Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
Department of Physiotherapy
Hawler technical health College
Erbil Polytechnic University
Subject: Therapeutic Methods
Course Book – (Year 3)
Lecturer's name: MSc, Mahdi Khaled Qadir
Academic Year: 2019/2020
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
Course Book
1. Course name Therapeutic Methods
2. Lecturer in charge M.B.Ch.B./Msc. Mahdi Khaled Qadir
3. Department/ College Physiotherapy
4. Contact e-mail: [email protected] Tel: (optional)
5. Time (in hours) per week Theory: 2 Practical: 3
6. Office hours Availability of the lecturer to the student during the week
7. Course code
8. Teacher's academic profile I graduated from college of medicine in Salahaddin university 2003-2004, and I start my academic life at 2008 as lecturer for medical institute physiotherapy department after that I accepted in master degree and after 2 year I finished my master at 2011 , I serve as lecturer for physiotherapy department till 2014 after that we went to Erbil technical health collge physiotherapy departmet at 2015, and at 2016 till now I’m head of physiotherapy department at this college.
9. Keywords
10. Course overview:
This course is concerned with developing theoretical and practical skills in the
application of basic exercise techniques including those specifically related to upper,
lower limbs and trunk.
The course wills techniques and clinical uses of the various techniques of muscle
testing and evaluation through practical demonstration and practice sessions. Attention
of the students will be drawn to the specific clinical application of each test, position
of patient, body mechanics, effect of muscle weakness and contracture, and muscle
anatomy. Teaching and learning in this course will be through lectures and practice in
the laboratory. 11. Course objective:
On completion of this course the student will be able to:
Mention the basic principles and procedures relating to some of the therapeutic
exercise modalities.
Explain The physiological and therapeutic effects of the different therapeutic
exercise modalities
Define and enumerate indications, contraindications, dangers and precautions
including techniques of applications
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
Explain advantages and disadvantages of the different modalities.
Select the proper type of exercise depending on patients diagnosis
Design the appropriate way of application for each modality
Apply different types of therapeutic exercises on him colleague
Demonstrate and acquire meaningful communications for instruction to the
patient and ensure his/her comfort throughout the treatment.
Know the importance and clinical benefits of test and measurements.Know how
to prepare environment, equipment and patient for evaluation procedures.
Know the difference between muscle weakness and contracture.
Know the difference between gross and individual muscle testing.
Classify and identify different grades of muscle evaluation.
Apply accurate positions, grasp, stabilization and fixation.
Recognize and be able to carry out basic techniques of muscle testing and take
the proper precautions.
12. Student's obligation The Attendance and completion of all tests, exams, assignments, reports , practical sessions …etc
13. Forms of teaching
Theory: lecture, group discussion, pair work, group work, case-based learning
Laboratory practice: Lecture, group discussion, skill demonstration, group work,
team teaching, self-training.
14. Assessment scheme
Examples of exam questions:
Q: Answer by true (T) or false (F) for all the following: (25 marks):
1. Standing Position effects and uses
a. The hips are extended and slightly internally rotation.
b. The shoulders are down and back
c. The knee are slightly flexed.
d. It is used as starting position for a number of free-standing exercises
Q: select single appropriate answer:
1. Stretching is the…..
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
a. Slow and sustained forced passive movement
b. Sudden but controlled forced passive movement
c. Relaxed passive movement
d. Manipulation
2. For goniometry ………….. is done first.
a. Align the fixed arm with the proximal segment
b. Align the movable arm with the distal segment
c. Align the axis over the anatomical axis of the joint
d. None of the above.
Q: fill with appropriate words: (10 marks)
1. Coordination refers to using the right muscle, at the right time with the right intensity.
Q: Match the following statements in the column (A) with appropriate definitions in
the column (B):
Answers A B
1. Roll a. Example: pronation/supination
2. Spin
b. Passive joint movement for
increasing joint mobility
3. Manipulation
c. Skilled manual therapy
interventions
4. Joint manipulative
techniques
d. Decrease in space between two
joint surfaces
5. Compression
e. Example: Femoral condyles
rolling on tibial plateau
Q: Enumerate the following:
1. Goals of Stretching
1- ………………………………………………………….
2- …………………………………………………………..
3- ……………………………………………………….
Q:What types of exercise you chose for these cases:
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
1. patient with muscular problem and the power muscle is 2:
15. Student learning outcome:
On completion of this course the student will be able to:
Mention the basic principles and procedures relating to some of the therapeutic
exercise modalities.
Explain The physiological and therapeutic effects of the different therapeutic
exercise modalities
Define and enumerate indications, contraindications, dangers and precautions
including techniques of applications
Explain advantages and disadvantages of the different modalities.
Select the proper type of exercise depending on patients diagnosis
Design the appropriate way of application for each modality
Apply different types of therapeutic exercises on him colleague
Demonstrate and acquire meaningful communications for instruction to the
patient and ensure his/her comfort throughout the treatment
Know the importance and clinical benefits of test and measurements
Know how to prepare environment, equipment and patient for evaluation
procedures.
Know the difference between muscle weakness and contracture.
Know the difference between gross and individual muscle testing.
Classify and identify different grades of muscle evaluation.
Apply accurate positions, grasp, stabilization and fixation.
Recognize and be able to carry out basic techniques of muscle testing and take the
proper precautions.
16. Course Reading List and References:
▪ Key references: Therapeutic Exercise: Foundations and Techniques, 6th Edition 6th
Edition by Carolyn Kisner PT MS (Author), Lynn Allen Colby PT MS
▪ Useful references: - Daniels and Worthingham's Muscle Testing: Techniques of Manual
Examination and Performance Testing (Daniels & Worthington's Muscle
Testing (Hislop)) 9th Edition by Helen Hislop PhD ScD FAPTA (Author), Dale
Avers PT DPT PhD (Author), Marybeth Brown PT PhD FACSM FAPTA
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
- Measurement of Joint Motion: A Guide to Goniometry 5th Edition
by Cynthia C. Norkin DPT EdD (Author), D. Joyce White PT D.Sc
▪ Magazines and review (internet):
1. atlantik.physio
2. greenlight.physio
3. good.physio
4. bits.physio
5. dublin.physio
6. mygolf.physio
7. ice.physio
8. sydneysports.physio
9. cloud.physio.
10. stops.physio
17. The Topics: In this section the lecturer shall write titles of all topics he/she is going to give during the term. This also includes a brief description of the objectives of each topic, date and time of the lecture Each term should include not less than 16 weeks
1. Course calendar Theoretical Part :
Week Outline
No. of
Hours
Theory
1. Introduction to exercise therapy 2
2. Disability models – ICIDH model of disability,
Nagi model of disability, ICF model 2
3. Exercise physiology – effect of exercise in various
systems – musculoskeletal, neuromuscular,
cardiovascular, respiratory system 4
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
4.
Movements
Passive movements – definition, classification,
indications, contra indications, advantages,
limitations, techniques - emphasize PROM to
upper, lower, neck and trunk muscles
6
5.
Active movements - definition, classification,
indications, contra indications, advantages,
limitations, techniques - emphasize active
movements to upper, lower, and neck and trunk
muscles
6
6. Relaxation – definition, types of relaxation,
relaxation techniques 2
7. Suspension – definition, types, uses and
therapeutic application 2
8. Balance – static and dynamic balance, mechanism
of balance control, balancing exercises 4
9. 1st term examination 2
10. Neuromuscular coordination – causes of in
coordination, exercises to improve coordination –
Frenkle exercise 4
11. Joint range measurement – Goniometer, types and
techniques of measuring joint ROM 4
12. Manual muscle testing – grading system,
techniques- emphasize on skill to grade upper,
lower, neck and trunk muscles. 10
13. Mobility aids – crutches, canes, walker 4
14. Soft tissue manipulation (massage) – history,
types, techniques, physiological effects,
therapeutic uses, contraindications 6
15. 2nd Term examination 2
16. Total 60
2. Course calendar Practical Part :
Week Outline No. of Hours
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
Practical/ Lab.
Application
1. Starting position and Derived position. 3
2. Range of motion (PROM, AROM, AAROM)
exercises to all joints 18
3. Balance exercises 6
4. Measurement of joint range using goniometer 6
5. General and local Relaxation techniques 6
6. Suspension exercise to all major joints 6
7. 1st Term examination 3
8. Massage – upper limb, lower limb, back, face 12
9. Manual muscle testing of individual muscles 27
10. 2nd Term examination 3
11. Total 90
18. Practical Topics (If there is any) In this section The lecturer shall write titles of all practical topics he/she is going to give during the term. This also includes a brief description of the objectives of each topic, date and time of the lecture
Lecturer's name ex: (3-4 hrs) ex: 14/10/2015
19. Examinations: 1. Compositional: In this type of exam the questions usually starts with Explain how, What are the reasons for…?, Why…?, How….? With their typical answers Examples should be provided
2. True or false type of exams:
Ministry of Higher Education and Scientific research
Directorate of Quality Assurance and Accreditation خشینبهدڵنیایی جۆری و متمانهتی رایهبهڕێوهبه
In this type of exam a short sentence about a specific subject will be provided, and then students will comment on the trueness or falseness of this particular sentence. Examples should be provided
3. Multiple choices: In this type of exam there will be a number of phrases next or below a statement, students will match the correct phrase. Examples should be provided.
20. Extra notes: Here the lecturer shall write any note or comment that is not covered in this template and he/she wishes to enrich the course book with his/her valuable remarks.
21. Peer review ڵ ی هاوهوهپێداچوونه
This course book is so beneficial and it included what is important for physiotherapist regarding therapeutic exercises and methods and it is well organized and there is well integration between theoretical and practical sessions.
Regard
Dr. Zekra Ali Aziz MSc. Rheumatology and Medical Rehabilitation