Lumbar Introduction
  • LUMBAR MODULE
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  • looks_one Anatomy
  • looks_two Physiology
  • looks_3 Pathology
  • looks_4Clinical guide

 

Introduction

These teaching modules are for qualified physios to teach in communities who cannot access professional physio services. We do not replace such a service, but instead provide the basic skill set to reduce pain and increase function.

 

LMIC rehab needs

The respiratory module has been designed by a specialist respiratory physiotherapist and proofed by a core team of physios specialising in rehabilitation for Lower and Middle Income Countries (LMIC). As with other DevelopingPhysio modules, considerable emphasis is placed on images to encourage understanding, thereby reducing the need for literacy and translations. Each image is captioned to allow for its translation (and see below).

Who is this for?

This module is designed for appointed community workers (who, as students, do not require any medical background). Tests are included to allow the teaching physio to check their student's understanding and progress. Eventually, the trained community worker is able to assess, diagnose and treat patients within their community.

 
 

Using the module

 

Printing

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The module can be printed out, although for a better learning experience and environmental reasons, we strongly recommend online use!

Pre/post learning checks

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    Quiz 1

Before teaching begins, this preliminary check is taken by the student to ascertain any background knowledge. This test is repeated after their exam stage, to indicate improvement and grow confidence.

(more of these quizzes are in preparation)

Library

Part one

The first section is in the form of a library, that provides specific information on relevant Anatomy, Physiology and Pathology

This is followed by a Clinical guide which introduces the Objective assessment in an intuitive way to help the teaching physio demonstrate how clinical reasoning works and how a diagnosis will be made. Finally, Outcome measures determine the ongoing improvement of the patient.

S.O.A.P

Part two

This section introduces the logic of SOAP
(Subjective, Objective, Analysis & Plan)
Within this framework, the Objective section provides an intuitive picture flow sequence to prompt the user through the critical tests that determine the diagnosis of the patient, which in turn leads to their recommended Treatment.

S.O.A.P notes

Patient treatment notes

Patient notes are a legal requirement and very important to maintain correctly. They follow the S.O.A.P. protocol and a quick explanation of this is provided

Exam

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    Exam

We recommend an exam after the teaching to assess whether the student is safe to assess, diagnose and treat patients. See more information

Pre/post learning checks

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    Quiz 1

Now you have taught the module, repeat the pre/post learning test and your student will see their higher score.

 

Resources

The module finishes with a resources section where teachers and students can find further reading, learning games and students tests

Your feedback is vital in helping us refine the module for the benefit of all users, so please dont hesitate to give us your thoughts!

 

General information

Red flag

This 'red flag' icon indicates "See a doctor!" Where no doctor exists, then please take any practical medical alternative action possible.

 
Translation

For translation needs, Google Chrome is the recommended browser, since it provides the simplest means to convert text into another language. However, as it will only work with internet connected, we are keeping an eye on Firefox who are developing an offline translation service.

 

 
App and offline use

To use this module without internet connection, click the small download button at the top right of your screen (whilst online). You will then be taken through a very quick app installation process so that an icon can then be installed the homescreen of your device. Pages you visit whilst online are then cached (automatically stored) and any updates to the module will automatically occur when you are next online.


 

Online class option

The possibility for further learning resources for online classes that include tests, games and module examination to help determine when a student is ready to work independently with patients, is being looked into via an online Learning Management System (LMS). This in turn would affect funding and possible progression to the future teaching of more physios. Please let us know if this subject interests you!

 

 

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Glossary of terms

Common terms used by physios that are helpful to remember!

Planes: anterior, posterior, lateral, medial, superior, inferior Anterior: the ‘front’ plane; anterior pressure on forehead Posterior: the 'back' plane; posterior test (for neck muscle) Lateral: the 'side' plane; lateral test (to hip muscles) Medial: the 'inside lateral' planes stretching medial muscles Superior: the 'on top' plane of the body; maintain a balance in the superior plane; Inferior: the 'underside' plane of the body; checking inferior of foot Movement: extension, flexion, adduction, abduction, rotation, internal, external Extension: the 'stretch' movement; seated, with one leg fully extended Flexion: the 'bend' movement; knee and hip in flexion Abduction: widening the angle from a joint; abducting ankle joint Adduction: closing the angle from a joint; adducting knee joint Rotation: the 'turning' movement; rotating knee and hip joint Internal: turning a plane of the body 'inward'; leg rotated internally; External: turning a plane of the body 'outwards'; palm of hand rotated externally Points: caudad, cephalad, distal, proximal Caudad: points close to the'end' (tail and sacrum); checking caudad relaxation Distal: furthest points from thebody; encouraging distal movement; Proximal: closest points to the body; encouraging proximal movement Cephalad: points close to the 'top' (head and neck); stretching cephalad muscles
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