Osteoarticular and Muscular Disorders

Instance: 2019/2020 - 1S (of 09-09-2019 to 09-02-2020)

Cycles of Study/Courses

Teaching language

Objectives

Provide student´s contact with fundamental knowledge of the specialties that constitue the course of osteo-articular and muscular diseases (UC DOM).

At the end of each semester, the student should be able to accomplish an objective examination of adult and child. He should also acquire general concepts: degenerative disease of the spine and limbs; Childhood disease (congenital hip dislocation / DDH - Clubfoot; bone infections; epiphysiolysis - Perthes, spine deformity); traumatology of the spine and limbs; bone tumors as well as musculotendinous sports injuries.

In the context of rheumatic diseases students should be able to identify and evaluate individuals with inflammatory rheumatic disease such as rheumatoid arthritis, Lupus Erythematosus and other connectivitis including Sclerosis Systemic, Sjogren's Syndrome, Inflammatory myopathies, the Juvenile Idiopathic Arthritis, Vasculitis Systemic and Espondilartrites. In addition to these conditions the microcrystalline Arthritis will be focused, as well as osteoarthritis, osteoporosis and other metabolic bone diseases, periarticular Rheumatic Diseases, Fibromyalgia and Musculoskeletal manifestations of non-rheumatic diseases.

Introduction to history, philosophy and praxis of Physical Medicine and Rehabilitation (PMR). General concepts of function and body structures, activities and participation. White Paper of PMR. Evaluation of a patient in PMR (history and physical examination). Metrology in PMR (functional scales). Complementary diagnostic and therapeutic methods in PMR. Rehabilitation in ortho-Traumatology, neurological, rheumatologic, pediatric, vascular, oncological, cardiac and respiratory, vertebromedular forums.

Learning outcomes and competences

Working method

Program

1^st Week
Theoretical-seminars - Tuesday
14 h Presentation of the UC DOM. Fractures of the upper limb - Prof. Manuel Gutierres
15 h Fractures of the lower limb - Dr. Miguel Marta
Theoretical / practical
08.30 / 09.30 - Basic principles of fractures treatment (manipulation, traction, cast immobilization, surgical treatment) – Dr. Bernardo Nunes
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department


2nd Week
Theoretical-seminars - Tuesday
14 h Shoulder pathology (shoulder arthrosis, rotator cuff injuries, instabilities) - Prof. Gutierres
15 h Knee pathology (knee arthrosis, meniscal and ligamentous injuries, anterior knee pain) - Prof. Gutierres
Theoretical / practical
08.30 / 09.30 Knee and shoulder semiology / clinical cases- Prof. Gutierres
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department 

3rd Week
Theoretical-seminars - Tuesday
14 h Pathology of foot and ankle - Prof João Torres
15 h Musculo-tendinous injuries in sports - Prof João Torres
Theoretical / practical
08.30 / 9.30
Semiology of foot and ankle pathology / musculo-tendinous injuries in sports - Prof. João Torres
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department


4th Week
Theoretical-seminars - Tuesday
14 h Spine injuries – Prof. Nuno Neves
15 h Degenerative spine pathology / osteoporosis – Prof. Nuno Neves Theoretical / practical
08.30 / 09.30 Semiology of spine/hip pathology / clinical cases – Prof. Nuno Neves
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

5th Week
Theoretical-seminars - Tuesday
14 h Pathology of the hip - Prof. Rui Lemos
15 h Pathology of hand and wrist – Dr. Pedro Negrão
Theoretical / practical
08.30 / 09.30 Semiology of elbow/wrist/hand pathology - Dr Pedro Negrão
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

6th Week
Theoretical-seminars - Tuesday
14 h Bone infections in children – Dr. Rui Martins
15h Scoliosis - Dr. André Pinho
Theoretical / practical
08.30 / 09.30 Semiology in children pathology – Dr. Rui Martins
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

7th Week
Theoretical-seminars - Tuesday
14 h Congenital malformations – Dr.ª Joana Freitas
15 h Painfull hip in children – Dr.ª Joana Freitas
Theoretical / practical
08.30 / 09.30 Children's immobilizations – Demonstration of the Ponseti method – Dr.ª Joana Freitas
Practical classes
10:30 Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

8th Week
Theoretical-seminars - Tuesday
14h Approach to the patient with musculoskeletal pain - Prof. Carlos Vaz
15 h Rheumatoid Arthritis / Sjogren sindrom- Prof. Miguel Bernardes
Theoretical / practical
08.30 / 09.30 - Correlation pathologic-anatomy and clinical cases of Rheumatology - Prof. Carlos Vaz / Prof. Elsa Fonseca
Practical classes
10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds


9th Week
Theoretical-seminars - Tuesday
14h Espondilartritis / osteoporosis - Prof Carlos Vaz
15h Osteoarthrosis and peri-articular pathology - Prof. Carlos Vaz
Theoretical / practical
8.30 / 9.30 Physical examination in rheumatology (part 1), correlation with the clinic - Prof.ª Iva Brito
Practical classes
10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds

10th Week
Theoretical-seminars - Tuesday
14h Lupus Erythematosus and anti-fosfolipidic syndromes - Prof.ª Iva Brito
15h Vasculitis / Behçet disease - Prof.ª Iva Brito
Theoretical / practical
8.30 / 9.30 Physical examination in rheumatology(part 2), correlation with the clinic - Prof.ª Iva Brito
Practical classes
10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds

11th Week
Theoretical-seminars - Tuesday
14h Sclerodermia and and associated phenomen - Prof. Carlos Vaz
15h Juvenile Idiopathic Arthritis and hereditary recurrent fevers  - Profª. Iva Brito / Drª. Francisca Aguiar
Theoretical / practical
8.30 / 9.30 Microcrystalline pathology - Prof. Carlos Vaz 
Practical classes
10:30 Rheumatology department CH São João – Outpatient clinic / ward rounds

12th Week
Theoretical-seminars - Tuesday
14h Anti-inflammatory therapy - Prof Albino Teixeira
15h Imaging semiology in osteoarticular and muscular diseases - Prof. Bastos Leite / Drª Madalena Pimenta 
Theoretical / practical
8.30 / 9.30 Clinical cases of bone tumors (Orthopedics / Anatomo pathology) - Prof. José Manuel Lopes / Dr. Filipe Duarte Practical classes
10:30 Therapeutics - Discussion of illustrative cases of chondroprotective therapies for osteoarthritis, anti-osteoporotic and immunomodulation in rheumatic diseases - Prof. Albino Teixeira



13th Week
Theoretical-seminars - Tuesday
14h General concepts in Physical Medicine and Rehabilitation - Dr Fernando Parada 
Osteoarticular rehabilitation(rehabilitation in traumatic and degenerative osteo-articular pathology, neurological, vascular disorders, cardiac and respiratory, vertebro-medullary. - Part 1)
15 h Neurological Rehabilitation - Dr. Maria José Festas (Rehabilitation in central and peripheral neurological pathology in ortho-traumatology, neurological, vascular, cardiac and respiratory, vertebro-medullary disorders - Part 2)
Theoretical / practical
08.30 / 09.30 MFR measuring tests
Practical classes 10.30 - Physical Medicine and Rehabilitation department CH São João - Accompanying treatment programs 


14thWeek
Evaluation

Mandatory literature

Teaching methods and learning activities

The teaching methodology involves weekly theoretical-seminars, theoretical-practical and practical classes.

The theoretical-seminars will be held in the afternoon and will traverse the proposed themes in the contents above, being exposed by teachers with clinical experience in the areas.

The theoretical-practical classes, begining each morning, provide a semiology view of the pathologies presented in the theoretical class that week. It will also include clinical sessions with discussion of cases, in collaboration with the integrated units of Radiology, Anatomo pathology and Physical Medicine and Rehabilitation.

Next, the practical classes in which students will be integrated into assistance activities of Orthopedic, Rheumatology and Physical Medicine and Rehabilitation departments, particularly in outpatients clinic, ward rounds, operating room and emergency department.

Evaluation Type

Assessment Components

Amount of time allocated to each course unit

Eligibility for exams

Calculation formula of final grade

Written test : multiple choice ( 0 to 18 , 90 questions to 0.2 points)

(0 to 18 points ​​in total) *



*minimum grade: 9 points

Practical evaluation-(To be held in one of the practical classes),

for example: examination of 1 joint: 0-1-2 points)*