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Movement in Physiotherapy Practice. Movement Studies 2009. What have we learnt so far?. Terminology – used to describe parts of the body and movements. Biomechanics Bones and joints Muscles and movement Normal movement Exercise prescription Posture and analysis. The week ahead.

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Movement in physiotherapy practice

Movement in Physiotherapy Practice

Movement Studies

2009


What have we learnt so far
What have we learnt so far?

  • Terminology – used to describe parts of the body and movements.

  • Biomechanics

  • Bones and joints

  • Muscles and movement

  • Normal movement

  • Exercise prescription

  • Posture and analysis


The week ahead
The week ahead

  • Building on knowledge gained.

    • Neurology and planning movement.

    • Analysing movement.

    • Physiotherapist as an educator.

    • OSCE practise

    • Review of the week

      Image www.uni-tuebingen.de


Learning outcomes
Learning Outcomes

  • Discuss why a knowledge of normal movement is important in all areas of physiotherapy

  • Discuss briefly how movement is influenced by dysfunction in the musculoskeletal, nervous and cardiorespiratory systems


Holistic view of human movement‘Movement is the output of a hybrid functional system interlinked to its environment in which sensory, cognitive and motor processes interact’ (Mulder et. Al. 1996)


Change in normal body systems
Change in normal body systems

  • Think back to the relationship between structure and function highlighted in the bones & joints and muscles & movement sessions

  • What is the impact of any sort of physical training on the musculoskeletal and cardiovascular systems?

    • Is the nervous system affected?

  • What happens when we learn and perfect a new skilled movement or task?


Task

  • Think back to your observational / work experience……

    What sort of patients did you see who had problems with movement?

    Why did these patients have problems with movement i.e. what caused the movement dysfunction?

  • Be prepared to feedback...


The impact of disease and disorder on normal movement
The impact of disease and disorder on normal movement

  • Consider the impact of a fractured ankle (recently out of plaster) on the three body sysytems

    • Musculoskeletal

    • Cardiorespiratory

    • Neurological


The impact of disease and disorder on normal movement1
The impact of disease and disorder on normal movement

  • Consider the impact of an amputation on the same three systems


The impact of disease and disorder on normal movement2
The impact of disease and disorder on normal movement

  • Consider the impact of a stroke or other significant brain injury on the musculoskeletal, cardiorespiratory and neurological systems.


Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and activities of daily living


Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL


Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL


Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL


Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL


Musculoskeletal:

Pain & Stiffness

MOVEMENT

Neurology:

Functional difficulties

(Movement)

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems


Musculoskeletal:

Pain & Stiffness

MOVEMENT

Neurology:

Functional difficulties

(Movement)

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems


Movement in physiotherapy practice1
Movement in Physiotherapy Practice

  • There is a large degree of ‘plasticity’ in the normal human being. What we do drives our physical make up.

  • Changes in any one system as a result of conditioning, training, learning, deconditioning, disease, disability etc will result in changes in other systems

MS.Mvt lecture.2008


Movement in physiotherapy practice2
Movement in Physiotherapy Practice

  • All patients encountered in physiotherapy practice present with some sort of movement dysfunction

  • Our skill lies in being able to analyse this dysfunction and considering the underlying pathology decide on an appropriate course of action

  • It is imperative to maintain a holistic, multi-system approach when dealing with patients

  • The skills and knowledge gained thus far have application to all areas of physiotherapy practice

MS.Mvt lecture.2008


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