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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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Presentation Transcript
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
slide5

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?
slide7
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.
slide11
Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and activities of daily living

slide12
Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL

slide13
Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL

slide14
Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL

slide15
Musculoskeletal:

Pain & Stiffness

Movement

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

Movement

Neurology:

Movement and ADL

slide16
Musculoskeletal:

Pain & Stiffness

MOVEMENT

Neurology:

Functional difficulties

(Movement)

Cardiorespiratory:

Respiratory difficulties

Retained secretions

Cardiac problems

slide17
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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