AH2D01 - Treatment and Rehabilitation 01 Sep 2022 - 31 Aug 2028 | Version 1

Associated Module Information

Module Code: AH2D01
Module Title: Treatment and Rehabilitation
Faculty: Faculty of Life Sciences and Education
Faculty Group: Allied Health and Chiropractic
Faculty Sub Group: Physiotherapy
Module Leader: Rhys Shorney
Module Team: Jonathon Duffin, Bethan Kent, Filipa Machado
First Intended Intake: SEP 2022 Final Year of Intake:
Date Closed:
Credit Value: 40 Credit Level: 5
Language: English
Percentage of Module Taught in Welsh: 0
Equivalent Module:
HECOS codes: 100252 - physiotherapy
HECOS Code Weighting: 100

Document Version Information

Version 1
Valid From 01 Sep 2022
Valid To 31 Aug 2028

Module Aims

The module will consolidate the use of acquired anatomy, physiology and biomechanics learning in previous modules to introduce and learn treatment skills and techniques across a range of patient conditions and injuries.

The module will cover the rehabilitation planning for patients and the contemporary considerations relating to linear vs non-linear pedagogy.

Communication strategies for use with patients during treatment delivery will be covered to ensure that treatment delivery is optimal for each patient with consideration to the stage at which the treatment if delivered during the patient management process.

Content Summary

The unit will build from the technical teaching of passive treatment skills such as manual therapy, electrotherapy, therapeutic handing, to active exercise prescription and rehabilitation planning.

The key treatment area covered with be related to the biopsychosocial (BPS) nature of pain management, developing therapeutic alliance and goal setting for treatment. The role of all treatment techniques will be discussed throughout the unit alongside their role within the intended BPS treatment plan.

Continued focus will be given to methods that develop problem solving skills, assessment, synthesis and integration skills and working within the multi and inter-disciplinary teams.

Direct treatment skills will include:

Musculoskeletal Example:
- Joint mobilisation techniques
- Joint manipulation techniques
- Introduction to Maitland/Mckenzie/Cyriax approaches
- Active assisted movement
- Neurodynamic mobilisation techniques
- Taping/bracing/orthosis
- Massage
- Traction
- Active release techniques
- Lymph drainage
- Instrument assisted and manual soft tissue release techniques
Cardiorespiratory Examples:
- Active cycle of breathing techniques and breathing exercises for improving lung volumes. Breathing control techniques.
- Pulmonary rehabilitation classes and exercises
- Manual chest techniques such as percussion
- Introduction to techniques used to support breathing of the critically unwell patient such as: body positioning, postural drainage techniques, manual and ventilatory hyperinflation techniques, thoracic expansion exercises, forced expiratory techniques, nebulisation, incentive spirometry, positive expiratory pressure devices and airway suctioning. Non-invasive ventilation, intermittent positive pressure ventilation devices, inspiratory muscle training options will also be covered.
Neuromuscular Examples:
- Techniques to influence muscle tone such as sensory stimulation, movement facilitation (Bobath), relaxation techniques.
- Motor relearning and plasticity
- Muscle strengthening techniques
- Joint mobility techniques (mechanical and manual assisted)
- Gait re-education
- Electrical stimulation techniques
- Proprioception training
Electrotherapy Examples:
- Transcutaneous electrical nerve stimulation (TENS)
- Neuromuscular electrical stimulation (NMES)
- Ultrasound therapy
- Shortwave therapy
- Lazer therapy
- Shockwave
Alongside the practical skills technical learning the students will be taught record keeping skills so that they will be able to record the treatments performed.

Rehabilitation strategies
- Periodisation
- Linear vs non-linear pedagogy
- Internal and external queues/language

Learning and Teaching Methods

Activity Type Hours
Seminar 48
Independent Study 160
Directed Study 144
Active/Simulation Based 48
Total Hours Selected 400

Learning Outcomes

# Learning Outcome
LO1 Competently perform a range of treatment skills and techniques.
LO2 Appraise treatment selection within the context of an overriding treatment/rehabilitation plan.

Module Requisites

N/A

Assessment Criteria

Assessment Category Assessment Type Description Duration Word Count Weight (%) Best of? Pass Mark
Synchronous Onsite Practical Assessment Production (Onsite) 1 Teach movement tasks to a patient. Discuss progression and regression options available 20 N/A 50 No 40
Synchronous Onsite Practical Assessment OSCE 1 Skills competency assessment and Evidence review. Multi-stationed skills exam 60 N/A 50 No 40

Assessment Matrix

Assessment Type Learning Outcomes
LO1 LO2
Production (Onsite) 1
OSCE 1

Reading List

Atkinson, K., Coutts, F. and Hassenkamp, A. M. (2005) Physiotherapy in Orthopaedics. Edinburgh: Elsevier.
Bennett, G. and Ebrahim, S. (1995) The essentials of health care in old age. 2nd ed. London: Edward Arnold.
Carr, J.H. and Shepherd, R.B. (2011). Neurological Rehabilitation: Optimizing Motor Performance. London: Churchill Livingstone
Cross, J., Broad, M., Quint, M., Harden, B., Ritson, P. and Thomas, S. (2020) Respiratory Physiotherapy Pocketbook. Edinburgh: Elsevier.
Damjanov, I., Morovic Perry, A. and Perry, K. (2021) Pathology for the Health Professions. Philadephia: Elsevier.
Fox, J. and Day, R. (2009) A Physiotherapists Guide To Clinical Measurement. Edinburgh: Churchill Livingstone.
Hengeveld, E. and Banks, K. (2013) Maitland’s Peripheral Manipulation. 5th edition. Edinburgh: Elsevier.
Hess, D. and Kacmarek, R. (2018) Essentials of Mechanical Ventilation. New York: McGraw-Hill.
Hough, A. (2001) Physiotherapy in respiratory care: an evidence-based approach to respiratory and cardiac management. 3rd ed. Cheltenham: Nelson Thornes.
Kacmarek, R. (ed) (2021) Egan’s fundamentals of respiratory care. 12th Edition. St Louis: Elsevier.
McKeogh Spearing, E., Pelletier, E. and Drnach, M. (2021) Tecklin’s Pediatric Physical Therapy. Philadelphia: LWW.
Main, E. and Denehy, L. (eds) (2016) Cardiorespiratory physiotherapy: Adults and Paediatrics. 5th edition. Edinburgh: Elsevier.
Hengeveld, E. and Banks, K. (eds) (2014) Maitland’s vertebral manipulation. 8th edition. Oxford:Elsevier.
Kotwal, P. and Mittal, K. (2020) Joshi and Kotwal’s Essentials of Orthopaedics and Applied Physiotherapy, 4th ed. India: Elsevier India.
Meena, R.L. (2017) Concise Electrotherapy. India: CBS Publishers & Distributors.
O’Hara, J. and Sperlinger, A. (1997) Adults with learning disabilities. Chichester: Wiley
Petty, N. J. and Ryder, D. (eds) (2018) Musculoskeletal examination and assessment: a handbook for therapists. Fifth edition. Edinburgh: Elsevier.
Poor, H. (2018) Basics of Mechanical Ventilation. Cham: Springer.
Shepherd, R. A. B. (1995) Physiotherapy in Pediatrics, 3rd edition. Oxford: Butterworth-Heinemann.
Spector, T. and Axford, J. (1999) An Introduction to General Pathology. Edinburgh: Churchill Livingstone.
Truwit, J. and Epstein, S (2011) A practical guide to mechanical ventilation. Chichester: Wiley-Blackwell.
Verheyden, G., Lennon, S. and Ramdharry, G. (eds) (2018) Physical management for neurological conditions. 4th edition. Amsterdam: Elsevier.
Ward, J. P. T., Ward, J. and Leach, R. M. (2015) The respiratory system at a glance. 4th edition. Chichester: John Wiley & Sons.
Winkelman, N. (2020) The language of coaching?: the art & science of teaching movement. Illinois: Human Kinetics.