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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 1.4 - 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 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 2.1 - 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 2.2 - 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 2.3 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





PERIOD 2.3 CHRONIC PATIENT: ORGAN FAILURE

  • See Minor document for more information 

     

    Hours/ECTS: 840 hours - 30 ECTS 

     

    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 

Challenge 1

CAP-20

Practical internship: 20 weeks of internship, applying the knowledge and skills obtained during the program in an integrated way within the professional practice | 840 hours - 30 ECTS

Challenge 2 - 3

Challenge 2 is all about solving a problem from your professional practice and working on your investigative role. You will conduct applied practical research in collaboration with relevant stakeholders. You do this in a systematic and substantiated manner, with the aim of better understanding health care practice and/or making a meaningful addition to it. Your final product should contribute to (or give a new perspective on) a real-world challenge.

Challenge 3 concerns creating impact based on one of the principles of appropriate care. Perhaps you remember an assignment you performed earlier during your education? Or maybe you see an opportunity based on your own experiences in healthcare (e.g. during practical learning). Or does your research assignment offer a great opportunity for this challenge? Either way, you're going to implement an idea, scale up an existing proposition or de-implement an existing application to reduce waste. Main result? Realizing impact in your professional practice | 672 hours - 30 ECTS