English language writing

www.englishclub.com

http://www.oup.com/elt/oxfordenglishgrammar

http://www.esolcourses.com/



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Cambridge English Write and

Improve



https://writeandimprove.com/

Academic Writing –

University of Warwick



http://www2.warwick.ac.uk/fac/soc/al-archive/leap/writing/

British Council – Learn English

Teens



http://learnenglishteens.britishcouncil.org/skills/writing-skills-practice

The center and the professors of the course are not responsible for the contents of the external links recommended in the bibliography

COURSE SYLLABUS

This information will be available to the student enrolled in this course through the virtual campus



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APPENDIX I- ASSESSMENT DETAILS

EVALUATION ACTIVITIES

There will be two exams, one midterm in the middle of the semester and one exam at the end. Each exam will consist of two tests: Exam 1:

1. Comprehensive assessment (30% of the final grade).

2. Practice test (15% of the final grade).

Exam 2:

1. Comprehensive assessment (30% of the final grade).

2. Practice test (15% of the final grade)

The remaining 10% will be obtained from various activities carried out during the course.

WRITTEN TESTS (Comprehensive assessment) (60%)

Test description/details: Comprehensive assessment in which there will be short or long response exercises and an essay. In this part, we focus on oral comprehension, medical terminology, and written expression. Scoring criteria: The score for each question is specified in the "assessment criteria" section of the exam.

TEXT ANALYSIS AND VOCABULARY ACQUISITION (Practice Test) (30%)

Test description/details: "Practice test," in which there will be a multiple-choice or short response exercises. In this part, we focus on reading comprehension and medical terminology. Scoring criteria: The score for each question is specified in the "assessment criteria" section of the exam.



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ACTIVITIES CARRIED OUT DURING THE COURSE (10%)

The activities outlined below are not compulsory, but if they are not undertaken, the grade assigned to each activity will not be awarded.

Activity I (25%) and Activity II (25%)

Description/detail of the assignment: Activities designed to work more specifically on the specific contents of the course.

Scoring criteria: Students will receive a grade based on 10 points. Both the correctness of the reply and the wording of the response will be taken into account.

Activity III (50%)

Description/detail of the assignment: Group work for completion of a project.

Scoring criteria: Students will receive a grade based on 10 points. The final result will be primarily taken into account, but also, to a lesser extent, the prior creation process will be considered.



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GENERAL INFORMATION

COURSE DATA

Course PHYSIOTHERAPY IN CLINICAL SPECIALITIES OF THE LOCOMOTIVE

APPARATUS - III Code 200560 Academic Year 2019-2020




Teaching Language CATALAN/SPANISH

FACULTY DATA

Professor In Charge Professor’s Name MR. ALFONSO CÁNOVAS



Other Professors

Professor’s Name MRS. ESTHER BERGEL



Professor’s Name MR. JOAN JUVANY



Professor’s Name MRS. SONIA MARTÍNEZ REYGAZA



Professor’s Name MRS. GEMMA PAMPALONA



Professor’s Name MR. CARLES SANTAPAU



Professor’s Name MR. MARC TERRADELLAS



mailto:[email protected]








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PREREQUISITES



Subject: Physiotherapy of the Locomotive Apparatus.

This course aims to establish the foundations of knowledge, treatment, and prevention of the locomotive apparatus at the level of the spine, as well as differential diagnosis and containment techniques of the locomotive apparatus in general.

Knowledge of these sections is fundamental within the profile of the degree program and the profession.



Competency E1. Demonstrate knowledge of the morphology, physiology, pathology, and behavior of people, both healthy and sick, in their natural and social environments.

Learning outcomes E1.21. Describe and analyze human movement. Specific Objectives: E1.21.1. Define the spine in the sagittal plane in geometric terms. E1.21.2. Describe the concepts of harmony and disharmony applied to the sagittal geometry of the spine. E1.21.3. Identify the decreases and increases in the mobility of the various parts of the joints. E1.21.4. Identify the functional patterns of three- and four-curve scoliosis. E1.21.5. Identify bone asymmetry and muscle imbalance. E1.21.6. Identify the pattern of movement of the trunk and extremities. E1.21.7. List the visceral systems. E1.21.8. Analyze the mechanical impact of the locomotive apparatus of visceral origin.



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E1.21.9. Demonstrate knowledge of the physiology of the lymphatic system and its relationship to human movement.

Competency E3. Demonstrate sufficient knowledge of physiotherapeutic methods, procedures, and interventions leading to clinical therapy.

Learning outcomes E3.2. Identify the physiological and structural changes that can occur as a result of physiotherapeutic intervention in locomotive apparatus disorders. Specific Objectives:

E3.2.1. Describe the changes caused to tissue by containment techniques. E3.2.2. Identify mobility restrictions and compensation strategies during posture and movement reeducation. E3.2.3. Identify improvements in posture and movement achieved by performing exercises. E3.2.4. Identify the various consequences caused by organic pathologies in the physiotherapeutic diagnosis and treatment. E3.2.5. Describe and analyze the evolution of lymphedema as a response to manual lymphatic drainage and other techniques.

E3.3. Employ physiotherapeutic methods, procedures, and actions within the different clinical specialties that treat locomotor apparatus disorders.

Specific Objectives: E3.3.1. Describe the general principles of physiotherapeutic treatment for kyphosis and scoliosis. E3.3.2. Describe the principles of the primary evidence-based concepts of physiotherapeutic treatment for scoliosis. E3.3.3. Describe the main orthopedic ideas in the treatment of spinal deformities in general and idiopathic scoliosis in particular. E3.3.4. Differentiate between a brace for the treatment of right convex thoracic scoliosis and a brace for left convex thoracic scoliosis. E3.3.5. Employ various containment procedures. E3.3.6. List the principles of postural correction. E3.3.7. Understand the stabilization and integration of postural correction.

E3.4. Employ specific physiotherapeutic intervention methods to promote a healthy lifestyle concerning the locomotive apparatus through health education.

Specific Objectives: E3.4.1 Define ergonomics and its objectives. E3.4.2 Define the scope and action of ergonomics. E3.4.3. Define the general and specific methods for assessing working conditions in the field of ergonomics. E3.4.4. Describe different methods of ergonomic analysis from a theoretical perspective and practical point of view to be applied within physiotherapy. E3.4.5. Define occupational health. E3.4.6. Define its goal within the prevention framework. E3.4.7. Define occupational disease. E3.4.8. List the types of occupational diseases. E3.4.9. Describe the causes of occupational diseases. E3.4.10. List the causal agents of occupational diseases.



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E3.4.11. Describe good lifestyle advice for people with spinal deformities. E3.4.12. Describe the advice for primary, secondary, and/or tertiary prevention to promote healthy and preventive lifestyle habits concerning the pathology of lymphedema.

Competency E5. Incorporate, through clinical experience, ethical and professional values, knowledge, skills, and attitudes proper to physiotherapy, to solve specific clinical cases in the inpatient, outpatient, primary health care, and community settings.

Learning outcomes E5.1. Solve clinical cases amenable to physiotherapeutic treatment in the field of musculoskeletal system disorders.

Specific Objectives: E5.1.1. Formulate appropriate treatments for proposed clinical cases of trunk deformities. E5.1.2. Identify through anamnesis the most relevant clinical symptoms that a patient displays in a practical case. E5.1.3. List the clinical symptoms that a patient shows with the different pathologies in a clinical case. E5.1.4. List differential diagnoses associated with the clinical symptoms in a practical case. E5.1.5. Plan an appropriate treatment for the clinical case.

Competency E7. Assess the functional state of the patient by taking into account physical, psychological, and social elements.

Learning outcomes E7.4. Describe and employ appropriate physiotherapeutic assessment procedures to determine the degree of impact on the locomotive apparatus and their possible functional repercussions.

Specific Objectives: E7.4.1. Measure thoracic and lumbar angles. Analyze the geometry of the anatomical thoracolumbar transition region through specific measurements. E7.4.2. Identify changes in spinal geometry and classify them by the terms normal kyphosis/lordosis, hyperkyphosis/lordosis, hypokyphosis/lordosis. E7.4.3. Define and describe the Cobb angle. E7.4.4. Define and describe axial rotation. E7.4.5. Define the Adams Forward Bend Test. E7.4.6. Describe a positive, negative, and questionable Adams Forward Bend Test. E7.4.7. Identify dorsal and ventral asymmetry associated with idiopathic scoliosis. E7.4.8. Name the clinical signs and symptoms associated with idiopathic scoliosis. E7.4.9. Identify a scale for assessing the appearance of a trunk deformity.

E7.4.10. Identify the SRS-22 health-related quality of life questionnaire specific to scoliosis. E7.4.11. Measure the angle of trunk rotation with the scoliometer in the Adams Forward Bending Test and in the prone position. E7.4.12. Identify the postural changes and motor control improvements achieved by performing exercises.



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Competency E8. Determine a physiotherapeutic diagnosis according to standards and with internationally recognized validation instruments.

Learning outcomes E8.3. Establish diagnostic physiotherapeutic hypotheses through clinical cases with musculoskeletal system disorders.

Specific Objectives: E8.3.1. Identify the presence of structural kyphosis. E8.3.2. List and describe the clinical signs of Scheuermann’s disease as well as its functional limitations. E8.3.3 List and describe the typical radiological signs of Scheuermann’s disease of the thoracic, thoracolumbar, and lumbar areas. E8.3.4. Identify the radiological signs of confirmation/exclusion of structural scoliosis. E8.3.5. Define idiopathic scoliosis. E8.3.6. Describe clinical forms of idiopathic scoliosis by age of onset. E8.3.7. Classify scoliosis according to SRS-22 terminology. E8.3.8. Interpret idiopathic scoliosis as a fundamental phenomenon. E8.3.9. Classify scoliosis into clinical forms according to evolutionary prognoses. E8.3.10. Describe the 3D nature of idiopathic scoliosis. E8.3.11. Differentiate between the mechanical and geometric rotation of the spine. E8.3.12. Differentiate between structural and geometric flatback syndrome and paradoxical kyphoscoliosis. E8.3.13. Distinguish between different factors in the pathomechanism of the progression of idiopathic scoliosis. E8.3.14. Define, in a simplified way, the etiopathogenic model of idiopathic scoliosis based on the bipolar idea of the neuro-osseous maturation clock. E8.3.15. Differentiate between adult idiopathic scoliosis and de novo adult degenerative scoliosis. E8.3.16. Identify regional or local physical deficiencies necessary for the subsequent therapeutic containment approach. E8.3.17. Distinguish between three and four-curve scoliosis. - Identify the muscular imbalance for these types of scoliosis. - Identify the movement pattern for each type of scoliosis. - Identify restriction areas that hinder static and dynamic

symmetry. E8.3.18. Make a differential diagnosis between a primary musculoskeletal pathological condition and a systemic pathological condition that has somatic repercussions. E8.3.19. Identify the symptomatology involved in an organic disorder that has musculoskeletal implications.

Competency E9. Design a physiotherapeutic intervention plan according to criteria of appropriateness, validity, and efficiency.

Learning outcomes E9.4. Define the general and specific objectives for the application of physiotherapeutic treatment in locomotive apparatus disorders.

Specific Objectives: E9.4.1. Identify the primary objectives of containment in the treatment and prevention of regional or local physical deficiencies



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of the affected musculoskeletal structures. E9.4.2. Identify the therapeutic objectives of the physiotherapeutic treatment of scoliosis related to the mechanical and neurophysiological bases.

E9.5. Describe the circumstances that determine the action priorities in the physiotherapeutic treatment of locomotor apparatus disorders.

Specific Objectives: E9.5.1. Identify the main indications and contraindications of bandaging. E9.5.2. Identify the presence of a visceral functional disorder. E9.5.3. Identify when a visceral functional disorder produces a musculoskeletal impairment that requires physiotherapeutic intervention. E9.5.4. Identify when a case of scoliosis needs conservative treatment and determine what type of treatment is required.

E9.6. List the different types of material and apparatus to be used in the physiotherapeutic treatment of locomotor apparatus disorders.

Specific Objectives: E9.6.1. Use various types of bandages: cotton, non-adhesive elastic, adhesive elastic, kinesiotaping. E9.6.2. Use the Bunnell's scoliometer, the Perdriolle torsiometer, and the Raimondi chart.

Competency E17. Participate in the development of physiotherapeutic health care protocols based on scientific evidence, promoting professional activities that stimulate research in physiotherapy.

Learning outcomes E17.1. Describe and analyze physiotherapeutic health care protocols based on evidence of musculoskeletal system disorders.

Specific Objectives: E17.1.1. List the various physiotherapeutic health care protocols for spinal deformities.

Competency E20. Employ quality assurance mechanisms in the practice of physiotherapy, according to recognized and validated criteria.

Learning outcomes E20.3. Describe useful clinical practice guidelines applied to locomotor apparatus disorders.

Specific Objectives: E20.3.1. Describe useful clinical practice guidelines applied to spinal deformities.



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Competency T2. Organize and plan.

Learning outcomes Specific Objectives: T2.1. Plan the process to be followed based on patient examination to reach the intended treatment goals using bandages. T2.2. Develop the treatment for the proposed clinical cases according to logical clinical algorithms and reasoning.


Competency G2. Develop independent learning strategies.

Learning outcomes This competency is considered to be developed in this course by working on “T2. Organizing and planning.”



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CONTENTS

1. SPINAL DEFORMITIES

1.1. Sagittal plane 1.1.1. Normal spine in the sagittal plane 1.1.2. Sagittal plane deformities 1.1.3. Scheuermann’s Juvenile Kyphosis

1.2. Scoliosis 1.2.1. Morphological and non-morphological scoliosis 1.2.2. Idiopathic Scoliosis (IS) 1.2.2.1. Definition 1.2.2.2. Cobb's angle 1.2.2.3. SRS Terminology 1.2.2.4. Calcification by the age of onset (infant, juvenile, adolescent) 1.2.2.5. Trunk/spinal deformity 1.2.2.6. Radiographic measurements (^Cobb, axial rotation, T1 frontal balance and

transition. Risser) 1.2.2.7. Classification according to anatomo-radiological pattern 1.2.2.8. Two-phase process 1.2.2.9. Classification into clinical forms according to evolving prognosis. Natural history of

IS (idiopathic scoliosis) 1.2.2.10. 3D Nature - Etiopathogenesis and pathomechanism of progression. 1.2.2.11. Structural, geometric flatback paradoxical kyphoscoliosis

1.2.3. Adult idiopathic scoliosis 1.2.3.1. Clinical signs and symptoms. Natural history and quality of life. Questionnaires,

tests, and scales. 1.2.3.2. SRS classification of spinal deformities in adults. 1.2.3.3. Degenerative adult scoliosis

1.3. Comprehensive rehabilitation model in the conservative treatment of spinal deformities 1.3.1. Observation/information/education 1.3.2. Specific physiotherapy (schools with levels of evidence) 1.3.2.1. General principles

1.3.2.1.1. German school of Schroth 1.3.2.1.2. Polish school (DOBOMED) 1.3.2.1.3. Italian school ISICO (SEAS) 1.3.2.1.4. Barcelona Scoliosis Physiotherapy School (BSPTS) 1.3.2.1.5. Other concepts

1.3.3. Orthopedic treatment. 1.3.3.1. American school (CTLSO and TLSO) 1.3.3.2. French and Italian school (EDF, Lyon, SPoRT) 1.3.3.3. Corsé of Chêneau and similar 1.3.3.4. Other concepts 1.3.3.5. BSPTS, Schroth General Principles 1.3.3.6. Specific correction principles 1.3.3.7. Correction strategies

1.3.4. Three-dimensional physiotherapeutic treatment for scoliosis. Global approach 1.3.5. GAP description and pelvic angle



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2. PHYSIOTHERAPY OF SPINAL DEFORMITIES 2.1. Disorders of the trunk, clinical assessment, and specific exercises

2.1.1. Collapsed trunk 2.1.2. Juvenile kyphosis or Scheuermann’s disease 2.1.3. Swayback 2.1.4. Reversal of curves 2.1.5. Scoliosis 2.1.5.1. Scoliosis: Central nervous system disorders and their implications for

rehabilitation 3. DIFFERENTIAL DIAGNOSIS IN PHYSIOTHERAPY

3.1. Visceral influences on the locomotor apparatus. 3.2. Cardiovascular system.

3.2.1. Introduction 3.2.2. Cardiac and vascular clinical overview. 3.2.3. Cardiovascular warning signs and symptoms. 3.2.4. Influences in physiotherapy. 3.2.5. Differential diagnosis of cardiovascular pathologies with impact on the somatic

system. 3.3. Digestive system.

3.3.1. Introduction. 3.3.2. Clinical overview of the digestive system. 3.3.3. Digestive warning signs and symptoms. 3.3.4. Influences in physiotherapy. 3.3.5. Differential diagnosis of digestive pathologies with an impact on the somatic system.

3.4. Liver and biliary system. 3.4.1. Introduction. 3.4.2. Clinical overview of the biliary liver system. 3.4.3. Warning liver and biliary signs and symptoms. 3.4.4. Influences in physiotherapy. 3.4.5. Differential diagnosis of hepatic and biliary pathologies with an impact on the

somatic system. 3.5. Urological renal system.

3.5.1. Introduction. 3.5.2. Clinical overview of the renal and urological systems. 3.5.3. Renal and urological warning signs and symptoms. 3.5.4. Influences in physiotherapy. 3.5.5. Differential diagnosis of renal and urological pathologies with implications on the

somatic system. 3.6. Endocrine system.

3.6.1. Introduction. 3.6.2. Clinical overview of the endocrine system. 3.6.3. Digestive system warning signs and symptoms.

3.7. Female reproductive system. 3.7.1. Introduction. 3.7.2. Clinical overview of the female reproductive system. 3.7.3. Female reproductive system warning signs and symptoms. 3.7.4. Influences in physiotherapy. 3.7.5. Differential diagnosis of gynecological pathologies with implications on the somatic

system. 4. BANDAGING

4.1. Non-adhesive inelastic bandages 4.1.1. Forearm bandaging 4.1.2. Wrist bandaging



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4.1.3. Thumb MTCF ligament bandaging 4.1.4. Palm and back of hand bandaging 4.1.5. Finger bandaging 4.1.6. Ankle bandaging 4.1.7. Immobilizing bandaging of the shoulder girdle - sling

4.2. Non-adhesive elastic bandaging. 4.2.1. Foot, ankle, leg compression bandaging 4.2.2. Hand, wrist, and forearm compression bandaging 4.2.3. Figure-eight knee bandaging 4.2.4. Transtibial amputation stump bandaging 4.2.5. Transfemoral amputation stump bandaging 4.2.6. Ankle compression bandaging 4.2.7. Figure-eight elbow bandaging

4.3. Adhesive elastic bandaging. 4.3.1. Scapular waist stabilizer bandaging 4.3.2. Elbow extension limitation bandaging 4.3.3. Quadriceps fibrillary rupture bandaging 4.3.4. Compression foot-ankle-leg bandaging 4.3.5. Deltoid inhibitor neuromuscular bandaging (3 parts) 4.3.6. Neuromuscular Inhibitor bandaging for upper trapezius contractures. 4.3.7. Neuromuscular bandaging for collateral ligament injuries of the knee 4.3.8. Neuromuscular bandaging for injuries of the external lateral ligaments of the ankle 4.3.9. Neuromuscular inhibitor bandaging for triceps surae overload 4.3.10. Neuromuscular inhibitor bandaging and toning for the epicondyle muscles 4.3.11. Neuromuscular bandaging for cervical paravertebral muscles 4.3.12. Neuromuscular inhibitor bandaging for lumbar paravertebral muscles 4.3.13. Neuromuscular bandaging for trigger points and space augmentation

4.4. Adhesive inelastic bandaging. 4.4.1. Functional ankle bandaging for ligament injuries (LLE) 4.4.2. Functional bandaging for capsule-ligament injuries of the fingers 4.4.3. Functional thumb bandaging for joint injuries. Metacarpophalangeal joint (MCP),

trapeziometacarpal joint (TM), and tendons 4.4.4. Functional bandaging for plantar fasciitis 4.4.5. Bandaging plantar arch insufficiency - hyperpronation - low die. 4.4.6. Functional bandaging for bunions

4.4.7. Mulligan taping for recentering the humeral head

4.4.8. Mulligan taping for Achilles tendinopathy

4.4.9. Mulligan taping for the gastrocnemius muscles

4.4.10. McConell taping for epicondylalgia

4.4.11. McConell taping for decompression of Hoffa's fat pad abnormalities

4.4.12. McConell taping for recentering the kneecap 5. ERGONOMICS AND OCCUPATIONAL HEALTH

5.1. Ergonomics. 5.1.1. Introduction to ergonomics: fundamental concepts. 5.1.2. Areas of ergonomic action. 5.1.3. General and specific techniques for evaluating working conditions.

5.2. Occupational health 5.2.1. Introduction to ergonomics: fundamental concepts. 5.2.2. Areas of ergonomic action. 5.2.3. General and specific techniques for the evaluation of working conditions.

5.3. Damage to health as a result of work. 5.3.1. Description of occupational disease. 5.3.2. Work-related illness.



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5.3.3. Prevention of illness in the workplace. 5.3.4. Occupational illnesses. 5.3.5. General aspects of occupational illnesses. 5.3.6. Causes of occupational illnesses. 5.3.7. Causal agents of occupational illnesses.

6. LYMPHATIC DRAINAGE 6.1. Structure of the lymphatic system. 6.2. Physiology of the lymphatic system. 6.3. Lymphatic anatomy. 6.4. Physiopathology of edema. 6.5. Venous system screening tests. 6.6. Lymphatic system screening tests. 6.7. Physiotherapeutic evaluation and diagnosis concerning lymphatic edema. 6.8. Treatment of lymphoedema. 6.9. Practice of manual lymphatic drainage. 6.10. Prevention and education with respect to the circulatory system.



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DIRECTED ACTIVITIES

Theoretical presentations where the technical bases will be provided on which the students will learn different interventions through deductive procedures, with graphic and computer support. Estimated hours: 29.5.

Practical presentations where the professor will explain, on a model, how the different techniques are performed. Graphic and computer support will be used.

Estimated hours: 14.

SUPERVISED ACTIVITIES

Practical student group activity, under the supervision of the professor, to employ the different techniques presented in class.



Supplement the knowledge transmitted by the professor by reading additional bibliographic literature that can be assessed by written tests. Estimated hours: 20.

Writing of papers: Research of scientific evidence establishing the degree of influence in physiotherapy on

organic pathological conditions. Describe a clinical case concerning spinal deformities.


Independent self-study work for exam preparation, notes and/or materials organization, independent tutorials: individual or group.

Estimated hours: 45.5.



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TYPE OF ACTIVITY


Directed Activities

Theoretical presentations

E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3

29.5

Practical presentations E1.21, E3.3, E3.4, E5, E7.4, E8

14


Practical Student Activity

E1.21, E3.3, E3.4, E5, E7.4, E8

18


Bibliography reading E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E17, E20.3,

20

Writing of papers E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3, T2, G2

20

Independent work E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3

45.5

TOTAL HOURS 147



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ASSESSMENT


Knowledge acquired in each of the blocks of the course by means of written tests. With an overall weight of 35%.

Manual skill in the application of the different techniques, as well as the adaptation of the chosen technique/procedure to the situation at hand, by means of practical tests. With an overall weight of 55%.

Written assignments submitted. With an overall weight of 10%.

The following conditions must be met to pass the course:

Pass each of its segments and the parts that make them up, with a minimum score of 5.

Have attended 100% of the practical classes (If there is a well-founded reason, it is permissible to miss up to 20% of the practical classes).

Obtain an overall grade for the course equal to or greater than 5. Internal Practice Regulations:

Consult the contents of the Internal Practice Regulations of the Center regarding the minimum requirements demanded of the student in the development of the course's practical activities.

Final assessment test period: 1/8/2020 to 1/20/2020. Make-up period for the final assessment tests: 1/21/2020 to 2/5/2020. Procedure for reviewing grades: see the Center's Evaluation Guidelines A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

Written tests 35% E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3

2

Practical tests 55% E1.21, E3.3, E3.4, E5, E7.4, E8

1

Written assignments 10% E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3, T2, G2

---

TOTAL HOURS 3




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Books


P.R. Mondelo, Enrique Gregori Torada y otros

2001 Ergonomía 1. Fundamentos Barcelona Ediciones U.P.C

Ruiz-Frutos C, Garcia AM, Declòs J, Benavides FG.

2007 Salud laboral: Conceptos y técnicas para la prevención de riesgos laborales.

3ª Barcelona Masson

Derek Field 2004 Anatomía, palpación y localización superficial.

Barcelona Paidotribo

Goodman C.C. 2003 Patología médica para fisioterapeutas

Madrid Mc. Graw Hill

Surós, A. Surós Batlló,J. 2001 Semiología médica y técnica exploratoria.

8ª Barcelona Masson

Txema Aguirre Maria Achalanda Baso

2009 Kinesiología, tape manual, aplicaciones prácticas

Biocorp Europa

Kenso Kase, Jim Wallis Tsuyoshi Kase

2003 Clinical Therapeutic applications of the Kinesio taping method

2ª Kinesio Taping Association

Christa Lehnert-schroth 2004 Tratamiento tridimensional de la escoliosis funcional

1a Barcelona Paidotribo

Rigo, Manuel. Weiss, Hans-rudolf

2004 Fisioterapia para la escoliosis basada en el diagnóstico

1a Barcelona Paidotribo

Martínez Reygaza,Sonia.Lefief-Delcourt,Alix

2018 Soulager votre mal de dos sans médicaments

1ª France Leduc

Leduc A, Leduc O 1978 Le drainage limphatique France Masson

Ferrandez J C 2006 El sistema linfático Argentina Panamericana

Articles

Author Title Magazine Volume Year Pages Description/ Commentary

Jean-Claude Ferrandez y col.

Reeducación linfático-venosa:nuevas tendencias

Kinésitérapie Nº 504 2009

Serge Theys Presoterapia y electroestimulación



Monografico de drenaje linfático


Web references


Apuntes del bloque “Deformidades de Columna”

Intranet de la Escuela correspondiente a la asignatura

SOSORT Consensus papers Published in “Scoliosis the Journal”

www.scoliosisjournal.com

Apuntes del profesor Spinal physiotherapy. Intranet de la Escuela correspondiente a la asignatura.

Apuntes del profesor Bandaging Intranet de la Escuela correspondiente a la asignatura.

Kinesio taping in pediatrics www.Kinesiotaping.com

BIBLIOGRAPHY AND WEB LINKS / SOURCES OF SUPPLEMENTARY INFORMATION

http://www.scoliosisjournal.com/

http://www.kinesiotaping.com/



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Books


Travell y Simons 2004 Dolor y disfunción miofascial Vol 1 Madrid Panamericana

Travell y Simons 2004 Dolor y disfunción miofascial Vol 2 Madrid Panamericana

McMahon,S. Koltzenburg,M.Wall&Melzack

2006 Tratado del dolor 5ª Madrid Elsevier

Loeser. Bonica. 2003 Terapéutica del dolor Vol. 1 3ª México Mc Graw Hill

Loeser. Bonica 2003 Terapéutica del dolor Vol. 2 3ª México Mc Graw Hill

Guyton/ Hall 2001 Tratado de fisiología médica 10ª México Mc Graw Hill

Hauser,K., Longo,B., Jameson F. Harrison.

2005 Principios de medicina interna 16ª Madrid Mc Graw Hill

Papadakis, Maxine A., Mc Phee,Stephen J.

2006 Consulta rápida. Medicina clínica

Hebgen, Eric.

2005 Mc Graw Hill

Hebgen, Eric. 2005 Osteopatía Visceral, fundamentos y técnicas

2ª Madrid Mc Graw Hill

Geof Maitland, Hengelveld Elly, Banks Kevin, English Kay.

2007 Maitland, manipulación vertebral.

7ª Madrid Elsevier

François Ricard. 2008 Tratado de Osteopatía visceral y medicina interna, sistema digestivo.

Madrid Panamericana

Brigit Kumbrink 2009 K-Taping international Academy

Springer

Warszawski G

2006 Drenaje linfático. Rehabilitación el edema, flebología y linfología

Argentina Corpus

Leduc A y col. 1990 Traitament physique de lóedème du bras

France Masson

Leduc A, Leduc O 1992 Drenaje del miembro inferior Barcelona Masson

Viñas F 1998 La linfa y su drenaje manual Barcelona Integral

Web references


Scoliosis the Journal

www.scoliosisjournal.com

SOSORT

www.sosort.mobile/

SRS

www.srs.org

Scoliosis the Journal www.scoliosisjournal.com

COURSE SYLLABUS


http://www.scoliosisjournal.com/

http://www.sosort.mobile/

http://www.srs.org/



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APPENDIX - I ASSESSMENT DETAILS

WRITTEN TESTS (35%)

Theoretical multiple-choice test:

Spinal deformities (25%).

Differential diagnosis (25%).

Ergonomics and Occupational Health (25%).

Lymphatic Drainage (25%) At the end of the semester, there will be make-up tests. It is imperative that you had taken the ordinary examination.



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PRACTICAL ORAL TESTS (55%)

SPINAL DEFORMITIES (50%) (Mr. Carles Santapau)

Test description/details:

Continuous evaluation (Socratic, short question...)

Practical assessment of an exercise that will have been practiced in class

Scoring criteria:

The continuous assessment will be worth 4 points

The practical assessment will be worth 6 points

BANDAGING (50%) (Mr. Marc Teradellas, Mr. Joan Juvany) Activity-I (50%)

Test description/details:

Multiple choice test on practical contents: Total number of questions on the test: 20.

Penalty for an incorrectly answered question: -25% of the value of the correct answer.

Maximum time for the test: 30 minutes.

Activity-II (50%)

Test description/details: One or two bandages are questioned depending on the degree of difficulty. This test takes place at the end of the semester, on the last day of class. Scoring criteria:

Application of the bandaging (4 points)

Bandaging irregularities (3 points)

Information about the bandaged patient (2 points)

Continuous assessment (1 point)

Additional point for attitude and excellence in the completion of the practicals.



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WRITTEN WORK (10%) (Mr. Alfonso Cánovas/Mrs. Sonia Martínez/Mr. Carles Santapau)

Description/detail of the assignment: Within student groups, a critical reading of a scientific article previously selected from research carried out following the search criteria given previously by the professor. Scoring criteria:

The test is passed with a score of 5 or more points.

A total of 10 items must be answered.



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GENERAL INFORMATION

COURSE DATA

Course PHYSIOTHERAPY IN NEUROLOGY - II Code 200561 Academic Year 2019-2020


Year of Study

3 Semester 1



FACULTY DATA

Professor In Charge

Professor’s Name MRS. ELIA GONZÁLEZ ROCH



Other Professors

Professor’s Name MRS. MARTA FERNÁNDEZ LOBERA



Professor’s Name MRS. NÚRIA PASTALLÉ BURRULL



Professor’s Name MRS. LLUÏSA PORTE CARRERA



Professor’s Name MRS. RUT BARENYS CANTERO



PREREQUISITES

There are no official prerequisites, but in order to take this course, we recommend that you should already have passed the course "PHYSIOTHERAPY IN NEUROLOGY - II" during the second semester of the second year of study.







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Subject: Physiotherapy in Neurology.

This course aims to transmit to the student the theoretical knowledge and practical skills to carry out evaluations and treatments based on scientific evidence in the field of neurological physiotherapy, studying in-depth specific areas such as pediatric neurological physiotherapy and specific physiotherapy for pain.

The main objective of this is to provide the student with a critical vision that allows him to analyze and use in the most appropriate way the various therapeutic options that currently exist, as well as to encourage motivation for research in the field of neurology.




Learning outcomes E3.6. Identify the physiological and structural changes that can occur as a result of physiotherapeutic intervention in neurological disorders.

Specific Objectives: E3.6.1. Experience changes in muscle tone that occur when applying inhibition techniques. E3.6.2. Experience tissue response when applying myofascial techniques. E.3.6.3. Experience changes in muscle tone that occur when applying neurodynamic techniques. E3.6.4. Experience changes in motor control that occur when applying movement facilitation techniques and strategies for learning motor skills. E.3.6.5. Experience changes in motor control that occur when applying oral motor control facilitation techniques related to feeding.

E3.7. Employ physical therapeutic methods, procedures, and interventions in the treatment of neurological disorders.

Specific Objectives: E3.7.1. Employ specific myofascial techniques for the upper and lower limbs and face. E3.7.2. Employ specific neurodynamic techniques to the upper and lower limbs. E3.7.3. Employ techniques to improve the planning of voluntary movement. E3.7.4. Use movement facilitation techniques properly. E3.7.5. Employ strategies for learning about voluntary movement. E3.7.6. Describe the procedures used in the treatment of



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neuropathic pain. E.3.7.7. Adequately employ oral motor control strategies related to eating.

Competency E5. Incorporate, through clinical experience, ethical and professional values, knowledge, skills, and attitudes proper to physiotherapy in order to solve specific clinical cases in the inpatient, outpatient, primary healthcare, and community settings.

Learning outcomes E5.2. Solve clinical cases subject to physiotherapeutic treatment in the field of neurological disorders. Specific Objectives:

E5.2.1. Choose the most appropriate physiotherapeutic interventions or procedures for the resolution of specific clinical cases in the field of neurological physiotherapy. E5.2.2. Develop empathic skills for people with neurological disorders. E5.2.3. Choose exercises according to motor, sensory, and cognitive impairments within the framework of clinical cases involving hemiplegic patients.

Competency E7. Assess the functional state of the patient by taking into account physical,

psychological, and social elements.

Learning outcomes E7.5. Describe the basis for the assessment of nervous system disorders. Specific Objectives: E7.5.1. Develop a rehabilitative medical history focused on building observation skills. E7.5.2. Interpreting the terminology of neurological conditions in hospital discharge reports. E7.5.3. Differentiate between different types of pain and their characteristics. E7.5.4. Identify disorders specific to neuropathic pain: allodynia, hypersensitivity, and hypesthesia. E7.5.5. Identify the central and peripheral sensitization phenomena characteristic of neuropathic pain. E7.5.6. List the systems involved in processing pain in order to obtain a more detailed assessment.

E7.6. Employ appropriate physiotherapeutic assessment procedures to determine the degree of affectation of the nervous system and its possible functional impact.

E7.6.3. Choose the appropriate assessment tools to measure specific disorders in clinical cases involving neurological patients presented in class. E7.6.4. Observation of behavioral differences between different neurological pathological conditions. E7.6.5. Proper use of the different neuropathic pain rating scales. E7.6.6. Choose the appropriate assessment tools most commonly used in pediatrics to measure a particular disorder within the framework of a clinical case presented in class.



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Learning outcomes E8.5. Design a physiotherapeutic diagnostic hypothesis based on clinical cases involving neurological conditions.

E8.5.1. Formulate a diagnostic hypothesis based on the impairments detected (motor, sensory, and cognitive) during a neurological physiotherapeutic examination. E8.5.2. Formulate a diagnostic hypothesis based on the deficits detected in a neuropathic pain management physiotherapeutic examination. E8.5.3. Formulate a diagnostic hypothesis based on the deficits detected (motor, sensory, and cognitive) in a physiotherapeutic examination of a child with motor impairment.

Competency E9. Design a physiotherapy intervention plan according to criteria of appropriateness,

validity, and efficiency.

Learning outcomes E9.8. Define the general and specific objectives for the application of physiotherapeutic treatment for neurological disorders.

Specific Objectives: E9.8.1. Plan short and long-term treatment goals based on the diagnostic hypothesis. E9.8.1. Describe the various models of color.

E9.9. Describe the circumstances that influence the intervention priorities in the physiotherapeutic treatment of neurological disorders.

Specific Objectives: E9.9.1. Identify the disorder of different functional systems in order to establish a treatment. E9.9.2. Prioritize the type of intervention according to the setting in which the patient is treated.

E9.10. List the different types of material and apparatus to be used in the physiotherapeutic treatment of neurological disorders.

Specific Objectives: E9.10.1. Name the different types of technical aids that improve the function of neurological patients. E9.10.2. List the various technical aids and adaptations for each functional need of the neurological patient. E9.10.3. Name and list the various rehabilitation measures that are appropriate to achieve maximum functionality and independence.

Competency E17. Participate in the development of physiotherapeutic healthcare protocols based

on scientific evidence, promoting professional activities that stimulate research in physiotherapy.

Learning outcomes E17.2. Describe and analyze the evidence-based physiotherapeutic health care protocols for nervous system disorders.

Specific Objectives: E17.2.1. List the various evidence-based physiotherapeutic health care protocols for nervous system disorders.



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Learning outcomes E20.5. Describe useful clinical practice guidelines applied to neurological disorders.

Specific Objectives: E20.5.1. Name and identify useful clinical practice guidelines applied to pathological neurological conditions.


Competency T9. Critical Thinking.

Learning outcomes Specific Objectives: T9.1. Assess the differences and similarities between different neurological physiotherapeutic techniques. T9.2. Objectively critique scientific papers provided by the course professors.



Learning outcomes This competency is considered to be developed in this course by working on “T9. Critical Thinking” competencies.

CONTENTS

1. CENTRAL NERVOUS SYSTEM PHYSIOTHERAPY - II

1.1 The hemiplegic patient; special considerations. 1.1.1 Chronic Back Pain Syndrome. 1.1.2 Techniques to improve the voluntary movement. 1.1.3 Pusher syndrome. Characteristics and treatment. 11.1.4 Technical aids to improve function. Lower limb splints. 1.1.5 The treatment of hemineglect.

1.2 Neurological physiotherapy for cerebellar syndrome: 1.2.1 Characteristics of the cerebellar patient. 1.2.2 Treatment of the foot of the cerebellar patient. 1.2.3 Techniques for improving trunk control for the cerebellar patient. 1.2.4 Techniques for improving balance for the cerebellar patient. 1.2.5 Techniques for improving walking for the cerebellar patient.

1.3 Neurological physiotherapy in the treatment of focal dystonia. 1.4 Neurological physiotherapy for the treatment of multiple sclerosis. 1.5 Limbic system: Implications for neurological physiotherapy and motor learning

2. COGNITIVE THERAPEUTIC EXERCISE - II

2.1 The hemiplegic patient. 2.1.1 Exercises to improve trunk functions: treatment with ETC. 2.1.2 Exercises to improve upper limb function: treatment with ETC. 2.1.3 Exercises to improve lower limb function: treatment with ETC. 2.1.4 Observation and assessment of the hemiplegic patient: clinical reasoning using clinical cases.



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2.2 The spinal cord injury patient. 2.2.1 Motor and sensory problems associated with spinal cord injury. 2.2.2 Principles of treatment of spinal cord injury patients. 2.2.3 Complications during recovery of the spinal cord injury patient. 2.2.4 Treatment of spinal cord injury patients. 2.3 The Parkinson's disease patient. 2.3 Problems of the Parkinson's disease patient. 2.3 Treatment principles for the Parkinson's disease patient. 2.3 Neurocognitive treatment of the Parkinson's disease patient. 2.4. The facial nerve injury patient. 2.4 Problems of the facial nerve injury patient. 2.4 Treatment principles of the facial nerve injury patient. 2.4 Neurocognitive treatment of the facial nerve injury patient. 2.5 The traumatic brain injury patient. 2.5 Problems of the traumatic brain injury patient. 2.5.2 Treatment of the traumatic brain injury patient.

3. PEDIATRICS

3.1 Main pediatric neurological pathological conditions. 3.1.1 Cerebral palsy. 3.1.2 Neuromuscular diseases. 3.1.3 Hereditary ataxias. 3.1.4 Spina bifida. 3.1.5 Syndromes involving motor delay.

3.2 Physiotherapeutic intervention. 3.2.1 Different areas of intervention. 3.2.2 Motor and functional assessment. 3.2.3 Programming of objectives. 3.2.4 Methodological approaches. 3.2.5 Physiotherapeutic treatment. 3.2.6 Indication and use of various technical aids.

3.3 Intervention in the handling of feeding.

4. NEUROPATHIC PAIN 4.1 General concepts of pain.

4.1.1 Classification. 4.1.2 Clinical characteristics of the different types of pain.

4.2 Neurophysiological bases of pain. 4.2.1 Systems involved in the processing of pain. 4.2.2 Central and peripheral sensitivity.

4.3 Models of pain management. 4.4 Neuropathic pain.

4.4.1 Assessment scales. 4.4.2 Medical treatment. 4.4.3 Physiotherapy treatment.



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DIRECTED ACTIVITIES

Master classes with the support of ICT, where the theoretical basics of evaluation methods advanced in neurological physiotherapy, will be provided. Estimated hours: 25.5.

Practical presentations where the professor will explain, on a model, how the different techniques are performed, linking them with clinical cases. The students will practice the various techniques among themselves. Graphic and computer support will be used. Estimated hours: 13.5.

Presentation and resolution of clinical cases. Different clinical cases will be presented from which the students will have to make or employ their theoretical knowledge regarding rehabilitation practice. Estimated hours: 4.5


Practical student group activity, under the supervision of the professor, in order to employ the different techniques presented. Estimated hours: 21

Group work: Journal club: Analysis of a scientific article provided by the course professors and subsequent critical explanation to the group in class. Estimated hours: 9.


Research and processing of information regarding a pediatric clinical case. Estimated hours: 5.

Work to incorporate the knowledge acquired during the reading of a chapter of a bibliographic reference work. Estimated hours: 10.




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TYPE OF AVTIVITY


Directed Activities


E3.6, E3.7, E5, E7.5, E8.5, E9.8, E9.9, E9.10, E17, E20.5

25.5

Practical presentations E3.7, E5, E7.5, E7.6, E8.5 13.5

Presentation and resolution of clinical cases

E3.7, E5, E7.5, E7.6, E8.5, E9.8, E9.9, E9.10, E17, T9, G2

4.5



E3.7, E5, E7.5, E7.6, E8.5 21

Group Work E3.6, E3.7, E5, E7.5, E7.6, E8.5, E9.8, E9.9, E9.10, E17, T9

9


Researching and processing information

E3.6, E3.7, E5, E7.5, E7.6, E8.5, E17, E20.5

5

Writing of papers E3.6, E3.7, E5, E7.5, E7.6, E8.5, E9.8, E9.9, E9.10, E17, E20.5, T9, G2

10

Independent work E3.6, E3.7, E5, E7.5, E7.6, E8.5, E9.8, E9.9, E9.10, E17, E20.5

58.25

TOTAL HOURS 146.75



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ASSESSMENT


The knowledge acquired in each of the blocks of the course by means of written tests. With an overall weight of 40%.

Manual skill in the application of the different techniques, as well as the adaptation of the chosen technique/maneuver to the situation at hand, by means of practical tests. With an overall weight of 35%

Analysis of pediatric clinical cases 7.5%.

Work on a reference work 7.5%.

Group work (JOURNAL CLUB) 10%.

See Appendix I for details of assessment activities.

In order to pass the course, it will be necessary to:


Present and approve all work respecting the criteria set by the professor.




Final assessment test period: 1/8/2020 to 1/20/2020. Make-up period for the final assessment tests: 1/21/2020 to 2/5/2020.

Procedure for reviewing grades: see the Center's Evaluation Regulations.

A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


PERCENTAGE FINAL GRADE

LEARNING OUTCOMES

STUDENT HOURS

Written tests 40

E3.6, E3.7, E5, E7.5, E8.5, E9.8, E9.9, E9.10, E17, E20.5

2

Practical tests 35 E3.7, E5, E7.5, E7.6, E8.5 1

Written papers and clinical cases presented in class 15

E3.6, E3.7, E5, E7.5, E7.6, E8.5, E9.8, E9.9, E9.10, E17, E20.5, T9, G2

--------------------

Group activities 10

E3.6, E3.7, E5, E7.5, E7.6, E8.5, E9.8, E9.9, E9.10, E17, T9

0.25

TOTAL HOURS 3.25



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Books


FISIOTERAPIA EN NEUROLOGÍA

Stokes, M 2013 Fisioterapia en la rehabilitación neurológica

3ª Madrid Elsevier

Umphered D 2007 Neurological Rehabilitation 5ª St.Louis, Missouri

Elsevier

Cano de la Cuerda 2012 Neurorehabilitación Primera Madrid Panamericana

FISIOTERAPIA EN NEUROLOGÍA Y MÉTODO PERFETTI

Kandel E, Schuwartz J, Jessell T

2001 Principios de neurociencia 3ª Madrid McGraw-Hill Interamericana

MÉTODO PERFETTI

Perfetti, C 1999 El ejercicio Terapéutico Cognoscitivo para la reeducación motora del hemipléjico adulto

1ª Barcelona EDIKAMED

Perfetti, C 1992 Esercizi per una memoria riabilitativa

2ª Italia Idelson-Gnocchi

NEUROPATHIC PAIN

Serra, J 2007 Tratado de dolor neuropático 1ª Madrid Panamericana

Butler D, Moseley L 2010 Explicando el dolor 1ª Adelaide Noigroup Publications

FISIOTERAPIA EN PEDIATRÍA

Macías L., Fagoaga J. 2002 Fisioterapia en pediatría 1ª Madrid MC Graw-Hill Interamericana.



FISIOTERAPIA EN NEUROLOGÍA

Shumway-Cook A, 2012 Motor control 4ª Philadelphia Lippincott Williams and Wilkins.2012

Kandel E.R 2013 Principles of neural science. 5ª New York McGraw-Hill

Cano de la Cuerda 2016 Control y aprendizaje motor 1ª Madrid Panamericana

MÉTODO PERFETTI

Perfetti, C 1992 La logica dell’esercizio 2ª Italia Idelson-Gnocchi

Ramachandram, V 1999 Fantasmas en el cerebro 1ª Madrid Debate pensamiento

NEUROPATHIC PAIN

Loeser, J.D 2003 Bonica Terapéutica del dolor 3ª México McGraw-Hill Interamericana

Butler, D 2000 The Sensitive Nervous system 1ª Adelaide Noigroup Publications

Spicher, C 2008 Handbook for Somatosensory Rehabilitation

1ª Sauramps Médicals

FISIOTERAPIA EN PEDIATRÍA

Campbell, S 1999 Decision Making in Pediatric Neurologic Physical Therapy

1ª New York Ed. Churchill Livingstone.

Campbell, S 2000 Physical Therapy for children 2ª Philadelphia Saunders

Carr J., Shepperd R. 2002 Neurological Rehabilitation. Optimizing Motor Performance.

1ª Oxford Butterworth Heinemann

Le Métayer M. 1995 Reeducación cerebromotriz del 1ª Barcelona Masson



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niño pequeño. Educación terapéutica

Sheperd R. 2000 Phisioterapy in Paediatrics 3ª Oxford Butterworth Heinemann

Shumeay- Cook , A; Woollacot, M.

2011 Motor Control. Translation Research into clinical practice

4ª London Lippincott Williams & Wilins

Roig-Quilis & Lindsay Pennington

2011 Oromotor Disorders in Childhood

1ª Barcelona Viguera Editores

Articles


Karnath O Pusher syndrome. A Frequent but Little-Known Disturbance of Body Orientation Perception

Journal of neurology 254 2007 415-24

Marquer A The Assessment and Treatment of Postural Disorders in Cerebellar Ataxia: A Systematic Review.

Ann Phys Rehabil Med.

57(2): 2014 67-78.

Dogun A

Ultrasound and Magnetic Resonance Findings and Correlation in Hemiplegic Patients with Shoulder Pain

Top Stroke Rehabil

21

2014

1-7

COURSE SYLLABUS




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WRITTEN TESTS (40%)

Theoretical test:

Physiotherapy of the SNC - II (25%).

COGNITIVE THERAPEUTIC EXERCISE - II (25%).

Pediatric Neurology (25%).

Neuropathic pain (25%).

At the end of the semester, there will be make-up tests. It is essential to have taken the ordinary examination.



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PRACTICAL TESTS (35%)

CENTRAL NERVOUS SYSTEM - II (34%) (Sra. Marta Fernández) ACTIVITY 1 WRITTEN TEST (10%)

Test description/details: Four multiple-choice test questions are asked and projected on the class screen. Students should write down the correct answer on a sheet of paper. You have five minutes to answer. Scoring criteria: 0.25 points for the correct answer. Poorly answered questions don't count.

ACTIVITY 2 WRITTEN TEST (50%)

Test description/details: A test will be held on a specific clinical case. Scoring criteria: One point per question. Poorly answered questions don't count.


Test description/details: The student must perform two practical procedures assigned by the course professor. Scoring criteria: Each two-point procedure is based on the following criteria:

0 – incorrect.

1– partially correct.

1.5 – totally correct. The speed and rhythm of the procedure can be improved.

2 - totally correct, performed with great skill.



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COGNITIVE THERAPEUTIC EXERCISE (33%) (Mrs. Èlia González)


Test description/details: The professor shows four videos of four neurological patients, and the students divided into groups of three/four must fill in the table based on motor deficits, pathology, area of injury, and two treatment principles according to the characteristics of the patient observed. The first practical class is held.

Scoring criteria: The test is worth 2 points. Each correctly executed case scores 0.5 points. In order for the answer in each case to be correct, you must at least know how to make a case for the pathology and the area of the injury.


Test description/details: A neurological patient assessment is shown on a video, and the student must answer two written questions taking into account the observed assessment. The seventh practical class is held. Scoring criteria: The test is worth five points. Each correct answer is worth 2.5 points.

ACTIVITY 3 ORAL TEST (30%) Test description/details: A clinical case is presented for each group. Students will have to plan and reason a neurocognitive treatment that they will have to submit and present in front of the class. The sixth practical class is held. Scoring criteria: The design of the exercise carried out correctly is worth three points. If the clinical reasoning is not done correctly through the exercise design, 1 point is deducted. If the clamp is not made correctly or the patient's position is not correct, 0.5 points will be deducted for each incorrect parameter, and guidance will be assessed through the physiotherapist's use of language.

PEDIATRIC NEUROLOGY (33%) (Mrs. Núria Pastallé) Test description/details: A treatment procedure must be performed on a partner based on the information they have on the question sheet (hypothetical patient) Scoring criteria: According to the rubric in Appendix II.



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WRITTEN ASSIGNMENTS AND CLINICAL CASES PRESENTED IN CLASS (15%)

REFERENCE WORK (50%) (Mrs. Èlia González)

Description/detail of the assignment: Reference work: the student must read the chapter of a book or a book indicated by the professor. Once the reading has been completed, you will have to answer the multiple-choice test questions given during the practical class. Scoring criteria: 10 multiple choice test questions are provided to be answered by the student. Poorly answered questions don't count. Five questions need to be answered correctly in order to pass.

CLINICAL CASE (50%) (Mrs. Núria Pastallé) Description/detail of the assignment: Based on a clinical case that is posted in Moodle, you must search information on the medical diagnosis, describe the assessment that would be made and the scales that would be used, state the short and long term objectives and describe the treatment: exercises performed in class (demonstrate them at the time of the presentation of the case), possible postural alternatives and exercises for independent movement, possible supplementary therapies appropriate to the case, daily and leisure activities indicated according to the age and skill level of the child. Submit and present it in class. Scoring criteria: According to the rubric in Appendix III.



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GROUP ACTIVITIES (10%) (Mrs. Marta Fernández)

Description/detail of the assignment: The course professor will assign a scientific article to each group. The work will be presented orally, supported by a PowerPoint presentation. Presentation time is 20 minutes. The next ten minutes will be used for questions and input from the audience. The PowerPoint will be submitted to the professor on the day of the presentation. The assignment will consist of the following points:

1. INTRODUCTION: main hypothesis/objectives of the work.

2. METHODOLOGY: sample, search methodology.

3. RESULTS

4. PERSONAL CONTRIBUTIONS, CRITICAL COMMENTARY ON THE ARTICLE.

Scoring criteria: The grade will be awarded according to the following criteria:

Content: the group should correctly express the main ideas of the article (3 points).

Oral presentation: skill of the speakers and quality of the presentation (3 points).

Critique: ability of the group to argue its views on the quality of the article (3 points).

Assessment of group dynamics: the interaction between the different group members

during the presentation of the article will be assessed (1 point).

If the minimum grade is not reached, the course professor will assign another article that must be analyzed and evaluated in the same way.



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APPENDIX - II RUBRIC FOR SCORING THE ORAL TEST (ORAL AND PRACTICAL EXAMINATION) IN NEUROPEDIATRICS

Items to be assessed Assessment criteria

Choice of the exercise selected to achieve the objective

Appropriate and achieves the requested objective: 10

Not the one explained in class, but it achieves the objective: 7.5

Not the one explained in class and does not achieve the objective: 0

Patient position Correct: 10 Average: 7.5 Incorrect: 5

Position of the physiotherapist

Correct: 10 Average: 7.5 Incorrect: 5

Selection of the material


Placement of hands Correct: 10 Average: 7.5 Incorrect: 5

Maneuvering with the hands

Correct: 10 Average: 5 Incorrect: 0

Degree to which it achieves the objective

It does achieve the objective: 10

It partially achieves the objective: 5

It does not achieve the objective: 0

Relationship with the patient


Oral expression Correct: 10 Average: 7.5 Deficient: 5



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APPENDIX III

PRESENTATION OF THE CLINICAL CASE IN THE CLASSROOM

Items to assess Scoring criteria Oral expression Everything that is

explained is understood. Correct: 10

Almost everything that is explained is understood. Average: 7.5

There are parts of the presentation that are not understood. Deficient: 2.5

Looks at the audience Always or almost always Correct: 10

Often Average: 7.5

Almost never: Deficient: 2.5

Text content of the slides

Correct: 10

Presents a few slides (10%) with content errors Average: 7.5

Presents some slides (10-20%) with some content error (10-20%): Deficient: 2.5

Relationship between slide text and oral explanation

Correct: 10 Average: 7.5 Deficient: 2.5

Extended and referenced information at the end

There is a preparation of the information, and it is well referenced at the end of the work. Correct: 10

There is little elaborated information and/or it is not well referenced at the end of the work. Average: 7.5

There is no elaborated information and/or it is not well referenced at the end of the work. Deficient: 2.5

It fits/adapts to the clinical case

Correct: 10 Average: 7.5 Deficient: 4

Amount of text on the slides

Correct: 10 Some slides have too much or too little text Average: 7.5

Most slides have either too much or too little text Deficient: 2.5

Font size and color Correct: 10 Some slides have print that is too small or a color that is not legible. Average: 7.5

Most slides have print that is too small or of a color that makes it illegible: 5 Deficient: 4

Number of slides Slide deficiency. Deficient: -5

Estimated time More than 2 minutes over: -2

Image quality Correct: 10 In general, there is an excess or deficit of imagery: 7.5

There is no imagery: 5



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Defense of the audience's questions

Explains well the doubts and questions regarding health care. Correct: 10

Explains half-heartedly the doubts and questions regarding health care. Average: 7.5

Cannot describe the doubts and questions regarding health care. Deficient: 0



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GENERAL INFORMATION

COURSE DATA

Course PRACTICUM - III Code 200563 Academic Year 2019-2020


Year of Study

3 Semester 1


Teaching Language CATALAN

FACULTY DATA

Professor In Charge

Professor’s Name MRS. YOLANDA SÁNCHEZ RETAMERO



Other Professors Professor’s Name MRS. MELANIA MASÓ NÚÑEZ



Professor’s Name MRS. DIANA MUÑOZ PUÑET



Professor’s Name MRS. LAIA SÁNCHEZ LLOANSI



PREREQUISITES

BASIC PHYSIOTHERAPY OF THE LOCOMOTIVE APPARATUS - I

BASIC PHYSIOTHERAPY OF THE LOCOMOTIVE APPARATUS - II







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Subject: Supervised Practicals.

This course intends, through the Practicum, to incorporate and consolidate all the knowledge, abilities, skills, attitudes, and values acquired in complex locomotor apparatus disorders and mild neurological conditions, under the guidance of qualified physiotherapists. All relevant professional skills will be developed to enable the student to provide useful and specialized physiotherapeutic health care with comprehensive assistance to patients/users.



Competency E4. Demonstrate sufficient knowledge of physiotherapeutic methods, procedures, and actions to carry out activities aimed at promoting and maintaining health.

Learning outcomes E4.1. Design, teach and advise the various means of preventing functional disorders and specifically postural hygiene, situations of mobility loss, and acute algic phases.

Specific Objectives: E4.1.1. Recommend prevention guidelines for patients with complex locomotor apparatus disorders and mild neurological conditions. E4.1.2. Describe, in a clear and structured manner, the prevention guidelines that have been developed and applied to complex locomotor apparatus and mild neurological conditions.

Competency E5. Integrate, through clinical experience, ethical and professional values, knowledge, skills, and attitudes proper to physiotherapy in order to solve specific clinical cases in the inpatient, outpatient, primary healthcare, and community settings.

Learning outcomes E5.5. Solve clinical cases that can be treated with physiotherapy within any of the clinical specialties.

Specific Objectives: E5.5.1. Effectively employ the different physiotherapeutic techniques to patients with complex locomotor apparatus conditions and mild neurological disorders.

Competency E6. Systematic preparation and completion of physiotherapy records.

Learning outcomes E6.3. Adequately and effectively record all the steps followed from the arrival of the patient/user to the physiotherapy discharge report, depending on the clinical specialty.

Specific Objectives: E6.3.1. Interpret physiotherapy records for patients with complex locomotor apparatus conditions and mild neurological disorders.



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Learning outcomes E7.12. Conduct the appropriate physiotherapeutic assessment procedures to determine the degree of impairment and its possible functional impact on the patients/users assigned to the student during their stay at the clinic.

Specific Objectives: E7.12.1. Skillfully use specific assessment tools in patients with complex locomotor apparatus conditions and mild neurological disorders.


Learning outcomes E8.9. Establish a physiotherapeutic diagnostic hypothesis. Specific Objectives: E8.9.1. Identify deficiencies, limitations in activity, restrictions on participation, and contextual factors of the patient with complex locomotor apparatus disorders and mild neurological conditions. E8.9.2. List the deficiencies, activity limitations, and participation restrictions experienced by the patient related to complex locomotor apparatus disorders and mild neurological conditions.

Competency E9. Design a physiotherapy intervention plan according to criteria of appropriateness, validity, and efficiency.

Learning outcomes E9.17. Establish general and specific criteria for the application of treatment.

Specific Objectives: E9.17.1. Propose treatment goals for complex locomotor apparatus disorders and mild neurological conditions.

E9.18. Establish treatment priorities based on problems identified. Specific Objectives: E9.18.1. Classify short and long term goals in patients with complex locomotor apparatus disorders and mild neurological conditions. E9.18.2. Prioritize problems by their importance and/or urgency, applied to complex locomotor apparatus disorders, and mild neurological conditions.

E9.19. Establish the frequency of the intervention. Specific Objectives: E9.19.1. Periodically schedule treatment sessions applied to complex locomotor apparatus disorders and mild neurological conditions.

E9.20. Anticipate material and equipment needs. Specific Objectives: E9.20.1. Anticipate the material and equipment needed for the treatment of complex locomotor apparatus disorders and mild neurological conditions.



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Competency E11. Evaluate the development of treatment results obtained in relation to the objectives indicated.

Learning outcomes E11.1. Evaluate the results and their relationship with the objectives indicated using real cases within the various clinical specialties.

Specific Objectives: E11.1.1. Contrast the results with the established objectives applied to complex locomotor apparatus disorders and mild neurological conditions.

Competency E12. Prepare the physiotherapy discharge report once the proposed objectives have been covered.

Learning outcomes E12.2. Prepare a physiotherapy report that includes all the necessary information to make it a valid communication tool for users and/or professionals.

Specific Objectives: E.12.2.1. Prepare physiotherapy reports with precision and clarity applied to complex locomotor apparatus disorders and mild neurological conditions.

Competency E13. Provide effective physiotherapeutic health care, giving patients comprehensive assistance.

Learning outcomes E13.5. Interpreting medical prescriptions. Specific Objectives: E13.5.1. Examine medical equipment directions. E13.5.2. Incorporate the recommendations of the medical team into the physiotherapeutic treatment.

E13.6. Prepare the environment in which physiotherapeutic health care will be performed to make it comfortable.

Specific Objectives: E13.6.1. Adapt the material according to the needs of the patient. E13.6.2. Organize physiotherapeutic health care according to the specificities of each case.

E13.7. Keep the patient informed of the treatment administered to him, explaining the tests and procedures being performed, the preparation required, and encourage him to collaborate at all times.

Specific Objectives: E13.7.1. Communicate with the patient in an understandable manner. E13.7.2. Encourage the patient in his recovery.

E13.8. Identify signs and symptoms of biological function disorders related to physiotherapeutic health care.

Specific Objectives: E13.8.1. Detect disorders in the biological functions of the patient that may interfere with and/or modify the physiotherapeutic treatment.



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Competency E14. Take part in the areas of health promotion, prevention, protection, and recovery.

Learning outcomes E14.9. Carry out health promotion, prevention, and protection activities on assigned patients during their clinical stay.

Specific Objectives: E14.9.1. Recommend specific prevention guidelines specific to the assigned patient’s pathological condition during his clinical stay.

Competency E16. Incorporate the ethical and legal principles of the profession into the professional culture.

Learning outcomes E16.5. Employ the legal and professional standards that make up the practice of physiotherapy.

Specific Objectives: E16.5.1. Assume your professional responsibilities. E16.5.2. Respect the limits of expertise of the profession.

E16.6. Employ the profession's code of ethics. Specific Objectives: E16.6.1. Strictly respect the human and social rights of the individual. E16.6.2. Respect the profession's code of ethics in all interventions.

Competency E17. Participate in the development of physiotherapeutic healthcare protocols based on scientific evidence, promoting professional activities that stimulate research in physiotherapy.

Learning outcomes E17.5. Employ evidence-based physiotherapeutic health care protocols. Specific Objectives: E17.5.1. Employ validated and/or consensual health care protocols in complex locomotor apparatus disorders and mild neurological conditions.


Learning outcomes E21.4. Communicate with all members of the therapeutic team. Specific Objectives: E21.4.1. Participate in team meetings. E21.4.2. Refrain from interfering with the professional tasks of other colleagues.

E21.5. Use appropriate, effective communication to facilitate interaction between the physical therapist, patient, and family.

Specific Objectives: E21.5.1. Identify the social and cultural characteristics of the patient. E21.5.2. Adapt the information to the patient's situation.


Competency T4. Manage information systems.

Learning outcomes Specific Objectives: T4.1. Efficiently use clinical patient databases.



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Learning outcomes This competency is considered to be developed in this course by working on E21.4.

Competency T8. Have interpersonal relationship skills.

Learning outcomes Specific Objectives: This competency is considered to be developed in this course by working on E21.5.


Learning outcomes Specific Objectives: T9.1. Make a treatment value judgment applied to a patient. T9.2. Contribute elements that allow for the improvement of one's own actions and those of one's colleagues. T9.3. Make your own judgments and assessments of your own performance.

Competency T14. Demonstrate sensitivity to environmental issues.

Learning outcomes Specific Objectives: T14.1. Employ environmental protection measures in your professional practice through energy saving and waste recycling.



Learning outcomes This competency is considered to be developed in this course by working on “T4. Handle information systems," "T7. Work as a team,”“T8. Have interpersonal relationship skills," “T9. Critical Thinking” competencies.

Competency G3. Respect the diversity and plurality of ideas, people, and situations.

Learning outcomes Specific Objectives: G3.1. Establish relationships without social and cultural distinctions.

CONTENTS

The aim of the Practicum is to incorporate and consolidate all the knowledge, skills, abilities,



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attitudes, and values acquired in complex locomotor apparatus disorders and mild neurological conditions, under the supervision of qualified physiotherapists. All professional skills will be developed, enabling the student to provide effective and specialized physiotherapeutic health care with comprehensive assistance to patients/users.



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SOCIAL WORK

The student will assess the patients, make a physiotherapeutic diagnosis, draw up an action plan, implement it, and evaluate the results. Estimated hours: 105.

INFORMATION SESSIONS

Information will be given on how to carry out the different training activities. Estimated hours: 7.5.

ASSIGNMENT WRITING

Writing a report on clinical visits. Estimated hours: 30.

SELF-EVALUATION

Compose a self-evaluation report. Estimated hours: 4.5.

EVALUATION OF THE CENTER AND THE MENTOR

Complete an evaluation form about the center and the physiotherapist mentor. Estimated hours: 3.

TYPE OF AVTIVITY


Directed Activities

Information Sessions 7.5


Social work E4, E5, E6.3, E7, E8.9, E9.17, E9.18, E9.19,

E9.20, E11, E12, E13.5, E13.6, E13.7, E13,.8,

E14, E16, E17, E21, T4, T7, T8, T14, G2, G3

105


Writing a report on clinical visits

E4, E16, E21, T14, G2, G3

30

Compose a self-evaluation report

T9 4.5

Complete an evaluation form about the center and the physiotherapist mentor

T9 3

TOTAL HOURS 150



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ASSESSMENT

The practicum committee will assess the following:

The report submitted by the physiotherapist mentor. With an overall weight of 60%.

The self-evaluation report of the student. With an overall weight of 1%.

Practicum report. With an overall weight of 39%. See Appendix I for details of assessment activities. In order to pass the course, it will be necessary to:


Obtain an overall grade for the course equal to or greater than 5. Procedure for reviewing grades: see the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

The report submitted by the physiotherapist mentor

60%

E4, E5, E6.3, E7, E8.9, E9.17, E9.18, E9.19, E9.20, E11, E12, E13.5, E13.6, E13.7, E13,.8, E14, E16, E17, E21, T4, T7, T8, T14, G2, G3

---

The self-evaluation report of the student

1% T9

---

Practicum report 39%

E4, E16, E21, T14, G2, G3

---

TOTAL HOURS 0



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Web references



Web references


Guies de Pràctica Clínica ICS

Clinical Practice Guidelines Institut Català de la Salut

http://ics.gencat.cat/ca/assistencia/coneixement-assistencial/guies-de-practica-clinica/

GuiaSalud.es SNS

Library of Clinical Practice Guidelines National Health Service

http://portal.guiasalud.es/web/

Guidelines AHRQ

Agency for Healthcare Research and Quality US Department of Health & Human Services

https://www.ahrq.gov/gam/index.html

COURSE SYLLABUS




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REPORT SUBMITTED BY THE PHYSIOTHERAPIST MENTOR (60%)

The report is found in Appendix II. In order to arrive at the score, the weighted average of the scores assigned to all the learning objectives will be used. If the degree of compliance with some of the aspects assessed at the end of the document in relation to external practice regulations is negative, the following will be assessed:

Item Score

Physical appearance and hygiene -0.5

Conduct and attitude -0.5

Timeliness -0.5

Attendance Failed

Medical record confidentiality Failed

STUDENT SELF-EVALUATION REPORT (1%)

The report is found in Appendix III. In order to arrive at the score, the weighted average of the scores assigned to all the learning objectives will be used. If the degree of compliance with some of the aspects assessed at the end of the document in relation to external practice regulations is negative, the following will be assessed:

Item Score


Behavior and attitude -0.5

Timeliness -0.5

Attendance Failed




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PRACTICUM REPORT (39%)

The report model is located on the virtual campus. If the degree of compliance with some of the aspects covered by the regulations is not stated in the document, it will be considered non-assessable if the following occurs:

If the template is not used.

If there is no seal of the center.

If there is no mentor signature.

The report grade is made up of the following:

ITEM POINTS

DAILY TIMELINE/DEVELOPMENT OF THE PRACTICUMS 1.5

ACTIVITIES ASSIGNED BY THE EXTERNAL MENTOR 1

INTEGRATION INTO THE PHYSIOTHERAPEUTIC TEAM 1.5

ACTIVITIES AIMED AT PROMOTING AND MAINTAINING HEALTH 2

ENVIRONMENTAL PROTECTION MEASURES 1

RESEARCH 1

ASSESSMENT 2



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APPENDIX II - REPORT SUBMITTED BY THE PHYSIOTHERAPUETIC MENTOR



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APPENDIX - III STUDENT SELF-EVALUATION REPORT



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GENERAL INFORMATION

COURSE DATA

Course APPLIED DIET AND NUTRITION Code 200556 Academic Year 2019-2020

ECTS Credits 6 Course Type ELECTIVE




FACULTY DATA

Professor In Charge Professor’s Name MRS. PILAR CASAS JANSÀ



PREREQUISITES



Subject: Applied Diet and Nutrition.

This course is intended to introduce the student to the field of nutrition and food science. Further study the importance of food as the basis of life and health of human beings. Know how to use food in an appropriate way for different pathological conditions recommending balanced and varied nutrition.

Knowledge of nutrition and food compliments the physiotherapy degree program in the world of public and collective health, in an interactive way between different health professionals.




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Learning outcomes E4.14. Point out the importance of a healthy diet for the promotion and maintenance of health in individuals of all ages, both healthy and sick and/or injured.

Specific Objectives: E4.14.1. Describe the fundamentals of nutrition as well as the nutrient needs for human beings. E4.14.2. Describe the basic foundations of bromatology as well as the knowledge of food and its composition. E4.14.3. Describe the nutritional needs of a healthy population in general. E4.14.4. Describe the nutritional needs of the population at different stages of life. E4.14.4. Describe the nutritional needs of the population with regard to different pathological conditions.

Competency E14. Intervene in the areas of health promotion, prevention, protection, and recovery.

Learning outcomes E14.13. Carry out health promotion, prevention, protection, and recovery activities.

Specific Objectives: E14.13.1. Identify and classify different foods and their nutritional value. E14.13.2. Interpret and use food composition tables and databases. E14.13.3. Understand the importance of healthy eating. E14.13.4. Recommend feeding guidelines for the prevention of possible pathological problems.


Competency T1. Analyze and summarize.

Learning outcomes Specific Objectives: T1.1. Identify food product labels. T1.2. Draw conclusions from articles and publications. T1.3. Analyze your own diet.


Learning outcomes Specific Objectives: T7.1. Actively participate, sharing experiences and knowledge. T7.2. Consider the views of the other members of the group. T7.3. Communicate and interact with the rest of the group.



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Learning outcomes This competency is considered to be developed in this course by working on “T1. Analyze and summarize” and “T7. Work as a team.”



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CONTENTS

1. DIET AND NUTRITION 1.1. Description of nutrition, diet 1.2. Description of nutrients, food

2. NUTRIENTS 2.1. Carbohydrates 2.2. Fats 2.3. Proteins 2.4. Vitamins 2.5. Minerals 2.6. Water 2.7. Dietary fiber

3. NUTRITIONAL NEEDS OR NUTRIENT FUNCTIONS 3.1. Energy function. Description of calories. 3.2. Structural function. 3.3. Regulatory function.

4. FOOD 4.1. Cereals and its by-products 4.2. Vegetables and greens 4.3. Fruit 4.4. Dry fruit 4.5. Olive oil 4.6. Milk and its by-products 4.7. Legumes 4.8. Meat and its by-products 4.9. Fish and shellfish 4.10. Eggs 4.11. Foods high in fat 4.12. Sugars and sweet foods 4.13. Soft drinks, alcoholic drinks...

5. HEALTHY EATING 5.1. Description of healthy eating. 5.2. Food pyramid and the food groups. 5.3. Description of a portion of food. 5.4. Portion recommendations. 5.5. Distribution of portions throughout the day. 5.6. Organizing menus for a healthy population. 5.7. Tips for following a healthy diet.

6. DIET DURING DIFFERENT STAGES OF LIFE. 6.1. Diet during childhood 6.2. Diet during adulthood 6.3. Diet and the elderly 6.4. Diet and sports

7. DIET FOR DIFFERENT PATHOLOGICAL CONDITIONS 7.1. Obesity 7.2. Hypertension 7.3. Hypercholesterolemia 7.4. Hyperuricemia 7.5. Diabetes 7.6. Cancer 7.7. Rheumatic pathologies.



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DIRECTED ACTIVITIES

Theoretical presentations where the theoretical bases of the course will be provided, with graphic and computer support. Estimated hours: 37.5.


Discussions on student presentations.

Estimated hours: 15. INDEPENDENT ACTIVITIES

Supplement the knowledge transmitted by the professor by reading additional bibliographic literature that can be assessed by written tests.


Prepare an assignment on food labeling and advice to the consumer or patient. Estimated hours: 25.



TYPE OF AVTIVITY


Directed Activities


E4 37.5


Discussions E4, E14, T7 15


Bibliography reading E4, T1, G2 20

Preparation of assignments

E4, E14, T1, G2 25

Independent work E4, E14 50.25

TOTAL HOURS 147.75



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ASSESSMENT


A theoretical section comprised of written tests. With an overall weight of 50%.

Supervised activity: practical exercise, discussion. With an overall weight of 10%.

The prepared and presented assignment. With an overall weight of 40%





Obtain an overall grade for the course equal to or greater than 5. Final assessment test period: 1/8/2020 to 1/20/2020. Make-up period for the final assessment tests: 1/21/2020 to 2/5/2020. Procedure for reviewing grades: see the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

Written tests 50% E4, E14 2

Supervised activity: practical exercise, discussion.

10% E4, E14, T7, G2 0.25

The prepared and presented assignment.

40% E4, E14, T1, G2 ---

TOTAL HOURS 2.25



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Books


Mataix, J. 2002 Nutrición y Alimentación Humana

Ergon Creación

Vidal García, E. 2009 Manual Práctico de Nutrición y Dietoterapia

Monsa–Prayma Ediciones

Gonzalez Gallego, J. Sánchez Collado P. Mataix Verdú, J.

2006 Nutrición en el deporte. Ayudas ergogénicas y dopaje.

Díaz de Santos

Martínez,A, Astizaran, I. 2002 Alimentos: composición y propiedades

Madrid Mc.Graw-Hill



Roselló Borredà, M.J. 2006 La importància de menjar sa i saludable

Barberà del Vallès (Barcelona)

Rosa dels Vents

Federación Española de Sociedades de Nutrición, Alimentación y Dietética (FESNAD)

2010 Ingestas Dietéticas de Referencia (IDR) para la población española

Eunsa. Astrolabio

Ortega Anta, R. López Sobalier A. Requejo Marcos A. Andrés Carbajales P.

2004 La Composición de los Alimentos

Complutense

Web references


Agència Catalana de Seguretat Alimentària.

September 2, 2010 "http://www.gencat.cat/salut/acsa/Du12/html/ca/Du12/"

Agencia española de seguridad alimentaria y nutrición

September 2, 2010 "http://www.aesan.msc.es"

Base de Datos Española. Composición de Alimentos.

September 2, 2010 " http://www.bedca.net/bdpub/index.php"

COURSE SYLLABUS


http://www.gencat.cat/salut/acsa/Du12/html/ca/Du12/

http://www.aesan.msc.es/

http://www.bedca.net/bdpub/index.php



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WRITTEN TESTS (50%)

Theoretical test.


SUPERVISED ACTIVITIES: PRACTICAL EXERCISE, DISCUSSION (10%)

The exercise will be performed individually and in the classroom on the day that the students are informed of well in advance. In the event you fail the respective exercise, you will be allowed to repeat it before taking the written exam. The maximum grade will be 5. It consists of two sub-activities:

ACTIVITY– 1 (85%)

Test description/details: Practical exercise: assessment of a diet

Scoring criteria:

4 questions, each question with a different value. Say if the diet is balanced, calcifying, calculation of portions, menu suggestion.

ACTIVITY– 2 (15%)

Test description/details: Search for an article related to food and nutrition that has been published in any media during the period covering the academic year you are studying. Make a brief comment on the article and express your personal opinion.

Scoring criteria:

Depending on student input: choice of article, clarity in commentary, and personal opinion based on class explanations.



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PREPARATION AND PRESENTATION OF THE ASSIGNMENT (40%)

LABELING OF FOOD PRODUCTS AND ADVICE TO THE CONSUMER OR PATIENT

The assignment will be done in groups of 4-5 people. Each group will make a presentation in class. In the event you fail the respective exercise, you will be given the opportunity to repeat it before taking the written exam. The maximum grade will be 5. PREPARATION (80%)

Description/detail of the assignment: Assess the labeling of different food products.

o Verify the required information and additional information. Analyze the nutritional value of different food products.

o Determine the most suitable product according to the needs of the consumer. Know how to tell the consumer or patient about the benefits or disadvantages of the

products analyzed and how to incorporate them into a diet. o Propose a balanced diet.

Scoring criteria:

Depending on the different sections of the assignment, each section has a score: presentation, introduction, objectives, content, conclusions, and bibliography.

PRESENTATION (20%)

Description/detail of the assignment: Display of group work. Duration of display: 15 -20 minutes.

Scoring criteria:

Depending on your presentation and explanation. The ability to communicate, the presentation, the answer to questions asked by the professor, or the other students will be assessed.



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GENERAL INFORMATION

COURSE DATA

Course PHYSIOTHERAPY IN PSYCHIATRY Code 200559 Academic Year 2019-2020





FACULTY DATA

Professor In Charge

Professor’s Name MR. FERNANDO GUERRICO



Other Professors

Professor’s Name MR. HECTOR GRIMBERG



PREREQUISITES

There are no official prerequisites.


Subject: Physiotherapy in Psychiatry

This course aims to lay the foundations for the physiotherapeutic assessment and treatment in patients with psychiatric pathologies.

Knowledge of physiotherapy as applied to patients with a psychiatric pathology is important, taking into account the frequency of these pathological conditions and the specificity of the health care within the profile of the degree program and the profession.





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Learning outcomes E1.34. Describe mental illnesses, identifying the manifestations that appear throughout the process, as well as their etiology and the medical, psychological, and rehabilitation treatments associated with them.

Specific Objectives: E1.34.1. Describe the symptomatology and etiology of mental illnesses. E1.34.2. List and describe medical, psychological, and rehabilitative treatments for mental illness. E1.34.3. Provide guidance on a relational modality for the psychiatric patient in order to address him appropriately.


Learning outcomes E3.28. Apply the basic physiotherapeutic methods, procedures, and interventions in the treatment of psychiatric disorders.

Specific Objectives: E3.28.1. Describe the main psychopathological characteristics that determine the physiotherapeutic approach for different mental illnesses. E3.28.2. Apply therapeutic approaches from a physiotherapeutic point of view to different mental illnesses, taking into account their circumstances and fundamental premises.


Learning outcomes E5.18. Employ the knowledge and skills acquired to solve clinical cases in psychiatry that are amenable to physiotherapeutic treatment.

Specific Objectives: E5.18.1. Understand the general health care structure of patients with mental disorders within the health system. E5.18.2. Define the role of the physiotherapist within the current health structure (mental illness). E5.18.3. Describe the role of physiotherapy in the rehabilitation of patients with mental illness. E5.18.4. Organize and plan physiotherapeutic intervention strategies for patients with mental illness according to the health care setting. E5.18.5. Carry out the role of physiotherapist within the multidisciplinary team that assists patients with mental disorders.



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Learning outcomes E7.25. Describe and apply the appropriate physiotherapeutic assessment procedures in order to determine the degree of impairment of the locomotor apparatus caused by psychiatric problems.

Specific Objectives: E7.25.1. Select the clinical data present in the medical history of the psychiatric patient. E7.25.2. Assess the impairments of the locomotor apparatus and the postural structure of patients afflicted by mental disorders. E7.25.3. Collect kinanthropometric data. E7.25.4. Assess the basic physical abilities of the patient with a mental disorder. E7.25.5. Describe gait patterns for different mental pathological conditions. E7.25.6. Assess gait disturbances for patients affected by mental disorders. E7.25.7. List the external factors to be taken into account in the patient's functional status, as well as the side effects of the medication. E7.25.8. Correct use of diagnostic tools and scales related to locomotor apparatus disorders.


Learning outcomes E8.15. Establish a physiotherapeutic diagnostic hypothesis based on clinical cases related to locomotor apparatus disorders resulting from psychiatric problems.

Specific Objectives: E8.15.1. Describe the objective criteria to be taken into account in the diagnostic approach of patients affected by mental disorders. E8.15.2. Formulate a diagnostic hypothesis from the deficits detected during the examination. E8.15.3. Differentiate between a psychiatric and a physiotherapeutic diagnosis.


Learning outcomes E9.43. Define the general and specific objectives for the application of physiotherapeutic treatment in locomotor apparatus disorders caused by psychiatric problems.

Specific Objectives: E9.43.1. Properly structure an intervention plan for patients affected by mental disorders. Intervention models (individual intervention, group intervention...). E9.43.2. Establish general treatment goals for patients affected by mental disorders, according to priority. E9.43.3. Establish specific treatment goals for patients affected by mental disorders according to priority.

E9.44. Describe the circumstances that determine the intervention priorities in the physiotherapeutic treatment of disorders of the locomotor apparatus caused by psychiatric problems.



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Specific Objectives: E9.44.1. Identify the characteristics of psychiatric decompensation, detecting warning signs and symptoms. E9.44.2. Identify the circumstances that lead to the suspension of physiotherapeutic treatment in patients affected by mental disorders. E9.44.3. Determine the suitability of the application of the treatment for patients affected by mental disorders. E9.44.4 Establish criteria for prioritizing or selecting techniques to be used in patients affected by mental disorders. E9.44.5 Detect critical warning situations and apply the guidelines to be followed for patients affected by mental disorders.

E9.45. List the different types of material and apparatus to be used in the physiotherapeutic treatment of locomotor apparatus disorders caused by psychiatric problems.

Specific Objectives: E9.45.1. Choose the most suitable material for treatment according to the characteristics of psychiatric patients.


Learning outcomes E17.12. Describe and analyze physiotherapeutic health care protocols based on the evidence of locomotor apparatus disorders caused by psychiatric problems.

Specific Objectives: E17.12.1. List the different evidence-based physiotherapeutic health care protocols for patients affected by mental disorders. E17.12.2 Carry out an appropriate role within multidisciplinary teams working on psychiatric research.


Learning outcomes E20.14. Describe the useful clinical practice guidelines applied to locomotor apparatus disorders caused by psychiatric problems.

Specific Objectives: E20.14.1. Describe the quality control processes implemented in psychiatric patient health care centers. E20.14.2. Interpret existing useful clinical practice guidelines in psychiatric pathology health care centers.



Learning outcomes Specific Objectives: T8.1. Describe psychiatric patient communication strategies. T8.2. Establish boundaries and limitations in the treatment of the psychiatric patient.



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T8.3. Identify the elements that come into play in the physiotherapist-psychiatric patient relationship. T8.4. Communicate with spontaneity, creating a climate of equality and collaboration. T8.5. Be respectful to the people you talk to, both in content (what you say) and inform (how you say it). T8.6. Adjust your verbal and non-verbal communication to the situation and needs of patients with mental disorders. T8.7. Establish limits in emotional bonding with the patient affected by mental disorders.



Learning outcomes Specific Objectives: G3.1. Identify, recognize, and respect the subjective position of the patient. G3.2. Identify the main characteristics of patients' religious and cultural beliefs.



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CONTENTS

1. Introduction. 2. History of mental illness.

2.1. Description of mental illness at different times in history. 2.2. Forms of psychiatric treatment throughout history. 2.3. Psychiatric hospitals.

3. Mental health network. Health care structure. 3.1. Historical timeline. 3.2. Levels of attention. Health and community resources. 3.3. Mental health care circuits. 3.4. Physiotherapy and health care network.

4. Multidisciplinary teams. 4.1. Basic composition. 4.2. Integration and role of the physiotherapist in the multidisciplinary team. 4.3. Function delimitation.

5. Mental apparatus. 6. Patient-physiotherapist relationship. Interview. 7. Communication and management styles.

7.1. Type of communication. 7.2. Verbal communication. Approach and communication strategies. 7.3. Verbal communication. Characteristics and strategies of use. 7.4. Proxemics. 7.5. Communication with the mentally ill. 7.6. Management styles. Key features.

8. Global treatment of mental illness. 9. Predominant mental illnesses. Characteristics and treatment.

9.1. Psychosis. 9.1.1. Schizophrenia. 9.1.2. Delirium. 9.1.3. General physiotherapeutic approach.

9.2. Affective disorders. 9.2.1. Depressive disorder. 9.2.2. Bipolar disorder. 9.2.3. General physiotherapeutic approach.

9.3. Anxiety disorders. 9.3.1. Physiotherapeutic approach.

9.4. Psychosomatic disorders. 9.4.1. Acute and chronic stress.

9.5. Chronic pain disorders. 10. Physiotherapeutic treatment.

10.1. Anamnesis, medical history, and data collection. 10.2. Clinical interview. General characteristics. 10.3. Preparation of the therapeutic plan. 10.4. Establishment of therapeutic objectives. 10.5. Application of the treatment. Physiotherapeutic tools and techniques.

11. Mental health prevention. Healthy living habits. 11.1. Role of the physiotherapist in mental health prevention. 11.2. Exercise and mental health. Characteristics and general prescription. 11.3. Promotion of healthy living habits.



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11.4. Risk and mental health. 11.5. Pathological emotional bonding.

12. Research in physiotherapy and mental health. 12.1. Development and establishment of protocols for mental health interventions. 12.2. Quality in physiotherapy and mental health. 12.3. Role of the physiotherapist in mental illness research teams. Present and future.

13. Clinical cases.



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DIRECTED ACTIVITIES

Theoretical presentations where the theoretical basis of physiotherapy in psychiatry will be provided, with graphic and computer support. Estimated hours: 9.

Practical presentations where the professor will explain how various treatments are administered to a patient. Graphic and computer support will be used.


Presentation and resolution of clinical cases. Various clinical cases will be presented from which the students will have to propose the necessary treatment. Estimated hours: 6.


Practical student group activity with patients under the supervision of the professor in order to employ the different techniques presented in class.



In small groups. Based on a consensual topic between student and professor, research for updated bibliography on the proposed topic, preparation of a summary of contents of the five articles that they consider most relevant with a critical review of them. Estimated hours: 20.

Preparation, theoretical treatment, and discussion of a clinical case proposed by the professor derived from the research performed.






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TYPE OF AVTIVITY


Directed Activities


E1, E3, E5, E7, E8, E9, E17, E20, T8, G3

9

Practical presentations E3, E5, E7, E8 30


E1, E3, E5, E7, E8, E9, E17, T8, G3

6


Practical student activities

E3, E5, E7, E8 15


Summary of article contents

E1, E3, E5, E7, E8, E17, E20

20

Development of a clinical case

E1, E3, E5, E7, E8, E9, E17, E20

10

Independent work E1, E3, E5, E7, E8, E9, E17, E20

57.5

TOTAL HOURS 147.5



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ASSESSMENT



Skill in the therapeutic approach and its suitability to the situations posed. With an overall weight of 30%.

Written assignments and clinical cases presented in class. With an overall weight of 25%. See Appendix I for details of assessment activities.










LEARNING OUTCOMES

STUDENT HOURS

Written tests 45% E1, E3, E5, E7, E8, E9, E17, E20, T8, G3

2

Practical tests 30% E3, E5, E7, E8 0.25

Written assignments and clinical cases presented

25% E1, E3, E5, E7, E8, E9, E17, E20, T8, G3

0.25

TOTAL HOURS 2.5



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Books


Demetrio Barcia Salorio 2000 Tratado de Psiquiatría Madrid Aran ediciones

Kaplan-Sadock 2004 Sinopsis de Psiquiatría Waverly Hispanica

J. vallejo Ruiloba 2002 Introducción a la Psicopatología y Psiquiatría

Barcelona Masson

Sigmund Freud 2000 Las perspectivas futuras de la terapia psicoanalítica

Buenos Aires

Obras Completas, Vol. XI Amorrortu Ediciones 1996

COURSE SYLLABUS




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WRITTEN TESTS (45%)

Theoretical test.



ONGOING ASSESSMENT ACTIVITIES

Description/detail of the assignments: In the theoretical-practical classes, students will have to perform and submit a written activity (assessment template) of rapid response (5-10 lines) in which they will have to demonstrate whether the concepts developed in the class have been assimilated. The types of assignments will be:

Resolution of a component of a clinical case.

Resolution of a raised medical health care problem.

Design and development of individual and group treatment plans.

Resolving conflict situations

Design of programs to promote healthy living habits. The activity will be delivered “on-site.” The student who completes and passes at least 80% of the activities will NOT have to take the practical exam, and his grade in this section will be the average of the grades of the assignments submitted. The student who has not attended at least 80% of the theoretical-practical classes (compulsory attendance) or fails an average of the activities, will have to take the final practical tests. Scoring criteria The weight of the grade for each activity will be the same.



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FINAL PRACTICAL TESTS (only if you have not passed the ongoing evaluation)

ACTIVITY -1 (50%) (Mr. Fernando Guerrico)

Test description/details: Within approximately 20 minutes, the student will perform a practical exercise consisting of one of the following options: a) patient reception, interview, and physiotherapeutic diagnostic screening. b) practical implementation of physiotherapeutic treatment. c) direction of a group physiotherapy session. Scoring criteria: In all three cases, the ability to resolve such situations, the therapeutic approach, mastery of leadership styles, creativity, and resolve will be assessed. If the student has not passed the test, he will be able to repeat the test in subsequent classes.

ACTIVITY -2 (50%) (Mr. Héctor Grimberg)

Test description/details: Within approximately 20 minutes, the student will perform a clinical interview simulation with a patient affected by a mental disorder to determine the predominant psychopathological characteristics. Diagnostic attitude, listening, and guidance will be assessed. Scoring criteria: The practical application of the theoretical knowledge acquired in the theoretical and practical classes will be assessed. How the questioning takes place, how the situation is dealt with, and how the decision is made regarding the therapeutic or counseling proposal.



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WRITTEN ASSIGNMENTS SUBMITTED (25%)

ASSIGNMENT (100%) (Mr. Fernando Guerrico)

Description/detail of the assignment: In groups of 3 to 5 students. The assignment consists of:

Selection of a topic related to mental health and physiotherapy agreed to by the faculty.

Search for 2-3 articles related to the selected topic and a review of those articles.

Resolution of a clinical case raised by the faculty related to the topic chosen by the group members.

Scoring criteria: 1. ARTICLES SECTION. RESEARCH. Worth 10% Search complexity, article quality, Relation to the subject, scientific rigor. 2. ARTICLES SECTION. COLLECTIVE CRITIQUE. Worth 30% A description or summary of the information given in the article Critique of the articles (composition, deficiencies, virtues…) (form)

Group critique related to the topic of the article and conclusions (background) Discrepancies or points according to what was explained in class…

3. CLINICAL CASE SECTION. RESOLUTION OF THE CASE. Worth 50% Answers to questions raised Correct or incorrect practical approaches Treatment structure and design

Relationship to the articles, subject matter given in class…interwoven responses. 4. PRESENTATION: ASSIGNMENT FORMAT Worth 10% Presentation Structure, introduction, appendixes… Spelling errors Technical language… Assignment that is submitted (via Moodle platform) outside the established due date will have a 1 point penalty out of 10 taken off from the assignment grade. Qualified assignments with a grade lower than 5/10 will have a set period to redo it, following the criteria established by the professor. The final grade of these redone assignments will not exceed 5/10 in any case.



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GENERAL INFORMATION

COURSE DATA

Course CARDIORESPIRATORY PHYSIOTHERAPY Code 200564 Academic Year 2019-2020


Year of Study

3 Semester 2



FACULTY DATA

Professor In Charge

Professor’s Name MRS. JÚLIA ESTELA ESTEVE



Other Professors

Professor’s Name MRS. PILAR PUYOL



Professor’s Name MRS. MARTA SABATÉ



Professor’s Name MRS. MARIA JOSEP LOPEZ



PREREQUISITES






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Subject: Cardiorespiratory Physiotherapy.

This course intends to transmit to the student the theoretical knowledge and practical skills to perform assessments and treatments based on scientific evidence and good clinical practice, in the field of cardiorespiratory physiotherapy.

The knowledge of this area of physiotherapy is essential within the profile of the degree program and profession since the increase in the incidence of pathological cardiorespiratory conditions makes the subsidiary population of this specialty increasingly important.




Learning outcomes E3.9. Identify the physiological and structural changes that can occur as a result of physiotherapeutic intervention in neurological disorders.

Specific Objectives: E3.9.1. Relate the different procedures in cardiorespiratory physiotherapy to the physiopathology of the system. E3.9.2. Differentiate between normal and pathological ventilatory biomechanics. E3.9.3. Identify objective changes after cardiorespiratory physiotherapeutic procedures.

E3.8. Employ the methods, procedures, and physiotherapeutic interventions with cardiorespiratory conditions.

Specific Objectives: E3.8.1. Employ basic physiotherapeutic procedures to increase pulmonary ventilation. E3.8.2. Employ basic physiotherapeutic procedures to decrease pulmonary hyperinflation. E3.8.3. Employ basic physiotherapeutic procedures to permeate the airways. E3.8.4. Employ basic physiotherapeutic procedures to control dyspnea.


Learning outcomes E5.3. Solve clinical cases subject to physiotherapeutic treatment in the field of cardiorespiratory disorders.

Specific Objectives: E5.3.1. Choose the most appropriate physiotherapeutic interventions or procedures for the resolution of specific clinical cases in the area of



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cardiorespiratory physiotherapy. E5.3.2. Develop empathic, communicative, and educational skills with regard to the cardiorespiratory patient and his surroundings, paying attention to critical or end-of-life situations.


Learning outcomes E7.9. Describe and employ appropriate physiotherapeutic assessment procedures with the aim of determining the degree of impact on the cardiorespiratory system and any functional repercussions.

Specific Objectives: E7.9.1. Develop a physiotherapy record focused on promoting the observation and data collection capabilities of the clinic, both static and dynamic, and the symptomatology of the cardiorespiratory patient. E7.9.2. Proper use of different assessment scales in cardiorespiratory physiotherapy. E7.9.3. Develop data interpretation skills to assess cardiorespiratory physiotherapy and appropriate treatment.

Competency E8. Determine a physiotherapeutic diagnosis according to standards and with

internationally recognized validation instruments. Learning outcomes E8.7. Establish a physiotherapeutic diagnostic hypothesis based on clinical

cases related to cardiorespiratory conditions. Specific Objectives: E8.7.1. Formulate a diagnostic hypothesis based on the analysis of cardiorespiratory deficits and disorders detected during the examination.


Learning outcomes E9.12. Define the general and specific objectives for employing physiotherapeutic treatment for cardiorespiratory disorders.

Specific Objectives: E9.12.1. Detect the treatment priorities of cardiorespiratory physiotherapy according to the short and long term diagnostic hypothesis. E9.12.2. Plan cardiorespiratory physiotherapeutic treatment objectives according to the diagnostic hypothesis.

E9.13. Describe the circumstances that influence the intervention priorities in the physiotherapeutic treatment of cardiorespiratory disorders.

Specific Objectives: E9.13.1. Plan short- and long-term treatment goals based on the continuous assessment of a cardiorespiratory patient's condition, as well as his socio-family environment.

E9.14. List the different types of material and apparatus to be used in the physiotherapeutic treatment of cardiorespiratory disorders.

Specific Objectives: E9.14.1. Choose the most suitable and specific tools when scheduling



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treatment. E9.14.2. Instruct the cardiorespiratory patient in the correct use of the tools.

Competency E17. Participate in the development of physiotherapeutic healthcare protocols based


Learning outcomes E17.3. Describe and analyze evidence-based physiotherapeutic health care protocols for cardiorespiratory disorders.

Specific Objectives: E17.3.1. List the different physiotherapeutic assistance protocols for disorders of the cardiorespiratory system.

Competency E20. Employ quality assurance mechanisms in the practice of physiotherapy according to recognized and validated criteria.

Learning outcomes E20.7. Describe useful clinical practice guidelines employed with neurological disorders.

Specific Objectives: E20.7.1. Indicate the guidelines of good clinical practice employed with pathological cardiorespiratory conditions.


Competency T6. Make the most appropriate decisions in a given situation.

Learning outcomes Specific Objectives: T6.1. Justify the decisions taken in response to the fundamental problems of the cardiorespiratory patient, based on clinical cases.


Learning outcomes Specific Objectives: T7.1. Develop the right conditions for teamwork. T7.2. Take responsibility for assigned tasks within the group work.



Learning outcomes This competency is considered to be developed in this course by working on “T7. Work as a team.”



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CONTENTS

1. Introduction 2. Kinesiology and biomechanics of ventilation

2.1. Ventilation muscles 2.2. Biomechanical factors

3. General objectives of physiotherapy 4. Assessment in cardiorespiratory physiotherapy

4.1. Data collection 4.2. Static and dynamic examination 4.3. Auscultation 4.4. Symptoms and signs 4.5. Functional parameters 4.6. Physiotherapeutic diagnosis 4.7. Goal setting and treatment planning 4.8. Inhalation therapy 4.9. Ongoing assessment and end of treatment

5. Ventilatory reeducation techniques 5.1. Reeducation of the craniocaudal diameter of the chest 5.2. Reeducation of the transverse diameter of the chest 5.3. Localized expansions 5.4. Other ventilatory techniques

6. Techniques for the drainage of secretions. Airway permeability 6.1. Upper Airway 6.2. Lower Airway 6.3. Inspiratory 6.4. Expiratory 6.5. Instruments

7. Techniques for controlling dyspnea 7.1. Positional, ventilatory, relaxation and training 7.2. Dyspnea assessment 7.3. Evaluation of the adaptation to stress

8. Analysis process to choose the techniques to be employed 9. Clinical case work of obstructive pathological conditions 10. Clinical case work of restrictive pathological conditions



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DIRECTED ACTIVITIES

Theoretical presentations where basic knowledge will be provided, with graphic and computer support. Estimated hours: 18.

Practical presentations where the professor will explain, on a model, how the different techniques are performed. Graphic and computer support will be used. Estimated hours: 13.5.

Presentation and resolution of clinical cases. Different clinical cases will be presented from which the students will have to make an interpretation of the presented data and develop the physiotherapeutic cardiorespiratory treatment. Estimated hours: 6.


Practical student group activity, under the supervision of the professor, in order to employ the different techniques presented. Estimated hours: 13.5.

Group work in the discussion and resolution of a clinical case of cardiorespiratory physiotherapy. Estimated hours: 9.


Supplement the knowledge transmitted by the professor by reading additional bibliographic literature that can be assessed by written tests. Estimated hours: 10.

Preparation of a basic medical record for a cardiorespiratory patient. Estimated hours: 10.




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TYPE OF AVTIVITY


Directed Activities


E3.8, E3.9, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, E20.7

18

Practical presentations E3.8, E5, E7.9, E8.7 13.5


E3.8, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, T6, G2

6



E3.8, E5, E7.9, E8.7 13.5

Group work E3.8, E3.9, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, T7

9


Bibliography reading E3.8, E3.9, E5, E7.9, E8.7, E17, E20.7

10

Preparation of a medical record

E3.8, E3.9, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, E20.7

10

Independent work E3.8, E3.9, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, E20.7

66.5

TOTAL HOURS 146.5



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ASSESSMENT


Knowledge acquired through written tests. With an overall weight of 50%.

Manual skills through practical tests. With an overall weight of 30%.

The history of cardiorespiratory physiotherapy presented in class. With an overall weight of 20%.






Obtain an overall grade for the course equal to or greater than 5.

Internal Practice Regulations: Consult the contents of the Internal Practice Regulations of the Center regarding the minimum requirements demanded of the student in the development of the course's practical activities.

Final assessment test period: 6/2/2020 to 6/16/2020. Make-up period for the final assessment tests: 6/17/2020 to 6/29/2020.

Procedure for reviewing grades: see the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

Written tests 50 E3.8, E3.9, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, E20.7

2

Practical tests 30 E3.8, E5, E7.9, E8.7 1.5

The history of cardiorespiratory physiotherapy

20 E3.8, E3.9, E5, E7.9, E8.7, E9.12, E9.13, E9.14, E17, E20.7, T6, T7, G2

---

TOTAL HOURS 3.5



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Books


Netter F 2000 Sistema Respiratorio 1ª, reimpres 8ª

Barcelona Masson

West J 2005 Respiratory physiology the essentials

7ª USA Panamericana

Kapandji 2007 El tórax y la respiración 6ª Madrid Panamericana

Postiaux 2000 Fisioterapia respiratoria en el niño

1ª Madrid Mc Graw Hill

Antonello 2002 Fisioterapia respiratoria 1ª Barcelona Masson

Pryor JA, Prasad SA 2002 Physiotherapy for Respiratory and Cardiac Problems. Adults and paediatrics

3ª London Churchill Livingstone

Güell R. 2005 Tratado de RHB respiratoria Barcelona SEPAR

Articles


Orozco Levi El diafragma Arch bronconeumol 33 1997 399-411

Josa R Avaluació in respiratòria Physiotherapy

Actualitzacions en fisioterapia

1 2004 17-40



Jefferies A 2001 Lo esencial en aparato respiratorio

1ª Madrid Hartcourt

Frowenfelter 2006 Cardiovascular and Pulmonary Physical Therapy

4ª USA Mosby Elsevier

Reychler, Roesler, Delgas 2009 Kinésithérapie respiratoire 2ª Bruxelles Elsevier

Champignion Ph 2008 Respir- acciones 2ª Alicante Lencina and Verdú

Gimenez M, Servera E, Vergara P

2004 Prevención y RHB en patología respiratoria crónica

2ª Madrid Panamericana

Articles


Weibel ER How to make an alvéolus

Eur Respir J 31 2008 483-85

COURSE SYLLABUS




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WRITTEN TESTS (50%)

Theoretical test:



I. RESPIRATORY PHYSIOTHERAPY ASSESSMENT, INHALATORY TECHNIQUES, AND

AEROSOL THERAPY: María Josep López

II. VENTILATORY TECHNIQUES, RESPIRATORY PATTERNS, AND TREATMENT OF

PHYSIOTHERAPY IN RESTRICTIVE PATHOLOGY: Júlia Estela Esteve

III. SECRETION DRAINAGE TECHNIQUES: Pillar Puyol

IV. TECHNIQUES FOR DYSPNEA CONTROL, TOOLS AND TREATMENT OF

RESPIRATORY PHYSIOTHERAPY IN OBSTRUCTIVE PATHOLOGY: Marta Sabaté

ONGOING ASSESSMENT (30%)

1. ICT tools for teaching.

In order to assess students individually and in groups, several ICT gamification tools will be employed to configure the final average of the continuous assessment of the practice block.

2. Classroom resolution exercises with questions about the previous class.

3. Questions about a clinical case raised in the classroom.

4. (Punctuality, attitude, participation...)

ONGOING ASSESSMENT (70%)

1. Manual skill in the application of the various techniques, as well as the appropriateness of the

chosen technique/procedure in the given situation.



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HISTORY OF CARDIORESPIRATORY PHYSIOTHERAPY (20%) (Mrs. Júlia Estela Esteve, Mrs. Pilar Puyol, Mrs. Marta Sabaté, Mrs. Maria Josep López)

Description/detail of the assignment: The work of this cardiorespiratory course will be completed in groups. These will be freely

formed by the students themselves to facilitate the collaboration and coordination of the

work.

Each group will be assigned a medical record or medical report of a cardiorespiratory

pathology related to the topics covered in class.

The work will consist of studying the pathology, designing the data collection sheet aimed at

making a respiratory physiotherapeutic assessment, and proposing a possible

physiotherapeutic treatment based on the attached physiotherapeutic assessment.

This is learning based on actual clinical practice, and it will be possible to assess whether the

students have understood the basic concepts of respiratory physiotherapy assessment and

treatment.

Scoring criteria:



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GENERAL INFORMATION

COURSE DATA

Course GERIATRIC PHYSIOTHERAPY Code 200566 Academic Year 2019-2020


Year of Study

3 Semester 2



FACULTY DATA

Professor In Charge Professor’s Name MR. JORDI PUJOL



Other Professors

Professor’s Name MRS. EVA GARCÍA BARREDA



Professor’s Name MRS. CARME OLIVERA NOGUEROLA



Professor’s Name MR. CARLES SALVADÓ



Professor’s Name DR. JOSEP SÁNCHEZ ALDEGUER



PREREQUISITES






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Subject: Geriatrics.

This course aims to lay the foundations in Geriatric Physiotherapy/Rehabilitation to care for the elderly from the biopsychosocial point of view.

Knowledge of geriatric physiotherapy and rehabilitation is important due to the increase in life expectancy in today's world and is fundamental to the profile of the degree program and the health profession.




Learning outcomes E1.22. Describe geriatric injuries and illnesses, identifying the manifestations that appear throughout the process, as well as their etiology and the associated medical, surgical, and rehabilitation treatments.

Specific Objectives: E1.21.1. Define the concepts of geriatrics and gerontology. E1.21.2. Describe the main characteristics of the aging process. E1.21.3. Describe the different theories of aging. E1.21.4. Describe the different types of aging. E1.21.5. Describe the characteristics of the geriatric patient. E1.21.6. Describe the health problems that the geriatric patient may have. E1.21.7. Describe the classification, epidemiology, pathogenesis, risk factors, clinical symptoms, prognosis, evolution, and diagnosis of the pathological conditions with the greatest incidence that affects the elderly. E1.21.8. Describe a healthy diet for the elderly. E1.21.9. Describe what medication older people most often use.


Learning outcomes E3.10. Employ physiotherapeutic methods, procedures, and interventions within the different clinical specialties that treat locomotor apparatus disorders.

Specific Objectives: E3.10.1. Describe the different functions of the professionals who are part of the geriatric team. E3.10.2. Employ measures to prevent falls by older people. E3.10.3. Develop a program of neuromotor activation, care, and



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available support products adapted to the degree of independence of the elderly patient and their environment. E3.10.4. Apply different techniques and methods in geriatric rehabilitation. E3.10.5. Design psychomotor sessions adapted to the different variations and types of users in the geriatric field. E3.10.6. Develop a neuromotor activation, care, and possible support products program adapted to the degree of autonomy of the elderly patient and his environment. E3.10.7. Design a prevention plan to promote active aging. E3.10.8. List the work of the occupational therapist in geriatric rehabilitation.


Learning outcomes E5.4. Solve clinical cases subject to physiotherapeutic treatment in the area of geriatric disorders.

Specific Objectives: E5.4.1. Choose the most appropriate physiotherapeutic interventions or procedures for the resolution of specific clinical cases in the various health care settings of the elderly patient.


Learning outcomes E7.10. Describe the foundations of geriatric assessment. Specific Objectives: E7.10.1. Select different validated geriatric assessment scales. E7.10.2. Assess the patient’s functional capacity and degree of autonomy. E7.10.3. Identify the effectiveness of the geriatric assessment. E7.10.4. Assess the geriatric patient in a comprehensive manner using the appropriate equipment. E7.10.5. Assess the risk of falls in the elderly.

E7.11. Employ appropriate geriatric physiotherapeutic assessment procedures with the aim of determining the degree of the disorder and its possible functional impact.

Specific Objectives: E7.11.1. Identify and interpret the different validated geriatric assessment scales. E7.11.2. Identify the degree of independence of the elderly patient and plan and adapt a therapeutic rehabilitation intervention plan. E7.11.3. Identify the appearance of signs of pre-frailty and frailty or geriatric syndromes that can lead to a process of functional decline or dependency.


Learning outcomes E9.15. Design exercises and therapeutic activities for geriatric diseases and injuries.



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Specific Objectives: E9.15.1. Identify the target population to be served according to its functional, cognitive, and relational homogeneity. E9.15.2. Identify the functional and personal diversity in the aging process and its related pathologies. E9.15.3. Adapt the different techniques and methods to the goals of group or individual activities. E9.15.4. Develop geriatric health care goals from a multi and/or interdisciplinary perspective.


Learning outcomes E17.4. Describe and analyze evidence-based physiotherapeutic health care protocols for geriatric cardiorespiratory disorders.

Specific Objectives: E17.4.1. Develop geriatrics-related research, treatment, and implementation. E17.4.2. Understand the methodology for the development of basic health care protocols. E17.4.3. Describe physiotherapeutic health care protocols for certain disorders within geriatrics.


Learning outcomes E20.8. Describe and analyze quality assurance mechanisms in geriatric physiotherapeutic health care processes.

Specific Objectives: E20.8.1. Develop your professional pursuits following ethical standards and useful clinical practice guidelines in rehabilitation. E20.8.2. Describe the mechanisms that ensure quality of care.


Competency T3. Express yourself fluently, coherently, and appropriately according to established

rules, both orally and in writing. Learning outcomes Specific Objectives:

T3.1. Conduct oral presentations and written assignments using appropriate language according to the context and/or audience. T3.2. Identify verbal, paraverbal, and non-verbal communication.

Competency T5. Problem Solving.

Learning outcomes Specific Objectives: T5.1. Identify the patient’s degree of independence and his functional possibilities. T5.2. Identify the importance of the patient’s own responsibility and environment in the progress of the functional rehabilitation process.


Learning outcomes Specific Objectives: T6.1. Explain the established goals and treatments for the clinical



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cases presented in class.


Learning outcomes Specific Objectives: T7.1. Identify the professional diversity in geriatrics. T7.2. Practice teamwork through the development of clinical cases.



Learning outcomes Specific Objectives: G3.1. Understand diversity as a concept implicit in human nature. G3.2. Identify, recognize, and respect the patient’s privacy, needs, decisions, and social status, as well as the characteristics of his environment. G3.3. Acknowledge the importance of caring and treatment, accompanying, guiding, and rehabilitating in the health care process.



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CONTENTS

1. BASIC KNOWLEDGE OF THE AGING PROCESS AND AGE-RELATED CONDITIONS.

1.1. Geriatrics. Gerontology. Definition of geriatrics and gerontology. 1.1.1. Demographic changes. 1.1.2. Get older. 1.1.3. Population pyramids. 1.1.4. Problems caused by aging. 1.1.5. Theories of aging. 1.1.6. Type of aging.

1.2. Comprehensive geriatric assessment 1.2.1. Basic concepts. 1.2.2. Type of geriatric equipment 1.2.3. Geriatric patient. 1.2.4. Geriatric health care goals. 1.2.5. Type of geriatric patient. 1.2.6. Characteristics of the geriatric patient. 1.2.7. Problems in the geriatric patient. 1.2.8. Daily life activities. 1.2.9. Effectiveness of geriatric assessment. 1.2.10. Comprehensive geriatric assessment: specific. 1.2.11. Need for geriatric assessment. 1.2.12. Equipment and questionnaires. 1.2.13. Indicators and quality measurement mechanisms. 1.2.14. Key features of the equipment. 1.2.15. Geriatric equipment. 1.2.16. Clinical assessment 1.2.17. Assessment of physical function. 1.2.18. Equipment.

1.2.18.1. Measurement of ADL (Activities of Daily Living) physical function. 1.2.18.2. Measurement of IADL (Instrumental Activities of Daily Living) physical

function. 1.2.18.3. Neuropsychological assessment.

1.3. Diseases in older people. Changes during aging. 1.4. Risk factors in older people. 1.5. Major geriatric syndromes:

1.5.1. Malnutrition. 1.5.2. Immobility. 1.5.3. Falls. 1.5.4. Depression. Anxiety. Delirium. 1.5.5. Dementia 1.5.6. Osteoporosis Fractures 1.5.7. Urinary incontinence/health care intervention and biopsychosocial repercussions

1.6. Other syndromes: 1.7. Stroke 1.8. Medication for older people. 1.9. Infectious processes in the geriatric patient. 1.10. Vaccinations for the geriatric patient. 1.11. Methodology for the development of basic health care protocols.



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2. PHYSIOTHERAPEUTIC INTERVENTIONS AND TECHNIQUES FOR OLDER PEOPLE 2.1. Geriatric physiotherapy/rehabilitation

2.1.1. Goals and functions of the physiotherapist 2.1.2. Treatment areas (institutional and residential) 2.1.3. Type of elderly patient 2.1.4. Geriatric physiotherapy/rehabilitation techniques and methods

2.2. Gerontopsychomotor skills 2.2.1. Benefits of gerontopsychomotor skills. 2.2.2. Senior citizens 2.2.3. Fourth and fifth age (80-90-year-olds)

2.3. Safe mobility for patients and use of mobility and travel support products 2.3.1. Natural movement for the patient 2.3.2. Safe movement for the professional 2.3.3. Bed repositioning 2.3.4. Moving around in a chair 2.3.5. Use of support products

2.4. Neuromotor activation and reprogramming. 2.4.1. Awareness of the basic components of activation 2.4.2. Activation in bed 2.4.3. Activation in a chair 2.4.4. Activation in the standing position 2.4.5. Use of mobility support products

2.5. Falls 2.5.1. Intrinsic and extrinsic factors 2.5.2. Therapeutic intervention

2.5.2.1. Measures of prevention, education, and action in falls and psychomotor disadaptation syndrome (sudden)

2.5.2.2. Older patient's attachment and agitation reactions 2.5.2.3. Measures of containment and restriction of mobility

2.6. Neurological disorders, dementias, and palliative cures 2.6.1. Geriatric physiotherapeutic intervention: basal and multisensory stimulation 2.6.2. Communication skills with the elderly patient

2.7. Wheelchair and support products in the environment



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DIRECTED ACTIVITIES

Theoretical presentations where the theoretical/practical basis of geriatric physiotherapy will be provided, with graphic and computer support. Estimated hours: 30.

Practical presentations where the professor will explain, on a model, how the different techniques are performed. Graphic and computer support will be used. Estimated hours: 22.5.


Practical student group activity, under the supervision of the professor, in order to employ the different techniques presented. Estimated hours: 7

Resolution of a clinical case. Students will present clinical cases in which they should make a proposal for therapeutic intervention in the area of geriatric rehabilitation. Estimated hours: 8


Search and management of information obtained by reading articles, books, and other related sources in and out of the field of geriatric rehabilitation in relation to clinical cases.


Writing of papers on clinical cases in the field of geriatric rehabilitation presented by groups of students from bibliographical research and/or clinical stays made during the degree program.

Estimated hours: 15. Independent personal study assignment for exam preparation, organization of notes, and/or materials, open tutorials: individual or group. Estimated hours: 50.25.



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TYPE OF AVTIVITY


Directed Activities


E3, E7, E17, E20, E9 30

Practical presentations E5, E7, E9 22.5



E5, E7, E9 7


E1, E5, E17, E20, T3, T5, T6, T7, G3

8



E1, E3, E17, E20 15

Writing of papers E1, E3, E17, E20, T3, T7 15

Independent work E1, E3, E5, E7, E9, E17, E20 50.25

TOTAL HOURS 147.75



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ASSESSMENT


Knowledge acquired through written tests. With an overall weight of 50%.

Manual skill in the application of the different techniques, as well as the adaptation of the chosen technique/procedure to the situation at hand, by means of practical tests. With an overall weight of 25%.

Written group papers of a clinical case. With an overall weight of 25%. See Appendix I for details of assessment activities. In order to pass the course, it will be necessary to:






Final assessment test period: 6/2/2020 to 6/16/2020. Make-up period for the final assessment tests: 6/17/2020 to 6/29/2020. Procedure for reviewing grades: see the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

Written tests 50% E3, E7, E17, E20, E9 2

Practical tests 25% E5, E7, E9 0.25

The submitted written group papers of a clinical case

25% E1, E3, E17, E20, T3, T6, T7, G3 ---

TOTAL HOURS 2.25



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Books


Austad, Steven 1998 Por qué envejecemos Barcelona Paidos

Rebelatto, Jose Rubens Da 2005 Fisioterapia en Geriatría Madrid Interamericana. Mc.Graw-Hill

Abrams, W.B.; Berkow, R 2001 Merck de Geriatría Madrid Harcourt

Pilar Point/ Maite Carriggio 2009 Ejercicios de motricidad y memoria para personas mayores


Tribiel-Thome, Anna 1989 El método Feldenkrais Barcelona Abraxas

Montagut, F/Flotats,G 2005 Rehabilitación domiciliaria: principios e indicaciones y programas terapeuticos

Barcelona Masson

Abric, Max/Dotte, Paul 2004 Gestos y Activación para las personas mayores. Tomos I y II

Barcelona Masson

Dotte, Paul 2010 Método de movilización de los pacientes

Barcelona Masson

Nolasc Acarin 2010 Alzheimer. Manual de instrucciones

Barcelona RBA

Gabor Abellán Van Kan ... y otros

2007 Tratado de geriatría para residentes

Madrid Sociedad Española de Geriatría y Gerontología, cop.

Salgado, A.; Guillén, F.; Ruipérez, I.

2002 Manual de geriatría 3a Barcelona Masson

Cervera Díaz, M.C.; Sáiz García, J.

2009 Actualización en geriatría y gerontología II

4a Alcalá la Real

Editorial Formación Alcalá

Material audiovisual

Title Description

Bicicleta, cullera, poma Film by Carles Bosch

El discurso del rey Film

Other

Title Description

Un cuidador. Dos vides Dependency care program. “La Caixa” social work of 2008.



Pàmies, Teresa 2002 L'Aventura d'envellir Barcelona Empúries

Fuster, Valentí / Sampedro.,J.L 2008 La ciència i la Vida Barcelona Rosa dels Vents

Henenezel, de Marie 2009 La suerte de envejecer Barcelona Platform

Serrano Sebastià 2003 El regal de la comunicació Barcelona Ara LIBROS

Henezel, de Marie La Muerte Íntima Plaza & Janes

Oliver Sacks 2009 Musicofilia Barcelona Anagrama

Kübler- Ross, E 2006 La Rueda de la vida Barcelona Zeta bolsillo

Küber- Ross.E 2008 La muerte, un amanecer Barcelona Luciernaga



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Molins, Jaci 2010 Coaching y Salud Barcelona Platform

Paeth, Bettina 2006 Experiencias con el concepto Bobath

Barcelona Paramerica-na

De Pablo Hernández, C. 2004 Manual de urgencias geriátricas

Alcalá la Real

Editorial Formación Alcalá

Web references


Escuela de formación en técnicas de crecimiento personal

From Barcelona www.espailudic.com

Centro de fisioterapia Premià de Dalt Center www.punterapeutic.com

Colegio de Fisioterapeutas de Cataluña

Headquarters in Barcelona www.fisioterapeutes.com

Bicicleta, cullera, poma Film http//www.bicicletacullerapoma.cat

Obra Social “La Caixa” Query - Information Service www.laCaixa.es/ObraSocial

www.hipocampo.org/alzheimer.asp

Rehabilitación domiciliaria Rehabilitation service www.fisiogestion.com

Editorial libros de interés Human skills www.plataformaeditorial.com

Revista de práctica y técnica de fisioterapia

French language www.ks-mag.com

Physical Therapy English language www.automailer.com

Professional Blandine Training school www.calais-germain.com

Sociedad española de geriatría y gerontología

Journals of medical geriatrics www.segg.es

Página web de grupos de expertos en prevención de caídas

English language www.profane.eu.org

Instituto Envejecimiento - UAB

Barcelona www.envelliment.org

Fundación Pascual Maragall Barcelona www.alzheimerinternacional.org

Fundació Àmbit Barcelona www.fundacioambit.com

COURSE SYLLABUS


http://ccuc.cbuc.cat/search~S23*cat?/Xmanual+geriatria&searchscope=23&SORT=AZ/Xmanual+geriatria&searchscope=23&SORT=AZ&extended=0&SUBKEY=manual%20geriatria/1,53,53,B/frameset&FF=Xmanual+geriatria&searchscope=23&SORT=AZ&34,34,

http://ccuc.cbuc.cat/search~S23*cat?/Xmanual+geriatria&searchscope=23&SORT=AZ/Xmanual+geriatria&searchscope=23&SORT=AZ&extended=0&SUBKEY=manual%20geriatria/1,53,53,B/frameset&FF=Xmanual+geriatria&searchscope=23&SORT=AZ&34,34,

http://www.alzheimer/



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WRITTEN TESTS (50%)

Theoretical test.


PRACTICAL TESTS (25%) (Mr. Jordi Pujol / Mr. Carles Salvadó)

Test description/details: Test will be given in the last practice class of the semester. The test consists of 12 questions, 6 from Mr. Carles Salvadó and 6 from Mr. Jordi Pujol. Each corresponding to the 6 different practical blocks of the subject. The questions are dichotomous. They are based on basic concepts that must be mastered in each of the practices. Scoring criteria: All 12 questions have the same value, if an answer is not correct, the value of the question will be subtracted, which will be 0.83 for each wrong answer. Remember that the EVALUATION section specifies the rules for these practices in terms of attendance, punctuality, and attitude.



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THE SUBMITTED WRITTEN GROUP ASSIGNMENTS OF A CLINICAL CASE (25%)

PREPARATION OF A CLINICAL CASE (70%) (Mr. Jordi Pujol/Mr. Carles Salvadó)

Description/detail of the assignment: Making a clinical case for a geriatric patient chosen by the student. During the practices, follow-up is done through classroom and virtual tutorials. The presentation of the assignment will be in PowerPoint format, printed as if it were a document. It must contain the following parts:

Pathology

Personal data

Biopsychosocial assessment

Patient/family expectations

Intervention goals (general and specific)

Therapeutic intervention

Conclusions Scoring criteria: It will be assessed using the rubric “CLINICAL CASE ASSESSMENT TABLE” in Appendix II.

THEORETICAL AND PRACTICAL EXERCISES (30%) (Dr. José Sánchez)

Test description/details: Study of clinical cases related to the class syllabus. Scoring criteria:

It will be assessed using the rubric “CLINICAL CASE ASSESSMENT

TABLE” in Appendix II.



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GENERAL INFORMATION

COURSE DATA

Course PHYSIOTHERAPY IN CLINICAL SPECIALITIES OF THE LOCOMOTOR

APPARATUS - V Code 200565 Academic Year 2019-2020


Year of Study

3 Semester 2



FACULTY DATA

Professor In Charge

Professor’s Name MR. RICARD TUTUSAUS



Other Professors

Professor’s Name MR. JOSÉ MIGUEL AGUILILLA



Professor’s Name MRS. ESTHER BERGEL



Professor’s Name MR. ALFONSO CÁNOVAS



Professor’s Name MRS. BEGOÑA CAPILLA



Professor’s Name MRS. ANABEL CASANOVAS



Professor’s Name MRS. SUSANA FLORES



Professor’s Name DR. LLUIS GUIRAO









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Professor’s Name MRS. MARTA MONTANÉ BLANCHART



Professor’s Name MRS. MAIDER SÁNCHEZ PADILLA



PREREQUISITES

There are no official prerequisites, but in order to take this course, we recommend that you should already have passed the course "PHYSIOTHERAPY IN CLINICAL SPECIALTIES OF THE LOCOMOTOR APPARATUS - II" during the second semester of the second year of study.


Subject: Physiotherapy of the Locomotive Apparatus.

This course aims to lay the foundations for the physiopathology, assessment, and treatment of the lymphatic system, the fascial system, the lower limbs, and the spine, with regard to the functioning of the locomotor apparatus.

Knowledge of the lymphatic system, the fascial system, the lower limbs, and the spine is essential within the profile of the degree program and the physiotherapist's profession, for examination and subsequent treatment.




Learning outcomes E1.21. Describe and analyze human movement. Specific Objectives: E1.21.1. Associate locomotor apparatus disorders with biomechanical normality in the spine and lower limbs. E1.21.2. Identify joint movement disorders and relate them to bone disorders and deformities in the spine and lower limbs. E1.21.3. Describe and analyze physiological motor control patterns in the spine and lower limbs. E1.21.4. Understand the functions of the fascial system and the



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relationships that are established between different parts of the organism as a result of it, as well as its importance in human movement. E1.21.5. Identify the location of the different abdominal viscera through palpation. E1.21.6. Describe the causes and epidemiology of limb amputations E1.21.7. Describe the levels of limb amputation


Learning outcomes E3.2. Identify the physiological and structural changes that can occur as a result of physiotherapeutic intervention in locomotive apparatus disorders.

Specific Objectives: E3.2.1. Describe the changes it causes to the tissue, the different types of active and passive techniques. E3.2.2. Describe the optimal therapeutic approach for successful tissue development. E3.2.3. Describe the evolution of various pathological conditions in the spine and lower limbs in response to treatment. E3.2.4. Describe the evolution that occurs in connective tissue as a result of fascial normalization treatment.

E3.3. Employ physiotherapeutic methods, procedures, and actions within the different clinical specialties that treat locomotor apparatus disorders.

Specific Objectives: E3.3.1. Describe manual lymph drainage and the different techniques used to address edema. E3.3.2. Employ manual lymph drainage to both the upper and lower limbs, trunk, and face. E3.3.3. Describe the theoretical and biomechanical basis of joint re-centering in the spine. E3.3.4. Describe the theoretical basis for stabilization work on the spine and the lower limbs. E3.3.5. Employ a variety of reeducation methods for the treatment of different musculoskeletal pathological conditions of the spine and lower limbs. E3.3.6. Describe the optimal therapeutic approach for musculoskeletal pathological conditions in the spine and lower limbs. E.3.3.7. Employ the different procedures and methods that can be used to treat fascial constraints. E.3.3.8. Employ physiotherapeutic treatment, as part of a multidisciplinary team, during the different stages of rehabilitation of an amputee patient.

E3.4. Employ specific physiotherapeutic intervention methods to promote a healthy lifestyle in relation to the locomotor apparatus through health education.

Specific Objectives: E3.4.1. Explain appropriate lifestyle recommendations for people



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affected by spinal and lower limb disorders.


Learning outcomes E5.1. Solve clinical cases susceptible to physiotherapeutic treatment in the field of musculoskeletal system disorders.

Specific Objectives: E5.1.1. Identify injuries and dysfunctions in the lymphatic system, fascial system, lower limbs, and the spine in clinical cases presented in class. E5.1.2. Develop appropriate treatments for the clinical cases proposed in the pathological conditions of the lymphatic system, fascial system, spine, and lower limbs. E5.1.3. Interpret the results obtained as a result of the proposed treatment in the clinical cases presented in the pathological conditions of the lymphatic system, fascial system, spine, and lower limbs. E5.1.4. Identify through anamnesis the most relevant clinical symptoms that a patient displays in a practical case. E5.1.5. List the clinical symptoms that a patient shows with the different pathologies in a clinical case. E5.1.6. List differential diagnoses associated with the clinical symptoms in a practical case


Learning outcomes E7.4. Describe and employ appropriate physiotherapeutic assessment procedures with the aim of determining the degree of impact on the locomotive apparatus and their possible functional repercussions.

Specific Objectives: E7.4.1. Identify the different types of edema through physiotherapeutic assessment. E7.4.2. Determine the muscular and joint disorders of the spine and lower limbs, using mobility and stability tests. E7.4.3. Assess fascial motility as well as possible restrictions on connective tissue. E7.4.4. Identify the clinical symptoms associated with visceral palpation to differentiate between organic and functional disorders at the visceral level. E7.4.5. Assess the amputee patient. E7.4.6. Discover the protection criteria of the amputee patient.


internationally recognized validation instruments. Learning outcomes E8.3. Establish diagnostic physiotherapeutic hypotheses through clinical

cases with musculoskeletal system disorders. Specific Objectives: E8.3.1. Identify local, regional, or global deficiencies of the



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lymphatic system, fascial system, spine, and lower limbs to be able to develop functional diagnostic hypotheses. E8.3.2. Develop a physiotherapeutic diagnostic hypothesis for the subsequent therapeutic approach. E8.3.3. List the different tests that allow for a differential diagnosis of an organic disorder with musculoskeletal implications.


Learning outcomes E9.4. Define the general and specific objectives for the application of physiotherapeutic treatment in locomotive apparatus disorders.

Specific Objectives: E9.4.1. Identify the priority dysfunctions of patients with spinal, lower limb, lymphatic system, and fascial system disorders. E9.4.2. Identify the priority objectives in the treatment of the central disorders of the various anatomical structures of the lymphatic system, fascial system, spine, and lower limbs. E.9.4.3. Identify the treatment goals of the myofascial, viscerofascial, neuromeningeal, and lymphatic systems. E.9.4.4. Identify priority objectives in the treatment of amputee patients

E9.5. Describe the circumstances that determine the action priorities in the physiotherapeutic treatment of locomotor apparatus disorders.

Specific Objectives: E9.5.1. Identify priorities to be addressed in problems affecting the lymphatic system, fascial system, spine, and lower limbs according to:

- Stability problems. - Mobility problems. - Static problems. - Pain. - The presence of factors that contribute to the persistence

of the disease. E9.5.2. Identify the presence of a visceral functional disorder. E9.5.3. Identify when a visceral functional disorder produces a musculoskeletal impairment that requires physiotherapeutic intervention. E9.5.4. Identify the most frequent complications of the amputated patient's residual limb and ancillary issues with the fitting process.

E9.6. List the different types of material and apparatus to be used in the physiotherapeutic treatment of locomotor apparatus disorders.

Specific Objectives: E9.6.1. Use:

- Proprioceptive material. - Goniometers. - Plumb. - Stabilizer. - Multilayer bandages to contain edema.

E9.6.2. Briefly describe pressure therapy and compression



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bandages. E9.6.2. Identify the components of both a temporary and definitive limb prosthesis.

Competency E17. Participate in the development of physiotherapeutic health care protocols based


Learning outcomes E17.1. Describe and analyze physiotherapeutic health care protocols based on evidence of musculoskeletal system disorders.

Specific Objectives: E17.1.1. Locate published articles and bibliographic literature based on scientific evidence that deal with physiotherapy of the spine, lower limbs, lymphatic system, and fascial system. E17.1.2. Critically analyze the bibliographic literature found regarding the physiotherapy of the spine, lower limbs, lymphatic system, and fascial system. E17.1.3. Analyze the different established and agreed upon protocols in the physiotherapy of the spine, lower limbs, lymphatic system, and fascial system.

Competency E20. Employ quality assurance mechanisms in the practice of physiotherapy according

to recognized and validated criteria. Learning Outcomes E20.3. Describe useful clinical practice guidelines applied to locomotor

apparatus disorders. Specific Objectives: E20.3.1. Describe the most agreed upon algorithms in the physiotherapy of the spine, lower limbs, lymphatic system, and fascial system. E20.3.2. Name and identify existing useful clinical practice guidelines on the pathological conditions presented in class.


Competency T2. Organize and plan.

Learning Outcomes T2.1. Develop the assessment and treatment for the proposed clinical cases following logical reasoning.


Learning Outcomes T6.1. Justify decisions made in the treatment of proposed clinical cases.



Learning Outcomes This competency is considered to be developed in this course by working on “T2. Organizing and planning.”



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CONTENTS

1. SPINE/NEURODYNAMICS

1.1. Pathophysiology of the intervertebral segment

1.1.1. Opening forceps 1.1.2. Analysis, assessment, and treatment guidelines in facet joint dysfunctions 1.1.3. Analysis, assessment, and treatment guidelines in disc dysfunctions 1.1.4. Analysis, assessment, and treatment guidelines in deep muscle dysfunctions

1.2. Biomechanics of the cervical spine 1.2.1. Upper cervical region 1.2.2. Lower cervical region

1.3. Pathophysiology of the pelvis 1.3.1. The cushioning system 1.3.2. Analysis, assessment, and treatment guidelines in facet sacroiliac joints 1.3.3. Analysis, assessment, and treatment guidelines in pubic symphysis dysfunctions

1.4. Painful Myofascial Syndrome 1.4.1. General concepts 1.4.2. Analysis, assessment, and treatment guidelines in disc dysfunctions 1.4.3. Neuromuscular techniques adapted to the pathological conditions of the spine 1.4.4. Assessment and treatment of muscle instabilities in the cervical, thoracic, and lumbar

regions 1.5. Introduction to neurodynamics

1.5.1. Neurobiomechanics 1.5.2. Relationship between nervous system physiology, nervous system mechanics, and

musculoskeletal dysfunction 1.5.3. Analysis of the main indications and contraindications of neurodynamic techniques

2. LYMPHATIC DRAINAGE

2.1. Structure of the lymphatic system. 2.2. Physiology of the lymphatic system. 2.3. Lymphatic anatomy. 2.4. Physiopathology of edema. 2.5. Venous system screening tests. 2.6. Lymphatic system screening tests. 2.7. Physiotherapeutic evaluation and diagnosis with respect to lymphatic edema. 2.8. Treatment of lymphoedema. 2.9. Practice of manual lymphatic drainage. 2.10. Prevention and education with respect to the circulatory system.

3. ASSESSMENT AND FASCIAL TREATMENT 3.1. Fascial system overview 3.2. Functions of the fascias 3.3. Physiopathology of the fascial system 3.4. Anatomy of superficial fascia 3.5. Anatomy of deep fascia 3.6. Assessment and treatment procedures

3.6.1. Fascial listening techniques 3.6.2. Fascial induction 3.6.3. Direct stretching techniques 3.6.4. Pressure-sliding techniques



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3.6.5. Fibrinolysis techniques 3.6.6. Recoil techniques

3.7. Cranium-sacral therapy 3.7.1. Anatomy of the meningeal system 3.7.2. Reciprocal tension membranes 3.7.3. Cranial biomechanics 3.7.4. Primary respiratory movement of the skull 3.7.5. Cranial listening techniques 3.7.6. Techniques for assessing craniosacral synchrony 3.7.7. MRP normalization procedures

3.8. Diaphragm 3.8.1. Pelvic diaphragm

3.8.1.1. Anatomy 3.8.1.2. Functions 3.8.1.3. Disorders 3.8.1.4. Treatment

3.8.2. Thoracic diaphragm 3.8.2.1. Functions 3.8.2.2. Contracture and spasm injury 3.8.2.3. Assessment 3.8.2.4. Treatment

3.8.3. Pleural dome 3.8.3.1. Anatomy 3.8.3.2. Function 3.8.3.3. Assessment 3.8.3.4. Treatment

3.8.4. Cerebellar tentorium 3.8.4.1. Anatomy 3.8.4.2. Function 3.8.4.3. Assessment 3.8.4.4. Treatment

4. CLINICAL BASES FOR THE PHYSIOTHERAPEUTIC TREATMENT OF THE LOWER LIMBS 4.1. Ascending and descending injury chains.

4.1.1. Cushioning mechanisms and relations. 4.1.2. Rotational phenomena and overall importance. 4.1.3. Sagittal plane deformities. 4.1.4. Neurological and vascular phenomena. Neurovascular assessment.

4.2. Lower extremity pathological conditions, etiology, relationships, and treatment. 4.3. Clinical cases and integration.

5. DIFFERENTIAL DIAGNOSIS IN PHYSIOTHERAPY 5.1. Visceral influences on the locomotor apparatus. 5.2. Location and palpation of the different abdominal viscera 5.3. Autonomic nervous system and medullary sensitization

5.3.1. Theoretical bases 5.3.2. Clinical implications 5.3.3. Physical assessment

5.4. Clinical cases. 6. INTRODUCTION AND OVERVIEW OF AMPUTATIONS AND PROSTHETICS

6.1. History of amputations and prosthetics 6.2. Epidemiology and causes of amputation 6.3. Levels of Amputation: upper limb and lower limb 6.4. Amputee assessment and fitting criteria 6.5. Stages of rehabilitation of the amputated patient. Multidisciplinary team 6.6. Components of a prosthesis. Temporary and permanent prosthesis



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6.7. Most frequent complications of the trunnion and ancillary to the fitting process 6.8. Rating Scales


DIRECTED ACTIVITIES

Theoretical presentations where the theoretical basis of physiotherapy in lymphatic system pathological conditions will be provided with graphic and computer support. Estimated hours: 23.5.



Presentation and resolution of clinical cases. Various clinical cases will be presented from which the students will have to propose the necessary treatment and clinical reasoning.

Estimated hours: 2.


Practical student group activity, under the supervision of the professor, in order to employ the different techniques presented in class.



Research, handling of information, and the writing of papers. Students, organized in small groups, will need to search the recommended reference bibliographic literature for the preparation of two papers: a study on a clinical case and a paper on the treatment protocols for lymphatic drainage. A written report shall be drawn up for each of the papers. The methodology for each paper will be indicated by the responsible professors. Estimated hours: 30.


Estimated hours: 31.5



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TYPE OF AVTIVITY


Directed Activities


E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3

23.5

Practical presentations E1.21, E3.3, E3.4, E5, E7.4, E8 22


E1.21, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, T2, T6, G2

2



E1.21, E3.3, E3.4, E5, E7.4, E8 36



E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E17, E20.3

15

Writing of papers E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3, T2, G2

15

Independent work E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3

31.5

TOTAL HOURS 145



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ASSESSMENT


The knowledge acquired in each of the blocks of the course by means of written tests. With an overall weight of 30%.

Manual skill in the application of the different techniques, as well as the adaptation of the chosen technique/maneuver to the situation at hand, by means of practical tests. With an overall weight of 45%.

The two assignments presented will have an overall weight of 25%: : a) Clinical case: Preparation of the diagnostic hypothesis, definition of treatment

objectives, and treatment techniques. b) Lymphatic Drainage Treatment Protocol: The protocol outlines and the explanatory

part of each will be evaluated. See Appendix I for details of assessment activities. The following conditions must be met to pass the course:





Final assessment test period: 6/2/2020 to 6/16/2020. Make-up period for the final assessment tests: 6/17/2020 to 6/29/2020. Procedure for reviewing grades: see the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

Written tests 30%

E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3

2

Practical tests 45% E1.21, E3.3, E3.4, E5, E7.4, E8 ---

Written papers and clinical cases presented in class 25%

E1.21, E3.2, E3.3, E3.4, E5, E7.4, E8, E9.4, E9.5, E9.6, E17, E20.3, T2, T6, G2

3

TOTAL HOURS 5



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Books


Sohier R 1995 La dynamique du vivant La Louviere Kine-Sciences

Butler D 2009 Movilización del sistema nervioso


Leduc A, Leduc O 1978 Le drainage limphatique Francia Masson

Ferrandez J C 2006 El sistema linfático Argentina Panamericana

Andrzej Pilat 2003 Inducción miofascial Madrid Mc. Graw - Hill

Tutusaus R, Potau JM 2015 Sistema Fascial. Anatomía, valoración y tratamiento

Madrid Panamericana

Serge Paoletti 2004 Las fascias Barcelona Paidotribo

Ballester J 2000 Desalineaciones torsionales de las extremidades inferiores. Implicaciones clinicopatológicas

Barcelona Ed Masson,

Root M, Orien W, Weed J, Hughes R.

1991 Exploración Biomecánica del Pie

Madrid Ortocen

Nuñez Samper M, Llanos Alcazar

1997 Biomecánica, medicina y cirugía del pie

Barcelona Masson

Articles



Reeducación linfático-venosa: nuevas tendencias


Serge Theys Presoterapia y electroestimulación



Monográfico de drenaje linfático


Material audiovisual

Title Description

Prácticas de DLM Filming of the basic procedures for EESS and EISS



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Josya Sijmonsma 2007 TNM Taping Neuro Muscular Portugal Aneid press

Travel G, Simons D 2004 Dolor y disfunción miofascial Madrid Panamericana

Peninou G, Tixa S. 2008 Les tensions musculaires Issis-Les-Molineaux

Masson

Kapandji I.A. 1973 Cuadernos de fisiología articular

Barcelona Toray-Masson

Shacklock M 2006 Neurodinámica clínica Madrid Elsevier

Warszawski G 2006 Drenaje linfático. Rehabilitación del edema, flebología y linfología

Argentina Corpus

Leduc A y col. 1990 Traitament physique de lóedème du bras

Francia Masson

Leduc A, Leduc O 1992 Drenaje del miembro inferior Barcelona Masson

Viñas F 1998 La linfa y su drenaje manual Barcelona Integral

V. Smith - Agreda 2004 Fascias Principios de anatomo-fisio-patología

Barcelona Ed. Paidotribo

Eric Hebgen 2005 Osteopatía Visceral Madrid Mc.Graw Hill

Rueda M 2004 Podología. Los desequilibrios del Pie


COURSE SYLLABUS




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PRACTICAL TESTS (30%) Theoretical test:

Spine/Neurodynamics (60%).

Fascial treatment and assessment/Amputees (40%). At the end of the semester there will be make-up tests. It is essential to have taken the ordinary examination.


SPINE/NEURODYNAMICS (30%)

Continuous assessment throughout the course, in pairs/individual (70%)

Two practical assessments in teams of two:

1st assessment: practical classes 1, 2, and 3 2nd assessment: practical classes 4, 5, and 6

o Each assessment will deal with a practical procedure and a question about the

myofascial meridians:

- Position of the physiotherapist (0-2)

- Implementation of the technique (0-3)

- Safety during the procedure (0-2)

- Degree of patient communication (0-2)

- Have you made mistakes that prevent you from passing the assessment?

Two written, individual assessments (on the practicals):

1st assessment: practical classes 1, 2, 3, and 4 2nd assessment: practical classes 5, 6, and 7

o In each assessment, there will be two questions

o Each question will have a value of 5 points

Final exam in pairs (30%)

The assessment will be done in groups of two people

The assessment will consist of two practical procedures that will be assessed according to

the same items of the continuous evaluation



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LYMPHATIC DRAINAGE (27%)

Groups of 2 will be tested.

There will be a collection of exam sheets with different protocols to address lower limb and upper

limb edema with different characteristics and surfaces.

The student will take an exam sheet and have 10 minutes to complete the exam. You will be able

to write on the most important characteristics of each protocol. You can also add those preventive

actions in relation to the type of edema.

The following will be assessed:

The position in which the patient will be placed in order to address the edema (1 point).

The position in which the physiotherapist will address the patient (1 point).

How you perform the CALL, RETURN, and GANGLION SPECIFIC procedures (3 points).

Where you will perform them, the rhythm, how many will you do according to the edema (2

points).

How to develop the protocol developed in class (2 points)

FASCIAL ASSESSMENT AND TREATMENT (16%)

The test is based on a practical assessment in which the student must perform 4 manual therapy procedures. The items that are evaluated in relation to the practice of the procedures are the following:

Patient position (0 to 2 points)

Physiotherapist position (0 to 2 points)

Dosing (0 to 2 points)

Mobilization employed (0 to 2 points)

Therapist-patient communication (0 to 1 point)

Safety (0 to 1 point)

The assessment will be completed at the end of the semester.



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DIFFERENTIAL DIAGNOSIS (27%) (Mr. Alfonso Cánovas)

Test description/details: Final exam: Resolution of a clinical case in groups and two abdominal palpations

Scoring criteria:

1- Two palpations will be expected. Each palpation will have a value of 1 point.

2- 3 questions will be asked valued at 4, 2, and 2 points.

The course is passed if the sum of the two parts of the test reaches a minimum score of 5.

ASSIGNMENTS (25%)

SPINE/NEURODYNAMICS (34%)

Groups of 6/7 students (groups are created on the first day of practicals)

The assignment consists of resolving a clinical case and will be evaluated according to the

following parameters:

o Other diagnostic tests: 2 points

o Diagnostic hypothesis: 4 points

o Hypothesis-based objectives: 1.5 points

o Treatment-based objectives: 2.5 points

Submission of the assignment in MS Word (via "moodle")

Delivery of a group self-evaluation in an envelope on the day of practical, 8 in each group: Each

student assesses himself and the rest of the group from 0-10. "Only the degree of participation

in group work is assessed."

FINAL GRADE: ("Grade from professor" x "grade from self-evaluation") / 10



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LYMPHATIC DRAINAGE (33%)

Students will be divided into groups of six students chosen among themselves.

Activity -1 (90%)

In each practical class, a treatment protocol will be developed.

In the next class, if there is a doubt, it can be resolved.

The following will be assessed:

Misspellings: for every 5 errors 1 point will be subtracted

Content Errors: for every 3 errors 1 point will be subtracted

The assignment will be submitted on the last day of class.

Activity-2 (10%)

Each group will have to perform a bibliographic literature search in order to obtain an

article in relation to the vascular system and its treatment. The article must be in English.

The group will present the contents of the article to the rest of the class with a maximum

duration of 5 minutes.

A contents sheet for the article to be included in the document resulting from Activity-1 is

to be prepared.

CLINICAL BASES FOR THE PHYSIOTHERAPEUTIC TREATMENT OF THE LOWER LIMBS (33%)

Activity description/details: The theoretical classes will be assessed using written activities proposed by the professor that the students will have to undertake and submit within the stipulated time frame. They will have to show if the concepts developed in the classes have been mastered. The types of activities may be:

Resolution of a component of a clinical case.

Resolution of a raised medical health care problem. These activities are 100% mandatory, and your average grade will have to be equal to or greater than 5 to consider this section as having been passed and, therefore, have the option of passing the course as a whole. Scoring criteria The weight of the grade for each activity will be the same.



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GENERAL INFORMATION

COURSE DATA

Course PRACTICUM - IV Code 200567 Academic Year 2019-2020


Year of Study

3 Semester 2



FACULTY DATA

Professor In Charge

Professor’s Name MRS. YOLANDA SÁNCHEZ RETAMERO



Other Professors Professor’s Name MRS. MELANIA MASÓ NÚÑEZ



Professor’s Name MRS. DIANA MUÑOZ PUÑET



Professor’s Name MRS. LAIA SÁNCHEZ LLOANSI



PREREQUISITES

BASIC PHYSIOTHERAPY OF THE LOCOMOTIVE APPARATUS - I

BASIC PHYSIOTHERAPY OF THE LOCOMOTIVE APPARATUS - II







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Subject: Supervised practicals.

This course intends, through the Practicum, to incorporate and consolidate all the knowledge, abilities, skills, attitudes, and values acquired in complex locomotor apparatus disorders and mild neurological conditions, under the guidance of qualified physiotherapists. All professional skills will be developed, enabling the student to provide effective and specialized physiotherapeutic health care with comprehensive assistance to patients/users.




Learning Outcomes E4.1. Design, teach, and advise the various means of preventing functional disorders and specifically postural hygiene, situations of mobility loss, and acute algic phases.

Specific Objectives: E4.1.1. Recommend prevention guidelines for patients with complex locomotor apparatus disorders and mild neurological conditions. E4.1.2. Describe, in a clear and structured manner, the prevention guidelines that have been developed and applied to complex locomotor apparatus and mild neurological conditions.


Learning Outcomes E5.5. Solve clinical cases that can be treated with physiotherapy within any of the clinical specialties.

Specific Objectives: E5.5.1. Effectively employ the different physiotherapeutic techniques to patients with complex locomotor apparatus conditions and mild neurological disorders.

Competency E6. Systematic preparation and completion of physiotherapy records.

Learning Outcomes E6.3. Adequately and effectively record all the steps followed, beginning with the arrival of the patient/user to the physiotherapy discharge report, depending on the clinical specialty. E6.3.1. Interpret physiotherapy records for patients with complex locomotor apparatus conditions and mild neurological disorders.




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Learning Outcomes E7.12. Conduct the appropriate physiotherapeutic assessment procedures to determine the degree of impairment and its possible functional impact on the patients/users assigned to the student during their stay at the clinic.

Specific Objectives: E7.12.1. Skillfully use specific assessment tools in patients with complex locomotor apparatus conditions and mild neurological disorders.


Learning Outcomes E8.9. Establish a physiotherapeutic diagnostic hypothesis. Specific Objectives: E8.9.1. Identify deficiencies, limitations in activity, restrictions on participation, and contextual factors of the patient with complex locomotor apparatus disorders and mild neurological conditions. E8.9.2. List the deficiencies, activity limitations, and participation restrictions experienced by the patient related to complex locomotor apparatus disorders and mild neurological conditions.


Learning Outcomes E9.17. Establish general and specific criteria for the application of treatment.

Specific Objectives: E9.17.1. Propose treatment goals for complex locomotor apparatus disorders and mild neurological conditions.

E9.18. Establish treatment priorities based on problems identified.

Specific Objectives: E9.18.1. Classify short and long term goals in patients with complex locomotor apparatus disorders and mild neurological conditions. E9.18.2. Prioritize problems by their importance and/or urgency, applied to complex locomotor apparatus disorders, and mild neurological conditions.

E9.19. Establish the frequency of the intervention.

Specific Objectives: E9.19.1. Periodically schedule treatment sessions applied to complex locomotor apparatus disorders and mild neurological conditions.

E9.20. Anticipate material and equipment needs. Specific Objectives: E9.20.1. Anticipate the material and equipment needed for the treatment of complex locomotor apparatus disorders and mild neurological conditions.

Competency E11. Evaluate the development of treatment results obtained in relation to the objectives indicated.

Learning Outcomes E11.1. Evaluate the results and their relationship with the objectives indicated by means of real cases within the various clinical specialties.

Specific Objectives:



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E11.1.1. Contrast the results with the established objectives applied to complex locomotor apparatus disorders and mild neurological conditions.

Competency E12. Prepare the physiotherapy discharge report once the proposed objectives have been covered.

Learning Outcomes E12.2. Prepare a physiotherapy report that includes all the necessary information to make it a valid communication tool for users and/or professionals.

Specific Objectives: E.12.2.1. Prepare physiotherapy reports with precision and clarity applied to complex locomotor apparatus disorders and mild neurological conditions.

Competency E13. Provide effective physiotherapeutic health care, giving patients comprehensive assistance.

Learning Outcomes E13.5. Interpreting medical prescriptions. Specific Objectives: E13.5.1. Examine medical equipment directions. E13.5.2. Incorporate the recommendations of the medical team into the physiotherapeutic treatment.

E13.6. Prepare the environment in which physiotherapeutic health care will be performed to make it comfortable.

Specific Objectives: E13.6.1. Adapt the material according to the needs of the patient. E13.6.2. Organize physiotherapeutic health care according to the specificities of each case.

E13.7. Keep the patient informed of the treatment administered to him, explaining the tests and procedures being performed, the preparation required, and encourage him to collaborate at all times.

Specific Objectives: E13.7.1. Communicate with the patient understandably. E13.7.2. Encourage the patient in his recovery.

E13.8. Identify signs and symptoms of biological function disorders related to physiotherapeutic health care.

Specific Objectives: E13.8.1. Detect disorders in the biological functions of the patient that may interfere with and/or modify the physiotherapeutic treatment.

Competency E14. Intervene in the areas of health promotion, prevention, protection, and recovery.

Learning Outcomes E14.9. Carry out health promotion, prevention, and protection activities on assigned patients during their clinical stay.

Specific Objectives: E14.9.1. Recommend specific prevention guidelines specific to the assigned patient’s pathological condition during his clinical stay.



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Competency E16. Incorporate the ethical and legal principles of the profession into the professional culture.

Learning Outcomes E16.5. Employ the legal and professional standards that make up the practice of physiotherapy.

Specific Objectives: E16.5.1. Assume your professional responsibilities. E16.5.2. Respect the limits of expertise of the profession.

E16.6. Employ the profession's code of ethics. Specific Objectives: E16.6.1. Strictly respect the human and social rights of the individual. E16.6.2. Respect the profession's code of ethics in all interventions.


Learning Outcomes E17.5. Employ evidence-based physiotherapeutic health care protocols. Specific Objectives: E17.5.1. Employ validated and/or consensual health care protocols in complex locomotor apparatus disorders and mild neurological conditions.


Learning Outcomes E21.4. Communicate with all members of the therapeutic team. Specific Objectives: E21.4.1. Participate in team meetings. E21.4.2. Refrain from interfering with the professional tasks of other colleagues.

E21.5. Use appropriate, effective communication to facilitate interaction between the physical therapist, patient, and family.

Specific Objectives: E21.5.1. Identify the social and cultural characteristics of the patient. E21.5.2. Adapt the information to the patient's situation.



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Competency T4. Manage information systems.

Learning Outcomes Specific Objectives: T4.1. Efficiently use clinical patient databases.


Learning Outcomes This competency is considered to be developed in this course by working on E21.4.


Learning Outcomes Specific Objectives: This competency is considered to be developed in this course by working on E21.5.


Learning Outcomes Specific Objectives: T9.1. Make a treatment value judgment applied to a patient. T9.2. Contribute elements that allow for the improvement of one's own actions and those of one's colleagues. T9.3. Make your own judgments and assessments of your own performance.

Competency T14. Demonstrate sensitivity to environmental issues.

Learning Outcomes Specific Objectives: T14.1. Employ environmental protection measures in your professional practice through energy saving and waste recycling.



Learning Outcomes This competency is considered to be developed in this course by working on “T4. Handle information systems," "T7. Work as a team,”“T8. Have interpersonal relationship skills," “T9. Critical Thinking” competencies.


Learning Outcomes Specific Objectives: G3.1. Establish relationships without social and cultural distinctions.



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CONTENTS

The aim of the Practicum is to incorporate and consolidate all the knowledge, skills, abilities, attitudes, and values acquired in complex locomotor apparatus disorders and mild neurological conditions, under the supervision of qualified physiotherapists. All professional skills will be developed, enabling the student to provide effective and specialized physiotherapeutic health care with comprehensive assistance to patients/users.



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SOCIAL WORK

The student will assess the patients, make a physiotherapeutic diagnosis, draw up an action plan, implement it, and evaluate the results. Estimated hours: 105.

INFORMATION SESSIONS

Information will be given on how to carry out the different training activities. Estimated hours: 7.5.

ASSIGNMENT WRITING

Make a follow-up report of one or several patients. Estimated hours: 30.

SELF-EVALUATION

Compose a self-evaluation report. Estimated hours: 4.5.

EVALUATION OF THE CENTER AND THE MENTOR

Complete an evaluation form about the center and the physiotherapist mentor. Estimated hours: 3.

TYPE OF AVTIVITY


Directed Activities

Information Sessions 7.5


Social work E4, E5, E6.3, E7, E8.9, E9.17, E9.18, E9.19,

E9.20, E11, E12, E13.5, E13.6, E13.7, E13,.8,

E14, E16, E17, E21, T4, T7, T8, T14, G2, G3

105


Make a follow-up report on one or several patients

E4, E5, E6.3, E7, E8.9, E9.17, E9.18, E9.19,

E9.20, E11, E21, T4, T9 30

Compose a self-evaluation report

T9 4.5

Complete an evaluation form about the center and the physiotherapist mentor

T9 3

TOTAL HOURS 150



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ASSESSMENT

The practicum committee will assess the following:

The report submitted by the physiotherapist mentor. With an overall weight of 49%.

The self-evaluation report of the student. With an overall weight of 1%.

The follow-up reports of patients. With an overall weight of 50%. See Appendix I for details of assessment activities. In order to pass the course, it will be necessary to:


Obtain an overall grade for the course equal to or greater than 5. Procedure for reviewing grades: See the Center's Evaluation Regulations. A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

The report submitted by the physiotherapist mentor

49%

E4, E5, E6.3, E7, E8.9, E9.17, E9.18, E9.19, E9.20, E11, E12, E13.5, E13.6, E13.7, E13,.8, E14, E16, E17, E21, T4, T7, T8, T14, G2, G3

---

The self-evaluation report of the student

1% T9

---

The follow-up reports of patients

50%

E4, E5, E6.3, E7, E8.9, E9.17, E9.18, E9.19, E9.20, E11, E21, T4, T9

---

TOTAL HOURS 0



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Books


Bergel E, Ferrés S, Lorente A, Porte Ll

2018 Manual de fisioteràpia bàsica de l’aparell locomotor – I

7ª Bellaterra Servei de Publicacions UAB

Ferrés S, Lorente A, Porte Ll

2018 Manual de fisioteràpia bàsica de l’aparell locomotor – II

5ª Bellaterra Servei de Publicacions UAB

Web references


NormativaPràcticum.pdf Course regulations Course Intranet

ObjectiusPràcticum.pdf Course objective Course Intranet

EscalesFisioterapia.pdf Most used assessment scales and questionnaires in physiotherapy

Course Intranet


Books


Viel E 1999 Diagnóstico fisioterápico

Barcelona Masson

Meadows J 2000 Diagnóstico diferencial en fisioterapia

Madrid Interamericana

Buckup K 2003 Pruebas clínicas para patologia osea, articular y muscular

Barcelona Masson

Daza J 2007 Evaluación clínico-funcional del movimiento corporal humano

Bogotá Panamericana

Peterson F, Kendall E, Geise P

2016 Músculos, pruebas funcionales y dolor postural

Madrid Marban

Web references


CIF-OMS International Classification of Functioning, Disability, and Health

http://www.who.int

http://www.who.int/



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COURSE SYLLABUS




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REPORT SUBMITTED BY THE PHYSIOTHERAPIST MENTOR (49%)

The report is found in Appendix II. In order to arrive at the score, the weighted average of the scores assigned to all the learning objectives will be used. If the degree of compliance with some of the aspects assessed at the end of the document in relation to external practice regulations is negative, the following will be assessed:

Item Score



Timeliness -0.5

Attendance Failed


STUDENT SELF-EVALUATION REPORT (1%)

The report is found in Appendix III. In order to arrive at the score, the weighted average of the scores assigned to all the learning objectives will be used. If the degree of compliance with some of the aspects assessed at the end of the document in relation to external practice regulations is negative, the following will be assessed:

Item Score



Timeliness -0.5

Attendance Failed




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PATIENT FOLLOW-UP REPORT (50%)

The sample patient follow-up report is located on the virtual campus. If the degree of compliance with some of the aspects covered by the regulations is not stated in the document, it will be considered non-assessable if the following occurs:

If the template is not used.

If there is no seal of the center.

If there is no mentor signature.

The report grade is made up of the following:

ITEM POINTS

IDENTIFICATION/PATIENT PROFILE. INITIAL DISORDERS REPORTED BY THE PATIENT/SYMPTOMATOLOGY

0.5

MEASUREMENTS: INITIAL ASSESSMENT 1

INITIAL SHORTCOMINGS 1.5

LIMITATIONS ON ACTIVITY AND RESTRICTIONS ON PARTICIPATION 1

PHYSICAL THERAPY DIAGNOSIS 2

TREATMENT OBJECTIVES 1

PHYSICAL THERAPY TREATMENT BASED ON THE PHYSICAL THERAPY DIAGNOSIS 1

MEASUREMENTS: FINAL ASSESSMENT 1

SUMMARY CONCERNING EVALUATION AND TREATMENT. ASSESSMENT. 1



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APPENDIX II - REPORT SUBMITTED BY THE PHYSIOTHERAPUETIC MENTOR



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APPENDIX - III STUDENT SELF-EVALUATION REPORT



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GENERAL INFORMATION

COURSE DATA

Course PELVIC FLOOR PHYSIOTHERAPY Code 200557 Academic Year 2019-2020


Year of Study

3 Semester 2



FACULTY DATA

Professor In Charge Professor’s Name MRS. ANNA ABELLÓ



Other Professors Professor’s Name MRS. NÚRIA PASTALLÉ



Professor’s Name DR. JUDITH LLEBERIA



Professor’s Name MR. JOSEP PUBILL



PREREQUISITES








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Subject: Pelvic Floor Physiotherapy.

This course aims to lay the foundations for the physiotherapeutic assessment and treatment in patients with pelvic floor disorders.

Knowledge of physiotherapy applied to patients with pelvic floor disorders is relevant within the profile of the degree program, and of proven practical use in the exercise of the profession.




Learning Outcomes E1.33. Describe injuries and diseases in obstetrics and gynecology, identifying the manifestations that appear throughout the process, as well as their etiology and the medical, surgical, and rehabilitation treatments associated with them.

Specific Objectives: E1.33.1. Describe pelvic anatomy by identifying its three-dimensional arrangement through physical examination, thereby identifying the anatomical structures of the pelvic floor involved in rehabilitation. E1.11.2. Describe the physiology of incontinence, urination, defecation, and childbirth. E1.33.3. Identify the different types of urinary and fecal incontinence and their pathophysiology. E1.33.4. Differentiate between the types of rectal injury caused by childbirth. E1.33.5. Distinguish between the different types of pelvic organ prolapse and rank them according to ICS/WHO criteria. E1.33.6. Explain the neuroanatomy of pain, the pathophysiology of chronic pain, and pain-causing disorders that may be corrected by physiotherapy. E1.33.7. List the different surgical procedures in the correction of pelvic organ prolapse. E1.33.8. Describe the surgical procedures performed in the correction of prolapse and urinary incontinence.


Learning Outcomes E3.27. Employ methods, procedures, and interventions in pelvic floor physiotherapy.

Specific Objectives: E3.27.1. Employ different basic physiotherapeutic techniques to urinary and fecal incontinence.



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E3.27.2. Employ massotherapy for the inactivation of trigger points related to chronic pelvic pain of myofascial origin. E3.27.3. Employ hypoppressive therapy techniques in the rehabilitation of pelvic disorders. E3.27.4. Explain the characteristics and applications of electrical treatment devices in pelvic physiotherapy (biofeedback or electrostimulation systems). E3.27.5. Be up to date on the scientific evidence supporting pelvic floor rehabilitation.

Competency E4. Demonstrate sufficient knowledge of physiotherapeutic methods, procedures, and interventions to carry out activities aimed at promoting and maintaining health.

Learning Outcomes E4.15. Employ methods, procedures, and interventions in pelvic floor physiotherapy.

Specific Objectives: E4.15.1 Employ physiotherapeutic techniques in the prevention of incontinence and pelvic organ prolapse, as well as assess its usefulness in preventing injuries caused during childbirth.


Learning Outcomes E5.17. Employ the knowledge and skills acquired to solve clinical cases relating to pelvic floor disorders that are amenable to physiotherapeutic treatment.

Specific Objectives: E5.17.1 Establish a correct diagnosis of concurrent pathological conditions during the presentation of clinical cases and guide possible therapeutic options. E5.17.2 Adapt therapeutic options to the patients’ cultural, religious, or social context through theoretical clinical cases.


Learning Outcomes E7.24. Describe and employ appropriate physiotherapeutic assessment procedures with the aim of determining the degree of impact on the pelvic floor.

Specific Objectives: E7.24.1. Explore the pelvic area for pathological conditions that are amenable to correction by physiotherapy. E7.24.2. Correctly evaluate the pelvic tone and degree of pelvic prolapse, as well as the anatomical structures involved in the pathological condition. E7.24.3. Identify muscle/ligament injuries and the existence of tight bands and trigger points involved in pelvic disorders. E7.24.4. Describe the fundamentals of a neurological examination of the pelvic floor. E7.24.5. Guide the completion of symptomatic and quality of life questionnaires (guided or self-administered) to obtain information on the impact of the dysfunction on patients. E7.24.6. Correctly interpret the information obtained through



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supplementary examinations (diagnostic imaging, functional diagnoses, symptomatic questionnaires).


Learning Outcomes E8.14. Establish the physiotherapeutic diagnostic hypothesis based on clinical cases related to pelvic floor disorders.

Specific Objectives: E8.14.1 Identify local, regional, or global physical disorders and describe the disorders of pelvic floor capacity for diagnostic purposes.


Learning Outcomes E9.40. Define the general and specific objectives for the application of physiotherapeutic treatment in pelvic floor disorders.

Specific Objectives: E9.40.1. Design a physiotherapeutic program aimed at the prevention of pelvic pathological conditions associated with childbirth, postpartum, and age-related degeneration. E9.41.2. Specify the realistic objectives on which a rehabilitation program should be established.

E9.41. Describe the circumstances that determine the action priorities in the physiotherapeutic treatment of pelvic floor disorders.

Specific Objectives: E9.41.1. Adapt physiotherapeutic programs to patients’ particular circumstances in terms of their beliefs, cultural habits, perspectives, and objectives. E9.41.2. Develop a treatment and recovery strategy tailored to the specific characteristics of the patient (existence of associated pathological conditions, limitations, previous surgeries, neurological or degenerative diseases, etc.). E9.41.3. Establish treatment priorities based on severity, impact, or possibility of resolution, including the availability of means.

E9.42. List the different types of material and apparatus to be used in the physiotherapeutic treatment of pelvic floor disorders.

Specific Objectives: E9.42.1. Identify biofeedback devices and other physiotherapy aids such as electrostimulators and neuromodulators. E9.42.2. Identify auxiliary devices in pelvic pathology that patients may use (absorbent devices, urinary trays, and catheters, pessaries, etc.).


Learning Outcomes E17.11. Describe and analyze the evidence-based physiotherapeutic health care protocols for pelvic floor disorders.

Specific Objectives: E17.11.1. Obtain up-to-date bibliographic information from searching internationally recognized databases. E17.11.2. Interpret the accumulated scientific evidence regarding



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the efficacy and safety of the different therapeutic options used in pelvic floor physiotherapy.


Learning Outcomes E20.13. Describe useful clinical practice guidelines applied to pelvic floor disorders.

Specific Objectives: E20.13.1. Develop your professional activities following ethical standards and useful clinical practice guidelines in physical therapy. E20.13.2. Evaluate the results of physiotherapy programs according to objective criteria.


Competency T10. Identify, analyze, and solve ethical problems in complex situations.

Learning Outcomes Specific Objectives: T10.1. Adapt to the patients’ characteristics in those situations where ethical conflicts may occur during the development of a physiotherapy program: associated pathological conditions, behavioral disorders, psychopathies, infectious diseases, “taboo” diseases, total or partial dependency, etc.



Learning Outcomes Specific Objectives: G3.1. Modify functional recovery programs and physiotherapeutic therapies according to patients' preferences, objectives, and religious or cultural beliefs. G3.2. Adapt the treatment according to the patient’s specific situations, respecting privacy in cases of total or partial dependence, personal or family conflicts, and emotional disorders.



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CONTENTS

THEORY 1. ANATOMY

1.1. The female pelvis. 1.2. The male pelvis.

2. PHYSIOLOGY. 2.1. Continence and urination. 2.2. Defecation. 2.3. Childbirth.

3. FUNDAMENTALS OF PHYSICAL THERAPY AND PELVIC FLOOR REHABILITATION. 3.1. General foundations of rehabilitation in pelvic dysfunctions. 3.2. Therapeutic objectives for pelvic floor physiotherapy. 3.3. Action areas within pelvic floor physiotherapy. 3.4. Functional assessment for pelvic floor physiotherapy. 3.5. Therapeutic treatments for pelvic floor physiotherapy.

3.5.1. Kinesitherapy 3.5.2. Manual therapy. 3.5.3. Biofeedback. 3.5.4. Electrostimulation 3.5.5. Other techniques.

3.6. Guidelines for good clinical practice. 4. Urinary incontinence.

4.1. Female stress incontinence. 4.1.1. Description and epidemiology. Socio-health problems. 4.1.2. Pathophysiology. Comprehensive Ulmstem and Petros theory. 4.1.3. Targeted physical examination. 4.1.4. Supplementary examinations. Knowledge that is of relevance to the physiotherapist. 4.1.5. Surgical options. 4.1.6. Non-surgical options.

4.1.6.1. Behavioral modification. 4.1.6.2. Pharmacology. 4.1.6.3. Physiotherapy for stress incontinence.

4.1.6.3.1. Physical therapy options. 4.1.6.3.2. Scientific evidence. 4.1.6.3.3. Role of the physiotherapist in incontinence prevention.

4.2. Male stress incontinence: particularities or management 4.3. Urge incontinence and overactive bladder syndrome.

4.3.1. Concept and epidemiology. Socio-health problems. 4.3.2. Pathophysiology.

4.3.2.1. Comprehensive control of the urination cycle. 4.3.2.2. Myogenic theory. 4.3.2.3. Urotheliogenic theory. 4.3.2.4. Neurogenic theory.

4.3.3. Pharmacological treatments. 4.3.4. Non-pharmacological treatments.

4.3.4.1. Sacral neuromodulation. 4.3.4.2. Neuromodulation of the posterior tibial. 4.3.4.3. Neuromodulation of the pudendal nerve plexus. 4.3.4.4. Botulinum toxin. 4.3.4.5. Physiotherapy for overactive bladder.



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4.4. Chronic voiding dysfunction. 5. FECAL INCONTINENCE.

5.1. Pathophysiological foundations. 5.2. Conservative management: The role of the physiotherapist.

6. CONSTIPATION AND RECTAL VOIDING DYSFUNCTION. 6.1. Pathophysiological foundations. 6.2. Conservative management: The role of the physiotherapist

7. PELVIC ORGAN PROLAPSE 7.1. Epidemiology and classification. 7.2. Pathophysiology. 7.3. Physical examination. 7.4. Treatment options.

7.4.1. Correction surgery. 7.4.2. Vaginal pessary. 7.4.3. Physiotherapy.

8. ADDITIONAL PELVIC PATHOLOGY TO BE CONSIDERED IN PELVIC FLOOR PHYSIOTHERAPY. 8.1. Rectum amputation. 8.2. Cystectomy with or without neobladder. 8.3. Hysterectomy. 8.4. Malformations. 8.5. Pelvic problems of the neurological patient: neurogenic bladder.

9. CHRONIC PELVIC PAIN. 9.1. Basic physiology and pathophysiology of painful transmission. 9.2. Classification of chronic pelvic pain. 9.3. Role of the physical therapist in the treatment of chronic pelvic pain.

10. AUXILIARY DEVICES IN THE MANAGEMENT OF PELVIC PATHOLOGY THAT ARE RELEVANT TO THE PHYSIOTHERAPIST. 10.1. Symptomatic questionnaires: general concepts and types. 10.2. Absorbent devices. Types and materials. 10.3. Pessaries: usefulness, types, considerations, and complications. 10.4. Urinary probes: types and considerations. 10.5. Collectors. 10.6. Devices and meshes.

10.6.1. Artificial sphincters. 10.6.2. Incontinence bands. 10.6.3. Penile prosthesis. 10.6.4. Meshes in organ prolapse. 10.6.5. Other devices.

11. RESEARCH INTO PELVIC FLOOR PATHOLOGY. 11.1. Clinical studies.

11.1.1. Urinary incontinence. 11.1.2. Fecal incontinence. 11.1.3. Childbirth.

11.2. Studies using diagnostic imaging. 11.3. Applicability.

PRACTICALS 1. Preparation of a medical record. 2. Examination, anatomic palpation, and assessment.

2.1. Bony pelvis. 2.2. Thoracic diaphragm. 2.3. Abdominal girdle and belly. 2.4. Soft pelvis.



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3. Application of treatment techniques. 3.1. Awareness and behavioral techniques. 3.2. Kinesitherapy.

3.2.1. Pelvic floor physiotherapy. 3.2.2. HAG: hypoppressive abdominal gymnastics. 3.2.3. Childbirth preparation exercises. 3.2.4. Pelvic flexibility exercises.

3.3. Manual therapy. 3.3.1. Treatment of the thoracic and visceral diaphragm. 3.3.2. Treatment of scars. 3.3.3. Treatment of trigger points. 3.3.4. Treatment of the pelvis. 3.3.5. Treatment of the pelvic diaphragm.

3.4. Other supplementary techniques. 3.5. Neuromodulation of the posterior tibial. 3.6. Abdominal electrostimulation. 3.7. Kinesiotape applied to different pelvic floor dysfunctions 3.8. Pelvic floor preparation techniques during gestation: epi-no and perineal massage.

4. Preparation of some treatment protocols. 4.1. Urinary incontinence: Stress/urgency or mixed. 4.2. Prolapses. 4.3. Postpartum: Vaginal/Cesarean section. 4.4. Birth Preparation. 4.5. Sexual dysfunction: dyspareunia. 4.6. Constipation. 4.7. Gas/fecal incontinence. 4.8. Chronic pelvic pain syndrome. 4.9. Patients receiving surgical prostate removal



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DIRECTED ACTIVITIES

Theoretical presentations where the theoretical basis of physiotherapy for the pelvic floor will be provided, with graphic and computer support.



Estimated hours: 5.

Presentation and resolution of clinical cases. Various clinical cases will be presented from which the students will have to propose the necessary treatment.






Search and review of the information included in the meta-analyses on the results of pelvic floor exercises. Consider the importance of this information in terms of care practice. This review will be assessed.


Writing a group paper on cultural diversity within a population treated for a pelvic floor dysfunction.


Independent personal study assignment for exam preparation, organization of notes, and/or materials, open tutorials: individual or group.




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TYPE OF AVTIVITY


Directed Activities


E1, E3, E4, E5, E7, E8, E9, E17, E20, G3

32.5

Practical presentations E3, E4, E5, E7, E8 5


E1, E3, E4, E5, E7, E8, E9, E17, T10, G3

7.5



E3, E4, E5, E7, E8, G3 15



E1, E3, E4, E5, E7, E8, E17, E20

22

Writing of papers E1, E3, E4, E5, E7, E8, E9, E17, E20, T10

10

Independent work E1, E3, E4, E5, E7, E8, E9, E17, E20

55.5

TOTAL HOURS 147.5



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ASSESSMENT

The assessment system will include:


Assessment of the manual skill in the application of the different techniques appropriate to the chosen technique/procedure of the proposed situation. With an overall weight of 50%.

Written assignments and clinical cases presented in class. With an overall weight of 15%.








Final assessment test period: 6/2/2020 to 6/16/2020. Make-up period for the final assessment tests: 6/17/2020 to 6/29/2020. Procedure for reviewing grades: See the Center's Evaluation Regulations (Chapter 10 and Appendix-I) A student will be considered "non-assessable" if he does not take the scheduled assessment tests or participate in any of the training activities that are considered mandatory.


LEARNING OUTCOMES

STUDENT HOURS

Written tests 35% E1, E3, E4, E5, E7, E8, E9, E17, E20, T10, G3

2

Practical tests 50% E3, E4, E5, E7, E8 0.5

Assignments and clinical cases presented in class

15% E1, E3, E4, E5, E7, E8, E9, E17, E20, T10, G3

---

TOTAL HOURS 2.5



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Books


M.Caufriez 1997 Gymnastique Abdominale Hyporessive

Bruselas

B. Calais-Germain 1996 El periné femenino y el parto Bruselas Liebre de Marzo

Articles


Jean Hay-Smith, Kari Bo, Bary Berghmans, Erik Hendriks, Rob de Bie, Ernst van Waalwijk van Doorn

Pelvic Floor Muscle Training for Urinary Incontinence in Women

Cochrane Database Systematic Review

CD 001407 2001

Jean Hay-Smith, Siv Mørkved, Kate A

Fairbrother, G Peter Herbison

Pelvic Floor Muscle Training for Prevention and Treatment of Urinary and Faecal Incontinence in Antenatal and Postnatal Women


CD 007471 2008

Chantale Dumoulin, Jean Hay-Smith

Pelvic Floor Muscle Training Versus no

Treatment, or Inactive Control Treatments,

for Urinary Incontinence in

Women


CD 005564 2010

Elias Thomas Kovoor, Sam Datta, Anand Patel

Pelvic Floor Muscle Training in

Combination with Another Therapy

Compared with the Other Therapy Alone

for Urinary Incontinence in

Women


CD 007172 2010

Web references


Mayday Urogynaecology and Pelvic Floor Reconstruction Unit

Page on perineal reconstruction, with good imagery

http// www.perineum.net



J. Salinas, M. Rapariz 1997 Tratado de reeducación en urogineproctología

Madrid Salinas-Rapariz eds

P. Abrams, L. Cardozo, S. Khoury, A. Wein

2009 Incontinence Paris Editions 21

J. Laycock, J. Haslam 2007 Therapeutic Management of London Springer Ed



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Incontinence and Pelvic Pain, Pelvic Organ Disorders

D. Wise, R. Anderson 2003 A Headache in the Pelvis: A New Understanding and Treatment for Prostatitis and Chronic Pelvic Pain Syndromes

USA Ed. National Center for Pelvic Pain Research

A. Montoto Marques 2005 Lesión medular y vejiga neurógena

Barcelona Ars Medica

P.E. Papa Petros 2006 Suelo pélvico en la mujer. Función, disfunción y tratamiento según la teoría integral

Barcelona Mayo Eds

J. Moreno Sierra 2007 Atlas de incontinencia urinaria y suelo pélvico

Madrid Ene Eds

M. Espuña 2004 Tratado de uroginecología. Incontinencia urinaria

Barcelona

C.Walker 2006 Fisioterapia en obstetricia y uroginecología

Barcelona Masson

R.Stephenson, L.O’Connor 2003 Fisioterapia en obstetricia y ginecología

Madrid Mc.Graw-Hill

B.Calais-Germain, N.Vives 2010 Abdominales sin riesgo Barcelona Liebre de Marzo

D. Grosse, J. Sengler 2001 Reeducación del periné. Fisioterapia en las incontinencias urinarias

Barcelona Masson

B.Calais-Germain, N.Vives 2009 Parir en movimiento. Las movilidades de la pelvis en el parto

Barcelona Liebre de Marzo

COURSE SYLLABUS

This information will be available to the student enrolled in this course through the virtual campus.



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WRITTEN TESTS (35%)

Theoretical test:


PRACTICAL ORAL TESTS (50%)

ACTIVITY-1 (Mrs. Anna Abelló / Mrs. Núria Caballé)

Test description/details: Two students will enter the classroom, one will act as a physiotherapist (the student to be evaluated), and the other will be the patient. Then they will change roles. There will be an oral test consisting of two theoretical questions on the practical content and two practical exercises. Scoring criteria: 1. Physiotherapist position, patient position, postural control (5%)

2. Placement of physiotherapeutic aid and manual skill (5%)

3. Correct technical execution of the requested practical exercise. (50%)

4. Correctly explain the theoretical question asked. (30%)

5. Correctly answer the questions posed by the professor regarding the concrete, practical

technique asked. (5%)

6. Continuous assessment during practical classes where punctuality, degree of class

participation, good use of sessions, and time practicing with peers, assistance with the

appropriate material, and clothing requested. (5%)



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ASSIGNMENT-1 (Mr. Josep Pubill)

Description/detail of the assignment: In groups of 3-5 people, each student will choose a scientific article dealing with a pelvic floor topic that they will analyze. They need to analyze the working hypothesis, results, conclusion, and statistical study. Finally, each group will carry out an evaluation of the set of articles. Scoring criteria: The assignments must be well presented, structured, and without spelling errors. The summary will be assessed as to whether it includes the different sections that make up the article and especially the student analysis.



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GENERAL INFORMATION

COURSE DATA

Course PHYSIOTHERAPY WITHIN COSMETIC MEDICINE AND PLASTIC AND RECONSTRUCTIVE SURGERY

Code 200879 Academic Year 2019-2020 ECTS Credits 6 Course Type ELECTIVE Year of Study 3 Semester 2 Schedule Available anytime to students enrolled in this course through the virtual campus


FACULTY DATA

Professor In Charge

Professor’s Name MRS. MONICA GÓMEZ MARTÍNEZ Email [email protected] Tutorial Schedule To Be Arranged

Other Professors

Professor’s Name MRS. LAURA CAMPRUBÍ ROCA Email [email protected] Tutorial Schedule To Be Arranged

Professor’s Name DR. JORDI ESQUIROL CAUSSA Email [email protected] Tutorial Schedule To Be Arranged

Professor’s Name MR. JORDI SERRACANTA I DOMÈNECH Email [email protected] Tutorial Schedule To Be Arranged

PREREQUISITES








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Subject: Physiotherapy within cosmetic medicine and plastic and reconstructive surgery.

This course aims to lay the foundations of knowledge and understanding of anatomy and physiology of the skin and surrounding tissue, pathological conditions associated with dermatological conditions, plastic and reconstructive surgery, cosmetic medicine, and nutrition. The student will have the ability to identify functional disorders in this field and develop a diagnostic hypothesis and physiotherapeutic treatment for associated pathological conditions in cosmetic medicine and reconstructive surgery.

Knowledge of physiotherapy within this field is essential within the profile of the degree program and the profession due to the growing demand of today's society regarding aspects related to beauty and health.



Competency E1. Demonstrate knowledge of the morphology, physiology, pathology, and

behavior of people, both healthy and sick, in their natural and social environments.

Learning Outcomes E1.35. Describe the anatomy, physiology, and main pathological processes affecting the skin and surrounding tissue, as well as the physiology of metabolism and nutrition.

Specific Objectives: E1.35.1. Describe the anatomy of the skin and surrounding tissues of the body. E1.35.2. Describe the physiology of skin, fascial tissue, and visceral relationships in the body. E1.35.3. Describe the pathological processes and conditions of the skin and adjacent tissue. E1.35.4. Describe vascular disorders and their relationship to the skin and surrounding tissue. E1.35.5. Recall information about metabolic regulation, body growth, and energetic balance. E1.35.6. Describe infectious processes and their relationship to the skin. E1.35.7. Describe the fundamentals of nutrition as well as the nutrient needs for human beings. E1.35.8. Discuss dietary intake regulation, dietary balance, as well as assessing the importance of a balanced diet. E1.35.9. Describe the nutritional needs of a healthy population in general. E1.35.10. Describe the nutritional needs of the population with regard to different pathological conditions.

E1.36. Describe the pathophysiology of obesity and cellulite.



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Specific Objectives: E1.36.1. Describe the classification, epidemiology, etiology, pathogenesis, risk factors, evolution, and diagnosis of obesity. E1.36.2. Describe the classification, epidemiology, etiology, pathogenesis, risk factors, clinical, prognosis, progression, supplementary tests, and diagnosis of cellulite.

E1.37. Describe the medical/surgical treatments that are performed in cosmetic medicine and in plastic and reconstructive surgery.

Specific Objectives: E1.37.1. Describe the non-invasive/non-surgical medical treatments applied in cosmetic and reconstructive medicine and in the treatment of the different pathological conditions associated with vascular, metabolic, and hormonal disorders. E1.37.2. Describe the surgical procedures used in the treatment of metabolic, vascular, hormonal, and viral problems. E1.37.3. Explain the pharmacological and cosmetic treatments applied in cosmetic and reconstructive medicine. E1.37.4. Describe the different treatments employed with obesity. E1.37.5. Describe the classification, etiology, pathogenesis, risk factors, clinical symptoms, prognosis, and diagnosis of cellulite. E1.37.6. Explain the different medical and surgical treatments that are applied for the treatment of burns. E1.37.7. Describe the classification, etiology, pathogenesis, risk factors, clinical symptoms, prognosis, and peripheral facial palsy. E1.37.8. Describe the different medical and surgical treatments that are applied for the treatment of peripheral facial palsy. E1.37.9. Describe the classification, epidemiology, etiology, pathogenesis, risk factors, clinical symptoms, prognosis, progression, and supplementary tests with respect to pathological disorders of the breast. E1.37.10. Explain the medical and surgical interventions performed in pathological disorders of the breast. E1.37.11. Describe the classification. Pathogenesis, healing phases, clinical symptoms, diagnosis, complication, and side effects of scars.

Competency

E3. Demonstrate sufficient knowledge of physiotherapeutic methods, procedures, and interventions leading to clinical therapy.

Learning Outcomes E3.29. Employ physiotherapeutic methods, procedures, and interventions in the field of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E3.29.1. Define the role of the physiotherapist within the field of cosmetic medicine and plastic and reconstructive surgery. E3.29.2. Employ various physiotherapeutic techniques in the conservative treatment of metabolic, hormonal, vascular, mammary pathological conditions, burns, and peripheral facial paralysis. E3.29.3. Employ different physiotherapeutic techniques during post-surgical treatment within cosmetic medicine and plastic and reconstructive surgery.



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E3.29.4. Explain the characteristics and applications of electrical treatment devices used in cosmetic medicine.

Competency E5. Integrate, through clinical experience, ethical and professional values,

knowledge, skills, and attitudes proper to physiotherapy in order to solve specific clinical cases in the inpatient, outpatient, primary healthcare, and community settings.

Learning Outcomes E5.19. Employ the knowledge and skills acquired to solve clinical cases in the field of cosmetic medicine and plastic and reconstructive surgery that are amenable to physiotherapeutic treatment.

Specific Objectives: E5.19.1. Identify skin and adnexal injuries and dysfunctions in the cases presented. E5.19.2. Formulate diagnostic hypotheses and appropriate treatments for the proposed clinical cases in relation to cosmetic medicine and plastic and reconstructive surgery.



Learning Outcomes E7.26. Describe and apply appropriate procedures for physiotherapeutic assessment, to determine the degree of impact in the area of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E7.26.1. Assess the patient's body composition. E7.26.2. Examine the patient in relation to the different pathological processes and disorders that occur in the area of cosmetic medicine and plastic and reconstructive surgery (anamnesis, inspection, and palpation). E7.26.3. Correctly use diagnostic tools and scales in the area of cosmetic medicine and plastic and reconstructive surgery.


internationally recognized validation instruments.

Learning Outcomes E8.16. Establish a physiotherapeutic diagnostic hypothesis based on clinical cases in the field of physiotherapy within cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E8.16.1. Identify local, regional, or global physical disorders and describe the changes in physical ability for cosmetic medicine and plastic and reconstructive surgery patients in order to establish a diagnostic hypothesis.

Competency E9. Design a physiotherapy intervention plan according to the criteria of

appropriateness, validity, and effectiveness.

Learning Outcomes E9.46. Define the general and specific objectives for the application of physiotherapeutic treatment in the area of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E9.46.1. Plan short and long term treatment objectives based on a diagnostic hypothesis in the area of cosmetic medicine and plastic and reconstructive surgery.



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E9.47. Describe the circumstances that influence the intervention priorities in physiotherapeutic treatment in the field of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E9.47.1. Prioritize the type of intervention according to the setting in which the patient is treated. E9.47.2. Identify the patient's health problem priorities in the area of cosmetic medicine and plastic and reconstructive surgery based on a diagnostic hypothesis. E9.47.3. Adapt physiotherapeutic programs in the area of cosmetic medicine to particular patient circumstances in terms of their beliefs, cultural habits, perspectives, and objectives. E9.47.4. Establish treatment priorities according to severity, impact, or possibility of resolution, including the availability of material and equipment in the area of cosmetic medicine and plastic and reconstructive surgery.

E9.48. List the different types of material and apparatus used in the physiotherapeutic treatment in the area of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E9.48.1. Identify the most commonly used electrotherapy devices and additional material in the area of cosmetic medicine and plastic and reconstructive surgery. E9.48.2. Use the most suitable material according to the type of pathological condition to be treated.

Competency E17. Participate in the development of physiotherapeutic health care protocols

based on scientific evidence, promoting professional activities that stimulate research in physiotherapy.

Learning Outcomes E17.11. Describe and analyze evidence-based physiotherapeutic care protocols in the area of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E17.11.1. Interpret the scientific evidence accumulated in all matters relating to the efficacy and safety of the different treatment options for physiotherapy used in the area of cosmetic medicine and plastic and reconstructive surgery. E17.11.2. List the different evidence-based physiotherapeutic care protocols in the area of cosmetic medicine and reconstructive plastic surgery.

Competency E20. Employ quality assurance mechanisms in the practice of physiotherapy

according to recognized and validated criteria.

Learning Outcomes E20.15. Employ physiotherapeutic methods, procedures, and interventions in the field of cosmetic medicine and plastic and reconstructive surgery.

Specific Objectives: E20.15.1. Describe the most mutually agreed upon physiotherapeutic algorithms in the area of cosmetic medicine and reconstructive plastic surgery.



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E20.15.2. Name and identify guidelines for good clinical practice in the field of cosmetic medicine and plastic and reconstructive surgery.



Learning Outcomes Specific Objectives: T8.1. Develop communication skills to address the patient, taking into account the patient’s pathological condition, social, family, and individual circumstances. T8.2. Identify the most important aspects of a listening mindset. T8.3. Identify the most important aspects of a boundary-setting mindset. T8.4. Develop empathetic skills.



Learning Outcomes Specific Objectives: G3.1. Identify, recognize, and respect the subjective position of the patient. G3.2. Modify functional recovery programs and physiotherapeutic therapies according to patients' preferences, objectives, and religious or cultural beliefs. G3.3. Adapt the treatment according to the patient’s specific situations, respecting privacy in cases of total or partial dependence, personal or family conflicts, and emotional disorders.



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CONTENTS

1. Dermatology

1.1. Anatomy and physiology of skin and subcutaneous cellular tissue 1.2. Anatomical and physiological relationships concerning the skin 1.3. Skin type 1.4. Skin pathologies/disorders

1.4.1. Pathologies of the pilosebaceous follicle: acne, rosacea, folliculitis 1.4.2. Atopic skin types 1.4.3. Eczemas: atopic, seborrheic, contact, photo-induced 1.4.4. Sun intolerance and spots 1.4.5. Other pathological conditions 1.4.6. Dermatological therapy

2. Plastic and reconstructive surgery 2.1. History of plastic surgery 2.2. Basic concepts of plastic surgery 2.3. Breast pathology

2.3.1. Classification 2.3.2. Epidemiology 2.3.3. Etiology 2.3.4. Pathogenesis 2.3.5. Risk factors 2.3.6. Clinical symptoms 2.3.7. Prognosis 2.3.8. Progression 2.3.9. Supplementary tests 2.3.10. Diagnosis

2.4. Surgical techniques for pathological breast conditions 2.5. Limb reconstruction surgery 2.6. Body Contouring Surgery 2.7. Microsurgery 2.8. Composite tissue transplantation 2.9. Physiotherapeutic treatment for the oncological patient 2.10. Physiotherapeutic treatment for different surgical techniques involved in plastic surgery

3. Burns 3.1. Definition of a burn 3.2. Classification of Burns 3.3. Etiopathogenesis 3.4. Risk factors 3.5. Clinical symptoms and prognosis of burns 3.6. Burn diagnosis 3.7. Surgical treatment of burns 3.8. Diagnosis and physiotherapeutic treatment for the burn patient

4. Scars

4.1. Definition of scar 4.2. Classification of scars 4.3. Clinical symptoms of scars 4.4. Pathogenesis of scars 4.5. Phases of healing



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4.6. Differential diagnosis of scars 4.7. Complications and side effects 4.8. Medical and physiotherapeutic treatment

5. Vascular disorders and their link to the skin 5.1. Circulatory and lymphatic problems 5.2. Chronic wounds 5.3. Amputees 5.4. Physical therapy treatment

6. Cosmetic medicine 6.1. Facial treatments

6.1.1. Facial pathology treatment 6.1.2. Classification of facial skin

6.2. Body treatments 6.2.1. Cellulite and secondary vascular disorders 6.2.2. Postpartum 6.2.3. Flaccidity

7. Obesity and physical exercise 7.1. Metabolic physiology 7.2. Definition and epidemiology. 7.3. Physiopathology of obesity 7.4. Assessment of the patient's body composition 7.5. Physical therapy treatment

8. Peripheral facial paralysis 8.1. Classification 8.2. Etiology 8.3. Pathogenesis 8.4. Risk factors 8.5. Clinical symptoms 8.6. Prognosis 8.7. Progression 8.8. Diagnosis 8.9. Medical and surgical treatment 8.10. Physical therapy treatment

9. Plastic and cosmetic medicine physiotherapy 9.1. Assessment (algorithms-hypotheses) 9.2. Anamnesis, inspection, and palpation (examination) 9.3. Physiotherapeutic diagnostic hypothesis 9.4. Treatment objectives 9.5. Treatment

9.5.1. Manual therapy for cosmetic physiotherapy (facial and body treatment) 9.5.2. Physical exercise (HIIT, hypopressive abdominal gymnastics, motor control, active global

stretching...) 9.5.3. Health education 9.5.4. Hydrotherapy and balneotherapy



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DIRECTED ACTIVITIES

Theoretical presentations where the theoretical basis of physiotherapy for lymphatic system pathological conditions will be provided with graphic and computer support.



Estimated hours: 9.

Presentation and resolution of clinical cases. Various clinical cases will be presented from which the students will have to suggest the necessary treatment and clinical reasoning.

Estimated hours: 5.





Research, handling of information: in small group. Based on a consensual topic between student and professor, research for updated bibliography on the proposed topic, preparation of a summary of contents of the five articles that they consider most relevant with a critical review of them.


Drafting of papers: Preparation, theoretical treatment, and discussion of a real clinical case proposed by the professor with the help of bibliographic research.






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TYPE OF AVTIVITY


Directed Activities


E1, E3, E5, E7, E8, E9, E17, E20, T8, G3

31

Practical presentations E3, E5, E7, E8 9 Presentation and resolution of clinical cases

E1, E3, E5, E7, E8, E9, E17, T8, G3

5



E3, E5, E7, E8 15



E1, E3, E5, E7, E8, E17, E20

15

Writing of papers E1, E3, E5, E7, E8, E9, E17, E20

15

Independent work E1, E3, E5, E7, E8, E9, E17, E20

57.75

TOTAL HOURS 147.75



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ASSESSMENT


Knowledge acquired through written tests. With an overall weight of 35%. Manual skill in the application of the different techniques, as well as the adaptation of the chosen technique/procedure to the situation at hand, by means of practical tests. With an overall weight of 50%. Written assignments and clinical cases presented in class. With an overall weight of 15%.



Pass each of its segments and the parts that make them up, with a minimum score of 5. Present and approve all work respecting the criteria set by the professor. Have attended 100% of the practical classes (If there is a well-founded reason, it is permissible to miss up to 20% of the practical classes). Obtain an overall grade for the course equal to or greater than 5. Internal Practice Regulations:





LEARNING OUTCOMES

STUDENT HOURS

Written tests 35% E1, E3, E5, E7, E8, E9, E17, E20, T8, G3

2

Practical tests 50% E3, E5, E7, E8 0.25 Assignments and clinical cases presented in class

15% E1, E3, E5, E7, E8, E9, E17, T8, G3

---

TOTAL HOURS 2.25



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Books Author(s) Year Title Edition Place Publisher Carlos Ferrándiz Foraster 2009 Dermatology 3a.Edicion Barcelona Elsevier

BIBLIOGRAPHY AND WEB LINKS / SOURCES OF SUPPLEMENTARY INFORMATION Books Author(s) Year Title Edition Place Publisher Quetglas J. 1983 Traumatología Facial Madrid Sociedad Española

de Cirugía Plástica

Riefkohl R, Brawick WJ. 1992 Textbook of Plastic,

Maxillofacial and

Reconstructive Surgery.

Baltimore Williams Williams,

Jackson I. 1990 Colgajos locales en la reconstrucción de cabeza y cuello.

Barcelona Salvat editores

McCarthy J. 1992 Traumatismos de la cara. Cirugía plástica

Buenos Aires

Panamericana

Hammon Burns. Hermon 1987 LIPOSUCCIÓN EN CIRUGÍA ESTÉTICA Y PLÁSTICA.Atlas de cirugía estética de la mama

Salvat.

Mataix, J.* 2002

Nutrición y Alimentación Humana, vol 2

Madrid Ergon Creación

COURSE SYLLABUS

This information will be available to the student enrolled in this course through the virtual campus.



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WRITTEN TESTS (35%)

Theoretical test.



ACTIVITY 1 (50%) (Mrs. Mónica Gómez)

Test description/details: Examination covering everything taught during the theoretical and practical classes. Examination of a practical technique carried out during the classes (chosen at random) Scoring criteria: - Physiotherapist ergonomics (20%) - Patient position/tract/communication (20%) - Carrying out the technique (order, modus operandi, clarity, rhythm...) (30%) - Theory related to the treatment performed (30%)

ACTIVITY 2 (50%) (Mrs. Laura Camprubí)

Test description/details: Examination covering everything taught during the theoretical and practical classes. Examination of a practical technique carried out during the classes (chosen at random) Scoring criteria:

THEORY 5 points Definition 3 points Symptoms: 1 point - Contraindications: 1 point



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Practice: 5 points - Patient position: 0.5 points - Physiotherapist position: 0.5 points - Execution of the technique: 4 points

Both parts must be passed in order to pass the practical tests.


SUBJECT MATTER (66%) (Mrs. Laura Camprubí / Mrs. Mónica Gómez)

Description/detail of the assignment: Definition of the chosen topic according to bibliographic research. Physiotherapeutic treatment and description of the techniques used according to the bibliographic research. Minimum 5 bibliographic references (search for the most current ones). Maximum of 10 pages. In addition, an oral presentation will be made of the work carried out:

- PowerPoint presentation with up to a maximum of 8 slides. - All participants must speak (maximum 10 minutes)

Scoring criteria: 50% of the grade will be for the written work, and 50% for the oral presentation.

CLINICAL CASE burns (34%) (Mrs. Mónica Gómez)

Description/detail of the work/case study: Group oral presentation on a clinical case of a burn patient developed during the practical class. Scoring criteria: Explanation and reasoning of the physiotherapeutic techniques and objectives for each specified case.

Short-term physiotherapeutic objectives (20%)

Long-term physiotherapeutic objectives (20%)

5 physiotherapeutic techniques in order of priority (during 2 specific dates according to the clinical case presented) (60%)



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ANNEX II - CLINICAL CASE SCORING TEMPLATE

CLINICAL CASE SCORING TEMPLATE

WORK GROUP:

GROUP MEMBERS:

OPPORTUNITY FOR IMPROVEMENT

CLINICAL CASE GRADE:

CLINICAL CASE ASSESSMENT TABLE

GRADE: 6 7 8 9 10

Presentation format

Pathology and personal information

Biopsychosocial assessment

Patient/family expectations

Intervention objectives

Therapeutic intervention/conclusions

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