Physiotherapy and Ergonomy

Code:

MD2403

Acronym:

FE

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2013/2014 - 2S

Active?	Yes
Responsible unit:	Mestrado Integrado
Course/CS Responsible:	Integrated Master in Dental Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMD	45	PLANO OFICIAL 2007/2008 BOLONHA	2	-	2	27	54

Teaching language

Suitable for English-speaking students

Objectives

 “Physiatry and Ergonomics” Curricular Unit in MIMD of Dental Medicine Faculty of Oporto (MIMD FMDUP) Learning Objectives

After successfully complete this Curricular Unit, the student of MIMD FMDUP should be able to learn, understand, know how to do, to demonstrate and/or to apply the Programmatic Contents  taught, which will enable the development and acquisition of Physiatry and Ergonomic skills, according to the:

Programmatic Contents

I:

Physiatry and Ergonomics in clinical practice in Dental Medicine

1. a) define Physiatry and Ergonomics and their areas of expertise
2. b) differentiate Functional Deficits, Disability and Disadvantage consequent to injury and/or to sequel(s)
3. c) apply the concepts of Functional Deficits, Disability and Disadvantage to clinical practice in the context of professional injury
4. d) establish conceptual links and interpretations between Physiatry and Ergonomics in the activity and occupational injuries
5. e) summarize the target problems in occupational pathologies
6. f) demonstrate the functional gains arising from the physiatry and ergonomics learning in Dental Medicine clinical practice
7. g) to develop knowledge and skills to use for subsequent Curricular Unit MIMD UP and for future clinical practice in Dental Medicine

 II: Concepts and Functional Applications in Clinical Medicine

1. a) define muscle contraction, proprioception, exteroception, effort, posture and movement
2. b) recognise and explain the physiological bases of concepts defined in (a)
3. c) describe

-the functioning of the neuromuscular spindle

-alpha and gamma motor activity

-the functional relationship between the agonist and antagonist muscle muscle

-stretch (and the different types of stretching)

-muscle contraction (and the different types of muscle contraction)

-kinetic chains

1. d) establish the relationship between muscle contraction, posture, movement and exertion
2. e) justify the importance of proprioception and exteroception for posture and movement
3. f) analyse and evaluate the dialectic relationship between posture, movement, static and dynamic muscle contraction and effort
4. g) demonstrate the contribution of Physiatry and Ergonomics for a dialectic relationship between posture, movement, muscle contraction, proprioception and effort on professional activity in dentistry
5. h) exemplify some of its functional applications (in the practice of dental medical clinic)

III: Ergonomics

1. a) describe Ergonomics (and its scope of action)
2. b) illustrate anthropometric parameters in ergonomics
3. c) discriminate biomechanical parameters and handling of loads in ergonomics
4. d) establish a relationship between the principles of Ergonomics and the effort
5. e) interpret the inappropriate relationship between the operator and the tasks and/or the equipment and your posture, with the consequent occupational injuries
6. f) relate Ergonomics with the social and health impact of occupational illnesses
7. g) demonstrate the importance of Ergonomics for occupational health
8. h) meet and discuss some of the European ergonomic standards and general dental medical activity in particular [in relation to the Dentist (and Dental Assistants), the Patient and the working environment]

IV: Pain

1. a) define Pain
2. b) describe the neurophysiological mechanisms of pain genesis
3. c) categorize Pain (and the types of pain)
4. d) compare the dimensional aspects of Pain
5. e) discriminate between Acute Pain and Chronic Pain
6. f) infer the dialectics of Pain and functional impairment
7. g) build causal relationships between Posture, Movement, Technical Gesture

and Pain

1. h) report clinical examples of Pain in Dental Medicine Doctors during clinical practice
2. I) demonstrate the importance of Physiatry and Ergonomics approach in Pain

the Dentists during clinical practice

V:  Posture, Movement, Technical Gesture and Micro Musculoskeletal Injury (MME)

1. a) identify a MME
2. b) describe lesional mechanisms
3. c) point out examples of primary, secondary and tertiary MME lesions
4. d) discuss the importance of Proprioception, Exteroception, Musculoskeletal and Neurological Systems and Working Environment in Technical Gesture implementation and MME
5. e) show examples of dysfunctions resulting from technical gesture
6. f) differentiate and discuss the different mechanisms of the Technical Gesture that entail MME injury
7. g) test different technical gestures for the same task, identifying those ergonomically more correct

VI: Ergonomics and Prevention MME injuries

1. a) list some most important ergonomic standards in Dental Medicine
2. b) identify ergonomic principles of standard
3. c) explain these contents and its applicability to MME injuries prevention
4. d) establish links between the MME Injury and the inapplicability of the ergonomic standard
5. e) test some of the ergonomic standards most important in Dental Medicine

 

VII: Most common diseases in Dental Medicine Clinical Practice in relation to the Technical Gesture and Posture,

1. a) name the axial and peripheral pain syndromes more common in Dental Medicine clinical practice
2. b) define and list examples of Postural Syndromes, Myofascial Syndromes and Rachis static disorders
3. c) enumerate the most common tendon pathologies consequent to Dentist’s professional activity
4. d) recognize the various types of occupational neurological lesions of the upper and lower members in Dentists
5. e) relate the functional anatomy and clinical semiology in the most common pathologies in clinical practice in Dental Medicine
6. f) explain the pathophysiological mechanism of a professional (occupational) pathology
7. g) illustrate the relationship between posture, movement, and professional pathology task
8. h) detect some dysfunctions that lead to professional pathology
9. I) discuss their clinical prognosis
10. j) recommend some preventative measures and therapies
11. l) summarize and resolve basic problems target to each of the occupational diseases in Dental Medicine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Learning outcomes and competences

 

Learning outcomes and competencies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)

Pre-requisites (previous knowledge) knowledge and understanding:

- of anatomical physiology of the musculoskeletal system and the nervous system

- cardiorespiratory physiology (and its clinical application to the effort)

-  functional anatomy of the shoulder, elbow, wrist, hand and rachis

- posture physiology and movement

- physiological mechanisms of Proprioceptivity and the Exteroceptivity

- the role of ambienciais conditions (including work) in the emergence of occupational diseases

Co-requirements (simultaneous knowledge) knowledge and understanding:

-functional anatomy of the complex Cranio-Cervico-fácio-temporo-mandibular

-pain

Program

 

Program Organization

The conceptual and organizational logic of the programmatic content of  "Physiatry and Ergonomics" UC developes into nine contents:

III. Ergonomics

VII. Most common diseases in clinical practice in dentistry in relation to the posture and the Technical Gesture

VIII. Physiatry and Ergonomics applied to occupational diseases in dentistry (prevention and therapeutic)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mandatory literature

Resende Barbosa e colaboradores; Aulas de Fisiatria, ICBAS, 2001 (The book is available to the student)

Complementary Bibliography

Dul J, Weerdmeester B; Ergonomia Prática , São Paulo: Edgard Blucher, 2004
Moore, Keith L ; Clinically Oriented Anatomy. , Link Lippincott Williams & Wilkins, 2006. ISBN: 0-7817-3639-0

Teaching methods and learning activities

The methods of teaching and learning activities of UC are developed through:

-Lectures (60 min/week)

-Theoretical and practical Lessons (30 min/week) [includes Small Class groups (30 min/week)]

-other Special Works:

* Group work (variable duration) that may be included in lessons in small groups (variable)

* Design jobs (teaching support to students weekly (120 m/week)

-Pedagogical support face-to-face sessions to students (90-120 min/week)

Technological means and other resources to support teaching-learning method

The theoretical classes are taught using audiovisual means (compute rand data-show)

The theoretical-practical Lessons for the entire course and Small-Group classes are taught using audiovisual means (computer) and/or practical demonstrations within the clinical examination, exercise and ergonomics in clinical practice in dentistry (examples of some of the material used : Chair, desk, Dental Team)

Educational methods-methods of evaluation

I. System (Kind) of evaluation of "Physiatry and Ergonomics" UC: Final Exam (with Distributed Formative Assessment):

-Summative Evaluation-evaluation withfFinal examination - normal, resource, special season)

Formula for calculating the Final ranking of the student to the UC is determined through the following points:

-Diagnostic evaluation at the beginning of the UC

-Formative Evaluations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Software

PC e data show

keywords

Health sciences > Medical sciences > Medicine > Physical medicine

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Description	Type	Time (hours)	Weight (%)	End date
	Exame		75,00
	Participação presencial		25,00
	Total:	-	100,00

Amount of time allocated to each course unit

Description	Type	Time (hours)	End date
	Frequência das aulas	1
	Total:	1,00

Eligibility for exams

Obtaining frequency by the student to the UC "Physiatry and Ergonomics" is based on attendance at lectures and theoretical-practical exceeding 25%

Calculation formula of final grade

 

Formula for calculating the Final ranking of the student to the UC is determined through the following points:

 

 

 

 

 

 

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Examinations or Special Assignments

Optional, are included and compete for the item "evaluation of interest and participation in the educational process" that contribute to 12.5% of the total assessment .

Project work:

In "Physiatry and Ergonomics" or in co-colaboration between the "Physiatry and Ergonomics" UC and other UC course of MIMD) presented by the student, in the form of oral communication at the end of the study cycle.

These works are competing for the final classification of the "Physiatry and Ergonomics" UC (assessment of the interest and participation in the educational process by the student), when started in 2nd year of MIMD, and toward the end of the study cycle.

Internship work/project

Project work

- in "Physiatry and Ergonomics"

- in a co-colaboration between the "Physiatry and Ergonomics" UC or and other UC course of MIMD

presented by the student, in the form of oral communication at the end of the study cycle, they are evaluated in 
-Assessment of interest and participation in the educational process. Corresponds to 12.5% of the total assessment

Special assessment (TE, DA, ...)

Special evaluation Season.


-Assessment of the theoretical knowledge and practical. – evaluation written (and oral, if necessary)-summative exam. Corresponds to 75% of the total assessment

-Evaluation of Attendance/Punctuality to class of UC. Corresponds to 5% of the total assessment

-Evaluation of the Discipline/attitudes/Interpersonal Relationships in class of UC. Corresponds to 7.5% of the total assessment

-Assessment of interest and participation in the educational process. Corresponds to 12.5% of the total assessment

 

 

 

 

Classification improvement

Resource evaluation Season.

-Assessment of the theoretical knowledge and practical. – evaluation written (and oral, if necessary)- Summative exam . Corresponds to 75% of the total assessment

-Evaluation of Attendance/Punctuality to class of UC. Corresponds to 5% of the total assessment

-Evaluation of the Discipline/attitudes/Interpersonal Relationships in class of UC. Corresponds to 7.5% of the total assessment

-Assessment of interest and participation in the educational process. Corresponds to 12.5% of the total assessment

 

Observations

The "Physiatry and Ergonomics" UC of FMDUP still maintains an interactive communication between professors and students through an institutional e-mail where, in addition to the different types of support to the students ' learning process enshrined in the UC, are placed doubts and suggestions in relation to the learning objectives, the syllabus, to group work, project work , the times, types and evaluation tools. 

The "Physiatry and Ergonomics" UC of FMDUP maintains a direct connection to the students of 2nd year of FMDUP through the student representative of the Commission of course for UC (face-to-face or phone contact)