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  1. Week 8: Peripheral nerve lesion and brachial plexus lesion/Neuromusculoskeletal facilitatory techniques/Hydrotherapy 4 items
    1. Peripheral nerve lesion 1 item
      1. Extract - Louis Solomon, David Warwick, Selvadurai Nayagam

        Chapter Essential Module: P3126 (Scanned Extract) Read the extract from Solomon L, Warwick D, Nayagams, 2014, Apley’s Concise System of Orthopaedics and Trauma, Part I, Chapter 11, Peripheral nerve injuries : page 144 from “Axillary Nerve” to end of page 149.

    2. Brachial plexus injury 1 item
      1. Extract - Louis Solomon, David Warwick, Selvadurai Nayagam

        Chapter Essential Module: P3126 (Scanned Extract) Read the extract from Solomon L, Warwick D, Nayagams, 2014, Apley’s Concise System of Orthopaedics and Trauma, Part 1, Chapter 11, Peripheral Nerve injuries : page 141 from “Brachial Plexus Injuries” to page 143 (ending just before section on obstetrical brachial plexus injuries).

    3. Neuromusculoskeletal facilitation techniques 1 item
      1. Read the handout on facilitation techniques. You will find this under "directed learning resources" in the Hub module site. You will have the opportunity to apply some of the techniques in the practical class.

    4. Hydrotherapy 1 item
      1. Physiotherapy in orthopaedics: a problem-solving approach - Karen Atkinson, Fiona Coutts, Anne-Marie Hassenkamp 2005

        Book Essential Read the section from the text : Chapter 11 : Hydrotherapy in Orthopaedics, Churchill Livingstone, Pages 312 to 328. You are not required to undertake the SAQ’s or the problem-solving exercises.

  2. Week 9: Frailty 5 items
    Please complete the following tasks AHEAD of week 9 sessions
    1. Before the Tutoral and practical classes view the two narrated powerpoint presentations that are in the week 9 folder of the module Hub

    2. Fit for frailty | British Geriatrics Society - British Geriatrics Society 2014

      Webpage Essential Consider the screening and assessment tools mentioned and how these might be utilised in a physiotherapy setting.

    3. Sarcopenia 2 items
      1. Sarcopenia: revised European consensus on definition and diagnosis - Alfonso J Cruz-Jentoft, Gülistan Bahat, Jürgen Bauer, Yves Boirie 12/10/2018

        Article Essential Read this consensus which has just been published

      2. Sarcopenia - Alfonso J. Cruz-Jentoft, John E. Morley 2012 (electronic resource)

        Book Essential Read Chapter 11. You may also consider reading other relevant chapters.

    4. British Geriatrics Society Falls guideline and the AGILE falls guideline 1 item
      Access the British Geriatrics Society Falls guideline and the AGILE falls guideline (may need to be logged into CSP website).
  3. Week 10: Rheumatoid arthritis/Ankylosing spondylitis/Juvenile chronic arthritis/Joint arthroplasty/Group exercise 12 items
    1. Rheumatoid arthritis 4 items
      1. Read the following before the tutorial 3 items
        1. Read the handout on Rheumatoid Arthritis in the Hub.

        2. Physiotherapy in orthopaedics: a problem-solving approach - Karen Atkinson, Fiona Coutts, Anne-Marie Hassenkamp 2005

          Book Essential Read Chapter 7, Rheumatic Conditions, pp. 197-205.

        3. Rheumatoid arthritis in adults: management | Guidance and guidelines | NICE

          Article Essential This is a 2018 NICE clinical guideline. Read the section on non-pharmacological interventions and multidisciplinary teams and the section on communication and education

      2. Read any time this week 1 item
    2. Ankylosing spondylitis 2 items
      1. Read the following before the tutorial and the practical 2 items
        1. Read the handout on Ankylosing Spondylitis in the Hub.

        2. Physiotherapy in orthopaedics: a problem-solving approach - Karen Atkinson, Fiona Coutts, Anne-Marie Hassenkamp 2005

          Book Essential pp. 205-209 – this relates to the aetiology, pathology, clinical features pp. 211- 215 - this relates to the management

    3. Juvenile chronic arthritis 1 item
      1. Physiotherapy in orthopaedics: a problem-solving approach - Karen Atkinson, Fiona Coutts, Anne-Marie Hassenkamp 2005

        Book Essential p. 220, the section titled “Juvenile Ideopathic Arthritis” and read through to page 225 ending at the part where SAQ 7.22 starts (you do not require to undertake SAQ 7.22).

    4. Hip and knee arthroplasty 2 items
      1. Hip replacement - NHS

        Website Essential View a short animated video clip of how a hip implant is put in place (video is found towards the bottom of the web page). This is from the NHS Choices website.

      2. Knee replacement - NHS

        Website Essential View a short animated video clip of how a knee implant is put in place. (video is found towards the bottom of the web page). This is from the NHS Choices website.

    5. Group exercise 2 items
      Read the following BEFORE the practical class
      1. Group exercise - Sanford, B.

        Chapter Essential Module: P3126 (Scanned Extract)

      2. Read the handout "Student Notes for Practical Class" You will find this in the Practical Class Resources folder.

    6. Optional further reading on rheumatoid arthritis 1 item
  4. Week 11: Womens and mens health, assessment of pelvic girdle pain, cancer, TENS 16 items
    1. Womens and mens health 7 items
      You will be introduced to womens health (continence and obstetrics) and mens health by way of directed reading. These are often specialist areas of clinical practice however you would be expected to be able to use your knowledge of functional anatomy and exercise to have an awareness of how to treat these populations. You will also be introduced to the practical assessment of pelvic girdle pain, which can present during and/or after pregnancy. Try to read the essential readings before class, but you can always come back to the other resources at a later date.
      1. Read before the practical - Examination of the pelvic region. 2 items
        You would not normally assess this in isolation, but in combination with the lower back, which you will be introduced to in week 12.
        1. Personal training for your pelvic floor - The Chartered Society of Physiotherapy

          Webpage Essential Download and read Personal Training for your pelvic floor CSP leaflet

        2. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

          Book Essential Chapter 13 - examination of the pelvis from page 349

      2. Incontinence | The Chartered Society of Physiotherapy

        Webpage Recommended Here you will find resources to explore the issue of continence for both men and women. Please explore these resources, in your own time, to find out more.

      3. 2019 Canadian Guideline for Physical Activity Throughout Pregnancy: Methodology - Margie H. Davenport, Stephanie-May Ruchat, Michelle F. Mottola, Gregory A. Davies 10/2018

        Article Recommended Guidance for exercise throughout pregnancy

      4. Pelvic Floor Exercises Pelvic Floor Workshop - with Stuart Baptist 3/3/2012

        Audio-visual document Recommended Pelvic floor workshop for mens health (approx. 20')

      5. Pudendal Neuralgia - Physiopedia

        Webpage Recommended Pudendal nerve dysfunction can be a cause of pelvic girdle pain / pelvic floor dysfunction. This can occur in both males and females.

    2. Physiotherapy and people with cancer 7 items
      1. SIGN 106 Control of pain in adults with cancer

        Webpage Essential These are the SIGN guidelines for the control of pain in adults with cancer. You can read from section 2 (Patient issues) - Section 5. You do not need to learn the pharmacological/medical management of pain. Read from section 8.1 - 8.1.7 (non-pharmacological treatment) and section 9 for more information/resources.

      2. Exercise as part of routine cancer care - Daniel Santa Mina, David Langelier, Scott C Adams, Shabbir M H Alibhai 09/2018

        Article Essential Please have a look at this safety reference guide to support exercise services in people with cancer

      3. Physical activity - Health and social care professionals - Macmillan Cancer Support

        Webpage Recommended Macmillan cancer support is an excellence resource for health professionals and people with cancer. Of particular interest on this page might be "Physical activity for people with metastatic bone disease: Guidance for healthcare professionals".

      4. Palliative care | NHS inform

        Webpage Background This is a good resource for palliative care

      5. Better cancer outcomes in Lothian – a strategy for cancer 2015 – 2020

        Webpage Background Click on "Better Outcomes in Lothian" to read about the strategy plan for improved cancer care outcomes for NHS Lothian

    3. TENS 2 items
      TENS may be used as an adjunct in the management of pain. You will be introduced to TENS by way of directed reading. You can read this ANYTIME.
      1. Physical agents in rehabilitation: an evidence-based approach to practice 2018 (electronic resource)

        Book Essential Read chapter 13, from page 258

  5. Week 12: Low back pain 14 items
    An introduction to low back pain (LBP) including classification, red flags and physical assessment. There is a lot of information available on LBP - please read the essential items before class and you can come back to the other resources at a later date.
    1. Pre-class worksheet 1 item
      1. After you have read the essential reading for this week, please complete the case study worksheet, which is available on the Hub, before class. 

    2. An introduction to low back pain 4 items
      1. What low back pain is and why we need to pay attention - Jan Hartvigsen, Mark J Hancock, Alice Kongsted, Quinette Louw 06/2018

        Article Essential

      2. Diagnostic triage for low back pain: a practical approach for primary care - Bardin, L.D., King, P., Maher, C.G. 2017

        Article Essential Module: P3126 (Scanned Extract)

      3. Low back pain and sciatica in over 16s: assessment and management | Guidance and guidelines | NICE

        Document Recommended You are not expected to learn the pharmacological and invasive interventions for LBP however it is useful to have an idea of the options available.

      4. Low Back Pain 24/1/2014

        Audio-visual document Recommended Please note that not all nerve irritation in the leg is due to disc problems - chemical irritation around the nerve root (e.g. from a strain or inflammation) can also cause neurogenic leg pain.

    3. Management of LBP 4 items
      This begins to link the assessment process with the management of LBP
      1. Non-specific low back pain - Chris Maher, Martin Underwood, Rachelle Buchbinder 02/2017

        Article Essential This provides a good summary of the evidence base for treatment of non specific low back pain

      2. Unraveling the complexity of low back pain - Peter O'Sullivan, Joao Paulo Caneiro, Mary O'Keeffe and Kieran O'Sullivan

        Article Recommended Read at ANY TIME this week

      3. Rehabilitation management of low back pain – it’s time to pull it all together! - Yannick Tousignant-Laflamme 2017

        Article Recommended Read at ANY TIME this week

      4. Healthcare professionals — Pain-Ed

        Webpage Background This is a helpful site for keeping up to date with low back pain management. Click into "healthcare professionals" for further research and resources.

    4. Read before the practical 1 item
      1. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

        Book Essential Read chapter 12: Examination of the lumbar region, from page 327 - 339, stopping before "muscle tests".

    5. Red flags 4 items
      Here are some further resources on red flags
      1. Red flags to screen for malignancy and fracture in patients with low back pain: systematic review - A. Downie, C. M. Williams, N. Henschke, M. J. Hancock 11/12/2013

        Article Recommended

      2. Margaret: a tragic case of spinal Red Flags and Red Herrings - Sue Greenhalgh, James Selfe 2004-6

        Article Background Another case study presenting red flags in clinical practice

      3. Malignant Myeloma of the Spine - S Greenhalgh, J Selfe 2003-8

        Article Background This is a case study presenting serious spinal pathology

  6. Week 13: Non specific low back pain (NSLBP), Barriers to recovery, spine examination continued 15 items
    There is a lot of information available on LBP - please read the essential items before class and you can come back to the other resources at a later date. When navigating the literature, it is advisable to use your critical analysis skills to ascertain the relevance and quality of available literature.
    1. Barriers to recovery 5 items
      This week aims to build on your understanding of barriers to recovery and the physiotherapist’s role in the assessment and management of modifiable risk factors related to LBP. Please complete the task below and at least read the ESSENTIAL reading before class. You can come back to the other resources at a later date.
      1. The Flag System - Physiopedia

        Webpage Essential This page simply describes the flag system and how you can assess these issues in clinical practice. Please click on the link to look at the Orebro screening tool and consider the types and meaning of the questions asked.

      2. Principles of musculoskeletal treatment and management: a handbook for therapists 2018 (electronic resource)

        Book Essential Please read chapter 9 "Principals of communication and its application to clinical reasoning", paying particular attention to "Questioning styles" on page 215

      3. Psychosocial factors in low back pain: letting go of our misconceptions can help management - Mary O’Keeffe, Steven Z George, Peter B O’Sullivan, Kieran O’Sullivan 28/08/2018

        Article Essential A short editorial on the need for skilled management of psychosocial barriers to recovery

      4. Easy to Harm, Hard to Heal - Ben Darlow, Sarah Dean, Meredith Perry, Fiona Mathieson 06/2015

        Article Recommended An interesting qualitative study about patients perception of LBP - try to think about how we might deal with these issues in clinical practice

      5. Early Identification and Management of Psychological Risk Factors (“Yellow Flags”) in Patients With Low Back Pain: A Reappraisal - Michael K. Nicholas, Steven J. Linton, Paul J. Watson, Chris J. Main 01/05/2011

        Article Recommended Please read the introduction and results/discussion section

    2. Practical 2 items
      The practical class will continue lumbar spine assessment including neurological tests and palpation.
      1. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

        Book Essential Please read from page 341 "neurological tests" to end of chapter

      2. BASS

        Webpage Recommended This is a webpage from the British Association of Spine Surgeons explaining nerve root pain and treatment options

    3. Management 3 items
      1. Pain Science Workbooks — Greg Lehman

        Webpage Recommended This is a highly recommended resource for patients in pain - I encourage you to read it too, to have an understanding of pain mechanisms and some strategies you can use with patients to optimise management for LBP and other pain conditions.

      2. Reconceptualising manual therapy skills in contemporary practice - Martin Rabey, Toby Hall, Clair Hebron, Thorvaldur Skuli Palsson 06/2017

        Article Recommended There was some discussion about manual therapy from the class last week - you may find this article of interest.

      3. Low back pain: a call for action - Rachelle Buchbinder, Maurits van Tulder, Birgitta Öberg 06/2018

        Article Background This paper outlines the need for change in the management of LBP.

    4. Follow up resources 5 items
      Here are some helpful resources that will help you consolidate your learning from weeks 12 & 13. Once again, there is a lot of information available on LBP - please freel free to search the LRC for more information as you see fit.
      1. Musculoskeletal pain and exercise—challenging existing paradigms and introducing new - Benjamin E Smith, Paul Hendrick, Marcus Bateman, Sinead Holden 20/06/2018

        Article Recommended This is an interesting read not only in relation to LBP but in relation to persistent MSK pain in general. It gives a nice explanation of persistent pain states including the role of the immune system and affective components of pain.

      2. Potential Mechanisms Underlying Centralized Pain and Emerging Therapeutic Interventions - Olivia C. Eller-Smith, Andrea L. Nicol, Julie A. Christianson 2018-2-13

        Article Recommended

      3. Principles of musculoskeletal treatment and management: a handbook for therapists 2018

        Book Recommended Read chapter 7 (from page 180) "Principals of nerve treatment" for a comprehensive review of nerve treatment and effects.

  7. Week 14 and 15 : 4 items
    There are no contact classes during these weeks. There is directed reading to be undertaken during these weeks as detailed here. In addition, students can work on the module formative and summative assessments
    1. Management of burns and plastic surgery 2 items
      1. General Trauma Care and Related Aspects: Trauma Surgery II 2014 (electronic resource)

        Book Essential Read the section titled "Burn Injury" from page 169 to 179 . This will give you an introduction to the topic of Burn Injury.

      2. Total burn care 2018

        Book Essential Go to Chapter 47 of this text and read the section within that chapter that is titled " Therapeutic Exercise". (If you are scheduled to go on a PBL placement where you are managing Burn Injury patients, you will find it helpful to also read the sections in this chapter which discuss splinting and management of scar tissue)

    2. Placebo and placebo effects 1 item
      1. Consensus statement on placebo effects in sports and exercise: The need for conceptual clarity, methodological rigour, and the elucidation of neurobiological mechanisms - Christopher Beedie, Fabrizio Benedetti, Diletta Barbiani, Eleanora Camerone 26/11/2018

        Article Essential This recent paper provides a good summary overview of the causes of the placebo effect. The paper also makes some recommendations for how the assessment of the placebo contribution can be facilitated in research studies. The paper should enhance your understanding of the placebo effect and how this might influence research findings

    3. Writing progression notes 1 item
      1. At this stage in your studies, it can be helpful to review and revise how to formulate and document treatment progression notes.  A case study and activities have been devised for you to do this.  You will find this in the Hub folder for weeks 14 and 15.  Follow up notes have also been provided for you to check your work.

    4. FORMATIVE Assessment that will be presented in week 19 0 items
      Prior to the Summative group oral presentation, students find it helpful to undertake a short FORMATIVE group oral presentation. You will find the details of this in the week 14 and 15 module Hub folder. This is just a 5 minute (or 6 minute if there are 6 in the group) oral presentation on one question that your group presents to the class and Tutor during the Tutorial session of week 19. The Tutor will then give your group written feedback that can be used to feed forward to your summative group presentation. Please note that we are giving you only a short, limited period of preparation for this FORMATIVE work and so the work produced will be viewed in that context (for example, the amount of reading that can be undertaken in this shorter period and the amount of detail that can be presented in this shorter presentation). The group allocation and case study allocation is the same as for the Summative Group Presentation Assessment but the question to be addressed is different from that for the summative assessment (In the summatiive assessment you are required to address three questions - all details of the Summative assessment are in the "Module Assessment" folder on the Hub Home page) You should utilise time in weeks 14 and 15 to prepare this FORMATIVE assessment.
  8. Week 19: Management of low back pain 10 items
    1. Principles of musculoskeletal treatment and management: a handbook for therapists 2018 (electronic resource)

      Book Essential Please read as much of chapter 8 "understanding and managing persistent pain" but please pay particular notice to "active pain rehabilitation" on page 205

    2. The pain revolution - Lorimer Moseley

      Audio-visual document Essential This is a approx. 20 minutes long in total. It is an excellent refresher on pain mechanisms. Please pay close attention to the last half where Lorimer Moseley discusses ways to retrain the pain system.

    3. An update of stabilisation exercises for low back pain: a systematic review with meta-analysis - Benjamin E Smith, Chris Littlewood, Stephen May 12/2014

      Article Essential Read and analyse this systematic review. If specific exercises are no more effective than other types of exercises for low back pain, when might you consider using specific stabilisation exercises with patients?

    4. Pain Self Management | Pete Moore | Pain Toolkit

      Website Recommended Have a look on this site for health professional and patient information. Please pay particular notice to the "tools" section and have a look at pacing and prioritising.

    5. Prevention and treatment of low back pain: evidence, challenges, and promising directions - Nadine E Foster, Johannes R Anema, Dan Cherkin 06/2018

      Article Recommended This is the second in a 2 part series of LBP (the first one was made available in week 12)

    6. Read before the practical 1 item
      1. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

        Book Essential Please read before the practical - Read from page 81 "prone knee bend" to page 83 before "saphenous nerve test"

  9. Week 20: Cervical spine assessment, whiplash 11 items
    1. Read before the tutorial class 5 items
      1. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

        Book Essential Please read chapter 6 from page 168 - 181 stopping before "physical examination"

      2. Factors predicting outcome in whiplash injury: a systematic meta-review of prognostic factors - Pooria Sarrami, Elizabeth Armstrong, Justine M. Naylor, Ian A. Harris 2017-3

        Article Recommended

      3. Principles of musculoskeletal treatment and management: a handbook for therapists 2018 (electronic resource)

        Book Essential Read chapter 3 - joint mobilisations. You will not be expected to produce movement diagrams.

      4. Read the Tutorial Case Study Info doc (in the Hub module site) and attempt to address the questions.  Print out a copy and this with you to the session.

    2. Read before the practical class 3 items
      1. Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment - Anita Gross, Pierre Langevin, Stephen J Burnie, Marie-Sophie Bédard-Brochu 23/09/2015

        Article Essential Please note you will not be taught or expected to carry out manipulations as these are a post graduate technique.

      2. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

        Book Essential Please read chapter 6 from page 181 "practical examination" to 185 stopping before "neurological testing". Read from page 192 "passive physiological movements" to "accessory movements".

      3. Considerations to improve the safety of cervical spine manual therapy - Nathan Hutting, Roger Kerry, Michel W. Coppieters, Gwendolijne G.M. Scholten-Peeters 02/2018

        Article Recommended

    3. Non-essential reading 3 items
      1. PE #013 Cervical Spine Artery and VBI testing with Roger Kerry - physioedge

        Audio-visual document Recommended This is a podcast discussing cervical arterial dysfunction with Roger Kerry. You already have some reading on this by the author so you can listen to this in your own time.

      2. The desire for “hands-on” therapy – a critical analysis of the phenomenon of touch - Fiona Moffatt, Roger Kerry

        Chapter Recommended Read chapter 7 by Moffat and Kerry

  10. Week 21: Cervical and Thoracic Pain, Upper limb neurological and neurodynamic tests, neck pain management 9 items
    1. Before the tutorial and practical 3 items
      1. Musculoskeletal examination and assessment: a handbook for therapists, Volume 1 2017 (electronic resource)

        Book Essential Read Chapter 7 (Examination of the cervicothoracic region) and Chapter 8 (Examination of the thoracic region).

      2. Management of peripheral neuropathic pain: Integrating neurobiology, neurodynamics, and clinical evidence - Robert J. Nee, David Butler 2006-2

        Article Essential Read this paper that discusses the management of neuropathic pain

      3. Read the "Cochrane Reviews" summaries document that you will find in the week 21 folder.  This gives an overview of a number of Cochrane Reviews on neck pain

    2. Before the tutorial 4 items
      1. Neck pain - non-specific - NICE CKS (Clinical Knowledge Summaries) 2018

        Webpage Essential If you click on the link and select "Diagnosis" and "view full" scenario, you will be able to view all the relevant information. Do the same for management, view full scenario. Note : you do not need to read the detail of medicines nor do you need to read about management of acute torticollis (many patients with this condition find that it resolves within a few days and they may not present to physiotherapy for treatment).

      2. Reappraising entrapment neuropathies – Mechanisms, diagnosis and management - Annina B. Schmid, Robert J. Nee, Michel W. Coppieters 12/2013

        Article Essential Read this paper.

      3. Undertake the two tutorial worksheets that you will find in the week 21 Hub folder.  These will be studied in class.

      4. Read the support notes on thoracic pain .  You will find these in the week 21 folder on Hub

    3. Recommended reading during week 21 2 items
      1. Pacing | Pain Self-Management | Pain Toolkit

        Webpage Recommended This is an excellent resource for pain management. The link will bring you to a page on pacing where you can explore the relevant pacing resources, including the pain cycle.

      2. Exercises for mechanical neck disorders: A Cochrane review update - A.R. Gross, J.P. Paquin, G. Dupont, S. Blanchette 08/2016

        Article Recommended

  11. Week 22: Chronic pain management, soft tissue therapy 5 items
    1. Principles of musculoskeletal treatment and management: a handbook for therapists 2018 (electronic resource)

      Book Essential Prior to your tutorial and practical class : Read chapter 8 "Understanding and managing persistent pain"

    2. Prior to your practical class, read the scanned extract from the text : "Beard's Massage ".  You will find this in the week 22 Hub folder.

    3. Pain Association Scotland - Chronic Pain Management

      Website Recommended This is a useful site for resources on pain, for example you can view VIDEOS for information on understanding pain, chronic pain and relaxation.

    4. Pain Concern

      Website Recommended A useful web-site for resources on pain management

    5. Pain Self Management | Pete Moore | Pain Toolkit

      Website Recommended A useful web site for resources on pain management