Course Title: Provide myofascial dry needling treatment

Part B: Course Detail

Teaching Period: Term2 2016

Course Code: COTH5007

Course Title: Provide myofascial dry needling treatment

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C6135 - Advanced Diploma of Myotherapy

Course Contact: Joshua Davies

Course Contact Phone: +61 3 9925 4333

Course Contact Email: joshua.davies@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

 

Bianca Alivizatos

bianca.alivizatos@rmit.edu.au

 

 

 

 

 

 

 

 

 

 

 

Nominal Hours: 60

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

Learners must complete the Diploma of Remedial Massage HLT50307 (or equivalent) prior to enrolling in this program.

 

Course Description

This course is designed to provide the skills and knowledge to enable the participant to administer myofascial dry needling treatment. It assumes that the participant already has the competency to provide remedial massage treatment.
There are no licensing requirements related to this unit, but there are a range of local government, State and Federal laws and regulations that relate to its practice by a myotherapist.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

VU21418 Perform myofascial dry needling treatment

Element:

Apply the central principles and practices of myofascial dry needling treatment

Performance Criteria:

1.1   Myofascial dry needling treatment principles and role of therapy and the therapist are specified to the client

1.2   Myofascial dry needling treatment principles and practices are related to the client’s health conditions

1.3   Recent developments and current best practices principles are integrated into the treatment

1.4   Measures to reduce risk, improve safety and enhance treatment outcomesare employed by the therapist

 

Element:

Perform myofascial dry needling

Performance Criteria:

4.1    The work environment is correctly prepared to conduct myofascial trigger point needling

4.2    Required resources are organised for effective treatment

4.3    Needles, cotton buds, biowaste and sharp’s disposal units are placed correctly

4.4    Myofascial dry needling  is performed with the correct clinical procedures to ensure treatment goals are achieved

4.5    Best practice checks and balances are utilised to ensure client safety

4.6   Clinical guidelines for correct administration of myofascial dry needling are adhered to

4.7       Effectiveness of the myofascial dry needling in treating the client’s condition is evaluated

 

Element:

Work within clinic and regulation guidelines

Performance Criteria:

2.1   Clinic,legal and regulatory requirements for myofascial dry needling treatment are identified and adhered to

 

2.2   All relevant documentation is sourced and organised to communicate the key regulatory requirements to other relevant work personnel

2.3   A strategy/response to a range of given clinical scenarios is developed to ensure that appropriate guidelines are followed

2.4   Clinical guidelines are developed to ensure skills and practices are periodically reviewed & maintained

2.5   Personal hygiene and infection control guidelines are established and practised

2.6   Informed consent is sought from the client before commencing myofascial dry needling treatment

Element:

 Assess the client to determine if myofascial dry needling is indicated

Performance Criteria:

3.1 The client’s history is collected to accurately describe and determine the condition

3.2   An objective examination is conducted to assess function & dysfunction and reproduce presenting symptoms

3.3   Myofascial trigger points are accurately palpated relevant to the presenting condition/symptoms

3.4   The need to apply myofascial dry needling  to improve the client’s condition is determined

 

 


Learning Outcomes


To be considered competent in this course, participants must be able to:

  • Apply knowledge of the philosophies and principles of myofascial dry needling practice
  • Work within the relevant clinic and regulation guidelines to achieve required quality standards
  • Provide clients with required information on myofascial dry needling
  • Record client record details appropriately
  • Communicate effectively in a one-to-one and group setting
  • Prepare the clinical environment for myofascial dry needing treatments
  • Carry out musculoskeletal and physiological assessment procedures relevant to myofascial dry needling
  • Apply myofascial dry needling techniques effectively on at least 10 occasions on a range of clients and on a variety of body areas
  • Evaluate the effectiveness of myofascial dry needling treatment on the client.


Details of Learning Activities

All class learning materials, notes and other key learning resources can be accessed via myRMIT at www.rmit.edu.au/learninghub.
A combination of activities will support student’s learning in this course, such as:
• Face-to-face &/or online lectures to cover theoretical and practical concepts for each topic in the course
• Students will learn to apply their skills and knowledge to work integrated learning (WIL) in the student & clinical practice environment, during simulations and classroom based learning
• Work experience &/or placements observation of performance in the workplace will be a valuable part of your learning experience
• Tutorial activities (individually and in teams) to discuss, debate, critique and consolidate your ideas and extend your understanding around key concepts within specific topics
• Online discussions and activities to support and collaborate with other students in your course and debate and discuss ideas
• Utilise and develop critical research and cognitive skills to find credible sources of health information
• Self-directed study time (eg. readings or activities around theory) to enhance and strengthen your knowledge and understanding of theoretical concepts
• To further facilitate learning students are strongly encouraged to use a range of communication tools between themselves and their course instructor as well as between themselves and fellow students by using the online learning platform
• It is strongly recommended that students partner up with fellow students in order to practice assessment, treatment and palpation techniques


Teaching Schedule

Myofascial Dry Needling 2016 – Sem 2

RMIT week

Date

Class Topics and Assessments

28

7-Jul

Orientation: Subject guide discussed, MDN and Acupuncture explained, legal and ethical considerations.

29

14-Jul

Infection Control Policy and Procedures

Handling needles

30

21-Jul

Pain Physiology, Trigger Point Theory and     Dermatome Theory

31

28-Jul

Dermatome Needling: Upper and Lower limb

32

4-Aug

MDN: Tibialis Anterior and Gastrocnemius

33

11-Aug

Online Theory Test

MDN: Rectus Femoris, Vastus Medialis and Vastus Lateralis

34

18-Aug

MDN: Biceps Femoris, Semimembranosus, Semitendinosus, Soleus

35

25-Aug

MDN: TFL, Gluteus Medius, Peroneals

36

1-Sep

Mid Semester Break

37

8-Sep

MDN: Piriformis, Gluteus Maximus, Adductor Longus, Adductor Magnus

38

15-Sep

MDN: Quadratus Lumborum and Erector Spinae Group

39

22-Sep

Practical Case Study Test 1

40

29-Sep

MDN: Rhomboids, Levator Scapulae, Upper Trapezius, Deltoids

41

6-Oct

Scientific Evidence: Facilitation and MDN of   Upper Trapezius, Lower Trapezius, Teres Minor, Multifidus

42

13-Oct

MDN: Splenius Capitus & Cervicis, Semispinalis, Teres Major, Supraspinatus and Infraspinatus

43

20-Oct

MDN: Biceps, Brachioradialis, ECRL, ECRB, ECU and Supinator

44

27-Oct

MDN: Triceps, FCR, FCU, Flexor Digitorum,Pronator Teres and Hand

45

3-Nov

MDN: SCM, Masseter and Temporalis

46

10-Nov

Practical case Study Test 2

 

 

 

 

 

 

 


Learning Resources

Prescribed Texts


References


Other Resources

 Recommended Texts

  • Travell, JG Simons, DG & Simons, PT 1999, Myofascial pain and dysfunction. The trigger point manual. Vol 1, 2nd edn, Williams & Wilkins, Baltimore.
  • Travell, JG Simons, DG & Simons, PT 1999, Myofascial pain and dysfunction. The trigger point manual. Vol 2, 2nd edn, Williams & Wilkins, Baltimore.
  • Butler, D & Moseley, L, 2003, Explain Pain, NOIGROIP, Adelaide, Australia.
  • Finando, D & Finando, S, 2005, Trigger Point Therapy for myofascial pain; the practice of informed touch, Healing Arts Press, Vermont USA.

 


Overview of Assessment

Assessment for this course forms part of the Advanced Diploma Remedial Massage (Myotherapy).
Primary assessment involves on-going practical and applied assessment in a clinical workplace or simulated environment such as a supervised student clinic.
Assessment is typically based around written and/or online tests, assignments, reflective journals, evidence portfolio’s, logbooks and/or practical demonstrations.
Competency based training requires the student to be in attendance in order for assessment to be undertaken.
Assessment is undertaken through successful completion of all assessment activities and classroom, project & industry participation.
Assessments are spaced across the duration of the course, in order for your teacher to provide you with progressive feedback.
Feedback will be provided throughout the semester in class and/or online discussions, through individual and group feedback on practical exercises and by individual consultation.
If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.
An RMIT assessment charter (http://mams.rmit.edu.au/kh6a3ly2wi2h1.pdf) summarises your responsibilities as an RMIT student as well as those of your teachers.
Your course assessment conforms to RMIT assessment principles, regulations, policies and procedures which are described and referenced in a single document, the Assessment policies and procedures manual (http://www.rmit.edu.au/browse;ID=ln1kd66y87rc).

 


Assessment Tasks

You will need to be deemed satisfactory in ALL aspects of each assessment task in order to achieve competency for this course.

1. Online Theory Test          

You are required to complete an online theory test of essential skills and knowledge. This test will be conducted during week 33. It will be open to complete from 9am Monday the 8th of August until 5pm on Friday the 12th of August. You will be given a maximum of 3 opportunities to receive a mark of 100% to be deemed satisfactory for this assessment.                                                                                                                      

2. Practical Assessments

These tasks are a practical assessment of your trigger point needling skills and knowledge.

             Practical Case Study test 1 – Lower Body                      Week 39, Thursday 22nd September

             Practical Case Study test 2 – Upper Body                      Week 46, Thursday 10th November

 3. Practical Demonstration in Clinic

 

  1. There are a number of tasks (refer to the attached MDN Skills Checklist) to be completed within the Myotherapy student clinic by 11 November 2016.


Assessment Matrix

National Unit Code: VU21418Assessment Tasks
1. Test2. Practical Demonstration3. Clinical Practice
National Unit Title: Provide Myofascial Dry NeedlingQuestionsCase StudiesSee MDN clinic checklist             1    TrP 2 Derm
12345678910121234567 
 
Elements and performance criteria                    
1 Apply the central principles and practices of myofascial dry needling treatment.            1234567 
1.1 Myofascial dry needling treatment principles and role of therapy and the therapist are specified to the client           
1.2 Myofascial dry needling treatment principles and practices are related to the client’s health conditions          
1.3 Recent developments and current best practices principles are integrated into the treatment               
1.4 Measures to reduce risk, improve safety and enhance treatment outcomes are employed by the therapist           
2 Work within clinic and regulation guidelines.            1234567 
2.1 Clinic, legal and regulatory requirements for myofascial dry needling treatment are identified and adhered to             
2.2 All relevant documentation is sourced and organised to communicate the key regulatory requirements to other relevant work personnel.           
2.3 A strategy/response to a range of given clinical scenarios is developed to ensure that appropriate guidelines are followed.            
2.4 Clinical guidelines are developed to ensure skills and practices are periodically reviewed & maintained.            
2.5 Personal hygiene and infection control guidelines are established and practised             
2.6 Informed consent is sought from the client before commencing myofascial dry needling treatment            
3. Assess the client to determine if myofascial dry needling is indicated            1234567 
3.1 The client’s history is collected to accurately describe and determine the condition             
3.2 An objective examination is conducted to assess function & dysfunction and reproduce presenting symptoms           
3.3 Myofascial trigger points are accurately palpated relevant to the presenting condition/symptoms           
3.4 The need to apply myofascial dry needling to improve the client’s condition is determined          
4 Perform myofascial dry needling            1234567 
4.1 The work environment is correctly prepared to conduct myofascial trigger point needling             
4.2 Required resources are organised for effective treatment               
4.3 Needles, cotton buds, biowaste and sharp’s disposal units are placed correctly            
4.4 Myofascial dry needling is performed with the correct clinical procedures to ensure treatment goals are achieved          
4.5 Best practice checks and balances are utilised to ensure client safety             
4.6 Clinical guidelines for correct administration of myofascial dry needling are adhered to            
4.7 Effectiveness of the myofascial dry needling in treating the client’s condition is evaluated               
Required Skills             1234567 
• Clinical application guidelines for the practice of myofascial dry needling                    
- Client selection              
- Need for informed client consent            
- Treatment according to stage of condition           
- Client positioning            
- Trigger point palpation             
- Work flow process and guidelines             
• Clinical application of the practice of myofascial dry needling to specific health conditions in the following regions of the body                    
- Lower leg and foot muscles               
- Posterior, anterior and medial thigh muscles               
- Hip and pelvis muscles               
- Posterior spinal muscles               
- Pectoral girdle, glenohumeral and forearm muscles               
- Cervical spine muscles               
• Clinical application of the practice of dermatomal dry needling               
Required Knowledge            1234567 
• Relevant State and Federal legislation and regulations               
• Description of a myofascial trigger point and pain              
• Neurophysiological basis of myofascial pain syndrome                
• Central principles of pain physiology are specified             
• Factors that affect the client's perception of pain and responses to treatment               
• Neurophysiological basis of:                
- Muscle trigger points               
- Referred pain               
- Sensitisation mechanisms of trigger points               
• Pathophysiology of myofascial pain              
• Mechanisms and effects of myofascial dry needling               
• Safety guidelines with myofascial dry needling                
• Hygiene relevant to skin penetration, including Victorian Government hygiene guidelines for skin penetration                
• Client skin preparation                
• Needle & medical waste disposal                
• Prevention of needle stick injury                
• Absolute and relative contraindications for myofascial dry needling (MDN)                
• Anatomical considerations for needle insertion                
• Management of adverse reactions post treatment                    
- Pain                
- Bruising                
- Fainting                
- Pneumothorax                
• OHS requirements in the workplace                   
Critical Aspects of Assessment            1234567 
To be considered competent in this unit, participants must be able to:                    
• Apply knowledge of the philosophies and principles of myofascial dry needling practice            
• Work within the relevant clinic and regulation guidelines to achieve required quality standards             
• Provide clients with required information on myofascial dry needling               
• Record client record details appropriately            
• Communicate effectively in a one-to-one and group setting          
• Prepare the clinical environment for myofascial dry needing treatments             
• Carry out musculoskeletal and physiological assessment procedures relevant to myofascial dry needling             
• Apply myofascial dry needling techniques effectively on at least 10 occasions on a range of clients and on a variety of body areas            
• Evaluate the effectiveness of myofascial dry needling treatment on the client.                 
Range Statement            1234567 
Myofascial dry needling principles include:                    
• Relevant code of ethics or code of conduct documents/policies, regulations and guidelines of national, state/territory or local myotherapy therapy organisations and/or associations                
• Relevant national, state/territory or local government regulations and guidelines                
• Accepted preventative practices adopted by self or                
peers to minimise safety hazards and risks in the same or similar situations                
• Current and past good practice demonstrated by self or peers in the same or similar situation                
• Delivering the highest possible professional care to all clients with consideration for the medical, ethical, social and religious needs of the client                
• Client confidentiality               
• Compliance with industry code of ethics and practice in relation to:                    
- informed consent             
- duty of care              
- draping             
- hygiene              
- the scope of client/therapist relationships               
- advertising                
- maintenance of equipment               
- social/cultural morals                
- equal treatment of all clients                
- psycho-emotional well being of clients                
• Referral of clients who want treatment outside the scope of the available services                
• Dealing appropriately with difficult clients                
Measures may include:                         
• Supervision of practice              
• Documentation of treatment and post-treatment prescription            
• Case notes            
• Performance reviews                
• Clinical and personal standards and procedures              
• Providing educational posters, brochures, etc, available for client perusal                
• Referral to other practitioners as appropriate                
• Providing explanation for treatments and advice             
• Providing demonstration and coaching of appropriate behaviours            
• Providing feedback to clients about improvements and treatment progressions                
Clinic’s guidelines may include:                    
Legal and regulatory requirements may include:            1234567 
• Procedures and guidelines                
• Purpose or mission statement                
• Code of ethics or practice                
• Level of competency and degree of supervision                
• Partnership/group decisions and agreed practice                
• Professional Indemnity and Public Liability Insurance guidelines                
• Best practice guidelines                
• OH & S guidelines                
• Child, youth and family legislation                
• Anti-discrimination legislation                
• Privacy Act                
• Infection control                
• First Aid                
• Health regulations                
• Local government regulations                
Relevant documentation may include:                    
• Full client history forms              
• Appropriate client records - including details of all assessments, treatments and responses              
• Recording of incidents                    
Other assessment requirements e.g: perform each performance criteria at least twice                    
Assessment methods must involve the practical demonstration of knowledge and skills in a real or simulated clinical environment.         
• Effective myofascial dry needling must be demonstrated on at least 10 occasions on a range of clients         
• Assessment must include the demonstration of practical skills and may also include (but is not restricted to)                    
- tests and essays                
- oral questioning and discussion              
- role play          
- case study analysis            

Other Information

Please refer to the documents attached for assessment tools for Practical Case Study Assessments 1 and 2

Course Overview: Access Course Overview