Teaching period

6th semester

 

Learning outcomes

During the semester, special attention is given to the following:

  • Recognition, recording and evaluation of the patient’s problem in particular and of the patient as a whole,
  • Study in depth the patient’s psychology and environment,
  • Comprehension of a hospital’s function procedures,
  • Collaboration of the students with various health professionals for a fast, safe and effective therapy.

 

Teaching method

  • Discussions with special physiotherapeutic content,
  • Analysis of scientific methods,
  • Case studies,
  • Discussions on moral issues,
  • Practice among the students.

 

Week by week schedule

Clinical Practice II lab part is summarised in 180 teaching hours, organised in 45 4-hour sessions (3 sessions per week), in which student attendance is mandatory.

 

Week Unit

1

Acquaintance with the students, Familiarization with the Groups and with the Hospital

2

Teaching SOAP (Subjective Evaluation, Objective Findings, Assessment and Treatment Plan: Subjective Evaluation (Taking Medical History) among the Students

3

Subjective Evaluation among Students According to Patient Cards

 

Objective Findings: Anatomic Analysis and Survey for all the Joints and the Body as a Whole, among the Students

4

Subjective Evaluation for Patients of the Hospital

5

Subjective Evaluation and Objective Findings for Patients with Total Arthroplasty of the Knee and Hip (Differences - Similarities)

6

SOAP for Patients with Total Arthroplasty of the Knee and Hip (Differentiation of the Treatment for Arthroplasty with or without Cement)

7

Subjective Evaluation and Objective Findings for Patients Stable or Unstable Fractures of the Femur)

8

SOAP for Patients with Stable or Unstable Fractures of the Femur, Surgical Treatment, Differentiation of Rehabilitation

9

SOAP for Patients with Fractures of the Humeral Head, Surgical Treatment Techniques with Emphasis on the Total Arthroplasty of the Shoulder

10

SOAP for Patients with Fractures of the Pelvic Floor

11

SOAP for Patients with Fractures of the Spine

12

SOAP for Patients with Ligament Injuries (Rupture of the Oblique Ligaments of the Ankle, Knee, Shoulder (Dislocations), Anterior and Rear Cruciate I

13

SOAP for Patients with Ligament Injuries (Rupture of the Oblique Ligaments of the Ankle, Knee, Shoulder (Dislocations), Anterior and Rear Cruciate II

14

SOAP for Children with Fractures of the Upper and Lower Limbs, Differentiation of the Treatment Compared to Adult ones

15

General Review of the Sessions, Questions, Conclusions, Discussions

 

Clinical education model

The majority of the clinical sessions are conducted at the University Hospital of Rio and specifically for Clinical Practice II in the Surgery, Orthopaedics, Rheumatologic and Pediatric Orthopaedics Clinics of the hospital. During the sessions, the students are given the opportunity to gain their knowledge and perform their practice on real patients of every age, gender, nationality and even with mental health problems. The students are divided in groups of 5 persons, which are supervised by a professor of the university and the chief of each clinic of the hospital at all times. Furthermore, some of the sessions are materialized at the local nursing home. In every case, the students are taught to educate the patients to perform some of the exercises themselves in order to maintain the effects of physiotherapy even after the end of the treatment, or in situations where the patient cannot exercise on his/her own, their family is taught to do so.

 

Textbooks/reference material

In English

  1. Birch R., et al (1986) Peripheral Nerve Injuries. Journal of Bone and Joint Surgery, 68B, 2-8
  2. Boyling JD Palastanga N (1994) Grieves Modern Manual Therapy
  3. Braddorm R.L. (2002) Practical Guide to Musculoskeletal Disorders: Diagnosis and Rehabilitation. Butterworth – Heinmann
  4. Bandy W. & Irion J. (1997) The Effect of Time and Frequency of Static Stretching on Flexibility of the Hamstring Muscles. Physical Therapy vol 77 no 10 1090-1096
  5. Brotzman, Brent Wilk Kevin E. (2003) Clinical Orthopaedic Rehabilitation S; Managing Editor, Kay Daugherty
  6. Bruce J. (1997) The Puzzle of Stretching for Sport, Physiotherapy in Sport vol: XX no:2: 14-15
  7. Butler DS (2000) The Sensitive Nervous System, Australia
  8. Frampton V. (1984) Management of Brachial Plexus Lesions. Physiotherapy, 70, 388-392
  9. Frampton V. (1986) Problems in Managing Reconstructive Surgery for Brachial Plexus Lesions Contrasted with Peripheral Nerve Lesions. The Journal of Hard Therapy, 11-B, 3-9
  10. Frampton V. (1996) Management of Pain in Brachial Plexus Lesions. The Journal of Hand Therapy, 339-343
  11. Jones Rivett (2004) Clinical Reasoning for Manual Therapists, Butterworth – Heinmann
  12. Hunter G. (2000) The Conservative Management of Achilles Tendinopathy, Physical Therapy in Sport 1, 6-14
  13. Magee DJ (2002) Orthopaedic Physical Assessment, Saunders
  14. Refshaugee KM, Gass EM (2004) Musculoskeletal Physiotherapy Clinical Science and Evidence Based Practice
  15. Sudderland S. (1951) A Classification of Peripheral Nerve Injuries, Producing Loss of Function, Brain, 74, 491-516

 

In Greek

  1. Κοτζαηλίας Δ. (2008). Φυσικοθεραπείασεκακώσειςτουμυοσκελετικούσυστήματος, University Press (Physiotherapy in Muscoloskeletal Injuries)
  2. Λαμπίρης Η.Ε. (2003). Ορθοπαιδική και Τραυματολογία. Ιατρικές Εκδόσεις Πασχαλίδη, Αθήνα (OrthopaedicsandTraumatology)
  3. Συμεωνίδης Π.Π. (1997). Ορθοπαιδική: κακώσεις και παθήσεις του μυοσκελετικού συστήματος, 2η έκδ. UniversityStudioPress, Θεσσαλονίκη (Orthopaedics: Injuries and Diseases of the Musculoskeletal System)
  4. Hoppenfeld S. (2000) Ορθοπεδική Νευρολογία (Μετάφραση Αγγλικής Έκδοσης), Ιατρικές Εκδόσεις Παρισιάνου, Αθήνα (OrthopaedicNeurology)
  5. Kisner C., Colby L.A. (2003) Θεραπευτικές Ασκήσεις. Βασικές Αρχές και Τεχνικές. (Μετάφραση Αγγλικής Έκδοσης) Ιατρικές Εκδόσεις Σιώκη, Θεσσαλονίκη (TherapeuticExercises. BasicPrinciplesandTechniques)

 

Assessment

Clinical Practice II lab assessment takes place on a daily basis with three more formal exam-type assessments which comprise of practical demonstration of techniques and methods from students. Except from the daily evaluation of students and the intermediate evaluation, a final examination takes place at the end of the semester. This examination is conducted by the teaching professors personally with the students divided in pairs, in order to recreate the skills they have obtained during the semester on each other. The final grade of the subject derives from the average of the theoretical and laboratory part and has to be 5 out of 10 or higher. Nevertheless, the students need to achieve 5 out of 10 for each of the parts to consider the subject passed. The examination’s duration is 15-30 minutes. After passing the theoretical and laboratory part, the students are awarded with 10 ECTS credits.  



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