Year 1

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

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 

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 

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.