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188篮球比分_188比分直播—激情赢盈中√ Osnabrück - University of Applied Sciences

Advanced Practice of Evidence Based Practice: Cervical and Thoracic Spine and Upper Limb

Faculty

Faculty of Business Management and Social Sciences

Version

Version 1 of 11.03.2025.

Module identifier

22M0707

Module level

Master

Language of instruction

German

ECTS credit points and grading

5.0

Module frequency

only winter term

Duration

1 semester

 

 

Brief description

In this module, current scientific findings on the diagnosis and treatment of neuromusculoskeletal complaints in the area of the cervical and thoracic spine as well as the upper extremity are deepened on a theoretical level and applied practically by means of test procedures and treatment techniques. The test procedures represent, among other things, special evidence-based clinical measurement instruments, which are explained and applied. Through this content, the clinical reasoning process is deepened and strengthened. The importance of evidence-based therapy is particularly emphasised in this module.

Teaching and learning outcomes

Deepening and reflection of neuromusculoskeletal treatment and examination techniques as well as neuromusculoskeletal dysfunctions of the upper quadrant (head, neck and arm region).

Block 1

  • Pain diagnosis, assessment and treatment
  • Pain mechanisms in theory and clinical presentation
  • Pain management strategies
  • Theory of neurodynamic treatment of the upper quadrant
  • Neurodynamic differentiation procedures and treatment of the upper quadrant 
  • Special neuromusculoskeletal testing procedures for the upper quadrant
  • Influences of different disciplines and settings on a patient's illness experience and treatment

Block 2

  • Musculoskeletal imbalance, syndromes and manipulation 
  • Theory of upper quadrant motor control
  • Cervical instability
    • assessment and treatment 
    • Theory of cervical and thoracic manipulation including (contra)indications
    • Patient presentation and clinical reasoning.

Block 3

  • Upper Quadrant Clinical Patterns and Treatment 
  • In-depth upper quadrant neuromusculoskeletal functional diagnosis and treatment
  • In-depth clinical patterns such as cervical headache, Whiplash Associated Disorders (WAD), Complex Regional Pain Syndrome (CRPS) 1 and 2, Concussion 
  • Shoulder instability
  • Cervical and thoracic manipulations
  • Manipulation "Safety" test according to IFOMPT guidelines
  • Manipulation techniques of the cervical spine and thoracic spine

Block 4

  • Manipulations
  • Theory, indications and contraindications to cervical and thoracic spine manipulations (IFOMPT framework for manipulations)
  • Scientific evidence on manipulations
  • Manipulation techniques of the cervical and thoracic spine

IFOMPT criteria: A1; D1, 2, 3, 4, 5, 6; K1, 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13; S1, 2, 4, 8

Knowledge Understanding

Students further develop their Clinical Reasoning skills. By linking the knowledge base with clinical experience, they develop clinical patterns that they can access, especially in familiar situations. In unfamiliar and new, complex clinical situations, they use different reasoning strategies. They are flexible and quick in the selection of their clinical reasoning strategy. They use "forward reasoning" to recognise complicated clinical patterns such as whiplash associated disorders (WAD), cervical instability, chronic radicular syndromes, cervical spinal stenosis, complex regional pain syndrome, commotio cerebri and craniomandibular dysfunctions. In doing so, they reflect on their approach independently and continuously and further develop their therapeutic skills in the sense of Continuing Professional Development.

Communication and Cooperation

 Students apply their communicative skills to obtain comprehensive information about the nature of the patient's complaints. They are able to explain cause-effect relationships conclusively and comprehensively to patients, relatives, colleagues and professional representatives and to represent their therapeutic decisions. The students assume responsibility in the therapeutic team for the implementation of evidence and new treatment approaches in the therapy of the upper body quadrant. They are able to verbally express their clinical reasoning to lay people, colleagues and trainee therapists.

Academic Self-Conception / Professionalism

Evidence-based knowledge can be transfere into manual therapy skills and abilities.

Literature

  • Jull GA (1988): The accuracy of manual diagnosis for cervical zygapophyseal joint pain syndromes. Med J Austr 148: 233 – 236.
  • Grant R (ed.) (1994): Physical Therapy of the Cervical and Thoracic Spine, 2nd ed. Churchill Livingstone, Edinburgh.
  • Butler D (2000): The Sensitive Nervous System. Adelaide, Australia, Noigroup Publications.
  • Frob?se I, Nellessen-Martens G, Wilke C (2009): Training in der Therapie. Grundlagen und Praxis. 3. Auflage. Elsevier, Urban & Fischer-Verlag.
  • Hollmann W, Strüder HK (2009): Sportmedizin: Grundlagen für k?rperliche Aktivit?t, Training und Pr?ventivmedizin, 5. Auflage.Schattauer-Verlag.
  • Westerhuis, P, Wiesner, R (2018): Klinische Muster in der Manuelle Therapie, Thieme, Stuttgart, 2. Auflage.
  • Jull G, Moore A, Falla D, Lewis J, McCarthy C, Sterling M (2015) Grieve’s Modern Musculoskeletal Physiotherapy, 4th Edition, Elsevier, Edinburgh.
  • Fernandes de las Penas C, Cleland J, Dommerholt J (2015) Manual Therapy for Musculoskeletal Pain Syndroms, 1st Edition, Elsevier, Edinburgh.(2019)
  • Jull G., F.D., Treleaven J., O’leary S., Lewis J.S., Management of Neck Pain Disorders: a Research-Informed Appoach. Vol. 1. 2019: Elsevier.
  • Blanpied, P.R., et al., Neck Pain: Revision 2017. J Orthop Sports Phys Ther, 2017. 47(7): p. A1-A83.
  • Shahidi, B., D. Curran-Everett, and K.S. Maluf, Psychosocial, Physical, and Neurophysiological Risk Factors for Chronic Neck Pain: A Prospective Inception Cohort Study. J Pain, 2015. 16(12): p. 1288-1299.
  • Walton, D.M., et al., An Overview of Systematic Reviews on Prognostic Factors in Neck Pain: Results from the International Collaboration on Neck Pain (ICON) Project. Open Orthop J, 2013. 7: p. 494-505.
  • Falla, D, Cook, C, Lewis, J, McCarthy, C, Sterling, M (2024): Grieve’s Modern Musculoskeletal Physiotherapy, Elsevier LTD
  • Ballenberger, N (2025): Evidenzbasierte Assessments in der Muskuloskelettalen Physiotherapie, Urban & Fischer Verlag/Elsevier GmbH
  • Aktuelle wissenschaftliche Studien, die sich mit der Modulthematik befassen, werden in die 188篮球比分_188比分直播—激情赢盈中√ eingebunden.

Applicability in study programs

  • Musculoskeletal Therapy (Manual Therapy – OMT)

    • Musculoskeletal Therapy (Manual Therapy - OMT)

    Person responsible for the module
    • Piekartz, Harry
    Teachers
    • Unknown person
    • Timpe, Timo
    • Kapitza, Camilla
    • Piekartz, Harry