PHYT8002

Performance of Movement & Function

Topic Coordinator:
Alex Bond
2020
 Topic Information
• Teaching staff:
– Alex Bond (TC)
– Claire Baldwin Placement Education
– Belinda Lange Coordinator:
Jill Williams
– Robyn Gill
– Jill Williams

• Lecture: Monday 8am-10am Please come to your

- U_HSLTC_3.06-3.07-3.08-3.09
timetabled practical time!
• Practical (varied locations): We don’t have the space to
Thursday 12-2pm have more than half of you!
Thursday 2-4pm
• Week by week outline on FLO and in topic booklet
 Content overview

• Foundational skills to facilitate patients to ‘perform

movement, and function’
– Massage (therapeutic touch)
– Manual handling
– Gait aids
– Exercise: in therapeutic contexts
• Principles of orthopaedics
– Select conditions and their acute/medical management
• Hip, knee, shoulder, pelvic and traumatic injuries/surgery
– Physiotherapy assessment
– Intervention: apply principles of manual handling, gait
aids and exercises to post-operative physiotherapy
care
• Clinical placement (including preparation)
 Musculoskeletal Practice 1
Performance of Clinical reasoning, assessment of conditions
movement and (musculoskeletal, orthopaedic, rheumatologic)
in the outpatient setting, conservative

function physiotherapy assessment (including diagnosis)

and management), consent, documentation,
handling, communication

Inter-professional practice
Communication, health care settings,
discharge planning, working in teams

Foundational Clinical
placement: CP1
• Week 25 (Monday 15th June)
Or
• Week 26 (Monday 22nd June)

Early Placements 2+3→

Acute and rehabilitation settings
Supplement teaching in cardio, neuro, msk/ortho
 Expectations: assumed knowledge

• Tissue injury and repair mechanisms and timelines

– Fracture healing

• Pain mechanisms – acute and chronic

• Basic knowledge (pathophysiology) of orthopaedic and

rheumatologic conditions
– Osteoarthritis, Rheumatoid Arthritis

• ANATOMY
– Skeletal: including landmarks and surface anatomy
– Muscle: origin and insertion, action (prime movement and accessory),
neural innervation (myotome and peripheral nerve), normal range of
motion
– Sensation: dermatomes and peripheral nerves
– Other structures, ligaments, tendons, meniscus, vascular
Expectations: ‘masters’ students
• Responsibility for your own learning
– Prepare for the lecture and practical each week, guided by
direction from topic teaching staff
– Participate in lectures and practical sessions
• ask questions
• make sure you get feedback on your practical skills
– Cover ‘gaps’ in your knowledge by reading around the topic
using reference textbooks and readings
• Organisation
• Communication
• ‘Academic’ work
• Social media and professional profile
Expectations workload: 135 hours
Activity Approximate hours

Lectures (10 x 2h) 20

Practicals (10 x 2h) 20

Independent practice (10 x 2h) 20

Mid-semester OSCE (practice time) 8

End-semester practical exam (practice time) 8

Written exam (revision time) 18

Clinical placement (attendance and reflection) 38

Reflective assignment 3
Practicals
• Relate directly to and build on the immediately prior lecture
content each week
• Practical & lab room room rules, etiquette, expectations:
– Water only (no food)
– Appropriate footwear - in nursing labs, shoes must be closed in
– Clothing to move freely, see/assess movement patterns
– Hand hygiene
– Tidy up
– Own safety
– Care of equipment
• Time-on-task-orientated
• Rely on student initiative to maximise practice time (access to
tutors and equipment)
• Use time to practice communication, including ‘role play’
• Use of ‘case scenarios’ to scaffold learning ready for clinical
contexts
 Practicals

• Nothing is complete/exhaustive
– The practical skills that are taught and case presentations are
not the only way to treat a ‘case’ or approach a clinical
situation
– They have been chosen to teach a skill for reasons such as:
based on a body of research, to articulate with previous or
known upcoming learning, in line with policies and
procedures at some of our clinical partner sites, in response to
feedback from the clinical field, to balance breadth and depth
of physiotherapy practice
• In practice (or a practical exam), you may choose to treat a
similar case differently and is acceptable providing it is
justified (clinical reasoning) and performed safely, such that
it is reasonable to expect it to be effective in addressing
treatment goals.
 Assessment: Practical exams
• Mid-semester OSCE (objective, structured clinical examination)
– Monday 6th April (week 6 of this topic)
– Given a time between approximately 9am-4pm
– Timetable to be confirmed closer to date

– ‘Free-practice time’
• W406 Practical room booked
– Week 5: Friday 3rd April 10am-12pm

• End of semester practical exam

– Friday 12th June (week 14, physio ‘exam week’)
– Given a time between approximately 9am-5pm (~30mins)
- You will be the therapist first, then the patient
– Timetable to be confirmed closer to date
Proposed OSCE set up – Week 6
• Examiner 1 • Examiner 2
9am 9am
 Student A (therapist)  Student C (therapist)
 Student B (patient)  Student D (patient)
9:10am 9:10
 Student C (therapist)  Student A (therapist)
 Student D (patient)  Student B (patient)
9:20am 9:20am
 Student D (therapist)  Student B (therapist)
 Student C (patient)  Student A (patient)
 Proposed OSCE set up
Room 1 Room 2
Massage/gait aids Massage/gait aids

Manual handling Manual handling

Mid semester practical exam (OSCE)
Example Scenario

Manual handling ‘Demonstrate how you would assist a patient up the

bed with slide sheet and 1 assistant. They are currently positioned
supine, but slumped down in bed’

Massage or gait aids scenario

‘Demonstrate your treatment of the upper thoracic area using effleurage
and kneading’

OR

‘Teach this patient to walk with crutches, PWB with a step-to pattern.
They are currently sitting in a chair.’
End of semester practical exam
Example Scenario
Your patient is a 75 year old woman who fell at home and sustained a right
sided pubic ramus fracture. There were no other orthopaedic injuries. The
medical team have decided on non-operative management.

The orders for management are

- NWB on the R side.
- R hip flexion allowed as comfortable

It is day 1 post admission. The patient can discharge once safely mobilising.

She is positioned in supine and is awake and alert.

Demonstrate how you would mobilise this patient to sit on the edge of the
bed, and then transfer to a chair.
Assessment: written exam
• Content from the entire topic
• Theoretical and ‘practical’ related, e.g.
– Reasoning/treatment selection
– Contra-indications and precautions
– Procedure details/medical management
– Complications and risks (signs and symptoms)
– Terminology (abbreviations)
– Patient education

• Different question types

– Multiple choice
– Short answer
– Brief clinical case related
– Other ‘quiz’ type styles
 Placement preparation
• Placement education coordinator: Jill Williams
– Allocations (timing and location)
– Compliance (placement requirements)

• Dedicated lecture time in week 12 to help

prepare
– Will be given ‘log book’ to take on placement and
instructions on how to complete (retained
throughout whole course as own
record/portfolio)
Placement preparation
Aspects of placement compliance are ‘built in’
1. Manual handling training
– Complete online training module (link on FLO page in week 2 module)
– Get evidence of completion (print screen/screen shot)
– Bring to first practical session
– Mandatory attendance at MH lecture and practical (Mon 2/3 and Thu
5/3)

2. Hand Hygiene Australia

– 2 modules (link on FLO)
• Hand Hygiene
• Infection Control

Other placement requirements on the college

clinical placements page:
http://www.flinders.edu.au/sohs/courses/clinical-placements.cfm
 A bit about me…
• Born and bred here…
• Graduated in 2013 with a Doctor of Physiotherapy.
• Returned home and began at the Repatriation
General Hospital in junior role on a 5 week
contract…
• Secured the New Graduate position in 2014 and
became permanent in 2015
• Main areas of work in elective orthopaedics,
musculoskeletal and sub-acute orthopaedic rehab.
• I enjoy everything…
• Currently part-time with Flinders University,
part-time with SA Health in a AHP3 position
working within orthopaedics and the
emergency department at Noarlunga Hospital

• My University working days are Monday, ½ day

Wednesday and Thursday – I live in W409
• Email = best mode of contact but do pop in to
see me at any time