Students

CHIR2104 – Chiropractic Sciences 4

2023 – Session 2, In person-scheduled-weekday, North Ryde

General Information

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Unit convenor and teaching staff Unit convenor and teaching staff Unit Convenor
Michael Swain
Contact via 98504053
75T.2232
Open door
Tutor
David McNaughton
Tutor
Laura Montgomery
Tutor
Stephen Sharp
Tutor
Simon Vella
Tutor
Megan Yanz
Tutor
Annie Young
Credit points Credit points
10
Prerequisites Prerequisites
Admission to BChiroSc and (CHIR1101 or CHIR113) and (CHIR1102 or CHIR114) and (CHIR2103 or CHIR213)
Corequisites Corequisites
Co-badged status Co-badged status
Unit description Unit description

This unit builds upon introductory principles in biomechanics as well as clinically relevant concepts in applied anatomy. The focus of this unit will be the biomechanics of the thorax and the upper extremity. Clinical application of biomechanical concepts will relate to the skills of patient observation, joint range of motion assessment, tissue palpation, and muscle testing. Clinical reasoning skills will be developed whereby you will learn to reconcile pathomechanics with clinical findings for musculoskeletal injuries. The concept of diagnostic test accuracy will be introduced and explored. Chiropractic psychomotor skills will be developed. Chiropractic techniques and joint manipulation skills for the thoracic spine and upper extremity will be introduced and developed.

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: Describe clinical biomechanics (kinematics and kinetics) of the upper extremity and thorax of the human body.
  • ULO2: Demonstrate respect and empathy for patients while performing physical assessment techniques for the thoracic region and upper extremities: palpation, joint range of motion and muscle testing.
  • ULO3: Perform chiropractic techniques and joint manipulation skills on the thoracic spine, ribs and lower extremity
  • ULO4: Demonstrate basic clinical reasoning by applying knowledge of thoracic and upper extremity pathomechanics to interpret information derived from a physical assessment and the application of chiropractic techniques.
  • ULO5: Apply epidemiological knowledge and biostatistical skills to quantify and interpret information pertaining to diagnostic test accuracy

General Assessment Information

Grade descriptors and other information concerning grading are contained in the Macquarie University Assessment Policy.

All final grades are determined by a grading committee, in accordance with the Macquarie University Assessment Policy, and are not the sole responsibility of the Unit Convenor.

Students will be awarded a final grade and a mark which must correspond to the grade descriptors specified in the Assessment Procedure (clause 128).

To pass this unit, you must demonstrate sufficient evidence of achievement of the learning outcomes, meet any ungraded requirements, and achieve a final mark of 50 or better.

Further details for each assessment task will be available on iLearn.

Late Submissions

Unless a Special Consideration request has been submitted and approved, a 5% penalty (OF THE TOTAL POSSIBLE MARK) will be applied each day a written assessment is not submitted, up until the 7th day (including weekends). After the 7th day, a grade of ‘0’ will be awarded even if the assessment is submitted. Submission time for all written assessments is set at 11.55pm. A 1-hour grace period is provided to students who experience a technical concern. 

 For example:

Number of days (hours) late

Total Possible Marks

Deduction

Raw mark

Final mark

1 day (1-24 hours)

100

5

75

70

2 days (24-48 hours)

100

10

75

65

3 days (48-72 hours)

100

15

75

60

7 days (144-168 hours)

100

35

75

40

>7 days (>168 hours)

100

-

75

0

 

For any late submissions of time-sensitive tasks, such as scheduled tests/exams, performance assessments/presentations, and/or scheduled practical assessments/labs, students need to submit an application for Special Consideration.

Assessment Tasks

Name Weighting Hurdle Due
Weekly quizzes 0% No Weeks 2-12
Physical assessment and chiropractic technique videos 10% No 18/08/2023
Research assignment 20% No 29/09/2023
Chiropractic skills assessment (OSCE) 20% No 26/10/2023
Final examination 50% No S2 Exam Period

Weekly quizzes

Assessment Type 1: Quiz/Test
Indicative Time on Task 2: 10 hours
Due: Weeks 2-12
Weighting: 0%

 

Weekly quizzes formatively assess knowledge and skills developed through tutorial activities, including case studies.

 


On successful completion you will be able to:
  • Describe clinical biomechanics (kinematics and kinetics) of the upper extremity and thorax of the human body.
  • Demonstrate basic clinical reasoning by applying knowledge of thoracic and upper extremity pathomechanics to interpret information derived from a physical assessment and the application of chiropractic techniques.

Physical assessment and chiropractic technique videos

Assessment Type 1: Clinical performance evaluation
Indicative Time on Task 2: 12 hours
Due: 18/08/2023
Weighting: 10%

Students will maintain a video portfolio that demonstrates their ability to perform physical assessments and chiropractic techniques taught in this unit. Accompanying videos of procedures will be a brief critical appraisal statement that reflects on students' aptitude within the chiropractic skills competency framework. Only a subset of procedures will be evaluated by tutors to formulate the mark for this assessment.


On successful completion you will be able to:
  • Demonstrate respect and empathy for patients while performing physical assessment techniques for the thoracic region and upper extremities: palpation, joint range of motion and muscle testing.
  • Perform chiropractic techniques and joint manipulation skills on the thoracic spine, ribs and lower extremity

Research assignment

Assessment Type 1: Quantitative analysis task
Indicative Time on Task 2: 12 hours
Due: 29/09/2023
Weighting: 20%

In this assessment, students will analyse a data set obtained from a simulated observational study. Students will report on the diagnostic test accuracy for a musculoskeletal condition.


On successful completion you will be able to:
  • Apply epidemiological knowledge and biostatistical skills to quantify and interpret information pertaining to diagnostic test accuracy

Chiropractic skills assessment (OSCE)

Assessment Type 1: Clinical performance evaluation
Indicative Time on Task 2: 12 hours
Due: 26/10/2023
Weighting: 20%

Students will be assessed on their competency in performing chiropractic skills. Students will demonstrate a series of chiropractic procedures taught in this unit.


On successful completion you will be able to:
  • Demonstrate respect and empathy for patients while performing physical assessment techniques for the thoracic region and upper extremities: palpation, joint range of motion and muscle testing.
  • Perform chiropractic techniques and joint manipulation skills on the thoracic spine, ribs and lower extremity

Final examination

Assessment Type 1: Examination
Indicative Time on Task 2: 12 hours
Due: S2 Exam Period
Weighting: 50%

This written test will assess all theoretical material for the unit. It will include multiple-choice questions


On successful completion you will be able to:
  • Describe clinical biomechanics (kinematics and kinetics) of the upper extremity and thorax of the human body.
  • Demonstrate basic clinical reasoning by applying knowledge of thoracic and upper extremity pathomechanics to interpret information derived from a physical assessment and the application of chiropractic techniques.
  • Apply epidemiological knowledge and biostatistical skills to quantify and interpret information pertaining to diagnostic test accuracy

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

As a student enrolled in this unit, you will engage in a range of online and face-to-face learning activities, including online lecture modules, readings, tutorials and discussions. Details can be found on the iLearn site for this unit.

Recommended Readings

  1. Oatis, C. A. (2016). Kinesiology : the mechanics and pathomechanics of human movement (Third edition). Philadelphia: Wolters Kluwer.
  2. Comparative Kinesiology of the Human Body: Normal and Pathological Conditions, edited by Salih Angin, and Ibrahim Simsek, Elsevier Science & Technology, 2020.
  3. Neumann D.A. (2016). Kinesiology of the musculoskeletal system Foundations for rehabilitation (Third edition). Elsevier.
  4. Kendall, F.P. (2010). Muscles: testing and function with posture and pain (Fifth edition). Lippincott Williams & Wilkins.
  5. Magee D.J. (2013). Orthopedic physical assessment (Sixth edition). W.D Saunders.
  6. Phillip, et al. Assessment and Treatment of Muscle Imbalance: The Janda Approach, Human Kinetics, 2009.

Technology Used

Active participation in the learning activities throughout the unit will require students to have access to a tablet, laptop or similar device. Students who do not own their own laptop computer may borrow one from the university library.

Unit Schedule

Week

Online lecture

Tuesday tutorial

Thursday tutorial

Week 1

Unit overview. Introduction to Force Sensing Table Technology®

No tutorial

No tutorial

Week 2

Thorax: structure and function

Thoracic spine: observation, surface palpation, active & passive ROM

Thoracic: motion palpation, chiropractic techniques. Case study 1

Week 3

Thorax: muscle function

Thoracic: FSTT introduction, chiropractic techniques

Thoracic: motion palpation, chiropractic techniques. Case study 2

Week 4

Introduction to diagnostic test accuracy

Ribs: motion palpation, chiropractic techniques

Thoracic: chiropractic techniques. Case study 3

Week 5

Shoulder: structure and function

Shoulder: observation, surface palpation, active/passive ROM

Shoulder: motion palpation, chiropractic techniques. Case study 4

Week 6

Shoulder: muscle function

Shoulder: muscle length, muscle strength and soft tissue techniques

Shoulder: chiropractic techniques. Case study 5

Week 7

Posture

AC/SC joint: surface palpation, motion palpation, chiropractic techniques.

Revision tutorial - reflective practice. Case study 6

Week 8

Elbow: structure and function

Elbow: observation, surface palpation, active/passive ROM

Elbow: motion palpation and chiropractic technique. Case study 7

Week 9

Elbow: muscle function

Elbow: muscle strength, soft tissue techniques

Elbow: chiropractic techniques. Case study 8

Week 10

Wrist and hand: structure and function

Wrist/hand: observation, surface palpation, active/passive ROM

Wrist/hand: motion palpation and chiropractic techniques. Case study 9

Week 11

Forearm: muscle function.

Hand: Muscle strength, chiropractic techniques

Wrist: Chiropractic techniques. Case study 10

Week 12

Hand: muscle function

Revision tutorial -reflective practice

OSCE

Week 13

Unit summary, Q&A

No tutorial

Supplementary OSCE

Policies and Procedures

Macquarie University policies and procedures are accessible from Policy Central (https://policies.mq.edu.au). Students should be aware of the following policies in particular with regard to Learning and Teaching:

Students seeking more policy resources can visit Student Policies (https://students.mq.edu.au/support/study/policies). It is your one-stop-shop for the key policies you need to know about throughout your undergraduate student journey.

To find other policies relating to Teaching and Learning, visit Policy Central (https://policies.mq.edu.au) and use the search tool.

Student Code of Conduct

Macquarie University students have a responsibility to be familiar with the Student Code of Conduct: https://students.mq.edu.au/admin/other-resources/student-conduct

Results

Results published on platform other than eStudent, (eg. iLearn, Coursera etc.) or released directly by your Unit Convenor, are not confirmed as they are subject to final approval by the University. Once approved, final results will be sent to your student email address and will be made available in eStudent. For more information visit ask.mq.edu.au or if you are a Global MBA student contact globalmba.support@mq.edu.au

Academic Integrity

At Macquarie, we believe academic integrity – honesty, respect, trust, responsibility, fairness and courage – is at the core of learning, teaching and research. We recognise that meeting the expectations required to complete your assessments can be challenging. So, we offer you a range of resources and services to help you reach your potential, including free online writing and maths support, academic skills development and wellbeing consultations.

Student Support

Macquarie University provides a range of support services for students. For details, visit http://students.mq.edu.au/support/

The Writing Centre

The Writing Centre provides resources to develop your English language proficiency, academic writing, and communication skills.

The Library provides online and face to face support to help you find and use relevant information resources. 

Student Services and Support

Macquarie University offers a range of Student Support Services including:

Student Enquiries

Got a question? Ask us via AskMQ, or contact Service Connect.

IT Help

For help with University computer systems and technology, visit http://www.mq.edu.au/about_us/offices_and_units/information_technology/help/

When using the University's IT, you must adhere to the Acceptable Use of IT Resources Policy. The policy applies to all who connect to the MQ network including students.

Inclusion and Diversity

Social inclusion at Macquarie University is about giving everyone who has the potential to benefit from higher education the opportunity to study at university, participate in campus life and flourish in their chosen field. The University has made significant moves to promote an equitable, diverse and exciting campus community for the benefit of staff and students. It is your responsibility to contribute towards the development of an inclusive culture and practice in the areas of learning and teaching, research, and service orientation and delivery. As a member of the Macquarie University community, you must not discriminate against or harass others based on their sex, gender, race, marital status, carers' responsibilities, disability, sexual orientation, age, political conviction or religious belief. All staff and students are expected to display appropriate behaviour that is conducive to a healthy learning environment for everyone.

Professionalism

In the Faculty of Medicine, Health and Human Sciences, professionalism is a key capability embedded in all our courses.

As part of developing professionalism, students are expected to attend all small group interactive sessions including clinical, practical, laboratory, work-integrated learning (e.g., PACE placements), and team-based learning activities. Some learning activities are recorded (e.g., face-to-face lectures), however you are encouraged to avoid relying upon such material as they do not recreate the whole learning experience and technical issues can and do occur. As an adult learner, we respect your decision to choose how you engage with your learning, but we would remind you that the learning opportunities we create for you have been done so to enable your success, and that by not engaging you may impact your ability to successfully complete this unit. We equally expect that you show respect for the academic staff who have worked hard to develop meaningful activities and prioritise your learning by communicating with them in advance if you are unable to attend a small group interactive session.

Another dimension of professionalism is having respect for your peers. It is the right of every student to learn in an environment that is free of disruption and distraction. Please arrive to all learning activities on time, and if you are unavoidably detained, please join activity as quietly as possible to minimise disruption. Phones and other electronic devices that produce noise and other distractions must be turned off prior to entering class. Where your own device (e.g., laptop) is being used for class-related activities, you are asked to close down all other applications to avoid distraction to you and others. Please treat your fellow students with the utmost respect. If you are uncomfortable participating in any specific activity, please let the relevant academic know.


Unit information based on version 2023.03 of the Handbook