Subject

Physiopathology in Affectations of the Locomotor Appratus

  • code 13426
  • course 2
  • term Semester 1
  • type FB
  • credits 7

Main language of instruction: Catalan

Other languages of instruction: English, Spanish

Timetable
  TU 08:00 11:00 
  TH 13:00 15:00 

Teaching staff

Head instructor

Dr. Ramon OLIVÉ - rolive@uic.es

Office hours

TRAUMATOLOGY BLOCK

Dr. Ramón Olivé Vilás; rolive@uic.es

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.

The subject of the Pathophysiology of Disorders of the Musculoskeletal System consists of three blocks: Traumatology., Rheumatology and First Aid.


PRESENTATION TRAUMATOLOGY BLOCK

The section of Traumatology within the subject of Pathophysiology of Locomotor System Conditions supports the teaching of how do the tissue structures make up the musculoskeletal system response to acute trauma and due to overload?. The basis for the evaluation of these pathological conditions, their treatment and the possibilities that Physiotherapy has to favour the process of repair and care of the patient, always based on scientific evidence, for their reintegration to their field activity.

Objectives

OVERALL OBJECTIVES

  • Capacity for analysis and synthesis.
  • Decision-making process.
  • Problem resolution.
  • Teamwork.
  • Critical thinking.
  • Autonomous Learning.
  • Ethical integrity and confidentiality.

 

   

SPECIFIC GOALS

  • Identify the anatomical structures as the knowledge base of the healthy and injured patient.
  • Understand the principles of biomechanics that can be the cause of a watery or overuse injury.
  • Recognise the pathophysiology of lesions of acute and chronic lesions, identifying the manifestations that appear throughout the process. Know and develop the physical examination by body segments to assess the injured patient.
  • Design the physiotherapy intervention plan, based on scientific evidence, based on personalization, validity and efficiency criteria and identify the changes produced because of the physiotherapy intervention.
  • You will have a good knowledge of specific methods and techniques of current medical-surgical treatment of the most frequent injuries related to the locomotor system, to be able to apply the most appropriate physiotherapy technique at all times to facilitate the early recovery of the patient.

 

 

Competencies

  • 01 - The ability to analysis and synthesis.
  • 02 - The ability to organise and synthesize
  • 05 - The ability to manage information.
  • 06 - To have comprehensive problem-solving skills.
  • 07 - Demonstrate decision-making skills.
  • 09 - Demonstrate critical thinking skills.
  • 17 - The ability to work responsibly and autonomously, so as to handle job-related activities without the need for strict supervision.
  • 28.3 - Show respect, appreciation and sensitivity towards the work of others.
  • 29.1 - Demonstrate a committment to ongoing learning and self-improvement.
  • 30.1 - Teamwork skills.
  • 39 - Knowledge of general aspects of exogenous and endogenous diseases related to physiotherapy for all the biological systems and the corresponding medical, surgical, orthopedic and physiotherapy treatments.
  • 47 - Ability to assess the patient's/client's functional status, taking into account his/her physical, psychological and social aspects.
  • 53 - Capacity to participate within the areas of health promotion and disease prevention.
  • 53.1 - Ability to design and set up activities related to health promotion and disease prevention.

Learning outcomes

 TRAUMATOLOGY BLOCK 

  • Familiarize with the terms and meanings of the words that define the different injuries, conditions and procedures commonly used in Pathology of the Locomotor System.
  • How they are classified and what criteria are followed to assess their severity, prognosis and results of different treatments.
  • Which treatments are most used for repairing injuries to the skeletal muscle system.
  • What factors influence the regeneration, repair, healing of the tissues that make up the musculoskeletal system?
  • Because some injuries deserve surgical treatment, what are the most appropriate procedures, advantages and disadvantages of theirs in the process of rehabilitation and functional recovery of the patient.
  • What materials are most useful for osteosynthesis? , what precautions should be taken in the postoperative period of these patients?

Syllabus

TRAUMATOLOGY BLOCK

1. MOST COMMON MUSCLE INJURIES

2. TENDON INJURIES

3. BONE

3.1. Mechanical Properties

3.2. Adaptation to loads

3.3. Breaking mechanism

3.4. Type of injury

3.5. Fracture Consolidation Mechanism.

3.6. Diagnosis of fractures and principles of their treatment

3.7. Factors that may affect consolidation, complications

3.8. Stress fracture

4. CARTILAGE

4.1. Mechanical Properties

4.2. Adaptation to loads

4.3. Current treatment of cartilaginous lesions

 

5. INJURIES OF THE LOCOMOTOR SYSTEM

5.1. UPPER LIMB

6. SHOULDER

6.1.1.1. Functional Anatomy and Biomechanics

6.1.1.2. Exploration (Theoretical / Practical)

6.1.1.3. Instability

6.1.1.4. Escape conflicts - humeral

6.1.1.5. Pitcher's Shoulder / Swimmer's Back

6.1.1.6. Dislocation of the scapular waist

6.1.1.7. Microtraumatic injuries

6.1.1.8. Proximal Humerus, Clavicle and Shoulder Fractures

6.1.2. ELBOW

6.1.2.1. Functional Anatomy and Biomechanics.

6.1.2.2. Exploration (Theoretical / Practical).

6.1.2.3. Lateral epicondylitis.

6.1.2.4. Medial epicondylitis.

6.1.2.5. Diaphysis and distal fractures of the humerus.

6.1.2.6. Proximal ulnar and radius fractures.

6.1.2.7. Neurological conflicts.

6.1.3. WRIST AND HAND

6.1.3.1. Functional Anatomy and Biomechanics

6.1.3.2. Exploration (Theoretical / Practical)

6.1.3.3. Diaphysis and distal fractures of the ulna and radius

6.1.3.4. Neurological conflicts.

6.1.3.5. Carp Bone Fractures

6.1.3.6. Metacarpal fractures

6.1.3.7. Carp instability (VISI and DISI)

 

6.2. LEG LIMB

6.2.1. KNEE

6.2.1.1. Functional Anatomy and Biomechanics

6.2.1.2. Exploration (Theoretical / Practical)

6.2.1.3. Femoropatelar syndrome

6.2.1.4. Ligament injuries

6.2.1.5. Central pivot (LCA and LCP)

6.2.1.6. Injuries to the menisci

6.2.1.7. Chondral lesions

6.2.1.8. Kneecap fractures

6.2.1.9. Proximal fractures of the tibia and distal femur

6.2.2. ANKLE AND FOOT

6.2.2.1. Functional Anatomy and Biomechanics

6.2.2.2. Exploration (Theoretical / Practical)

6.2.2.3. Tibia-fibula-talus conflicts

6.2.2.4. Ankle sprain

6.2.2.5. Chronic ankle instability

6.2.2.6. Chondral lesions

6.2.2.7. Distal tibia and fibula fractures

6.2.2.8. Foot Fractures

 

6.3. SPINE

6.3.1. Functional Anatomy and Biomechanics

6.3.2. Exploration (Theoretical / Practical)

6.3.3. Spondylosis

6.3.4. Scoliosis 

6.3.5. Facet syndrome

6.3.6. Fractures of the Upper Cervical Spine

6.3.7. Lumbar spine fractures

 

6.4. CONCUSSION

 

 6.5. PELVIC BELT

6.5.1. Functional Anatomy and Biomechanics

6.5.2. Exploration (Theoretical / Practical)

6.5.3. Dynamic osteopathy

6.5.4. Hip in spring

6.5.5. Child and adolescent hip

6.5.6. Early hip arthrosis

6.5.7. Pelvic ring fractures

6.5.8. Proximal fractures of the femur

6.5.9. Acetabulum fractures

 

7. TRAUMATIC INJURIES OF THE LOCOMOTOR SYSTEM IN THE CHILD

Teaching and learning activities

In person

Given the special circumstances of the Coronavirus Pandemic, the classes will be tried in person with small groups and will be coordinated with the theoretical-practical classes. As far as possible, we will try to record the session and leave the session hanging for a while on the platform to be consulted.

Evaluation systems and criteria

In person

- GENERAL SYSTEMS AND EVALUATION CRITERIA OF PATHOPHYSIOLOGY OF DISORDERS OF THE MUSCULOSKELETAL SYSTEM 

To pass the subject Pathophysiology of Disorders of the Musculoskeletal System, you must pass each of the blocks that make up the subject, ie Traumatology, Rheumatology and First Aid. The final grade. will be the weighted average of each of the grades that the student obtains in each of the blocks.



- EVALUATION SYSTEMS AND CRITERIA IN TRAUMATOLOGY BLOCK

Given the special circumstances of the Coronavirus Pandemic, the evaluation of the subject is reformed and a partial exam and a final exam will be divided. The midterm exam will consist of 20 test-type questions with 5 answer options and a single valid answer, the subject that enters for this exam will not be eliminated and will also enter the final exam. The final exam will have 30 test-type questions with 5 answer options and a single valid answer.

As the activity of the classes evolves and there may be negative points, each wrong question will subtract 0.25 points from the correct questions, for example, every 4 wrong questions will subtract 1 point from the correct questions.

 

The final grade will be obtained from the combination of the partial exam and the final exam; the partial exam will represent 30% of the grade and the final 70%.

 

The resit exam will consist of a test-type exam with 20 questions with 5 answer options and a single valid answer, there may be negative points, each wrong question will subtract 0.25 points from the correct questions, for example every 4 Wrong questions will subtract 1 point from the correct questions.

Bibliography and resources

Practical Orthopaedic sports medicine and arthroscopy. Written  per Donald H Johnson, Robert A. Pedowitz

http://books.google.es/books?hl=es&lr=&id=nJHtLpTYmMcC&oi=fnd&pg=PA9&dq=Practical+Orthopaedic+Sports+Medicine+% 26 + Arthroscopy & OTS = 4jtBFDFtH9 & sig = 1SqdwiZ0FleAhuM2nlNfqbzBCEM # v = onepage & q & f = false
 
 
Physical Therapies in sport and exercise. Written Gregory S. Koltès, Lynn Snyder-Mackler

https://books.google.es/books?id=2utRky2VO0UC&printsec=frontcover&dq=Physical+Therapies+in+sport+and+exercise&hl=es&sa=X&ved=2ahUKEwj-3ZH-9e3qAhUVD2MBHWWhDpkQ6AEwAHoECAEQAg#v=onepage&q=Physical%20Therapies%20in%20sport%20and%20exercise&f=false


Magnetic Resonance Imaging in Orthopedic Sports Medicine. Written Robert Pedowitz, Donald Resnick, Christine B. Chung

https://books.google.es/books?hl=ca&lr=&id=p4tBl_Pz-EwC&oi=fnd&pg=PR4&dq=Magnetic+Resonance+Imaging+in+Orthopedic+Sports+Medicine.&ots=EdE2YJMc-u&sig=buvSmj9UUx1qFVgX0nD8Sy_y1jY#v=onepage&q=Magnetic%20Resonance%20Imaging%20in%20Orthopedic%20Sports%20Medicine.&f=false


Bones: structure and mechanics. Written John D. Currey

https://books.google.es/books?id=7WgiAQAAQBAJ&printsec=frontcover&dq=Bones:+structure+and+mechanics.&hl=ca&sa=X&ved=2ahUKEwj6zbqA9-3qAhUc6OAKHe6oD4IQ6AEwAHoECAYQAg#v=onepage&q=Bones%3A%20structure%20and%20mechanics.&f=false


Tractament práctico  de las fracturesWritten Ronald McRae, Max Esser

https://books.google.es/books?id=T2ZOSldR3QEC&printsec=frontcover&dq=Tractamento+practico+de+las+fracturas&hl=ca&sa=X&ved=2ahUKEwjb_ee59-3qAhXM6OAKHfnuCYoQ6AEwAXoECAUQAg#v=onepage&q=Tractamento%20practico%20de%20las%20fracturas&f=false
 

A Practical Guide to Sports Injuries. Written per Malcolm Read

https://books.google.es/books?id=vKpsAAAAMAAJ&q=A+practical+guide+to+sports+injuries+malcolm&dq=A+practical+guide+to+sports+injuries+malcolm&hl=es&sa=X&ved=2ahUKEwiO15D5-O3qAhUIahQKHdzcA44Q6AEwAHoECAMQAg

 

 

Articles  of interest.

During the course, articles of interest will be posted on Moodle page depending on the development of the subject and the topics explained.

Evaluation period

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

  • E1 26/01/2021 09:00h A11
  • E1 26/01/2021 09:00h A12
  • E1 28/01/2021 10:30h A13
  • E1 28/01/2021 10:30h A14
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