Module (Course Syllabus) Catalogue 2019-2020 (Course Syllabus...theory, and nursing skills needed for practising nursing. The course emphasises the unique nature of client’s needs

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Module (Course Syllabus) Catalogue

2019-2020

College/ Institute Hawler Health Technic

Department Physiotherapy

Module Name Surgical Rehabilitation Module Code

Semester Annual Credits 4

Module type Prerequisite Core Assist.

Weekly hours 3

Weekly hours (Theory) ( 1 )hr Class ( )hr Workload

Weekly hours (Practical) ( )hr Class ( 2 )hr Workload Lecturer (Theory) Dr. Samih Kakamam Hassan

E-Mail & Mobile NO. 07504467413 - [email protected]

Lecturer (Practical) Dr. Samih Kakamam Hassan

E-Mail & Mobile NO. 07504467413 - [email protected]

mailto:[email protected]

mailto:[email protected]


Course Book

Course Description

At the end of this course, the students should be able to: This course serves as a foundation for other nursing courses of the programme. It is designed to provide students with the knowledge of basic surgical principles and theory, and nursing skills needed for practising nursing. The course emphasises the unique nature of client’s needs and importance of holistic nursing care. Recognize the basic concepts of orthopaedic pathology. Site standardized assessment tools and instruments for patient with musculoskeletal disorders. Recognize and interpret different clinical and radiological investigations for different musculoskeletal disorders Produce a professional physical therapist with particular skills in evaluating different radiological findings.

Course objectives

At the end of this course, the students should be able to: Understand the types and complication of surgery Develop a rehabilitation program to the stage before, during , and after surgical interventions Identify biological and physical principles related to musculoskeletal system health and diseases, which underpin physical therapy Understand the relationship between human structures and function, focusing on the musculoskeletal system. Recognize and interpret different clinical and radiological investigations for different musculoskeletal disorders.


Student's obligation

All students must be attended minimum 85% of class and take all exams in the date which the department select.

Required Learning Materials

Data show, power point, patient and X--ray.

Assessment scheme

30 % Mid Term (10% Theory and 20% practical) 30% Quiz + Assignment (report, homework, seminar.) 25% Final practical 15% Final theory

Specific learning outcome:

Evaluate different orthopedic cases according to the specific

applied procedures.

Clarify the problems of each patient to design the suitable

treatment plan.

Apply different physical therapy modalities with the patient and

select appropriate technique with each case.

Consider effectively clinical diagnosis and investigations

during orthopedic patient management.

Apply understanding of radiology principles on demonstration

of evidence based practice.

Course References:

▪ Key references:

▪ Useful references:

▪ Magazines and review (internet):

Course topics (Theory) Week Learning Outcome

Introduction to Orthopedics: An Orthopedic patient,

history taking, clinical features, clinical examination,

and investigation (X- ray, CT scans, MRI scan, Bone

scan).

1 2

Fractures - types, classification, signs and symptoms,

complications. Fracture healing –factors affecting

fracture healing.

2 2

Principles of fracture management - reduction signs and

symptoms - open and closed, immobilization - sling,

cast, brace, slab, traction , lumbar and Cervical

3 2


traction, external fixation, functional cast bracing.

Specific fractures and dislocations 4 1

Infective conditions: Definition, signs and symptoms,

clinical features, pathophysiology, radiological features,

medical, surgical management.

5 1

Define; review the postural abnormalities of spinal

column, clinical features, and deformities, medical and

surgical management.

6 1

Poliomyelitis: Definition, etiology, types,

pathophysiology, clinical features, deformities, medical

and surgical management.

7 1

Leprosy: Definition, cause, clinical features, medical

and surgical management. 8 1

Spinal conditions: Review the causes, signs and

symptoms, investigations, radiological feature. Of the

following conditions: Spondylolisthesis, Spinal canal

stenosis, Spondylolysis, Sacro-iliac joint dysfunction,

Sacralisation, Lumbarisation, Intervertebral disc

prolapse, Coccydynia.

9 3

First term examination 10 1

Orthopedic surgeries:

Arthrodesis, Osteotomy, Arthroplasty-partial and total-

Excision arthroplasty, excision arthroplasty with

implant, interpositional arthroplasty and total

replacement; Tendon transplant, Soft tissue release- tenotomy, myotomy

, lengthening; Arthroscopy, Spinal

stabilization, , External fixators, Synovectomy.

11 2

Shoulder joint:

Shoulder instabilities, Impingement syndrome

conservative and Postoperative management.

Total shoulder replacement and Hemi replacement. -

Post operative management. AC joint injuries -

rehabilitation. Rotator cuff tears- conservative and

surgical repair. Subacromial decompression – Post

operative management.

12 3


Elbow and forearm: Excision of radial head - Post

operative management. Total elbow arthroplasty-Post

operative management.

13 1

Wrist and Hand: Total wrist arthroplasty. Repair of

ruptured extensor tendons. Flexor and extensor Tendon

lacerations – Postoperative PT management.

14 1

Carpal tunnel syndrome. 15 1

Hip: Joint surgeries- hemi and total hip replacement

Tendonitis and bursitis. - Management. 16 1

Knee: Lateral retinacular release, chondroplasty-

Postoperative management. Realignment of extensor

mechanism. ACL and PCL reconstruction surgeries.

Meniscectomy and meniscal repair - Post operative

management. Patellar dysfunction conservative

management.Patellar tendon ruptures and Patellectomy.

17 3

Knee joint replacement 18 1

Ankle and foot: Ankle instability. Ligamentous tears-

Post operative management. 19 1

Second term examination 20 1

Total 30

Practical Topics Week Learning Outcome

PT assessment for an Orthopedic patient,

history taking, clinical features, clinical examination

-Pain assessment- intensity, character, aggravating and

relieving factors, site and location.

Objective- on observation - body built swelling, muscle

atrophy, deformities, posture and gait. On palpation-

tenderness-grades, muscle spasm, swelling-methods of

swelling assessment, bony prominences, soft tissue

texture and integrity.

On examination –ROM – active and passive, resisted

isometric tests, limb length-apparent, true and

segmental, girth measurement, muscle length testing-

1 2


tightness, Contracture and flexibility, special tests and

functional tests. Prescription of home

program. Documentation of case

records, and follows up.

Physiotherapy assessment in fracture cases.

Aims of PT management in fracture cases - short and

long term goals. Principles of PT management in

fractures - Guidelines for fracture treatment during

period of immobilization and guidelines for treatment

after immobilization period.

PT management in complications - early and late -

compartmental syndrome, fat embolism, delayed and

mal union, myositis ossificans, AVN, pressure sores etc.

2 2

PT assessment and management of upper limb fractures

and dislocations.

PT assessment and management of lower limb fractures

and dislocations including pelvis.

PT assessment and management spinal fractures.

3 2

Describe PT assessment and management for following

conditions – Osteomyelitis – acute and chronic, Septic

arthritis, Pyogenic arthritis,TB spine and major joints -

knee and hip.

4 1

Postural abnormalities of spinal column. Describe PT

assessment and management and home program. 5 1

Poliomyelitis PT. assessment and management after

surgical

corrections and reconstructive surgeries - emphasis on

tendon transfer and home program.

6 1

Leprosy PT assessment, aims, and management after

surgical procedures such as tendon transfer both pre and

post operatively.

7 1

Spinal conditions PT assessment, aims, and

management and home program of the following

conditions:

Spondylolisthesis, Spinal canal stenosis,

Spondylolysis, Sacro-iliac joint

dysfunction, Sacralisation, Lumbarisation,

8 1


Intervertebral disc prolapse, Coccydynia

First term examination 9 3

Orthopedic surgeries:

Pre and postoperative PT assessment, goals,

precautions and PT management of following surgeries

such as: Arthrodesis, Osteotomy, Arthroplasty-partial

and total- Excision arthroplasty, excision arthroplasty

with implant, interpositional arthroplasty and total

replacement; Tendon transplant, Soft tissue release-

tenotomy, myotomy, lengthening; Arthroscopy, Spinal

stabilization, Re- attachment of limbs, External fixators,

Synovectomy.

10 1

Shoulder joint:

Shoulder instabilities, Impingement syndrome

conservative and Postoperative PT management.

Total shoulder replacement and Hemi replacement. -

Post operative PT management. AC joint injuries -

rehabilitation. Subacromial decompression – Post

operative PT management.

11 2

Elbow and forearm:

Excision of radial head - Post operative PT

management. Total elbow arthroplasty-Post

operative PT management.

12 3

Wrist and Hand:

Total wrist arthroplasty. Repair of ruptured extensor

tendons. Flexor and extensor Tendon lacerations –

Postoperative PT management.

13 1

Carpal tunnel syndrome PT management. 14 1

Hip: Joint surgeries- hemi and total hip replacement -

Postoperative PT management. 15 1

Knee joint ACL and PCL reconstruction surgeries -

Postoperative rehabilitation.

Patellar tendon ruptures and Patellectomy-

rehabilitation.

16 1


Joint knee replacement - rehabilitation protocol. 17 3

Second term examination 18 1

Total 60

Questions Example Design 1. Short brief: 2. Multiple choices: 3. enumerate: 4. Define: 5. Matching

Extra notes: Here the lecturer shall write any note or comment that is not covered in this template and he/she wishes to enrich the course book with his/her valuable remarks.

External Evaluator This course book was approved after revision and acceptable for this stage

Evaluator: Dr. Yousif Rashed Mohammed

Documents

Module (Course Syllabus) Catalogue 2019-2020 (Course Syllabus...theory, and nursing skills needed for practising nursing. The course emphasises the unique nature of client’s needs