Students

CHIR8502 – Neuromusculoskeletal Diagnosis 2

2020 – Session 2, Weekday attendance, North Ryde

Notice

As part of Phase 3 of our return to campus plan, most units will now run tutorials, seminars and other small group learning activities on campus for the second half-year, while keeping an online version available for those students unable to return or those who choose to continue their studies online.

To check the availability of face to face activities for your unit, please go to timetable viewer. To check detailed information on unit assessments visit your unit's iLearn space or consult your unit convenor.

General Information

Download as PDF
Unit convenor and teaching staff Unit convenor and teaching staff convenor
stephney whillier
stephney.whillier@mq.edu.au
Contact via 9850 9387
17WW 356
by appointment
convenor
Matt Fernandez
matthew.fernandez@mq.edu.au
Contact via 9850 9523
17WW 369
by appointment
Credit points Credit points
10
Prerequisites Prerequisites
CHIR8501 or CHIR873
Corequisites Corequisites
Co-badged status Co-badged status
Unit description Unit description

This unit builds on the neurology and orthopaedics taught in CHIR8501. This unit is continuous with CHIR8501, with the two units together covering the full spectrum of clinically relevant neurological and orthopaedic conditions for chiropractic students. Students continue to develop competency in the complete neurological and orthopaedic examination and, especially in this unit, develop their skills in tailoring the examination to the patient and developing a differential diagnosis based on the patient's signs and symptoms at clinical presentation. The knowledge and understanding constructed in this way also enables students to discuss and analyse pertinent case studies with the necessary depth required.

Important Academic Dates

Information about important academic dates including deadlines for withdrawing from units are available at https://www.mq.edu.au/study/calendar-of-dates

Learning Outcomes

On successful completion of this unit, you will be able to:

  • ULO1: Perform the clinical neuromusculoskeletal history taking and examination with competency
  • ULO2: Draw on theoretical knowledge in order to tailor the physical examination to the clinical presentation of the patient and from this develop a differential diagnosis.
  • ULO3: Communicate an understanding of the content and clinical competency to fellow students and tutors.
  • ULO4: Demonstrate well developed clinical reasoning skills and the ability to diagnose conditions that are suitable for chiropractic care, and identify conditions that are contraindicated for chiropractic care including conditions of non-musculoskeletal origin
  • ULO5: Acquire knowledge to evaluate conditions, research these cases further using appropriate reference material and communicate findings

Assessment Tasks

Name Weighting Hurdle Due
Orthopaedics OSCE I and II 30% No week 6 and 12
Neurology OSCE I and II 20% No Week 7 and 12
Neurology Case Study 10% No 28 September, 5PM
Final Written Exam 40% No in examination period

Orthopaedics OSCE I and II

Assessment Type 1: Clinical performance evaluation
Indicative Time on Task 2: 7 hours
Due: week 6 and 12
Weighting: 30%

 

These will assess your competency in performing the Orthopaedic examination.

 
On successful completion you will be able to:
  • Perform the clinical neuromusculoskeletal history taking and examination with competency
  • Draw on theoretical knowledge in order to tailor the physical examination to the clinical presentation of the patient and from this develop a differential diagnosis.
  • Communicate an understanding of the content and clinical competency to fellow students and tutors.
  • Acquire knowledge to evaluate conditions, research these cases further using appropriate reference material and communicate findings

Neurology OSCE I and II

Assessment Type 1: Clinical performance evaluation
Indicative Time on Task 2: 7 hours
Due: Week 7 and 12
Weighting: 20%

 

These will assess your competency in performing the neurological examination.

 
On successful completion you will be able to:
  • Perform the clinical neuromusculoskeletal history taking and examination with competency
  • Communicate an understanding of the content and clinical competency to fellow students and tutors.
  • Acquire knowledge to evaluate conditions, research these cases further using appropriate reference material and communicate findings

Neurology Case Study

Assessment Type 1: Case study/analysis
Indicative Time on Task 2: 20 hours
Due: 28 September, 5PM
Weighting: 10%

 

Case study write-up. You may take any neurological condition. Write up a case study based on this condition as the diagnosis

 
On successful completion you will be able to:
  • Perform the clinical neuromusculoskeletal history taking and examination with competency
  • Draw on theoretical knowledge in order to tailor the physical examination to the clinical presentation of the patient and from this develop a differential diagnosis.
  • Communicate an understanding of the content and clinical competency to fellow students and tutors.
  • Demonstrate well developed clinical reasoning skills and the ability to diagnose conditions that are suitable for chiropractic care, and identify conditions that are contraindicated for chiropractic care including conditions of non-musculoskeletal origin
  • Acquire knowledge to evaluate conditions, research these cases further using appropriate reference material and communicate findings

Final Written Exam

Assessment Type 1: Examination
Indicative Time on Task 2: 20 hours
Due: in examination period
Weighting: 40%

 

Final examination: This will cover the content of the two strands for the entire semester. It tests your knowledge of the theory, and the ability to connect that knowledge to real life situations (e.g. case studies, clinical presentations). It will consist of a 3 hour written exam with multiple choice questions, and case studies.

 
On successful completion you will be able to:
  • Draw on theoretical knowledge in order to tailor the physical examination to the clinical presentation of the patient and from this develop a differential diagnosis.
  • Communicate an understanding of the content and clinical competency to fellow students and tutors.
  • Acquire knowledge to evaluate conditions, research these cases further using appropriate reference material and communicate findings

1 If you need help with your assignment, please contact:

  • the academic teaching staff in your unit for guidance in understanding or completing this type of assessment
  • the Writing Centre for academic skills support.

2 Indicative time-on-task is an estimate of the time required for completion of the assessment task and is subject to individual variation

Delivery and Resources

Delivery mode

This unit is characterised by a moderate degree of flexibility. It incorporates a variety of learning tools and media. It will comprise:

 

Strand 1

Orthopaedics

Strand 2

Neurology

TOTAL

Lectures

Class times & locations

2 × 2 hour lectures per week, weeks 1 – 12

Monday 3pm - 5pm (ONLINE)

Wednesday 11-1pm (ONLINE)

1 × 2 hour lectures per week, weeks 1 – 12

Tuesday 8-10am (ONLINE)

6 hours per week (Weeks 1-12)

Tutorials Class times & locations

 

1 × 2 hour tutorial class per week, weeks 2 – 12

Thursday 9am-11am or 11am-1pm (11WW 320)

1 × 2 hour tutorial class per week, weeks 2 – 13

Wednesday 2-4pm, 4-6pm, (choose one) in building 11WW 320 North lab

4 hours per week, weeks 2-12

Other

1- 2 hours per week revision, self-directed learning

1 - 2 hours per week revision, self-instructional learning and readings from the text

4 hours per week

 

Further details on class time and locations for this unit can be found at

https://timetables.mq.edu.au/2017/

 

 

Tutorials

 

You must attend the tutorial class in which you enrolled. Students must not exchange their class time. In special circumstances, you may request a specific change. These requests are to be submitted to the strand convener.

 

 

Attendance Requirements

 

If you miss your assigned tutorial in any week, you may request attendance at an alternative session, through email request and appropriate documentation to the unit convenor. This allowance may be used on a maximum of 2 occasions. If you have missed more than 2 tutorials without giving a reason to the unit convenor for the strand, you will be called to discuss your progress.

 

Unit Web Page

You can log in to ilearn learning system using the link below:

http://ilearn.mq.edu.au

 

All lectures will be posted on ECHO and/or Zoom links on iLearn. Lecture materials such as Powerpoint and additional material like videos will be available via links on iLearn.

 

4. Required and recommended resources

 

Strand 1: Orthopaedics

All lecture notes will be posted on ilearn for CHIR 8502.

 

Required Texts:

  1. Magee, D.J. (2014).  Orthopaedic Physical Assessment. 6th Edition. W.D Saunders, Philadelphia

 

Recommended Texts:

 

  1. Souza, T.A. (2009) Differential Diagnosis for the Chiropractor, Aspen Publications.
  2. Brukner, P., Khan, K. (2011) Brukner & Khan's Clinical Sports Medicine. 4th Ed: McGraw-Hill Book Company Australia.
  3. Evans, R.C. (2008) Illustrated Orthopaedic Physical Assessment: Mosby.

 

 

Strand 2: Neurology

Required:

HLTH8502 - Neurology Tutorial Course Manual – available on iLearn

 

Recommended:

 

  • Blumenfeld H (2010) Neuroanatomy through Clinical Cases. 2nd ed. Sinauer Associates Inc, Massachusetts. Distributed by Palgrave Macmillan, Victoria, Australia.

 

  • Gates P (2010) Clinical Neurology;  A Primer. Churchhill Livingstone Elsevier, Sydney, Australia

 

  • McCance KL, Huether SE, Brashers VL & Rote NS (2010) Pathophysiology, The biologic basis for disease in adults and children Mosby, Elsevier, Canada
  • Bickley LS (2009) Bate’s Guide to Physical Examination and History Taking. 10th ed. Wolters

 

Required Diagnostic Equipment (Neurological Diagnosis Kit):

  1. A diagnostic set with otoscope and ophthalmoscope (Welsh Allen series 97200-BI recommended - ~$515)
  2. A tailor’s measuring tape
  3. A 128Hz or 256Hz (vibration) and also a 512Hz (auditory) tuning fork (Al weighted)
  4. Neurotips (no sewing pins or pinwheels allowed strictly by WHS/Biosafety regulations)
  5. Large stem ear buds
  6. Disposable tongue depressors
  7. Tomahawk reflex hammer
  8. A number of tactile items e.g. key, coin etc
  9. A compass:

 

 

A note about textbooks:

Textbooks for this unit can be purchased online from Booktopia https://www.booktopia.com.au/coop.

The list of Macquarie University S1 2020 units and texts can be found on the Booktopia website.

Unit Schedule

Strand 1: Orthopaedics

Orthopaedics Timetable

Week

Lecture 1

Lecture 2

Tutorial 1

Week 1

27/7

Introduction to Neuromusculoskeletal Diagnosis II and the classification of neck pain (MF)

Neck Pain due to Serious Pathology

(MF)

No Tutorial

Week 2

3/8

Grade III Neck Pain

(MF)

Grades I-II Neck Pain

(MF)

Orthopaedic Physical Examination of the Cervical Spine - Part I

Week 3

10/8

Whiplash and Associated Disorders

(MF)

Thoracic Outlet Syndrome (MF)

Orthopaedic Physical Examination of the Cervical Spine - Part II

Week 4

17/8

Orthopaedic Examination of the Paediatric Patient (MF)

Causes of TMJ pain and dysfunction

(MF)

Orthopaedic Physical Examination of the Cervical Spine - Part III and Examination of the TMJ

Week 5

24/8

Conditions of the thoracic spine and rib cage

(MF)

Scoliosis and Scheuermann’s Disease (BB)

Physical Examination and Orthopaedic Special Tests for Thoracic Outlet Syndrome and the Thoracic Spine and Ribs

Week 6

31/8

Shoulder Introduction and Myofascial Causes of Shoulder Pain

(MP)

Neural Causes of Shoulder Pain and Subacromial Impingement Syndrome

(MP)

 

OSCE I

Week 7

7/9

Rotator Cuff Disorders 

(MP)

 

Shoulder Instability and Labral Lesions

(MP)

Orthopaedic Physical Examination of the Shoulder - Part I

MIDSEMESTER BREAK, 14 – 21 SEPTEMBER 2020

 

Week 8

28/9

Myofascial & neural causes of elbow pain

(MF)

Joint and osteological causes of elbow pain

(MF)

Orthopaedic Physical Examination of the Shoulder - Part II

Week 9

5/10

Public Holiday

No lecture

Myofascial & neural causes of wrist pain

(BB)

Orthopaedic Physical Examination of the Elbow - Part I

Week 10

15/10

Joint instability and osteological causes of wrist pain

(BB)

Conditions of the wrist

(BB)

Orthopaedic Physical Examination of the Wrist Part I

Week 11

19/10

Conditions of the fingers and thumb

(BB)

Review lecture

(MF)

Orthopaedic Physical Examination of the Wrist - Part II and the Hand and Fingers

Week 12

26/10

No Lecture

No Lecture

 

OSCE II

 

Strand 2: Neurology

NEUROLOGY TIMETABLE

WEEK

NUMBER

Tuesday: LECTURE SCHEDULE

 

Wednesday: TUTORIAL

E5A room 320 North

W1 – Mon

July 27

28 July (SW)

  • Introduction to the course
  • Headaches

NONE

W2 – Mon

3 August

4 August (SW)

  • Headaches continued
  • Neuroexam: Revision mental status and cranial nerves, tone and motor testing

W3 – Mon

10 August

11 August (SW)

  • Examination of peripheral nerves
  • Neuroexam: sensory testing
  • Case study

W4 – Mon

17 August

18 August (SW)

  • Abnormal movement, Co-ordination and gait disturbances (SW)
  • peripheral nerve testing, and deep tendon reflexes
  • case study

W5 – Mon

24 August

25 August (AN)

  • Neurological Differential Diagnosis Part 1
  • gait & co-ordination
  • case study

W6 – Mon

31 August

1 September (AN)

  • Neurological Differential Diagnosis Part 2
  • Introduction to the neuroscreen
  • Case study

W7 – Mon

7 September

 8 September (AN)

  • Neurological Differential Diagnosis Part 3
  • OSCE I

 

14 – 27 Sep

MID SEMESTER BREAK

W8 – Mon

28 September

29 September

  • The Paediatric Neuroexamination (SW)

 
  • Feedback OSCE I
  • Case studies/ neuroscreen

W9 - Tuesday

6 October

6 October (AN)

  • Sensorimotor Control Part 1
  • Case studies/ neuroscreen

W10– Mon

12 October

13 October (AN)

  • Sensorimotor Control Part 2
  • Case studies/ neuroscreen

W11 – Mon October 19

20 October (AN)

  • Diagnosis and Management of Central Pain Syndrome Part 1
  • Case studies/ neuroscreen

W12 – Mon

26 October

27 October (AN)

  • Diagnosis and Management of Central Pain Syndrome Part 2
  • OSCE II

W13 – Mon

2 November

3 November

  • None

None

 

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