Post on 10-Mar-2020
Directorate of Quality Assurance and Accreditation خشینبوتیدڵنیاییجۆریومتمانورایوبوڕێوهبو
Module (Course Syllabus) Catalogue
2019-2020
College/ Institute Hawler Health Technic
Department Physiotherapy
Module Name Surgical Rehabilitation Module Code
Semester Annual Credits 4
Module type Prerequisite Core Assist.
Weekly hours 3
Weekly hours (Theory) ( 1 )hr Class ( )hr Workload
Weekly hours (Practical) ( )hr Class ( 2 )hr Workload Lecturer (Theory) Dr. Samih Kakamam Hassan
E-Mail & Mobile NO. 07504467413 - alkalwuri@gmail.com
Lecturer (Practical) Dr. Samih Kakamam Hassan
E-Mail & Mobile NO. 07504467413 - alkalwuri@gmail.com
Directorate of Quality Assurance and Accreditation خشینبوتیدڵنیاییجۆریومتمانورایوبوڕێوهبو
Course Book
Course Description
At the end of this course, the students should be able to: This course serves as a foundation for other nursing courses of the programme. It is designed to provide students with the knowledge of basic surgical principles and theory, and nursing skills needed for practising nursing. The course emphasises the unique nature of client’s needs and importance of holistic nursing care. Recognize the basic concepts of orthopaedic pathology. Site standardized assessment tools and instruments for patient with musculoskeletal disorders. Recognize and interpret different clinical and radiological investigations for different musculoskeletal disorders Produce a professional physical therapist with particular skills in evaluating different radiological findings.
Course objectives
At the end of this course, the students should be able to: Understand the types and complication of surgery Develop a rehabilitation program to the stage before, during , and after surgical interventions Identify biological and physical principles related to musculoskeletal system health and diseases, which underpin physical therapy Understand the relationship between human structures and function, focusing on the musculoskeletal system. Recognize and interpret different clinical and radiological investigations for different musculoskeletal disorders.
Directorate of Quality Assurance and Accreditation خشینبوتیدڵنیاییجۆریومتمانورایوبوڕێوهبو
Student's obligation
All students must be attended minimum 85% of class and take all exams in the date which the department select.
Required Learning Materials
Data show, power point, patient and X--ray.
Assessment scheme
30 % Mid Term (10% Theory and 20% practical) 30% Quiz + Assignment (report, homework, seminar.) 25% Final practical 15% Final theory
Specific learning outcome:
Evaluate different orthopedic cases according to the specific
applied procedures.
Clarify the problems of each patient to design the suitable
treatment plan.
Apply different physical therapy modalities with the patient and
select appropriate technique with each case.
Consider effectively clinical diagnosis and investigations
during orthopedic patient management.
Apply understanding of radiology principles on demonstration
of evidence based practice.
Course References:
▪ Key references:
▪ Useful references:
▪ Magazines and review (internet):
Course topics (Theory) Week Learning Outcome
Introduction to Orthopedics: An Orthopedic patient,
history taking, clinical features, clinical examination,
and investigation (X- ray, CT scans, MRI scan, Bone
scan).
1 2
Fractures - types, classification, signs and symptoms,
complications. Fracture healing –factors affecting
fracture healing.
2 2
Principles of fracture management - reduction signs and
symptoms - open and closed, immobilization - sling,
cast, brace, slab, traction , lumbar and Cervical
3 2
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traction, external fixation, functional cast bracing.
Specific fractures and dislocations 4 1
Infective conditions: Definition, signs and symptoms,
clinical features, pathophysiology, radiological features,
medical, surgical management.
5 1
Define; review the postural abnormalities of spinal
column, clinical features, and deformities, medical and
surgical management.
6 1
Poliomyelitis: Definition, etiology, types,
pathophysiology, clinical features, deformities, medical
and surgical management.
7 1
Leprosy: Definition, cause, clinical features, medical
and surgical management. 8 1
Spinal conditions: Review the causes, signs and
symptoms, investigations, radiological feature. Of the
following conditions: Spondylolisthesis, Spinal canal
stenosis, Spondylolysis, Sacro-iliac joint dysfunction,
Sacralisation, Lumbarisation, Intervertebral disc
prolapse, Coccydynia.
9 3
First term examination 10 1
Orthopedic surgeries:
Arthrodesis, Osteotomy, Arthroplasty-partial and total-
Excision arthroplasty, excision arthroplasty with
implant, interpositional arthroplasty and total
replacement; Tendon transplant, Soft tissue release- tenotomy, myotomy
, lengthening; Arthroscopy, Spinal
stabilization, , External fixators, Synovectomy.
11 2
Shoulder joint:
Shoulder instabilities, Impingement syndrome
conservative and Postoperative management.
Total shoulder replacement and Hemi replacement. -
Post operative management. AC joint injuries -
rehabilitation. Rotator cuff tears- conservative and
surgical repair. Subacromial decompression – Post
operative management.
12 3
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Elbow and forearm: Excision of radial head - Post
operative management. Total elbow arthroplasty-Post
operative management.
13 1
Wrist and Hand: Total wrist arthroplasty. Repair of
ruptured extensor tendons. Flexor and extensor Tendon
lacerations – Postoperative PT management.
14 1
Carpal tunnel syndrome. 15 1
Hip: Joint surgeries- hemi and total hip replacement
Tendonitis and bursitis. - Management. 16 1
Knee: Lateral retinacular release, chondroplasty-
Postoperative management. Realignment of extensor
mechanism. ACL and PCL reconstruction surgeries.
Meniscectomy and meniscal repair - Post operative
management. Patellar dysfunction conservative
management.Patellar tendon ruptures and Patellectomy.
17 3
Knee joint replacement 18 1
Ankle and foot: Ankle instability. Ligamentous tears-
Post operative management. 19 1
Second term examination 20 1
Total 30
Practical Topics Week Learning Outcome
PT assessment for an Orthopedic patient,
history taking, clinical features, clinical examination
-Pain assessment- intensity, character, aggravating and
relieving factors, site and location.
Objective- on observation - body built swelling, muscle
atrophy, deformities, posture and gait. On palpation-
tenderness-grades, muscle spasm, swelling-methods of
swelling assessment, bony prominences, soft tissue
texture and integrity.
On examination –ROM – active and passive, resisted
isometric tests, limb length-apparent, true and
segmental, girth measurement, muscle length testing-
1 2
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tightness, Contracture and flexibility, special tests and
functional tests. Prescription of home
program. Documentation of case
records, and follows up.
Physiotherapy assessment in fracture cases.
Aims of PT management in fracture cases - short and
long term goals. Principles of PT management in
fractures - Guidelines for fracture treatment during
period of immobilization and guidelines for treatment
after immobilization period.
PT management in complications - early and late -
compartmental syndrome, fat embolism, delayed and
mal union, myositis ossificans, AVN, pressure sores etc.
2 2
PT assessment and management of upper limb fractures
and dislocations.
PT assessment and management of lower limb fractures
and dislocations including pelvis.
PT assessment and management spinal fractures.
3 2
Describe PT assessment and management for following
conditions – Osteomyelitis – acute and chronic, Septic
arthritis, Pyogenic arthritis,TB spine and major joints -
knee and hip.
4 1
Postural abnormalities of spinal column. Describe PT
assessment and management and home program. 5 1
Poliomyelitis PT. assessment and management after
surgical
corrections and reconstructive surgeries - emphasis on
tendon transfer and home program.
6 1
Leprosy PT assessment, aims, and management after
surgical procedures such as tendon transfer both pre and
post operatively.
7 1
Spinal conditions PT assessment, aims, and
management and home program of the following
conditions:
Spondylolisthesis, Spinal canal stenosis,
Spondylolysis, Sacro-iliac joint
dysfunction, Sacralisation, Lumbarisation,
8 1
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Intervertebral disc prolapse, Coccydynia
First term examination 9 3
Orthopedic surgeries:
Pre and postoperative PT assessment, goals,
precautions and PT management of following surgeries
such as: Arthrodesis, Osteotomy, Arthroplasty-partial
and total- Excision arthroplasty, excision arthroplasty
with implant, interpositional arthroplasty and total
replacement; Tendon transplant, Soft tissue release-
tenotomy, myotomy, lengthening; Arthroscopy, Spinal
stabilization, Re- attachment of limbs, External fixators,
Synovectomy.
10 1
Shoulder joint:
Shoulder instabilities, Impingement syndrome
conservative and Postoperative PT management.
Total shoulder replacement and Hemi replacement. -
Post operative PT management. AC joint injuries -
rehabilitation. Subacromial decompression – Post
operative PT management.
11 2
Elbow and forearm:
Excision of radial head - Post operative PT
management. Total elbow arthroplasty-Post
operative PT management.
12 3
Wrist and Hand:
Total wrist arthroplasty. Repair of ruptured extensor
tendons. Flexor and extensor Tendon lacerations –
Postoperative PT management.
13 1
Carpal tunnel syndrome PT management. 14 1
Hip: Joint surgeries- hemi and total hip replacement -
Postoperative PT management. 15 1
Knee joint ACL and PCL reconstruction surgeries -
Postoperative rehabilitation.
Patellar tendon ruptures and Patellectomy-
rehabilitation.
16 1
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Joint knee replacement - rehabilitation protocol. 17 3
Second term examination 18 1
Total 60
Questions Example Design 1. Short brief: 2. Multiple choices: 3. enumerate: 4. Define: 5. Matching
Extra notes: Here the lecturer shall write any note or comment that is not covered in this template and he/she wishes to enrich the course book with his/her valuable remarks.
External Evaluator This course book was approved after revision and acceptable for this stage
Evaluator: Dr. Yousif Rashed Mohammed