Study-Unit Description

Study-Unit Description


CODE PHT3042

 
TITLE Manipulative Therapy 2

 
LEVEL 03 - Years 2, 3, 4 in Modular Undergraduate Course

 
ECTS CREDITS 10

 
DEPARTMENT Physiotherapy

 
DESCRIPTION This study-unit introduces the students to the surface anatomy of the spine and emphasizes the importance of diagnostic skill in the approach to the patient with vertebral problems.

Study-unit Aims

To encourage the acquisition of knowledge in appropriate standards of manipulative and other manual therapy skills .

Learning Outcomes

1. Knowledge & Understanding:
By the end of the study-unit the student will be able to:

i. Locate anatomical landmarks used in mobilisation techniques;

ii. State the indications and contraindications for the application of Maitland mobilisation techniques;

iii. Apply his/her knowledge of anatomy and physiology to the application of manipulative procedures;

iv. Discuss and demonstrate the application of passive movement techniques;

v. State the contraindications to the application of oscillatory mobilisation techniques;

vi. Describe the grades of oscillatory mobilisation techniques and indicate the use of each grade;

vii. Perform spinal and peripheral techniques in grades I - IV.

2. Skills:
By the end of the study-unit the student will be able to:

i. Locate anatomical landmarks;

ii. Carry out routine examinations of: cervical, thoracic and lumbar spine;

iii. Discuss examination findings and their implications for treatment;

iv. Be conversant with techniques other than Maitland mobilisations:
• Muscle Energy Technique
• Mckenzie approach to mobilisation of the lumbar spine
• Nags and Snags
• Core Stabilisation.

Main Text/s and any supplementary readings
Most texts are available as handouts or online for registered students:

http://physiostudents.pbworks.com/browse/#view=ViewFolder¶m=Journal%20Articles

Living Anatomy Manual 2008.pdf
http://physiostudents.pbworks.com/f/Living%20Anatomy%20Manual%202008.pdf

APLEY, A. G.; SOLOMAN, L. (1987) Apley’s System of Orthopaedics and Fractures (reprint) London/Butterworths

BARR, M. L.; KIERNAN, J.A. (1988) The Human Nervous System: An Anatomical Viewpoint 5th Ed. London/Butterworths

BINKLEY, J. (1989) Overview of ligament and tendon structure and mechanics: Implications for clinical practice. Physiotherapy Canada 41:pp24-30

BLAND, J. (1993), Mechanisms of adaptation in the joint, in Crosbie, J. (ed) Key issues in Musculoskeletal Physiotherapy. Butterworth Heinemann

BUTLER, D.S. (1994) Mobilisation of the Nervous System. London/Churchill Livingstone

BUTLER D (2000) The Sensitive Nervous System Noigroup Publications Adelaide Australia

CAILLET, R. (1989) Low Back Pain Syndrome 2nd Reprint Philadelphia/F. A. Davis

CRAWFORD ADAMS, J. (1992) Outline of Fractures 10th Ed. Edinburgh / Churchill Livingstone

CRAWFORD ADAMS, J. (1992) Outline of Orthopaedics 10th Ed. Edinburgh / Churchill Livingstone

DAVID, C. & LLOYD, J. (1998) Rheumatological Physiotherapy Mosby

GRIEVE G.P. (1984) Mobilisation of the Spine 4th Ed. London/Churchill Livingstone

HARDY, M. (1989) The biology of scar formation. Physical Therapy 69,12:pp1014-1025

HERBERT, R. (1988) The passive mechanical properties of muscle and their adaptations to altered patterns of use. The Australian Journal of Physiotherapy. 34,3:pp141-149

HERBERT, R. (1993) Preventing and treating stiff joints in Crosbie, J. (ed) Key issues in Musculoskeletal Physiotherapy. Butterworth Heinemann

HIDES J A, COOPER D H, STOKES M J (1992) Diagnostic ultrasound imaging for measurement of the lumbar multifidus muscle in normal young adults Physiotherapy Theory and Practice 8:19-26

HODGES P W, RICHARDSON C A (1996) Inefficient muscular stabilisation of the lumbar spine associated with low back pain: a motor control evaluation of transversus abdominis Spine 21(22): 2640-50

JULL G, TROTT P, POTTER H, ZITO G, NIERE K, SHIRLEY D, EMBERSON J, MARSCHNER I, RICHARDSON C (2002) A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache Spine 27(17): 1835-43

JULL G, TROTT P, POTTER H, ZITO G, NIERE K, SHIRLEY D, EMBERSON J, MARSCHNER I, RICHARDSON C (2002) A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache Spine 27(17): 1835-43

KAPANDJI I A (1982) The Physiology of the Joints 5th edition Vol. 1: The upper limb Vol. 2: The lower limb Vol 3: The trunk and vertebral column Churchill Livingstone

KENDALL F P, MCCREARY E K, PROVANCE P G (1993) Muscles Testing and Function 3rd edition Williams & Wilkins USA

MAGEE, D.J. (1992) 2nd ed. Orthopaedic Physical Assessment. W.B. Saunders Company

MAITLAND G.D.(1986) Vertebral Manipulation 5th Ed. London/Butterworths

Maitland G.. (2005), Hengeveld E, Banks K, English K. Maitland’s vertebral manipulation, 7th ed. London: Elsevier

McKENZIE R. (1989) The Lumbar Spine Waikanae N. Z./Spinal Publications

 
STUDY-UNIT TYPE Lecture and Practical

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Resit Availability Weighting
Oral Examination SEM2 Yes 10%
Assignment SEM2 Yes 20%
Competencies SEM2 No 70%

 
LECTURER/S Tonio P. Agius

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the study-unit description above applies to the academic year 2019/0, if study-unit is available during this academic year, and may be subject to change in subsequent years.

https://www.um.edu.mt/course/studyunit