Course Title: Perform myotherapy clinical assessment

Part B: Course Detail

Teaching Period: Term1 2020

Course Code: COTH5009

Course Title: Perform myotherapy clinical assessment

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C6159 - Advanced Diploma of Myotherapy

Course Contact: Laura Yeomans

Course Contact Phone: +61 3 9925 4289

Course Contact Email: laura.yeomans@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

 

Kesh Bassi

kesh.bassi@rmit.edu.au 

 

Toby Glennon

toby.glennon@rmit.edu.au


 

Nominal Hours: 100

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

This unit is clustered with COTH5011 Provide Myotherapy treatment (VU21878) and forms the Myo AxRx cluster.

Course Description

This unit describes the skills and knowledge required to assess a client’s condition in order to provide myotherapy treatment. It focuses on being able to effectively gather and interpret information during an examination and to make an accurate appraisal for myotherapy treatment.

No licensing, legislative, regulatory or certification requirements apply to this unit at the time of publication.

 

 

 


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

VU21876 Perform myotherapy clinical assessment

Element:

1. Evaluate the client's needs

Performance Criteria:

1.1 Client's purpose for consultation is established and symptoms being experienced are investigated 1.2 Services able to be provided and limitations of available services are clearly explained 1.3 Factors likely to have a negative impact on assessment are investigated in consultation with the client and strategies implemented to minimise the effects of these factors wherever possible 1.4 Personal abilities, level of professional competence and parameters of role are discussed with the client 1.5 Clients are referred to other health care providers where their needs are identified as beyond the scope of the services able to be provided, or if the needs of the client are best met by doing so 1.6 Legal rights of the client are promoted

Element:

2. Collect a thorough and relevant medical history of the client

Performance Criteria:

2.1 Information required from the client for the client's history is sought in an appropriate manner 2.2 Information forwarded by other health professionals is evaluated 2.3 Principles of confidentiality are explained and adhered to 2.4 Severity of client symptoms are identified and probable conclusions investigated 2.5 Information is collected and organised in a format that can be interpreted by other health professionals

Element:

3. Perform an examination of the client and analyse findings

Performance Criteria:

3.1 Appropriate areas of the client's body are exposed during the examination 3.2 Severity of symptoms, irritability of the pathology and the nature of the pathology/condition are evaluated during the examination 3.3 Contraindications or precautions are assessed, and testing is modified accordingly 3.4 Client feedback is sought on comfort levels and effect of clinical test 3.5 The client is positioned appropriately for therapist access and suitability for specific reliable tests 3.6 Client comfort, stability and modesty is observed and maintained 3.7 Preliminary assessment is made, documented and communicated to client 3.8 Specific details of signs and symptoms of the presenting complaint/s are elicited if appropriate 3.9 Suitable myotherapy assessment techniques are applied and analysed, including observations and tests of a client 3.10 Findings are interpreted to determine whether: - There is a relationship between the symptoms - There is any diurnal pattern in the behaviour of the symptoms - There are predisposing factors present that are related to the symptoms - There are aggravating factors relating symptoms

Element:

4. Plan appropriate client management strategy

Performance Criteria:

4.1 The interpretations of all data from examinations (subjective and objective) are correlated and evaluated to determine an appropriate differential clinical assessment 4.2 Information gathered is assessed and assigned priorities in consultation with client 4.3 Indications for referral are identified and noted 4.4 Management of selected treatment in relation to any other current therapies is negotiated 4.5 The appropriate treatment evaluation strategy is planned 4.6 Relevant documentation is prepared

Element:

5. Inform the client

Performance Criteria:

5.1 Rationale of the myotherapy assessment plan is discussed with client 5.2 Client enquiries are responded to using appropriate language and terminology 5.3 Client compliance and informed consent is negotiated 5.4 Client expectations/ prognosis is informed and educated 5.5 Any relevant information from medical or diagnostic reports is communicated to the client where appropriate 5.6 Any indications for referral and other collaborative options are discussed with client


Learning Outcomes


See elements of competency above 


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

Wednesday 09:30 – 12:30

Friday 9:30 – 12:30

12/02/20

Introduction to course and assessment requirements.

 

Principles of myotherapy assessment and treatment

  • Subjective examination: LOOTSRADIOP
  • Clinical Impression
  • Objective examination: Postural assessment

14/02/20

 Principles of myotherapy treatment and assessment

  • Objective examination: Gait,
  • Overview of 9 point flexibility test, Range of motion, Orthopedic/Special tests, Neural assessment (covered further in semester 2)
  • Treatment principles: MFTT, Cupping therapy, DIP

19/02/20

Principles of myotherapy treatment and assessment continued:

  • Treatment Principles: MET, Joint mobilisations
  • Case study scenarios

21/02/20

Cervical Region:

  • Principles of optimal function
  • Common pathologies
  • Observation

26/02/20

Cervical Region:

  • Range of motion assessment
  • Orthopedic/special tests
  • Treatment: MFTT, Dip, Cupping

28/02/20

Cervical Region:

  • Treatment: MET, Joint mobilistaions
  • Corrective Exercises

 

04/03/20

Cervical Region:

  • Treatment & Corrective exercises continued
  • Assessment preparation

 

06/03/20

Assessment Task 2.1 Cervical. 

11/03/20

Assessment Task 2.1 Cervical.

13/03/20

   Knee & Ankle Region:

  • Principles of optimal function
  • Common pathologies
  • Observation

18/03/20

Knee & Ankle Region:

  • Range of motion assessment
  • Orthopedic/special tests
  • Treatment: MFTT, Dip, Cupping

 

 

20/03/20

  Knee & Ankle Region:

  • Treatment: MET, Joint mobilistaions
  • Corrective Exercises

25/03/20

Knee & Ankle Region:

  • Treatment & Corrective exercises continued
  • Assessment preparation

 

27/03/20

Scheduled Resits Cervical Region

Knee & Ankle Region Revision

01/04/20

Assessment Task 2.2 Lower leg/Ankle

 

03/04/20

Assessment Task 2.2 Lower leg/Ankle

08/04/20

Lumbopelvic & Hip Region:

  • Principles of optimal function
  • Common pathologies
  • Observation

Mid-Semester Break 09/04/20 – 15/04/20

17/04/20

Lumbopelvic & Hip Region:

  • Range of motion assessment
  • Orthopedic/special tests
  • Treatment: MFTT, Dip, Cupping

22/04/20

Lumbopelvic & Hip Region:

  • Treatment: MET, Joint mobilistaions
  • Corrective Exercises

24/04/20

Lumbopelvic & Hip Region:

  • Treatment & Corrective exercises continued
  • Assessment preparation

29/04/20

MDN Revision

01/05/20

Scheduled Resits Lower leg/Ankle Region

Lumbopelvic & Hip Region Revision

 

06/05/20

Assessment Task 2.3 Lumbopelvic & Hip

08/05/20

Assessment Task 2.3 Lumbopelvic & Hip

13/05/20

GH Complex & Scapulothoracic Region:

  • Principles of optimal function
  • Common pathologies
  • Observation

15/05/20

GH Complex & Scapulothoracic Region:

  • Range of motion assessment
  • Orthopedic/special tests
  • Treatment: MFTT, Dip, Cupping

 

20/05/20

GH Complex & Scapulothoracic Region:

  • Treatment: MET, Joint mobilistaions
  • Corrective Exercises

 

22/05/20

GH Complex & Scapulothoracic Region:

  • Treatment & Corrective exercises continued
  • Assessment preparation

27/05/20

Scheduled Resits Lumbopelvic & Hip Region

GH Complex & Scapulothoracic Region  Revision

 

29/05/20

Assessment Task 2.4 GH Complex & Scapulothoracic Region

 

03/06/20

Assessment Task 2.4 GH Complex & Scapulothoracic Region

 

05/06/20

Scheduled Resits

10/06/20

Scheduled Resits

12/06/20

MDN Revision

 


 

Semester 2, 2020.  One 3 hour class per week. TBC

 

 

Week 1. 09/07/20 – Elbow, Forearm, Wrist & Hand – ROM, Anatomy Review

Week 2. 16/07/20 – Elbow, Forearm, Wrist & Hand – Lateral Elbow Pain

 

Week 3. 23/07/20 – Elbow, Forearm, Wrist & Hand – Medial Elbow Pain

 

Week 4. 30/07/20 – Elbow, Forearm, Wrist and Hand – Carpel Tunnel Syndrome

Week 5. 06/08/20 – Elbow, Forearm, Wrist and Hand – Assessment Review

Week 6. 13/08/20 – Elbow, Forearm, Wrist and Hand Assessment 2.5

 

Week 7. 20/08/20 – Intro to Neuro – Assessment 2.5 Resits

Week 8. 27/08/20 – Neurodynamics – Myotome & Dermatome Testing

 

31/08/20 – 06/09/20 Mid-semester Break

Week 9. 10/09/20 – Neurodynamics – Myotome & Dermatome Testing

Week 10. 17/09/20 – Neurodynamics – ULNT1

 

Week 11. 24/09/20 – Neurodynamics – ULNT2

Week 12. 01/10/20 – Neurodynamics – Upper body review

Week 13. 08/10/20 – Neurodynamics – Lower body

Week 14. 15/10/20 – Neurodynamics – Lower body

Week 15. 22/10/20 – Neurodynamics – Assessment Review

Week 16. 29/10/20 – Neurodynamics Assessment 2.6

Week 17. 05/11/20 – Assessment 2.6 Resits

 


Learning Resources

Prescribed Texts


References

P, Brukner, K, Khan, 2017, Brukner & Khan's Clinical Sports Medicine, 5th Edition, McGraw Hill Education, North Ryde, NSW.

9781743761380


Other Resources

Overview of Learning Resources:
Students will be expected to utilise a range of recent and appropriate library, electronic, text and other resources.
Students will be provided with resources and tools for leaning in this course through myRMIT.
Readings given in class times and relevant literature as it comes to hand are important in order to maintain an up to date knowledge of the industry

Recommended Text:

P, Brukner, K, Khan, 2017, Brukner & Khan's Clinical Sports Medicine, 5th Edition, McGraw Hill Education, North Ryde, NSW.

 

Students are required to wear closed toe shoes and bring 2 clean towels to practical classes.


Overview of Assessment

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.

 

 

Assessment Task 1 - Clinic Observation skills checklist

Assessment Task 2 - Practical case study assessments


Assessment Tasks

 

 AT1: Myo AxRx Clinic observation skills checklists

All clinic skills in the Myo AxRx section of the clinic skills checklist must be completed in the RMIT student Myotherapy clinic.  Each skill must have the required satisfactory observations by the clinic supervisors. Please see clinic checklists for a list of these skills.

These skills must be completed prior to final clinic shift.

 

AT2: Myo AxRx Practical Assessments

6 Practical case study based assessments will be held during class time.  Students will be assessed on practical skills and knowledge.  These practical assessments incorporate skills from other courses/subjects, so please check assessment tools carefully.

 

All components of the assessment must be shown to a satisfactory level for the student to be deemed competent for these courses.

 

AT 2.1 - Cervical practical case study.

AT 2.2 - Lower leg, foot & ankle

AT 2.3 - Hip, Pelvis and lumbar practical case study.

AT 2.4 - Gleno-humeral joint practical case study.

AT 2.5 - Elbow, forearm, wrist & hand

AT 2.6 - Neurological and neurodynamic practical case study

 

 

All assessments must be satisfactory for a student to be deemed competent in these units.

 


Assessment Matrix

Other Information

The Myotherapy Assessment & Treatment subject is delivered face-to-face over two, 3 hour classes per week for the first semester and 1 class per week for the second semester (see learning schedule for dates & topics).

This subject aims to further develop the essential knowledge and skill required by a practising

Myotherapist. Students will learn the practical skills and knowledge required to identify abnormal soft tissue function and apply techniques to positively correct this.  There will also be incorporation of Myofascial Dry Needling so please have appropriate clothes available. 

 

Direct soft tissue therapy treatment skills and clinical assessment tools developed at the Diploma level will be advanced. The subject will also progress learning in anatomy, physiology and occupational health and safety (OH&S).

Course Overview: Access Course Overview