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

  • Suggestions and lectures from the teaching professor,
  • Clinical case study discussions.

 

Week by week schedule

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

 

WeekUnit

1

General Introduction to the Subject

2

Introduction to Special Techniques in Manual Therapy I

* Introduction to the Concept of Manual Therapy Techniques

* Introduction to Manual Therapy on the Joints

* Analysis of the most Fundamental Manual Therapy Techniques of the Joints (Passive Physiological Movements, Passive Accessory/Joint play Movements, Combined Mobilisation with Movement)

* Repetition on the Basic Characteristics of the Diarthrosis

* Repetition on the Behavior of the Biological Materials

* Principles of Kinematics. Osteokinematics

* Principles of Kinematics. Arthrokinematics (Joint Movements, Sliding, Rolling, Rotating, Traction, Compression. Close/loose-packed joint positions)

3

Introduction to Special Techniques in Manual Therapy II

* Arthric Dysfunction

* Effect of Movement and Immobility on Arthric/Periarthric Tissues

* Indications for Mobilisation & Arthric Mobilisation Application

* Parameters of Arthric Mobilisation Techniques (Direction of the Applied Force, Way and Point to Apply the Force, Rhythm and Graduations of Mobilisation, Joint Position, Patient Position, Therapist's Position, Speed-Duration-Frequency of Manual Therapy Application)

* Contraindications for Mobilisation

* Introduction to Movement Diagrams

4

Evaluation Principles for the Musculoskeletal System

* Subjective Evaluation

* Objective Evaluation

* "Active" Control of the Arthric System

* Control of the Joints with Passive Manual Therapy Techniques

* Evaluation of the Intra-articular Mobilisation Quality

* Evaluation Account

* Therapy Organisation

5

Therapy for the Musculoskeletal System

* Therapeutic Action Mechanisms of Manual Therapy Techniques

* Therapy Selection according to the Overall Evaluation Findings

* Use of Movement Diagrams in order to choose the Appropriate Therapy

* Therapy Progressiveness

6

Upper limbMobilisation I

* Shoulder Girdle Joints. Glenohumeral, Scapulothoracic, Acromioclavicular & Sternoclavicular Joint

* Glenohumeral Joint Mobilisation

* Subsidiary Mobilisation of Sternoclavicular & Acromioclavicular Joint

* Physiological Mobilisation of Scapulothoracic Joint

* Elbow Joints: Humeroulnar, Humeroradial & Superior Radioulnar Joint

* Elbow Joint Mobilisation (Humeroulnar, Humeroradial & Superior Radioulnar Joint)

* Clinical Incidents Discussion

7

Upper limbMobilisation II

* Wrist Joint. Hand Joints: Carpometacarpal (CMC) of the Thumb, Metacarpophalangeal (MCP), Mesophalangeal Joints

* Wrist & Hand Joint Mobilisation

* Clinical Incidents Discussion

8

Lower limbMobilisation I

* Hip Joint

* Hip Mobilisation

* Knee Joints: Tibiofemoral & Patellofemoral Joint

* Tibiofemoral & Patellofemoral Joint Mobilisation

* Clinical Incidents Discussion

9

Lower limbMobilisation II

* Ankle Joint. Foot Joints: Subtalar, Midtarsal, Tarsometatarsal, Metatarsophalangeal & Interphalangeal Joints

* Ankle & Foot Joints Mobilisation

* Clinical Incidents Discussion

10

Spine

* Cervical, Thoracic & Lumbar Spine

* Reflected Pain

* Evaluation & Therapy of the Spine with Special Techniques in Manual Therapy

* Clinical Incidents Discussion

11

Clinical Incidents Discussion

12

Types & Philosophies of Techniques in Manual Therapy

13

Neurological Tissue Evaluation

* Fundamental Principles of Nervous Tissue Movement

* Pathophysiology & Pathodynamics of Nervous Tissue

* Basic Neurodynamic Tests for Upper and Lower Ends

* Evaluation & Therapy via Nervous Tissue Mobilisation

* Clinical Incidents Discussion

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). Manual Therapy. 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. FoundationsandTechniques)
  4. Mulligan B.R. (2006). Θεραπευτικοί Χειρισμοί ‘Nags’, ‘Snags’, ‘MWM’,  (Μετάφραση Αγγλικής Έκδοσης), De Novo, Θεσσαλονίκη (ManualTherapy "Nags", "Snags", "MWM" etc)

                                                                                

Assessment

The evaluation of the students is performed by:

  1. Practice acts: Practice act is conducted with practice/project either personal or in teams (during sessions), and in collaboration with the teaching professor. Bibliographic material will be provided either from the teaching professor for every unit or from the library
  2. Written exams at the end of the semester. In case somebody fails the 1st exam, they may take the 2nd. If they fail twice, they have to attend the module again. The examination’s duration is 2 hours. After passing the theoretical and laboratory part, the students are awarded with 5 ECTS credits.


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