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program Information
NO.
Program Type
Degree Based
Nondegree-Based

Undergraduate

Master.

PhD
Level of Study
Post Doc


Speciality

Subspeciality

Fellowship
Short term Course

School
School of Paramedical Sciences
Department
Department of Physical Therapy
Major/ Name of Program
Keyword(3 Words)
Evaluation and Treatment of Movement Impairment Syndromes
of the Lumbar spine, Cervical spine, Shoulder and Knee regions
Movement impairment, Diagnosis, Treatment
Language Requirment
English, Persian
Admission Requirment
Physiotherapists (BSc, MSc)
Phone : 0098-513-884-6710
Fax : 0098-513-884-6728
Mobile : 0098-912-302-1363
Contact Information
Email : [email protected]
Adrress : Department of Physical Therapy, School of
Paramedical Sciences, Mashhad University of Medical Sciences,
Mashhad, Iran
Contact Person Name : Hossein Negahban, PhD, PT
Description (max: 100
words)
The first aim of this course is to educate the participants how to
identify (diagnose) the common movement impairments seen in
some regions of the total body. More specifically, patients with
musculoskeletal disorders of the lumbar, cervical, shoulder, and
knee regions are amongst the most referral patients to
physiotherapy clinics. The second purpose is to provide a
comprehensive treatment program based on the manual
therapy techniques to alleviate movement impairments and
practice them on the patients.
Complete Description
Musculoskeletal disorders can have a major effect on functional
mobility, medical costs, and quality of life of patients suffering
from a broad spectrum of orthopedic conditions. Low back pain,
cervical joint dysfunctions, shoulder disorders and knee injuries
are the most common musculoskeletal complaints observed in
physiotherapy clinics. Recently, diagnosis and treatment based
on the movement system impairments constitute a fundamental
role in management of patients seeking physiotherapy services
and those who discover prevention of recurrency and chronicity
in these common disorders. Moreover, based on the Sullivan’s
approach, intervention based on four stages of motor control, i.e.
mobility, stability, controlled mobility, and skill would help the
patients for symptom reduction, joint stability, return to activity
level before injury, and safe participation in social roles,
respectively. Therefore, in the first section of this short course,
we will educate the participants how to diagnose different
movement impairments in different regions of the
musculoskeltal systems. In the second section, we will practice
the appropriate mobilization, manipulation, and muscle energy
techniques that should be implemented for improving the
mobility in specific movement impairment syndromes. Also, the
appropriate stabilization and coordination exercises that should
be prescribed for safe return to pre-injury daily and sports
activities will be provided. Finally, we will practice this method
of evaluation and treatment on different patients as case reports
and evaluate the outcomes post-intervention.
A) Evaluation of common movement impairment syndromes
1. Terminology, definition and concepts about movement
system impairments.
2. New models of musculoskeltal evaluation and treatment:
Pathokinesiologic versus kinesiopathologic models
Program Detail
3. Common
signs,
symptoms
and
special
tests
of
pathologies related to lumbar spine (disc herniation,
lumbar instability, canal stenosis), cervical spine (disc
herniation, osteoarthritis, facet joint locking), shoulder
complex (impingement syndrome, rotator cuff injuries,
shoulder instability), and knee complex (patellofemoral
pain syndromes, ligament injuries, meniscal injuries).
4. Common findings of movement impairment syndromes
related to lumbar and cervical spines (extension-rotation
and flexion-rotation syndromes), shoulder complex
(anterior-superior
glide
syndromes
and
scapular
downward rotation syndrome), and knee region (patellar
superior-lateral
glide
syndrome
and
tibiofemoral
rotations syndromes).
B) Treatment of common movement impairment syndromes
1. Specific mobilization, manipulation, and muscle energy
techniques and specific stretching exercises prescribed to
improve
joint
mobility
in
different
movement
impairment syndromes.
2. Specific strength, endurance and coordination training
exercises prescribed to improve joint stability in different
movement impairment syndromes.
3. Proprioceptive neuromuscular facilitation techniques
including specific closed kinetic chain exercise and
proprioceptive training exercises provided to improve
controlled mobility of the segments in different
movement impairment syndromes.
4. Specific daily and sport-specific exercises including
balance training, plyometric exercises and agility training
for safe return to social activity level before injury.
C) Methods of education
1. Lectures
2. Questions and answers
3. Practical sessions on models
4. Practical training on patients
D) Training period:
2 months of theoretical and practical training sessions