Physical Activity Medicine
Code: 103615 ECTS Credits: 3| Degree | Type | Year | Semester |
|---|---|---|---|
| 2502442 Medicine | OT | 5 | 0 |
| 2502442 Medicine | OT | 6 | 0 |
Contact
- Name:
- Maria Jose Dura Mata
- Email:
- MariaJose.Dura@uab.cat
Use of Languages
- Principal working language:
- catalan (cat)
- Some groups entirely in English:
- No
- Some groups entirely in Catalan:
- No
- Some groups entirely in Spanish:
- No
Teachers
- Maria Boldo Alcaine
- Roser Coll Fernandez
External teachers
- M Āngels Ribera Alcazar
- Marc Colomer Giralt
- Mercč Molleda Marzo
Prerequisites
It is recommended to have core competences in General Comprehensive Medicine
It is necessary to have enough knowledge in:
1. Human Anatomy
2. Medical Physiology
3. Applied Physiology
4. The student acquires the commitment to respect confidentiality and professional secrecy of health care data that will be accessed. The student will also maintain professional attitudes and behaviors on all actions
Objectives and Contextualisation
21 st century Medicine has managed to lengthen life. Improve survival is an important achievement but as important as lengthening life, is to be able to live this life independently and with the best possible abilities. The course aims to introduce students to a different vision of medicine. Improve the function and quality of life. Rehabilitation and physical medicine is the set of medical procedures, led to help a person to reach the most complete physical potential compatible with their physiological or anatomical deficiency and environmental limitations. The evaluation of the function and the prescription of physical actiity as a treatment. The course is programmed after the third year, when the basic knowledge about the role of the human body in health situations has been attained and it is already knowledgeable about the different medical and surgical pathologies.
The general objectives of the course are:
- To acquire essential knowledge on medical rehabilitation. General concepts and in the various sub-specialization areas. The AP Locomotor, Neurosciences, respiratory Ap, circulatory cardio system, amputate,
- Acquire the essential knowledge of how to perform the evaluation, diagnostic and therapeutic procedures for acute or chronic injuries that causes permanent or temporary disability
- Acquiring knowledge of physical activity, type, and form of prescription. In the prevention of illness and in the rehabilitation of the health.
Competences
- Medicine
- Demonstrate understanding of the manifestations of the illness in the structure and function of the human body.
- Demonstrate understanding of the structure and function of the human organism in illness, at different stages in life and in both sexes.
- Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
- Establish a diagnostic approach and a well thought-out strategy for action, taking account of the results of the anamnesis and the physical examination, and the results of the appropriate complementary tests carried out subsequently.
- Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
- Obtain and prepare a patient record that contains all important information and is structured and patient-centred, taking into account all age and gender groups and cultural, social and ethnic factors.
- Perform the basic practical procedures of examination and treatment.
Learning Outcomes
- Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
- Describe the main diagnostic and therapeutic techniques performed in the hospital service corresponding to the subject.
- Describe the main diagnostic and therapeutic techniques used in the prescription of physical activity and in the re-establishment of functionality.
- Establish clear and effective communication with patients and their family-members.
- Identify the radiological and anatomopathological alterations of the commonest diseases in the different body systems, at different stages in life and in both sexes.
- Interpret the most specific images in the most common pathologies.
- Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
- Understand the manifestations of the main pathologies on the structure and function of the human body.
Content
Concepts of medical rehabilitation. Concept of functionality and functional independence. Concept of disability deficit and degrading. Evaluation of the function and therapeutic means to restore it. Effects that physical activity and muscle retraining produce in the prevention of diseases and the therapeutic benefits that the exercise produces in different pathological situations. Specific aspects of the disability produced by breathing problems, cardiovascular, neurological, joint osteo, amputations and dysfunctions of swallowing and in the disability associated with ageing.
Blocks distributius
A. General aspects
Physical activity and training. Fiber muscle Fiber type. Effects of inactivity in the human body. Type of exercise. Evaluation of the training. How to design a training plan.
Evaluation of the function. Concept of functional independence. Activities of daily life. Evaluation of muscle function. Exercise Tolerance Test. Articular mechanics.
Instrumental techniques to evaluate the function. Measuring muscle strength, biomechanical analysis. Gait analysis, posture analysis and balance.
B. Function and physical activity in specific pathological processes
Pathologies of the musculoskeletal apparatus upper limbs and lower extremities: muscle and ligamentous, tendon, and ossies. Clinical. Functional assessment. Therapeutic approach.
Respiratory patient assessment. Muscular re training in respiratory pathology. Energy saving techniques. Respiratory rehabilitation Programs
Evaluation of the functionality in the cardiac patient. Exercise Tolerance Test. Cardiac Rehabilitation Programs
Functional exploration and assessment in neurologic patients. Neurologic aspects of motor skills. Rehabilitation of neurologic patients. (Brain damage and medular lesion)Physical activity in the neurological patient.
Disabilities and COVID19. Rehabilitation in acute, subacute and chronic phases.
Exploration and functional assessment in vertigo. Clinical Probes of VPPB and liberating maneuvers. Vestibular deficit. Evaluation of balance. Principles of vestibular rehabilitation programs.
|
Activity |
Date and Title |
Material resources |
|
GUIDED ACTIVITIES |
||
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
1. Physical activity and training. Effects of inactivity in human body functionality. Concept of functional independence. Daily life activities. Deficit, disability and degrading; Autonomy and health. |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
2. Evaluation of the function. Muscular function. Articular mechanics. Instrumental techniques to evaluate the function. Measuring muscle strength, biomechanical analysis. Gait analysis, posture and balance analysis. Tolerance Test for exercise prescription. Evaluation of the training. Clinical cases. |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
3. Pathologies of the upper musculoskeletal apparatus: Muscular and ligamentous and tendinous structures. Clinical. Functional assessment. Therapeutic approach |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
4.-Musculoskeletal pathologies inferior extremities: muscle and ligamentous and tendon structures. Clinical. Functional assessment. Therapeutic approach |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
5. Evaluation of the respiratory patient. Muscular retraining in respiratory pathology. Energy-saving techniques. Respiratory rehabilitation Programs |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
Day 6. Evaluation of the functionality in the cardiac patient. Exercise Tolerance Test. Cardiac Rehabilitation Programs |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
Day 7. Examination and functional assessment in the neurological patient. Neurologic aspects of motor skills. Motor Control. Acquired brain damage. Acute spinal cord injury. Aspects of clinical evaluation and treatment. Clinical cases physical activity in the neurological patient. |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
8th Day. Evaluation of patients with amputees and upper and lower limb. Prosthesis. Process and prosthetic solutions |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
Day 9. COVID19: Functionality and disability. Rehabilitation in acute, subacute, and chronic phases. Most frequent consequences. |
Audio presentation |
|
Theoretical class (60 min of theoretical exposure and clinical cases) Virtual |
Day 10. Functional exploration and assessment in dizziness and equilibrium. Clinical Probes of VPPB and liberating maneuvers. Principles of vestibular rehabilitation programs. Clinical cases. |
Audio presentation |
|
|
Subtotal 10 hors |
|
|
|
||
|
Seminar. Development of clinical cases |
Day 1 case of locomotor apparatus. |
Simulation room. |
|
Seminar: Development of clinical cases |
Day 2 clinical cases of neurorehabilitation |
Simulation Room |
|
Practical Seminar in the Laboratory of functional tests of the rehabilitation service |
Day 3 Instrumental assessment of the gaitand the balance. To assess the students ' voluntary assessment |
Presencial if possible. If it could not be for teams |
|
Practical Seminar in the Laboratory of functional tests of the rehabilitation service |
Day 4 assessment of muscular strength. Manual and Instruada force of quadriceps. Force of the hand Garra. Manual strength Assessment. Carry out an evaluation instructed to volunteers among the students. |
Presencial if possible. If it could not be for teams |
|
Seminar. Development of clinical cases |
Day 5 The Clinical case exhibition by the students. A case exhibition. 5-minute exhibition with questions. |
Send the exhibition with audio |
|
|
Subtotal 5 hours |
|
|
GUIDED ACTIVITIES |
TOTAL 15 HORES |
|
|
SUPERVISED ACTIVITIES |
||
|
Practicums without guidelines (180 min) |
Rehabilitation department |
In-person clinical practice |
|
Practicums without guidelines (180 min) |
Rehabilitation department |
In-person clinical practice |
|
Practicums without guidelines (180 min) |
Rehabilitation department |
In-person clinical practice |
|
Practicums without guidelines (180 min) |
Rehabilitation department |
In-person clinical practice |
|
Practicums without guidelines (180 min) |
Rehabilitation department |
In-person clinical practice |
|
Subtotal 15 hours |
Rehabilitation department |
In-person clinical practice |
|
SUPERVISED ACTIVITIES |
TOTAL 15 HORES |
|
Autonomous
|
AUTONOMOUS ACTIVITIES |
|
Personal study |
|
Subtotal comprehensive reading: 20 hours |
|
Study of outlines, abstracts, and conceptual assimilation |
|
Subtotal schemes and summaries: 20 hours |
Methodology
|
Títol
|
Hores
|
ECTS
|
Resultats d'aprenentatge
|
|---|---|---|---|
| self directed learning |
|||
| 40,5 | 1,62 | ||
| Guided learning |
|||
| 5 | 0,2 | ||
| 10 | 0,4 | ||
| supervised activities |
|||
| 15 | 0,6 |
In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.
Activities
| Title | Hours | ECTS | Learning Outcomes |
|---|---|---|---|
| Type: Directed | |||
| Guided activities . Classes | 10 | 0.4 | |
| Guided activities. Seminars | 5 | 0.2 | |
| Type: Supervised | |||
| Outpatient clinic and interventional techniques in rehabilitation medicine | 15 | 0.6 | |
| Type: Autonomous | |||
| self-directed learning | 40.5 | 1.62 |
Assessment
| Attendance and active participation in class and seminars | 35% | 1,25 | 0,05 | RA085, RA086, T01.00, T05.00, E36.22, E38.13, E40.34, E40.44 | |
| Evaluation of practices | 5% | 1,25 | 0,05 | RA085, T01.00, T05.00, E36.22, E38.13, E40.44 | |
| Written assessments Multiple-choice test | 60% | 2 | 0,08 | RA085, RA086, T01.00, T05.00, E38.13, E40.34, E40.44 |
Evaluation
Evaluation.
Multiple-choice exam. 20 questions with 5 possible answers. The score will be established between 0 and 20.
Through 3 or 4 clinical case videos, a multiple-choice test will be carried out or the presentation of a clinical case. Will be evaluated from 0 to 10
Evaluation of the practices: attendance and participation will add 1-2 points on the final grade.
It will be deemed NON-evaluable:
That student who has not participated or attended the classes or seminars
That student that does not present to the exam
Final Grade
The arithmetic mean between theoretical test and clinical evaluation. Will be added with direct sum points obtained from the evaluation of the practices.
Expression: Approved more than 10 total points; Between 16 and 18 total points and < 17, excellent 19 total points or more
Numerical note with a decimal from 0 to 10
Exam Review System
The review of the examinations will be done individually with the student, after requests in writing within the established deadlines.
A recovery test will be programmed for students who do not pass the course contents with a format to be determined.
Assessment Activities
| Title | Weighting | Hours | ECTS | Learning Outcomes |
|---|---|---|---|---|
| Active participation in class and seminars | 35% | 1.25 | 0.05 | 8, 1, 2, 3, 4, 5, 6, 7 |
| Evaluation of practices | 5% | 1.25 | 0.05 | 1, 3, 4, 5, 6, 7 |
| Written assessments Multiple-choice test | 60% | 2 | 0.08 | 8, 1, 2, 3, 5, 6, 7 |
Bibliography
Bibliography
DeLee, Drezen and Miller s Orthopaedic Sports Medicine. 5th Edition. Mark Miller Stephen Thompson Ed Elsevier. Philadelphia, Pennsylvania March 2019
Essentials of ExercisePhysiology, 5th Edition. William D. McArdle, Frank I. Katch. Victor L. Katch, Ed Wolters Klubbert 2016
ACSM s Guidelines for Exercise Testing and Prescription. 10th edition. American college of Physicians. Ed Wolters Klubbert 2017
Essentials of physical medicine and Rehabilitation: musculoskeletaldisorders, pain, and Rehabilitation Fourth Edition. Walter R. Frontera, Julie K. Silver, Thomas D. Rizzo, Jr. Elsevier Saunders. Philadelphia 2018
Netter'sOrthopaedicClinicalExamination: AnEvidenceBasedApproach, 3 rd Edition. Sauders Elsevier. Philadelphia, Pennsylvania 2015.
DeLisa s Physical Medicine and Rehabilitation: Principles and Practice (NINTH Edition) de Walter R. Frontera, Joel A. DeLisa, Bruce M. Gans, Lawrence R. Robinson Lippincott Williams & Wilkins 2019
Resources on the web
PHYSICAL AND REHABILITATION MEDICINE for Medical Students https://www.sermef.es/wp-content/uploads/2019/01/Physical_Rehabilitation_Medicine_for_medical_students.pdf