Advanced Technical Orthpaedics
Code: 102991 ECTS Credits: 6| Degree | Type | Year |
|---|---|---|
| 2500892 Physiotherapy | OT | 4 |
Contact
- Name:
- Ramon Rubio Galan
- Email:
- ramon.rubio@uab.cat
Teachers
- Ramon Rubio Galan
- Pol Monne Cuevas
Teaching groups languages
You can view this information at the end of this document.
Prerequisites
Basic knowledge of anatomy and biomechanics of the human body.
Comply with regulations regarding the confidentiality of the clinical information of the patients treated in the clinical practices
Objectives and Contextualisation
As physiotherapists we must acquire knowledge about the approach to the amputee patient in all its phases. It is necessary to know the characteristics of the amputee patient, the different phases of physiotherapy treatment (pre-surgical, pre-prosthetic and prosthetic) and the different prosthetic solutions depending on the level of amputation (type and own characteristics). Especially with regard to the use of prostheses and gait re-education. On the other hand, it is necessary to know the different most common musculoskeletal orthoses that we can find in clinical practice and what indication they will have.
Competences
- Act with ethical responsibility and respect for fundamental rights and duties, diversity and democratic values.
- Analyse and synthesise.
- Clearly and effectively communicate orally and in writing with all users of the healthcare system, and with other professionals.
- Easily recognise and cope with changes.
- Evaluate the evolution of the results obtained from the treatment in relation to the objectives.
- Make changes to methods and processes in the area of knowledge in order to provide innovative responses to society's needs and demands.
- Organise and plan.
- Show sensitivity to environmental issues.
- Take account of social, economic and environmental impacts when operating within one's own area of knowledge.
- Take sex- or gender-based inequalities into consideration when operating within one's own area of knowledge.
- Work effectively and cooperatively in multidisciplinary professional teams.
Learning Outcomes
- Analyse a situation and identify its points for improvement.
- Analyse and synthesise.
- Assess results and their relation to the objectives set, through real cases within the different clinical specialisations.
- Communicate using language that is not sexist.
- Consider how gender stereotypes and roles impinge on the exercise of the profession.
- Critically analyse the principles, values and procedures that govern the exercise of the profession.
- Describe patients' functional needs to orthopaedic technicians, patients and the rest of the therapy team, taking into account the chances of making progress with orthoprosthetic technical aids.
- Display knowledge of the processes for making and adapting upper and lower limb prostheses and trunk and limb orthoses.
- Display teamwork skills, ability to work in coordination with the rest of the team, specifically with the prosthetist, the rehabilitation physician and, where appropriate with the occupational therapist.
- Easily recognise and cope with changes.
- Identify situations in which a change or improvement is needed.
- Identify the principal forms of sex- or gender-based inequality present in society.
- Identify the social, economic and environmental implications of academic and professional activities within one?s own area of knowledge.
- Organise and plan.
- Propose new methods or well-founded alternative solutions.
- Propose new ways to measure success or failure when implementing innovative proposals or ideas.
- Propose projects and actions that incorporate the gender perspective.
- Propose viable projects and actions to boost social, economic and environmental benefits.
- Propose ways to evaluate projects and actions for improving sustainability.
- Show sensitivity to environmental issues.
- Weigh up the impact of any long- or short-term difficulty, harm or discrimination that could be caused to certain persons or groups by the actions or projects.
- Weigh up the risks and opportunities of suggestions for improvement: one's own and those of others.
Content
Responsible for all topics: Ramon Rubio Galan and Pol Monné Cuevas
- Topic 1: Amputee patient. Multidisciplinary team and assessment in physiotherapy.
- Topic 2: Epidemiology, causes and levels of upper extremity amputation.
- Topic 3: Upper extremity prosthesis.
- Topic 4: Rehabilitation phases in upper extremity amputation.
- Topic 5: Bases of training with contact electromyography for the use of myoelectric prostheses (pre-prosthetic phase).
- Topic 6: Physiotherapy treatment in upper extremity amputation in the different phases (pre-surgical, pre-prosthetic, prosthetic)
- Topic 7: Functional assessment of amputee patients.
- Topic 8: Concepts and treatment of pain in the amputee patient.
- Topic 9: Cardiovascular training, physical activity and sport in the amputee patient
- Topic 10: Stump bandage
- Topic 11: Clinical cases in the upper and lower extremity amputee patient.
- Topic 12: General concepts of orthotics and prosthetics. Materials in clinical orthopedics.
- Topic 13: epidemiology and causes of lower extremity amputation.
- Topic 14: Psychology in the amputee patient.
- Topic 15: Prosthesis for foot, tibial, femoral, disarticulated knee and hip amputations.
- Topic 16: Physiotherapy treatment in the lower extremity amputee patient.
- Topic 17: Alterations in gait and alignment in the lower extremity amputee patient.
- Topic 18: Osseointegration
- Topic 19: Most common upper and lower extremity orthoses of the musculoskeletal system.
SEMINARS:
- Gait reeducation in the lower extremity amputee patient.
- Physiotherapy in the lower extremity amputee patient.
- Resolution of clinical cases by students.
LABORATORY PRACTICES:
- Practice of contact electromyography for upper extremity prosthesis.
- Stump bandage
Activities and Methodology
| Title | Hours | ECTS | Learning Outcomes |
|---|---|---|---|
| Type: Directed | |||
| LABORATORY PRACTICES (PLAB) | 2 | 0.08 | 3, 9, 7 |
| Specialized seminars (SEM) | 12 | 0.48 | 7 |
| THEORY (TE) | 36 | 1.44 | 7 |
| Type: Autonomous | |||
| HOMEWORKS | 15 | 0.6 | 2, 1, 8, 11 |
| READING ARTICLES / REPORTS OF INTEREST | 10 | 0.4 | 6, 1, 3, 11 |
| SELF-STUDY | 73.5 | 2.94 | 8, 20, 14, 10 |
The subject is divided into activities of theoretical classes, practical seminars, laboratory practices and autonomous work.
Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.
Assessment
Continous Assessment Activities
| Title | Weighting | Hours | ECTS | Learning Outcomes |
|---|---|---|---|---|
| Attendance and active participation in class and in seminars | 20% | 0.1 | 0 | 6, 2, 1, 3, 4, 8, 9, 20, 12, 11, 14, 22, 19, 15, 10, 7, 5, 21 |
| Delivery of written works | 20% | 0.5 | 0.02 | 2, 3, 4, 14, 19, 17 |
| ORAL PRESENTATION/EXPOSITION OF WORKS | 20% | 0.4 | 0.02 | 1, 4, 13, 11, 22, 15, 16, 18, 7 |
| Written assessments: objective tests | 40% | 0.5 | 0.02 | 8 |
Evaluation system
1. Continuous evaluation of group work and seminars (20% of the weight of the note). The proactive attitude will be valued.
2. Written evaluation through objective tests (40% of the weight of the note). The test will consist of a test of 40 questions with 4 possible answers, only one of which is correct. The answer answered wrongly will be penalized with -25% of the value of the correct answer. It will be scheduled according to the calendar. Minimum mark to do average: 5/10
3. Oral defense of works (20% of the weight of the note). Minimum mark to do average: 5/10.
4. Delivery of reports / written work (20% of the grade). Minimum mark to do average: 5/10.
5. In the case of students who do not reach the minimum mark to average any of the evaluation activities, the evaluation activity in question will be considered as Not Evaluable.
6. Summary test: Multiple choice exam with 40 questions with 4 possible answers, only one of which is correct. The answer answered wrongly will be penalized with -25% of the value of the correct answer.
*Only for those students who have not passed the continuous assessment. Minimum mark to pass: 5. It will be scheduled according to the calendar.
Single evaluation
The student who chooses this route must know that:
- The evaluation evidence is the same and will have the same weight
- All the evidence will be evaluated on the same day (corresponding to the day of the subject exam, marked in the UAB exam calendar).
- The same recovery system will be applied as for the continuous evaluation
- The review of the final qualification follows the same procedure as for the continuous assessment.
Bibliography
1.Prosthetic Outcome Measures for Use With Upper Limb Amputees: A Systematic Review of the Peer-Reviewed Literature, 1970 to 2009, JPO Journal of Prosthetics and Orthotics: Oct de 2009
2.Sametier C.B., Guirao. L, et al. Valoración de la movilidad en pacientes con amputación de miembro inferior. Rehabilitación.(Madr) 2011;45(1); 61-66
3.Shawn Farrokhi, Brittney Mazzone, Michael Schneider, Sara Gombatto J, Mayer, M. Jason Highsmith BDH. Biopsychosocial risk factors associated with chronic low back pain after lower limb amputation. Med Hypotheses. 2017;108:1–9.
4.Lusardi,M. Jorge M, Nielsen, C. Orthotics&Prosthetics in rehabilitation. Elsevier. USA. 2013
5.Ülger Ö, Yıldırım Şahan T, Çelik SE. A systematic literature review of physiotherapy and rehabilitation approaches to lower-limb amputation. Physiother Theory Pract. 2018 Nov;34(11):821-834
6.Heyns A, Jacobs S, Negrini S, Patrini M, Rauch A, Kiekens C. Systematic Review of Clinical Practice Guidelines for Individuals With Amputation: Identification of Best Evidence for Rehabilitation to Develop the WHO's Package of Interventions for Rehabilitation. Arch PhysMed Rehabil. 2021 Jun;102(6):
7.G. Bosser, N. Martinet, E. Rumilly, J. Paysant, J.-M. André, Le réentraînement à l’effort chez l’amputé de membre inférieur, Annales de Réadaptation et de Médecine Physique, Volume 51, Issue 1, 2008.
8.Dunn J, Yeo E, Moghaddampour P, Chau B, Humbert S. Virtual and augmented reality inthetreatment of phantom limb pain: Aliterature review. NeuroRehabilitation. 2017
9.M.A. Morales-Osorio; J.M. Mejía-Mejía.Tratamiento con imaginería motora graduada en el síndrome de miembrofantasma con dolor: una revisión sistemática. Rehabilitación. 2012
10.Shurr D, Michael J. Prosthetics and Orthotics. 2a ed.USA: Prentice Hall; 2001.
11.L. Guirao Cano, B. Samitier Pastor, P. Peret Hernández, Á. Díaz Vela, P. Monné Cuevas.Utilidad del sistema Myo Plus en pacientes amputados transradiales.Rehabilitación. 2020.
12.Flor H. Phantom-limb pain: characteristics, causes, and treatment. Lancet Neurol. 2002.
13.Zambudio Periago R. Prótesis, órtesis y ayudas técnicas. 1a ed. España: Elsevier España SL; 2009.
14.Prat JM. Guía de uso y prescripción de productos ortoprotésicos a medida. 2a ed. España: Instituto de Biomecánica de Valencia; 2004.
15.Malavera MA, Carrillo S, Gomezese OF, García RG, Silva FA. Fisiopatología y tratamiento del dolor de miembro fantasma. Rev colomb anestesiol. 2014; 42(1): 40-46.
16.Zambudio Periago R. Osteointegración en amputados de miembros. Rehabilitación. 2007; 41(4): 180-184.
17.Govantes Bacallao Y, Alba Gelabert CJ, Arias Cantalapiedra A. Protocolo de actuación en la rehabilitación de pacientes amputados de miembro inferior. Revista cubana de medicina física y rehabilitación. 2016; 8(1): 1-11.
Software
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Language list
| Name | Group | Language | Semester | Turn |
|---|---|---|---|---|
| (SEM) Seminars | 301 | Catalan/Spanish | second semester | afternoon |
| (SEM) Seminars | 302 | Catalan/Spanish | second semester | afternoon |
| (TE) Theory | 301 | Catalan/Spanish | second semester | afternoon |