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Year 2

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