Teaching period

4th semester

 

Learning outcomes

  • Introduction to the evaluation mainly of the arthric system, but also of the nervous system, using the fundamental principles of passive mobilisation,
  • The students are given the possibility to evaluate musculoskeletal joints with mobilisation techniques,
  • The students are also given the possibility to choose and apply the most appropriate mobilisation technique as a treatment, according to each specific dysfunction.

 

Teaching method

The lab part of the subject is conducted with student groups’ practical exercise - recreation on the mobilisation techniques.

 

Week by week schedule

The lab part of Special Techniques in Manual Therapy is summarised in 30 teaching hours, organised in 15 2-hour sessions, in which student attendance is mandatory.

 

Week Unit

1

Introduction to Special Techniques in Manual Therapy I

 

* Introduction to Joint Mobilisation

 

* Arthric Mobilisation

 

* Concave - Convex Law

 

* Passive Arthric Mobilisation: Arthric Physiological Passive Movements, Arthric Subsidiary (Joint Play) Movements. Application on Glenohumeral Joint

 

* Differentiation of the Soft Tissue Resistance from the Intraarticular Resistance

2

Introduction to Special Techniques in Manual Therapy II

 

* Illustration of the Mobilisation Parameters

 

* Application of the rest Mobilisation Parameters

 

* Examples and Applications of specific Subsidiary and Physiological Mobilisations on Glenohumeral Joint

 

* End-feel Evaluation. Differential Diagnostics

3

Therapy Application via Mobilisation

 

* Application of the Mobilisation Parameters for 2 Fundamental Therapeutic Targets: i) Reduce Pain and ii) Reduce Rigidity

 

* Application of Mobilisation Diagrams

 

1st Intermediate Evaluation (Verbal exam)

4

Shoulder Girdle Mobilisation

 

* Glenohumeral Joint Evaluation

 

* Glenohumeral Joint Therapy

 

* Clinical Examples of Therapy & Practice

 

* Evaluation/Therapy of Acromioclavicular & Sternoclavicular Joint

5

Elbow & Wrist Joint Mobilisation

 

* Elbow Evaluation: Superior Radioulnar, Humeroulnar & Humeroradial Joint

 

* End-feel Evaluation. Differential Diagnostics

 

* Wrist Evaluation

 

* Clinical Examples & Practice

6

Hand Mobilisation

 

* Joints: Metacarpophalangeal, Interphalangeal, Joints between metacarpal bones

 

* Practice

 

2nd Intermediate Evaluation (Verbal Exam)

7

Hip Mobilisation

 

* Hip Evaluation

 

* End-feel Evaluation. Differential Diagnostics

 

* Hip Therapy

 

* Clinical Examples & Practice

8

Knee & Ankle Mobilisation

 

* Knee Evaluation: Tibiofemoral & Patellofemoral Joint

 

* Tibiofemoral & Patellofemoral Joint Therapy

 

* Practice/Clinical Examples/Application

 

* Ankle Evaluation

9

Foot Mobilisation

 

* Joints: Subtalar, Tarsometatarsal, Metatarsophalangeal, Mesophalangeal

 

* End-feel Evaluation. Practice

 

3rd Intermediate Evaluation (Verbal Exam)

10

Spine Palpation

11

Thoracic & Lumbar Spine Mobilisation

 

* Motility Evaluation of the Thoracic & Lumbar Spine

 

* Arthric Control. Techniques Examples. End-feel Evaluation

 

* Clinical Examples & Practice

12

Cervical Spine Mobilisation

 

* Motility Evaluation of the Cervical Spine

 

* Arthric Control. Techniques Examples. End-feel Evaluation

 

* Clinical Examples & Practice

 

4th Intermediate Evaluation (Verbal Exam)

13

Nervous Tissue Mobilisation

 

* Nerves Palpation

 

* Neurodynamic Tests Application

 

* Clinical Examples of Therapy & Practice

14-15

Repetition

 

Textbooks/reference material

In English

  1. Boyling J.D., Palastanga N. (1994). Grieve’s Modern Manual Therapy. 2nd ed. Churchill Livingstone, London
  2. Butler, D.S. (2000). Τhe Sensitive Nervous System. Noigroup publications, Australia.
  3. Jones M.A., Rivett D.A. (2004). Clinical reasoning for manual therapists. Butterworth-Heinemann, Edinburgh.
  4. Kaltenborn F.M. (1970). Mobilisation of the Spinal Column. New Zealand University Press, Wellington
  5. Kaltenborn F.M., Evjenth O., Kaltenborn T.B., Morgan D., Vollowitz E. (1999). Manual Mobilisation of the joints. The extremities. Olaf Norlis Bokhandel, Oslo
  6. Kisner C., Colby L.A. (2007). Therapeutic Exercise. Foundations and Techniques. 5th ed. F. A. Davis Company, Philadelphia
  7. Maitland et al. (2001). Maitland’s Vertebral Manipulation. 6th ed. Butterworth-Heinmann, Oxford
  8. Maitland G.D. (1991). Peripheral Manipulation. 3rd Ed., Butterworth – Heinmann, Oxford.
  9. Petty N.J. (2006). Neuromusculoskeletal examination and assessment: a handbook for therapists. Elsevier / Churchill Livingstone, Edinburgh.
  10. Mulligan B.R. (1995). Manual Therapy "Nags", "Snags", "MWM" etc. Plane View Services Ltd. 3rd Ed. New Zealand.
  11. Shacklock M.O. (2005). Clinical neurodynamics: a new system of musculoskeletal treatment. Elsevier Butterworth-Heinemann, Edinburgh.

 

In Greek

  1. Κιτσούλης Γ. (1999). ManualTherapy. Εξέταση-Αξιολόγηση του Μυοσκελετικού Συστήματος, Ιωάννινα (ManualTherapy. Examination-Evaluation of the Musculoskeletal System)
  2. Πετρούτσος Σ. (2004). Δια των χειρών θεραπεία της σπονδυλικής στήλης και των πλευρών. ΕπιστημονικέςεκδόσειςΠαρισιάνου, Αθήνα (Manual Therapy of the Spine and Sides)
  3. Kisner C., Colby L.A. Θεραπευτικές Ασκήσεις. Βασικές Αρχές και Τεχνικές, (Μετάφραση Αγγλικής Έκδοσης), Ιατρικές Εκδόσεις Σιώκη, Θεσσαλονίκη, 2003 (TherapeuticExercise. Foundations and Techniques)
  4. Mulligan B.R. (2006). Θεραπευτικοί Χειρισμοί ‘Nags’, ‘Snags’, ‘MWM’,  (Μετάφραση Αγγλικής Έκδοσης), De Novo, Θεσσαλονίκη (ManualTherapy "Nags", "Snags", "MWM" etc)

 

Assessment

Student evaluation consists of verbal examination on specific subjects known to the students, teached during the semester. Furthermore, the everyday presence of the students at the lab will be taken under consideration and their active participation in applying the lab exercise will be evaluated. The final examination’s duration is 15-30 minutes. After passing the theoretical and laboratory part, the students are awarded with 5 ECTS credits.



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