Integrated Neuro Musculoskeletal Assessment and Management

22M0710

Master

German

10.0

only summer term

1 semester

In this module, the knowledge acquired so far is discussed on the basis of clinical patterns of the cervical and lumbar spine region in connection with contributing factors and concomitant diseases (e.g. rheumatism, diabetes mellitus, nerve lesions/neuropathies). Additional manual techniques are taught and their practical implementation is learned. The background knowledge of chronification processes of neuromusculoskeletal complaints is deepened. Additional knowledge in the area of myofascial pain syndrome and the sensorimotor control system is taught. Emphasis is placed on the differential diagnosis and treatment of various lumbar and cervical pain presentations as part of the advanced clinical reasoning process. Furthermore, additional cervical and craniomandibular dysfunctions are highlighted in differential diagnostic processes. Students will be introduced to Continuing Professional Development in which therapeutic skills are continually reviewed, revisited and improved. All clinical skills of each complex of techniques are systematically reflected upon using the current external evidence related to the topic.

Block 1: Pattern recognition of complicated neuromusculoskeletal problems

• Deepening of manual skills as a consequence of the discussed pattern recognition
• Assessment of myofascial pain syndromes
• Knowledge of disturbed sensorimotor feedback mechanisms
• Clinical expertise and its link to study designs
• Assessment and management of nerve pain/neuropathic pain

Block 2: Complaints of the cervical spine and shoulder 

• Advanced neuromusculoskeletal functional diagnosis and management of the cervical spine (upper quadrant)
• Differential diagnosis of craniocervical, craniomandibular and glenohumeral syndromes
• Assessment and management of instability of the shoulder joint

IFOMPT criteria: A1, 2, 3; D1, 3, 4, 5, 6, 10; K1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12,13, 14, 15, 16, 17, 18; S1, 2, 3, 4, 5, 6, 7, 8, 9

The total workload for the module is 300 hours (see also "ECTS credit points and grading").

• Project Report, written or
• Learning diary

Learning diary of 15 pages 

Students will have in-depth theoretical and clinical knowledge of the classification of headache, spinal pain and nerve pain, their treatment and management. They have in-depth theoretical and clinical knowledge in the area of complex syndromes of the shoulder and cervical region. The students expand their knowledge of the functions and possible applications of manual therapy and their skills in recognising differential diagnoses and motor control mechanisms, especially in neuromuscular lumbar and cervical and craniomandibular dysfunctions and pain. They develop their knowledge of strategies and principles of manual therapy and muscular control. neuromusculoskeletal principles are known and can be integrated into manual therapy treatments.

Students develop their own scientific questions based on their extensive theoretical and clinical knowledge of neuromuscular assessment and management in various clinical syndromes.

Students integrate their knowledge of neuromuscular assessments and management strategies into the treatment of complex symptom constellations. They are able to apply their knowledge and clinical reasoning in new, unfamiliar cases and make transfers. In doing so, the students continuously develop their clinical reasoning skills. By linking the knowledge bases with clinical experiences, they develop clinical patterns that they can access. They use different reasoning strategies appropriate to the situation. They are flexible and quick in the selection of their clinical reasoning strategy. In doing so, they reflect on their approach independently and continuously and further develop their therapeutic skills in the sense of Continuing Professional Development.

By bringing together clinical skills and evidence-based knowledge, a basis for a mature research question is formed. They argue their decisions on the basis of their theoretical knowledge and clinical experience.

Students perform clinical assessments (including differential diagnostic findings and evidence-based treatment techniques for shoulder, lumbar ,cervical, craniomandibular dysfunction and pain and nerve pain. They integrate their knowledge of contraindications and pathologies into their treatment management. The students apply the respective (neuro)musculoskeletal treatment strategies as well as specific manual therapy techniques. They are able to apply various differential diagnostic tests of the lumbar and cervical region, the craniomandibular region and the craniocervical region and to develop treatment strategies taking into account the contraindications and indications.

Creativity in lateral thinking may lead to unique research questions

Students present their therapeutic decisions transparently and explain theoretical and clinical correlations of neuromuscular phenomena. They are able to verbalise their clinical reasoning and present their assessment and management strategies. They argue their decisions on the basis of their theoretical knowledge and clinical experience.

The integration of both knowledge parameters (clinical and evidence-based) are fundamentals that support the IFOMPT-OMT roles" Clinical Expert", "Leader/Manager" and "Professional".

• Musculoskeletal Therapy (Manual Therapy - OMT)

• Piekartz, Harry

• Unknown person
• Kapitza, Camilla
• Tampin, Brigitte
• Armijo-Olivo, Susan

Gunnar Licht