Movement in Physiotherapy Practice

1. Movement in Physiotherapy Practice Movement Studies 2009

2. 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

3. 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

4. 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

5. 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)

6. 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?

7. 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...

8. 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

9. The impact of disease and disorder on normal movement • Consider the impact of an amputation on the same three systems

10. 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.

11. Musculoskeletal: Pain & Stiffness Movement Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems Movement Neurology: Movement and activities of daily living

12. Musculoskeletal: Pain & Stiffness Movement Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems Movement Neurology: Movement and ADL

13. Musculoskeletal: Pain & Stiffness Movement Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems Movement Neurology: Movement and ADL

14. Musculoskeletal: Pain & Stiffness Movement Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems Movement Neurology: Movement and ADL

15. Musculoskeletal: Pain & Stiffness Movement Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems Movement Neurology: Movement and ADL

16. Musculoskeletal: Pain & Stiffness MOVEMENT Neurology: Functional difficulties (Movement) Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems

17. Musculoskeletal: Pain & Stiffness MOVEMENT Neurology: Functional difficulties (Movement) Cardiorespiratory: Respiratory difficulties Retained secretions Cardiac problems

18. 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

19. 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