Physiotherapy - Programme Description
The programme of Physiotherapy
is a four-year fulltime programme at a University of Applied Sciences. In accordance with the registration of the Diploma with the Dutch Ministry of Education and Sciences, a diploma grants the graduate the qualification to practise the profession of physiotherapy and carry the title of Bachelor of Science/ Physiotherapist. Both the title and practising of the profession are protected by law (Article 28, the Dutch Act on Professions in Individual Health Care). The successful graduation as a bachelor is in conformity with EC guidelines 2005/36/EG.
The CIBG (Dutch abbreviation for Central Information point for Professions in Health Care) is the authorised execution body that manages the professional register for physiotherapists in the Netherlands. The CIBG is controlled by the Ministry of Public Health, Wellbeing and Sports (Dutch abbreviation:(VWS). For a registration in the BIG register (Dutch register for Professions in Individual Health Care), a graduate has to submit a certified copy of the diploma. On 1 January 2017 the additional requirement came into force that the Dutch language requirement has to be met for registration in the register. Students who do not meet the language requirement, but have been issued a Diploma of Bachelor of Physiotherapy in the Netherlands, receive a ‘Certificate of Non-Registration’ from the CIBG. This letter is the transcript coherent with the programme and can be used for recognition purposes abroad in addition to the ‘Certificate of Non-Registration’.
The programme of Physiotherapy at Fontys University of Applied Sciences
Fontys is a University of Applied Sciences that is recognised by the Dutch Ministry of Education.
Structure of the programme
First year and main phase
The programme concerns a fulltime programme for four years. Two phases are distinguished by law:
1. The first year (Propaedeutic) phase
2. Main phase
Ad 1. The first year
The first year is an essential part of the programme of Physiotherapy. This phase of the programme is concluded by an interim test. This interim test is conditional for admission to the main phase.
Ad 2. Main phase
The main phase takes three years which includes fulltime practical training and project studies totalling 1.5 years. During the first 1.5 years, the student is prepared for practice and practising the profession by means of case studies and by working with simulation patients. The first 2 years of the main phase are completed with a minor of 0.5 year. This is a specific part that is based on a free choice of professional content.
Following on from this, the practical training starts on the condition that the student has met all of the conditions with regard to the practical parts. During the practical training, the student evaluates and treats patients under the supervision of a physiotherapist.
Each course year is divided into 4 periods of 10 weeks. Each period has theoretical lessons, practical lessons and work groups.
Year 2:
Period 2.1 - 14 ECTS
Period 2.2 - 14 ECTS
Period 2.3 - 14 ECTS
Period 2.4 - 15 ECTS
PPD II - 3 ECTS
Year 3:
Period 3.1 + 3.2 - 30 ECTS
Period 3.3 + 3.4 - 30 ECTS
Year 4:
Period 4.1 + 4.2 - 30 ECTS
Period 4.3 + 4.4 - 30 ECTS
Totals ECTS / year: 60 ECTS
Total ECTS: 240 ECTS
1 ECTS = 28 hours / 1 year = 60 ECTS = 1680 hours / 4 years = 240 ECTS = 6720 hours Details per period
For each period the following information is provided:
- short description of the content of the period
- hours and ECTS per subject
- overview of the examinations
- content per subject
Year 1:
Periode 1.1 - 15 ECTS
Period 1.2 - 13 ECTS
Period 1.3 - 14 ECTS
Period 1.4 - 15 ECTS
PPD I - 3 ECTS
Year 2:
Period 2.1 - 14 ECTS
Period 2.2 - 14 ECTS
Period 2.3 - 14 ECTS
Period 2.4 - 15 ECTS
PPD II - 3 ECTS
Year 3:
Period 3.1 + 3.2 - 30 ECTS
Period 3.3 + 3.4 - 30 ECTS
Year 4:
Period 4.1 + 4.2 - 30 ECTS
Period 4.3 + 4.4 - 30 ECTS
1 ECTS = 28 hours / 1 year = 60 ECTS = 1680 hours / 4 years = 240 ECTS = 6720 hours
For each period the following information is provided:
Short description of the content of the period
hours and ECTS per subject
overview of the examinations
content per subject
PERIOD 1.1 - The healthy human
The theme of measuring and handling general health and fitness is central to this module. You will learn how your own body works and otherwise what sensory, motor and physiological systems contribute to movement. You will also learn how your own body contributes to movement in both an anatomical and exertion-physiological sense. The module will also go into attitude aspects relating to health and exercise and different expectations in relation to exercise among different cultural backgrounds.
Subjects and hours/ECTS
Anatomy | 84 hours - 3 ECTS - Theoretical lectures + Workgroups
Physiology | 28 hours - 1 ECTS - Theoretical lectures
Physical therapy Activities | 56 hours - 2 ECTS - Theoretical lectures + Practical lectures + Workgroups
Motor Control | 28 hours - 1 ECTS - Theoretical lectures
Physiotherapy method | 28 hours - 1 ECTS - Theoretical lectures
Interpersonal skills | 56 hours - 2 ECTS - Theoretical lectures + Workgroups
Professional product | 140 hours - 5 ECTS - Theoretical lectures + Workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Performance assessment - Practical exam (treatment + diagnosis)
Professional product - Group report with individual differentiation
Content per subject
Introduction to anatomy, terminology, connective tissue
Osteology of the pelvis, hip, knee, shoulder, elbow, wrist and ankle
Myology of the pelvis, hip, knee, shoulder, elbow, wrist and ankle
Arthrology the pelvis, hip, knee, shoulder, elbow, wrist and ankle
Training palpation skills
Anatomy of the cardiovascular and respiratory system
Presentation and introduction to physiology
Connective tissues, muscle tissues
Muscle contractions: meta-, ana- and catabolism, aerobic and anaerobic assimilation related to the release of energy, sources of energy: ATP, ADP and CP, the role of the mitochondria in relation to muscle activity
Trigger points theories
Cardiac system in relation to exercise physiology
Anatomy and function of the respiratory system in relation to exercise physiology: organization of the respiratory system the bronchial tree through alveolar ducts and alveoli, blood supply to the lungs, volume changes in forced breathing, respiratory rates and volumes, gas exchange
Introduction to kinesiology:
Terminology
Introduction to the framework assessment
Region specific red-flags
Measurement tools: MRC scale, MicroFET,
Anatomical planes: sagittal, coronal/frontal and transverse/lateral
Anatomical axes: frontal, sagittal and longitudinal
Directional movement: flexion/extension, anteflexion/ retroflexion, abduction/adduction, rotation
Different muscle contractions: concentric, eccentric, isometric
Analyzing and solve physiotherapy problems using the following models: International Classification of Functioning (ICF), "Load /Loadability (capacity to be loaded) " model and Cott model
Fundamental principles of the assessment and therapeutic approach
Documentation of findings and setting up treatment plans
Basic communication skills, health psychology and patient’s history
Definition of health by Machteld Huber
Bio-psycho-social model, Biomedical model, International Classification of Functions (ICF)
Health and health perception
History taking principles
E-health in practice
Each work group meeting focuses on a specific part of health measurement. The students will consult literature, think about which methods they want to use, learn these assessment methods and record the outcomes in a report. Next to this the students will form an opinion about their own health and about the role of the physiotherapist in the different aspects of health. At the end of the period the students make a groups report.
- Topic 1: your own health
- Topic 2: Body composition
- Topic 3: Cardiovascular and pulmonary parameters
- Topic 4: Flexibility and strength
- Topic 5: Endurance and activity level
- Topic 6: Exercise laboratory
- Topic 7: Questionnaires and processing of data - Topic 8: Presenting data
PERIOD 1.2 Human movement
- Moving as functional skill, basic forms of movement, motor development
- Teaching a group: didactics and methodology
- Supporting medical subjects and interpersonal skills
- Scientific Research (SR): introduction into applied science, answering topical questions in a scientific way
- Orientation to physiotherapy (OOF-1): one-week internship, acquaintance with the daily practice of the physiotherapist and orientation to the profession and study
Subjects and hours/ECTS
Physical Therapy Activities | 42 hours - 1,5 ECTS - Theoretical lectures + practical lectures + workgroups
Medical Act | 14 hours - 0,5 ECTS - Theoretical lectures
Physiology | 14 hours - 0,5 ECTS - Theoretical lectures
Biomechanics | 14 hours - 0,5 ECTS - Theoretical lectures + workgroups
Motor control | 28 hours - 1 ECTS - Theoretical lectures
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures
Professional product | 112 hours - 5 ECTS - Theoretical lectures + workgroups
Scientific Research | 84 hours - 3 ECTS - Theoretical lectures + workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Skill tests - Teaching to a group the basic forms of movement
Scientific Research - Scientific research work: individual report
Professional product - Group report with individual differentiation
Content per subject
Functional assessments and gait analysis
Training principle (effects of training)
Warming up / recovery
Causes of reduced muscular strength
Physiological changes during training of endurance
The concept of co-ordination
The function of balance exercises and functional training
Treatment programme to improve joint and muscle function adjusted to the loadability / burden
Potential of the patient
Teach simple forms of movement to a group
Introduction to pathology and pathophysiology
Introduction to orthopaedics
Introduction to acute complaints: trauma, acute neurological disorders
Pharmacy & Physiotherapy: analgesia, their properties (contra) indications and the most frequent side effects
Referral and indicative assessment physiotherapy for acute conditions
The role of different professionals in acute complaints
Central and peripheral nervous system
Muscle tissue, metabolism and energy providing systems
Muscle performance, cardiovascular endurance
Principles of tissue repair: tissue behaviour with injury, healing and treatment
The role of the wheels of Wasserman in the limits of physical performance.
Influence of the endocrine and neuromuscular system on maximal physical performance
Introduction to motion tracking: milestones in the development of motion tracking
Motion tracking technologies in clinical practice: accelerometer, force platform, power platform, 3d motion tracking, electromyography (EMG)
Introduction to gait analysis: analysis of walking patterns, insights into the treatment plan for improvement of the walking pattern
Terminology: ground reaction force, force, vector, shock absorption
Description/definition of concepts which are of importance to gait analysis
Motor learning strategies: implicit and explicit learning, Declarative learning, Non-declarative learning, Non-associative learning, Associative learning, Procedural learning
Motor learning theories: Adams’ Closed-loop theory, Schmidt’s Schema theory, Ecological system;
Fundamental principles of motor learning: paediatrics, geriatrics, sports
STARRT-Method
Different types of reflective listening
Different types of feedback and feedback rules
Group dynamics, socialization processes and giving / receiving feedback
Communication in practice
Personal factors and interpersonal communication
Stages of life and psychological development
Within the professional product of this period the students will analyse a sports movement. For this assignment it is convenient to choose a sports movement that is related to your hobby or interest. Within movement analysis or motor learning the students might not have all the knowledge and skills right now. Within the preparation tasks of the professional product it is clearly described what is expected of them. This allows you to independently do their own research from literature from the book and / or resources that are specified within this product
Translate (clinical) problems into an answerable question
Efficient search for the best evidence
Assess the found evidence on relevance, quality and applicability
Apply the result in practice
Regular evaluation of the process and the result
PERIOD 1.3 - The patient care request in chronic conditions
This module discusses simple complaints of the musculoskeletal and locomotor
systems. This concerns both rheumatic complaints and arthrosis, rheumatoid arthritis, as well as degenerative complaints of the musculotendon system, such as degenerative tendinopathy. Evidence-Based Practice (EBP) is also integrated into simple case histories with a predictable (normal) course.
Subjects and hours/ECTS
Anatomy | 28 hours - 1 ECTS - Theoretical lectures + workgroups
Physical Therapy activities | 56 hours - 5 ECTS - Theoretical lectures + practical lectures + workgroups
Medical Act | 14 hours - 0,5 ECTS - Theoretical lectures
Physiology | 28 hours - 1 ECTS - Theoretical lectures
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures
Physiotherapy method | 14 hours - 0,5 ECTS - Theoretical lectures
Ethics | 14 hours - 0,5 ECTS - Theoretical lectures + workgroups
Motor Control | 14 hours - 0,5 ECTS - Theoretical lectures + practical lectures
Professional product (scientific research) | 140 hours - 5 ECTS - Theoretical lectures + workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Skill tests - Practical exam: treatment + diagnosis
Professional product - Reflection report. Report: analysis of movement, description of training program.
Content per subject
Anatomy of the schoulder
Rotator cuff/impingement/frozen schoulder
Spinal column, hip and knee osteology
Ankle, wrist and hand athrology
Assessment and physical examination techniques of the hip and knee region.
Study of clinical practice guidelines (KNGF guideline) guidelines: lower back pain, hip and knee osteoarthritis
Assessment and treatment of upper, lower back, hip, knee
Assessment and treatment following hip and knee replacement
Assessment and therapeutic process osteoarthritis
Assessment and therapeutic process frozen shoulder, subacromial pain syndrome, anterior knee pain, jumpers’ knee, patella femoral knee pain, medial tibial stress syndrome, elbow lateral and medial epicondylitis, tendinosis, tendinitis, Achilles tendinitis
Assessment and therapeutic process tendinopathy Achilles tendon, patellar tendinopathy
Hydrotherapy
Terminology: frozen shoulder, jumpers’ knee, osteoarthritis, rheumatoid arthritis
The use of outcome measures during the assessment
Introduction to physical degenerative complaints
Group of rheumatoid disorders
Osteoarthritis
Rheumatoid arthritis
Tendinosis / tendinitis and bursitis
Guest lectures by experts
Connective tissue
Tissue repair
Physiological repair process of capsule, ligaments, tendons and muscle tissues
Adolescence and adulthood
Elderly
Behavioral Change
Motivantional interviewing
Physiotherapy diagnoses (problem-solving in physiotherapy)
Analysing and solve physiotherapy problems using different models
The Multi-Dimensional Load – Carriability Model (MLCM)
Introduction
Simple moral dilemnas
Complex casuistry
Aging and postural control
The effects of aging on Musculoskeletal system, Neuromuscular system, Sensory system, Anticipatory postural possibilities, Cognitive issues and PC
In this project, the students will be introduced to and collaborate with the other paramedic disciplines early on, the students will acclimatise themselves to the world of older people, the care organised for older people and the role played by technology in the lives and care of older people. In order to be able to put themselves in the social environment of older people, the students will work with their group to create a life book. To make it clear what complaint(s) the older people have (had) and how the associated care is organised, the students will work with their group to create a patient journey. To help the students create the life book and the patient journey, the students will spend a day with an older person and spend time talking to him or her. In both end products, the students will incorporate the technologies used and the effects of these in the perception of older people.
PERIOD 1.4 - The patient care request in acute conditions
Clients with simple traumas are central to this module. The case histories in this teaching period focus on complaints related to the musculotendon system and (acute) trauma. These case histories bridge the gap with the physiotherapist’s field of work. Patients with these acute complaints are often examined and treated in first-line physiotherapy practices. You learn to analyse case histories step by step in order to reach a physiotherapy diagnosis and an appropriate treatment plan. Both the physiotherapy examination and the physiotherapy treatment process are offered on the basis of available best evidence literature and guidelines from the Koninklijk Nederlands Genootschap voor Fysiotherapie (Royal Dutch Society for Physiotherapy, KNGF). This module links the knowledge and skills acquired from periods 1.1, 1.2 and 1.3 with a problematic action.
Subjects and hours/ECTS
Anatomy | 28 hours - 1 ECTS - Theoretical lectures + workgroups
Physical Therapy activities | 112 hours - 4 ECTS - Theoretical lectures + practical lectures + workgroups
Ethics | 14 hours - 0,5 ECTS - Theoretical lectures + workgroups
Medical Act | 14 hours - 0,5 ECTS - Theoretical lectures
Physiology | 14 hours - 0,5 ECTS - Theoretical lectures
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures + workgroups
Physiotherapy method | 28 hours - 1 ECTS - Theoretical lectures
Professional product | 140 hours - 5 ECTS - Theoretical lectures + workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Skill tests - Practical exam: diagnostics + treatment
Professional product - PM-form about problem action
Content per subject
Arthrology and myology of the groin, knee, spine
Anatomy of menisci and discs
Different type of fractures: transverse non displaced, transverse displaced, compound, oblique, comminuted, greenstick, spiral, avulsion, stress fracture, fissure
Different types of meniscus tear: longitudinal tear, radial tear, horizontal tear, flap tear, parrot beak tear ,bucket handle tear
Groin pain: adductors related, abdominal related, iliopsoas related
Diagnostics and treatments of: Groin pain, Meniscus injury, Ankle region, Osgood-Schlatter, Shoulder instability following shoulder dislocation, Ruptures and fractures, Lumbar instability, ankle ligaments sprain
Ottawa ankle rules
Ottawa knee roles
Assessment and treatment pre- and menisci post-surgery
Study of clinical practice guidelines (KNGF guideline): Ankle sprain and chronic ankle instability
The use of ultrasound during diagnostic
Thermotherapy
Massage therapy
Introduction : ethics in physiotherapy
Constraints on motor control: An overview of neurologic impairments
Motor impairments associated with subcortical Pathology
Clinical management of impairments
Trauma introduction – fractures.
Sprains and bruises
Meniscus and discs
Muscle injury
Pharmacy
Terminology: Intensity, Duration, Frequency, Scope, Density, Overload, Supercompensation, Reversibility, Specificity, Decreasing training effect, Recovery
Cardiovascular system training
Neurophysiology: the brain structure, acute pain delta and C fibres, gate control theory, endogenous opiates, receptors, nociceptors, mechanoreceptors
Central and peripheral sensitization
Stimuli for rehabilitation.
Exercise physiology
Medical reasoning
Fear
Patient education
Emotions and perceptions
Physiotherapy data from the interview (examination plan)
Extract the relevant data from the physiotherapy examination (physiotherapy diagnosis)
Formulation treatment plan on the basis of the physiotherapy diagnosis
Integrate the knowledge acquired during other physiotherapy courses into PM
Collect data related to physiotherapy management during an interview with the patient
Structure of the physiotherapy assessment
Extract relevant data - physiotherapy diagnosis
Filling in the PM form
Formulation of a care plan based on the kinesis therapy diagnosis
Integrate the knowledge acquired in the various physiotherapy courses
PERIOD 2.1 - The healthcare request within sport & exercise
In this module, you will learn to examine and treat clients with complex sport-related traumas or over-burdening-related problems. Attention is paid to prevention, “Return to Play” criteria and the sport psychology approach. You will learn hypothesis- deductive reasoning by means of the HOAC II model.
Subjects and hours/ECTS
Anatomy | 28 hours - 1 ECTS - Theoretical lectures + Workgroups
Motor Control | 56 hours - 2 ECTS - Theoretical lectures
Physiology | 28 hours - 1 ECTS - Theoretical lectures
Medical Act | 28 hours - 1 ECTS - Theoretical lectures
Physical therapy Activities | 56 hours - 2 ECTS - Theoretical lectures + Practical lectures + Workgroups
Physiotherapy method | 28 hours - 1 ECTS - Theoretical lectures
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures
Professional product | 140 hours - 5 ECTS - Theoretical lectures + Workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Performance assessment - Performance assessments
Professional product - Project prevention: report and presentation
Content per subject
Anatomy and functions of the central nervous system: brain lobes, cerebrum, cerebellum, diencephalon, basal ganglia, cerebral trunci, spinal medulla and meninges
Vascularisation of the brain
Terminology: legally capable, quality of life
Professional ethics: decision making and treatment duration
Quality of life and incompetent patients
Terminology: Neurological patients, stroke, cerebrovascular accident (CVA), Parkinson disease, Alzheimer, Spinal Cord Injury (SCI), Cerebral Palsy (CP), Multiple sclerosis (MS), Guillain Barre Syndrome (GBS), dementia, traumatic brain injury (TBI), hemiplegia, acquired brain injury (ABI)
Physiology and functions of the central nervous system and peripheral nervous system
General Nervous System Disorders and Complaints
Acute Neurologic Problems
Acute Neurologic Problems – Pharmacology and Physiotherapy
Congenital Neurologic Disorders
Seizure Disorders
Chronic Degenerative Disorders
Chronic Degenerative Disorders – Pharmacology and Physiotherapy
Dementia
Dementia – Pharmacology and Physiotherapy
Spinal Cord Disorders
Terminology: signs and symptoms, positive and negative signs or symptoms, primary and secondary effects, paresis, abnormal synergy, co-activation, spasticity, external focus of attention, contextual interference, neglect
Management of the neurological patient using different working models
Cognitive functioning
Cognitive functioning after non-congenital brain injury
Recovery principles
Interprofessional collaboration in neurological physiotherapy
Depression and neurological conditions
Multistore model Atkinson
Stages of grief
Communication with patients affected by neurological disorders Cognitive functioning
Cognitive functioning after non-congenital brain injury
Recovery principles
Interprofessional collaboration in neurological physiotherapy
Depression and neurological conditions
Multistore model Atkinson
Stages of grief
Communication with patients affected by neurological disorders
In the first professional product of the second academic year, the focus will be on patients with a central nervous system (CNS) disorders. Students will increase their knowledge of neurorehabilitation and the current insights into (neuro) pathophysiology, recovery and learning theories. Students will become familiar with the clinical course and the determinants that can predict the functional prognosis. Students will work on the professional product in a study group.
Meet real patients and write multiple case studies
Create case studies
Create a fall prevention program for the elderly
PERIOD 2.2 - THE CARE REQUIRED TO PROMOTE NORMAL DAILY FUNCTIONING IN PATIENTS WITH NEUROLOGICAL CONDITIONS
- Neurorehabilitation - Cerebro Vascular Accident (CVA):
- physiotherapeutic care for patients with stroke;
- Supporting medical subjects and interpersonal skills;
Subjects and hours/ECTS
Anatomy | 14 hours - 0,5 ECTS - Theoretical lectures + Workgroups
Ethics | 14 hours - 0,5 ECTS - Theoretical lectures
Physical therapy Activities | 112 hours - 4 ECTS - Theoretical lectures + Practical lectures + Workgroups
Physiology | 28 hours - 1 ECTS - Theoretical lectures + Practical lectures + Workgroups
Medical Act | 56 hours - 1 ECTS - Theoretical lectures
Motor Control | 56 hours - 1 ECTS - Theoretical lectures
Physiotherapy method | 56 hours - 1 ECTS - Theoretical lectures
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures + Workgroups
Professional product | 112 hours - 4 ECTS - Theoretical lectures + Workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Performance assessment - 1 practical exam: treatment and diagnosis of patients with stroke
Professional product - Case studies, fall prevention program for the elderly
Content per subject
Arthrology cervical spine, lumbar spine, shoulder, groin, elbow, knee, ankle
Myology cervical spine, lumbar spine, shoulder, groin, elbow, knee, ankle
Musculoskeletal assessment through (diagnostic) ultrasound of the shoulder
Anatomy of the shoulder using ultrasound images of the shoulder.
Moving differently with pain and fatigue
Pain and muscle dysfunction
Old way, new way
Imagery and mental practice
Fatigue and muscle dysfunction
Bioenergetics of Exercise and Training
Principles of Orthopaedics within complex Trauma
Principles of cardiology within acute heart failure
Treatment of heart disorders
Principles of Neurology within Brain Injuries
Principles of Neurology within Spinal Cord and Peripheral Nerve injuries
Skin Disorder: Skin Lesions, Inflammatory Disorders, Skin Infections
Immobility and Associated Problems
Basic principles of musculoskeletal ultrasound in relation with physics, image and reconstruction
Basic principles of the transducer and ultrasound systems
Cardiovascular System Disorders: Cardiac Dysrhythmias, Inflammation and Infection in the Heart
Study of clinical practice guidelines (KNGF guidelines): neck pain
Diagnosis and treatment of: Craniovertebral instability, Shoulder Instability and Scapular dyskinesia (Type1, type2, type3), Groin injuries, lumbar instability, ankle sprain and chronic ankle instability
Elbow fractures and dislocations
Kinesio taping
Groin injuries (DOHA agreement, FIFA 11+ and Copenhagen))
Guest lecture (Assessment and Treatment): Nicky van Melick, Sport physiotherapist Author KNGF ES ACL rehabilitation
Assessment and diagnosis of ACL injury pre- and post- surgery
Clinical reasoning: Complex traumatic complaints in the sport context
Sport Psychology and coaching
Stress injury model Williams & Andersen, Self Determination Theory, Self-efficacy Theory, visualisations and self-talk
Relaxation therapy
The prevention project offers the students the opportunity to experience what it’s like to work together with prevention as the common goal and to come one step closer to becoming that ‘care professional of the future’. In order to remain close to practice, students will work in project groups on real-life challenge that occur in organisations. The project group will be challenged to come up with an effective and creative intervention in which they are allowed to devise and pursue their own strategy. At the end, students will present the preventative intervention whilst backing up the choices made. The best ideas will be used by the client and win a prize. During the process, there will be opportunities to receive coaching and guidance from the client.
PERIOD 2.3 CHRONIC PATIENT: ORGAN FAILURE
- Diagnosis and treatment of circulatory and respiratory complaints;
- Supporting medical subjects and interpersonal skills;
- Research methods
Subjects and hours/ECTS
Anatomy | 28 hours - 1 ECTS - Theoretical lectures + Workgroups
Physiology | 28 hours - 1 ECTS - Theoretical lectures
Medical Act | 36 hours - 1,5 ECTS - Theoretical lectures
Physical therapy Activities | 140 hours - 4 ECTS - Theoretical lectures + Practical lectures + Workgroups
Physiotherapy method | 14 hours - 0,5 ECTS - Theoretical lectures
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures
Scientific research (research methods) | 140 hours - 5 ECTS - Theoretical lectures + Workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Performance assessment - 1 practical exam: treatment and diagnosis of patients with organ failure (respiratory or cardiovascular)
Professional product -Scientific research
Content per subject
Respiratory system: organs, innervation, circulation and gas exchange
Respiratory system disorders: COPD, Asthma
Cardiovascular system disorders Aortic valve stenosis, Arrhythmia, Coronary atherosclerosis, Heart failure
Heart blood circulation disorders
Lymphatic system
Visit the anatomy lab and museum in Nijmegen
The Digestive System: digestive tract and accessory organs
Metabolism and Energetics: Absorptive and Post-absorptive States, The Fat-Soluble Vitamins, The Water-Soluble Vitamins
The Urinary System
Fluid, Electrolyte, and Acid-Base Balance
Muscle metabolism during physical activity
Cardiovascular and respiratory system during physical activity
Thermoregulation during physical activity
Physiological effects of physical training
Apply the knowledge acquired to articles and patient case studies
Physical exercising with comorbidities
Pathology due to lifestyle context: cardiovascular, respiratory and oncological diseases
Digestive System Disorders
Urinary System Disorders
Disorders of the Liver and Pancreas
Neoplasms and Cancer
Blood and Circulatory System Disorders: Blood Dyscrasias
Cardiovascular System Disorders: Heart Disorders, Vascular Disorders
Respiratory System Disorders: General Manifestations of Respiratory Disease: Common Treatment Measures for Respiratory Disorders, Infectious Diseases, Obstructive Lung Diseases, Chronic Obstructive Pulmonary Disease, Restrictive Lung Disorders, Vascular Disorders, Expansion Disorders
Study of clinical practice guidelines for respiratory, cardiac and circulatory diseases established by the Order of Dutch Physiotherapists (KNGF)
Risk factors (modifiable and non-modifiable) which are associated with non-communicable diseases (chronic diseases) and lifestyle
Terminology: LDL and HDL, atherosclerosis, hypertension, atherosclerosis, residual volume (RV), total lung capacity (TLC), vital capacity and (FRC), Ciliary dysfunction, Lung elastic recoil, Bronchodilation, Systemic effects, FEV1, (PEF) peak expiratory flow, Positive Expiratory Pressure (PEP), Forced expiratory flow (FEF), Forced vital capacity (FVC), Forced expiratory volume in 1 second (FEV1), maximal inspiratory pressure (MEP), maximal inspiratory pressure (MIP),Electrocardiogram (ECG), Heart cycle, Hyperinflation, Cyanosis, Pursed lip breathing, Hoover sign, Tracheal ‘dip’, diabetes mellitus, benign paroxysmal positional vertigo (BPPV)
Cardio Pulmonary Exercise test analysis (CPET)
Reference values MIP and MEP
Assessment, clinical examination, clinical reasoning and treatment: respiratory, cardiac and circulatory pathologies
Assessment, clinical examination, clinical reasoning and treatment: benign paroxysmal positional vertigo (BPPV)
Physiotherapy management (possibilities and difficulties) for cardiac pathologies and peripheral vascular syndromes
Physiotherapy management (possibilities and difficulties) to increase the physical fitness of Chronic Obstructive Pulmonary Disease (COPD) patients
Physiotherapy care (possibilities and difficulties) and implementation of a rehabilitation program for children with asthma
Inspiratory muscle training (IMT)
Mucus clearance techniques: Forced Expiratory Technique, Directed Cough and Autogenic Drainage, Active cycle of breathing technique, use of MIP and MEP
Relaxation techniques and breathing training
Physiotherapeutic rehabilitation in the acute phase of heart rehabilitation
Cardiopulmonary exercise testing and its application: CPET, VO2MAX
Physiotherapeutic evaluation and rehabilitation for peripheral artery disease (PAD)
Oedema therapy
Physiotherapy rehabilitation: diabetic patient, oncology
Technologies and management of non-communicable, chronic diseases: m-health & e-health
Patient centred RTAU-model (rehabilitation technology acceptance and usability-model).
Protocols in order to measure the following parameters, Body fat percentage, BMI, Blood pressure, Waist circumference, Handgrip strength, Harvard step test
New technologies and Apps used to monitor health parameters
Cardio Pulmonary Resuscitation (CPR)
Definition and classification of Chronic disorders
Quality of life: multidimensional, dynamic and subjective mental construction
Copying styles
Specific communication techniques (changing behaviour)
How culture influences health beliefs
Acute, chronic and psychological stress
Motivational Interview
Study of clinical practice guidelines for respiratory, cardiac and circulatory diseases established by the Order of Dutch Physiotherapists (KNGF)
Advantages and disadvantages of using questionnaires
HOAC II model
Chronic care model
Patient centred Care Model
The movement continuum theory
The scientific research teaching module (SR) is given to all FPH students in the 2nd year. In SR-1 in the first year, students conducted a literature study. This module builds on the basic knowledge of evidence-based practice (EBP) from the first year (research skills), as well as forming the final preparation for practical research in the graduation phase.
In this module, students will work on the different competences and performance indicators. This FPH-wide module covers the competences Research and Innovation, which is guaranteed to be at HBO (higher professional education) level. Within the physiotherapy competences, this is in keeping with Knowledge sharing and pursuing a scientific career, and Organisation.
Methods of study in scientific research
Quantitative research
Systematic literature review
Qualitative research
Clinical guidelines and recommendations
Insight about ethics in scientific research
Introduction to statistics
The student can write a research proposal with an appropriate hypothesis and research method based on a given research question.
The student is able to identify and interpret the hypothesis, research question and research method in a publication of a scientific study
The student can explain the results in terms of statistical significance and clinical relevance.
The student is able to explain the relationship between the research question, research method, the results and their interpretation.
PERIOD 2.4 - THE HEALTHCARE DEMAND FROM A SOCIAL PERSPECTIVE
During this module, we will focus on the complaints that have a major influence on participation in society. Attention is also paid to self-management of the client. It is also important to pay attention to prevention
Subjects and hours/ECTS
Anatomy | 28 hours - 1 ECTS - Theoretical lectures + Workgroups
Physiology | 28 hours - 1 ECTS - Theoretical lectures
Medical Act | 36 hours - 1,5 ECTS - Theoretical lectures
Physical therapy Activities | 140 hours - 5 ECTS - Theoretical lectures + Practical lectures + Workgroups
Interpersonal skills | 28 hours - 1 ECTS - Theoretical lectures
Motor Control | 56 hours - 2 ECTS - Theoretical lectures
Professional product | 140 hours - 5 ECTS - Theoretical lectures + Workgroups
Overview of the examinations
Knowledge Test (KT) - Evaluation related to all subjects
Performance assessment - 1 practical exam
Professional product - Case report + Workplace analysis + Ethical dilemma + Reflection report
Content per subject
SPECIALISMS WITHIN THE INTERPROFESSIONAL
SETTING (1 period)
According to the council for Public Health & Care (2010), the focus is shifting from attention to sickness and care to health and behaviour. Participation in society, the necessary participation, is the extent to which the success of the treatment is measured. The nature of the care is developing from supply to demand-oriented, and the importance of prevention is increasingly being recognised. There is evidence of a shift from regular to specialist treatment.
Within physiotherapy, we are familiar with 11 recognised specialisms. In this period, you are introduced to these different specialisms and the way in which examinations and treatments are conducted within these specialisms. The innovation in the specialist field and interprofessional collaboration are also integrated and different specialists from the field of work will contribute to the deepening of the module. The module is regarded as an orientation of the different specialisms within the field of physiotherapy.
Hours/ECTS: 420 hours – 15 ECTS
Subjects:
Physiotherapy and rehabilitation
Physiotherapy and orthopaedics
Manual therapy
Sports physiotherapy
Cardiopulmonary Physiotherapy
Psychosomatic physiotherapy
Pelvic physiotherapy
Sports physiotherapy & Neuro-rehabilitation
Portfolio assessment: Portfolio assessment & active participation of minimun 80%.
CAP-10 (1 period)
CAP-10: Practical internship: 10 weeks of internship, applying the knowledge and skills obtained during the program in an integrated way within the professional practice | 420 hours - 15 ECTS
Examinations
- CAP-plan, which includes all the personal objectives and a plan in order to organize the internship in the most appropriate way
- CAP-file, which includes the personal reflection regarding the personal improvements in relation to the previously listed personal objectives (within the CAP-plan)
- 1 Case study. The student chooses a case and has to do the following assignments together with the patient and the clinical instructor: history taking, diagnosis, set up the treatment based on the chosen case
The graduation phase (year 4) is divided into 2 compulsory components: Challenge 1 (Set of Learning Outcomes 1) and Challenge 2 (Set of Learning Outcomes 2). Challenge 1 is focused on learning in practice (work placement) and challenge 2 is focused on practice-based research and sharing knowledge
Outline Challenge 1: Your professional role
In the graduation phase, the student must demonstrate their readiness and ability to work as a newly qualified physiotherapist. To be able to demonstrate the learning outcomes tied to Challenge 1 students must work as a professional in training in a physiotherapy workplace under the guidance of qualified physiotherapy professionals. The mandatory hours for the work placement is a minimum of 700 hours.
To help students achieve the learning outcomes for their ‘professional role’ specific focus is given to Evidence-Based Practice:
- EBP in healthcare
- EBP methodology
- Translating a clinical problem into an answerable question
- Efficiently searching for the best evidence
- Assessing the evidence found for relevance, quality and applicability
- Apply the result in practice
- Regularly evaluate the process and outcome
Outline Challenge 2: "Your investigative and impactful role". The challenge in short:
In this challenge, students are tasked with researching and designing a suitable solution for a problem based on their professional practice in collaboration with relevant stakeholders. This is based on the fundamentals of practice-based research. It is essential that practice-based research, just like any other form of research, has to meet high-quality standards. This is important because high-quality practice-based research has a significant impact on healthcare practice and the content of our curriculum. The results of practice-based research that is of high quality and meaningful will impact future professionals through education. It is essential for students that the basis of their practice-based research is ethically sound and observes the preconditions of the Dutch Code of Conduct for Scientific Integrity (NGWI). To adhere to these preconditions students must cover the following topics:
- Norms and values in research
- Code of Conduct in research
- Ethics during research
- Legislation and research
- Medical-Scientific Research Involving Human Subjects Act
- General Data Protection Regulation (GDPR)
- Confidentiality and intellectual property forms
- Data storage
- Informed consent
Challenge 2 needs to be done in a systematic and substantiated way, to improve the students understanding of the practice and make a meaningful contribution to it. The solution should contribute to (or give a new perspective on) a practical challenge/issue. The solution and the process of realization must be documented in a report for the client.
To fulfil this challenge students must take several steps. These are called milestones. These milestones cover the following topics and have underlying tasks and activities:
Milestone 1: client, issue and issue definition
- Recruitment of a client
- Issue articulation (the content of the issue and agreement regarding the collaboration)
- Orientation on the issue (e.g. desk research, preliminary interviews with target group, qualitative analysis)
- Reporting to the client (optional: feedback through a thematic summary).
- Setting up data storage (research data management)
Milestone 2: problem statement and/or assignment definition
- You can perform specific desk research on the subject
- You can attain the specific tools to communicate effectively with stakeholders regarding the subject
- You lay the foundation for the design of the research strategy.
Milestone 3: solution and research strategy
- Design research strategy
- Literature research
- Quantitative research
- Qualitative research
- Design Research
- Mixed – methods research
- Report and discuss with the client.
Milestone 4: preliminary results
- Report interim results client.
- Possible adjustments
Milestone 5: Reporting
- Addition of discussion and conclusion
- Merging documents.
- Processing in your student journey
Milestone 6: end product and value creation for the professional practice
- Target group: for whom are you trying to create value/impact?
- Context: what is the context where the product/service/process/activity must be implemented?
- Collaboration: creating and maintaining effective collaboration with relevant stakeholders
- Change capacity: Mapping the change capacity of the organisation. To what extent are they actually able to renew/change?
- Creating and iterating: developing a suitable solution together with the relevant stakeholders.
- Realising impact: How can you ensure that the innovation really takes hold, e.g. is sustainable? What is involved in introducing, implementing or scaling up the innovation?
Lastly, students will gain the necessary competencies to conduct their practice-based research according to a specific research design:
- Quantitative research
- What is Quantitative research?
- Quantitative research methodology
- Data collection
- Data analysis
- Interpretation and writing
- Literature research
- What is Literature research?
- Quantitative research methodology
- Data collection
- Data analysis
- Scoping reviews
- Interpretation and writing
- Design research
- What is Design research?
- Design research proces
- Design methodologies per phase
- Ethics in design research
- Self-assessment