Overview
Within this unit Foundations of Chiropractic 4 you will further develop your psychomotor skills and manipulative techniques relative to the cervical, thoracic spine, temporomandibular joint and upper extremities. You will continue to build prior knowledge of radiographic mensuration and functional biomechanics of the spine and upper extremities, to perform musculoskeletal assessments. You will also examine current public health issues related to chiropractic care.
Details
Pre-requisites or Co-requisites
Pre-requisites: CHIR12005 & CHIR12004
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 2 - 2019
Attendance Requirements
All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Recommended Student Time Commitment
Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from Have Your Say student survey
Best aspects of this unit are the practical sessions As a student went on to say "Well its chiro, so best aspects are getting hands on".
To develop student's psychomotor skills and improve the student learning experience the practical sessions should be extended each week. A student commented that "as we are a practical profession, I would like to see more time spent in the lab class each week. I believe that increasing the lab classes would benefit each student to learn and fine tune the practical skills required in the students future profession".This is a view that the unit coordinator supports for possible change in the future.
Feedback from Have Your Say student survey
Students found the portfolio a great learning tool and did prefer having only 5 to write this semester so it gave them more time to research and reflect on their thoughts. They did wish they had a slightly higher word limit, although in some ways it helped me compress their thoughts.
The portfolio assessment task will continue to be used to help develop students critical thinking skills.
Feedback from Have Your Say student survey
The practical classes should strictly be about practical work and the Zoom sessions should be times for where the lecturer can cover public health topics or other theory topics. If they want to teach theory face to face to add a compulsory tutorial to the subject.
The practical classes are structured to allow for discussion of the material, better time management is planned for the future and communicated to the tutors in weekly tutor meetings.
Feedback from Have Your Say student survey
Best Foundations yet with OUTSTANDING teachers, very knowledgeable, helpful, patient, and happy to teach us the same thing again and again until it sunk in. They really helped us feel prepared for both the OSCEs, many of the other students commented they were extremely happy and felt more prepared in this semester than in others.
The discipline will continue to employ tutors that have a strong passion for teaching and pass on their knowledge to the next generation of chiropractors. As these are our greatest assets.
- Interpret the findings from musculoskeletal assessments including radiographic mensuration of the cervical, thoracic spine, temporomandibular joint and upper extremities to recommend an appropriate treatment/management protocol, including the adjusting techniques used
- Demonstrate adjusting/manipulative setups/adjustments for cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
- Perform soft tissue therapeutic procedures and non-force techniques of the cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
- Investigate how current public health issues impact chiropractic care.
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks | Learning Outcomes | |||
---|---|---|---|---|
1 | 2 | 3 | 4 | |
1 - On-campus Activity - 0% | ||||
2 - Portfolio - 25% | ||||
3 - Examination - 25% | ||||
4 - Objective Structured Clinical Examinations (OSCEs) - 50% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | |||
---|---|---|---|---|
1 | 2 | 3 | 4 | |
1 - Communication | ||||
2 - Problem Solving | ||||
3 - Critical Thinking | ||||
4 - Information Literacy | ||||
5 - Team Work | ||||
6 - Information Technology Competence | ||||
7 - Cross Cultural Competence | ||||
8 - Ethical practice | ||||
9 - Social Innovation | ||||
10 - Aboriginal and Torres Strait Islander Cultures |
Alignment of Assessment Tasks to Graduate Attributes
Assessment Tasks | Graduate Attributes | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
1 - On-campus Activity - 0% | ||||||||||
2 - Portfolio - 25% | ||||||||||
3 - Examination - 25% | ||||||||||
4 - Objective Structured Clinical Examinations (OSCEs) - 50% |
Textbooks
Chiropractic Technique
Edition: 3rd (2010)
Authors: Thomas F. Bergmann, David H. Peterson
Mosby Elsevier
Philadelphia Philadelphia , PA , United States
ISBN: 978-0-323-04969-6
Binding: Hardcover
Joint Play and Mobilization Textbook
Edition: 1st (2018)
Authors: Nikita A.Vizniak
Professional Health Systems
Canada
ISBN: 978-0-9936191-4-4
Binding: Paperback
Additional Textbook Information
The Nikita A. Vizniak texts bridge the gap between classroom education and practical clinical application.They contain current, easily accessible information on topics including musculoskeletal assessment, palpation, trigger point referral, radiographic analyses and mensuration. Free online resources, quizzes and videos assist the student with their studies in this unit and future units in the course.
Both texts can be purchased at the CQUni Bookshop here: http://bookshop.cqu.edu.au (search on the Unit code)
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
- ZOOM meetings
All submissions for this unit must use the referencing style: American Psychological Association 6th Edition (APA 6th edition)
For further information, see the Assessment Tasks.
m.harris@cqu.edu.au
Module/Topic
1. Unit profile, assessment expectations for the practical, written assessment using Weebly portfolio.
2. Mannequin- Based Simulation in Chiropractic Education.
3. Lab Orientation
4. Skills Chirobics
5. APA Clinical Guidelines for Assessing Vertebrobasilar Insufficiency in the Management of Cervical Spine Disorders
Technique: Practical skills 2X2 hours practical sessions.
Chapter
Resources and readings will be given via Moodle
1. Read Bergmann, Chapter 4: Principles of Adjustive Technique; Contraindications to Complications of Adjustive Therapy (P.92-102)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Submit Weebly URL to Unit Coordinator by end of week 1 Term 2 (6 pm Sunday 21st July)
Module/Topic
1. Cervical Spine Biomechanics
2. Review Cervical Spine Active and Passive ROM and Motion Palpation
3. Public Health: Assessment of Vertebral Artery Insufficency by G Clum
4. Cervical Spine Psychomotor Skills Development Skills
5. Cervical Spine Set Ups and Adjustments Fig 5.94A, Fig 5-94B, Fig 5-96
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1. Read Bergmann, Chapter 5: Principles of Adjustive Technique (P.152-184)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.198- 205, 206 - 209, 230)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Cervical Spine
2. Ancillary techniques for Cervical Spine and Upper Limb (muscle energy, mobilisations, traction)
3. Cervical Spine Set Ups and Adjustments Fig 5.82, Fig 5.94A, Fig 5-94B, Fig 5-96A, Fig 5-98A
4. Cervical NRA and Mensuration
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1.Read Bergmann, Chapter 5: Principles of Adjustive Technique (P.175- 181)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.212- 215, 218 -219, 222- 223, 230)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Cervicothoracic Set Ups and Adjustments Fig 5.169A, Fig 5.170A
4. Force Plate Analysis in Chiropractic Education
5. Public Health.Global Burden of Musculoskeletal Health
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1.Read Bergmann, Chapter 5: Principles of Adjustive Technique (P.180-184)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.224-228)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Shoulder Joint Biomechanics
2. Shoulder NRA and Mensuration
3. Accessory Joint Movement of the Shoulder Joint
4. Assessment of Glenohumeral, Sternoclavicular and Acromioclavicular Joints
5. Shoulder Set Ups and Adjustments Fig 6.48, Fig 6-49, Fig 6-52, Fig 6-39, Fig 6-53, Fig 6-59,
4. AC and SC Set Ups and Adjustments Fig 6.60, Fig 6.62, Fig 6-65, Fig 6-66.
5. Public Health: Cultural Perspectives and Awareness: presentations and recorded interview on Indigenous health issues
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1. Read Bergmann, Chapter 6: Extraspinal Technique (P.294- 312)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.240- 251)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
Study Break - no classes scheduled
Chapter
Study Break - no classes scheduled
Events and Submissions/Topic
Study Break - no classes scheduled
Module/Topic
Revision Week
Mid Term OSCE within the practical labs (20%)
Chapter
Revision Week
Mid Term OSCE within the practical labs (20%)
Events and Submissions/Topic
Revision Week
Mid Term OSCE within the practical labs (20%)
Module/Topic
1. Thoracic Spine Joint Biomechanics
2. Thoracic Spine Set Ups and Adjustments Fig 5.175A, Fig 5.175B, Fig 5.177A, 5.181E, Fig 5.181G
3. Non Thrust procedures: Mobilisations, Traction and Soft Tissue Techniques
4. Cultural Perspectives and Awareness - Indigenous Health Issues
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1. Read Bergmann, Chapter 6: Extraspinal Techniques (P.188- 226)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.155-163)
3. Bergmann, Chapter 7 Non thrust Procedures Mobilisation, Traction and Soft Tissue Techniques(P.381- 384, 402- 405)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Elbow Examination
2. Elbow NRA and Mensuration
3. What is Cultural Competence
4. Accessory Joint Movement of the Elbow
5. Elbow Set Ups and Adjustments Fig 6.85, Fig 6.86, Fig 6.87, Fig 6.88 , Fig 6.89, Fig 6.90
6. Elbow adjustments Fig 6-91, Fig 6. 92 and Fig 6.93, Fig 6-96, Fig 6-98
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1.Read Bergmann, Chapter 6: Extraspinal Techniques (P.315- 325)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.274- 278, 279- 282 )
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Wrist and Hand Examination
2. Wrist and Hand NRA and Mensuration
3. Accessory Joint Movement of the Wrist and Hand Fig 6.16, Fig 6.117, Fig 6.118, Fig 6.119, Fig 6.120, Fig 6.121, Fig 6.122, Fig 6.123, Fig 6-124, Fig 6-125
4. Wrist and Hand Adjustments Fig 6.126, Fig 6.130 Fig 6.132, Fig 6.133, Fig 6.134
5. Public Health Screenings for Disease Recognising the benefits and limitations of Public Health Screenings
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1.Read Bergmann, Chapter 6: Extraspinal Techniques (P.326- 337)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.286-302)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Temporomandibular Joint (TMJ) Examination and Treatment
2. Temporomandibular Joint (TMJ) Biomechanics
3. TMJ Set- Ups and Adjustments Fig 6.19, Fig 6.21, Fig 6.22, Fig 6.24 and Fig 6.25
Technique: Practical skills 2X2 hours practical sessions.
Chapter
1.Read Bergmann, Chapter 6: Extraspinal Techniques (P.283- 294)
2. Dr Nikita.A. Vizniak, Joint Play and Mobilisation (P.234-236)
Events and Submissions/Topic
On-Campus Activity within the practical labs each week.
Module/Topic
1. Review all Set Ups and Adjustments
2. Submit Weebly e-portfolio
Technique: Practical skills 2X2 hours practical sessions.
Chapter
Events and Submissions/Topic
Submit e-portfolio in Weebly Friday 4th October 6 pm
Submit On-Campus activity checklist via Moodle
On - Campus Activities (Pass/Fail) 0% Due: Week 11 Friday (4 Oct 2019) 6:00 pm AEST
Portfolio 25% Due: Week 11 Friday (4 Oct 2019) 6:00 pm AEST
Module/Topic
OSCE
Chapter
OSCE
Events and Submissions/Topic
OSCE
OSCE Practical Assessment 50% Due: Week 12 Friday (11 Oct 2019) 11:45 pm AEST
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Examination Week
Chapter
Examination Week
Events and Submissions/Topic
Examination Week
1 On-campus Activity
On-Campus Activity
There will be weekly on-campus activities that will involve participation in set tasks during your normal lab time. It will be your responsibility to have the on-campus activity checklist (this is available on Moodle) signed by the tutor on the day of the activity. You will be required to upload this document via Moodle at the end of week 11.
Week 11 Friday (4 Oct 2019) 6:00 pm AEST
The on-campus activities will occur in the practical labs each week. Each weeks 's activity will vary in content and will involve the learning outcomes for this unit throughout the term. These activities will prepare you for your assessments in this unit.
Review/Exam Week Friday (18 Oct 2019)
formative feedback maybe provided to students after each short activity by the tutors.
The students are required to participate in 80% of the on-campus activities and your tutor will assess your participation in class.
You will receive a PASS/FAIL for all on-campus activities which is required to continue in the program regardless of the OSCE practical and Final Examination results.
Students are required to upload all on-campus registered activities that have been signed and witnessed by campus tutors into Moodle via Turnitin as part of their Weebly e-portfolio.
- Demonstrate adjusting/manipulative setups/adjustments for cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
- Perform soft tissue therapeutic procedures and non-force techniques of the cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
- Communication
- Problem Solving
- Team Work
- Ethical practice
2 Portfolio
In this unit you will further develop your understanding of the role and skill sets required of a chiropractor through investigating the knowledge, skills and dispositions required. To help with your development on this journey of self-discovery you will create a reflective portfolio and provide five (5) reflections based on the on-campus activities, discussions, and material presented during the term. The e-portfolio in Weebly provides evidence of the quality and quantity of your in-class learning.
Your Weebly e-portfolio can be used as a way to evaluate and enhance your learning and/or be used to critically reflect and develop deeper learning. It may be used to evolve skills set which will be essential during your professional career such as documenting your professional portfolio, professional achievements and continued professional development. Note that you will continue to develop your reflective writing skills in future units in the course.
Week 11 Friday (4 Oct 2019) 6:00 pm AEST
You will submit your Weebly URL with your marking rubric via Turnitin in Moodle promptly
Exam Week Friday (25 Oct 2019)
via Turnitin in Moodle
You will be required to reflect on the theoretical and practical content of the unit and enter comments electronically into your e-portfolio in Weebly
Throughout the term you will be given on-campus activities (based upon the learning outcomes for this unit) that you will comment and reflect on in your e-portfolio and will involve the following criteria.
1 - Interpret the findings from musculoskeletal assessments including radiographic mensuration of the cervical, thoracic spine, temporomandibular joint and upper extremities to recommend an appropriate treatment/management protocol, including the adjusting techniques used
2 - Demonstrate adjusting/manipulative setups/adjustments for cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
3 - Perform soft tissue therapeutic procedures and non-force techniques of the cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
4 - Investigate how current public health issues impact chiropractic care.
There will be a specific rubric for the e-portfolio in Weebly that is available in your Moodle site that you can refer to for further information. If requested you will be able to receive feedback on your portfolio in week 3 and week 9 of the term to ensure you have met all requirements for this assignment.
The students are required to attend 80% of the on-campus activities and your tutor will assess your participation in class.
You will receive a PASS/FAIL for all in on-campus activities which is required to continue in the program regardless of the OSCE practical and Final Examination results.
- Investigate how current public health issues impact chiropractic care.
- Communication
- Problem Solving
- Critical Thinking
- Ethical practice
3 Objective Structured Clinical Examinations (OSCEs)
In practice, the chiropractor is required to combine a variety of psychomotor skills. All skills/techniques taught within this unit must be mastered. You must have a strong understanding of their applications. The primary focus of this assessment will be on the contextual nature of the adjustment/manipulation in addition to refining the skill itself. Each of these activities will require the student to complete various techniques over a specific time period. You will complete a Mid Term Exam (OSCE), with a value of 20% in week 6 and a Final Term Exam (OSCE) with a value of 30% in week 12 in scheduled lab times where possible.
Activity 1-You will be required to perform four (4) spinal setups/ mock thrust adjustments at an intermediate level demonstrating correct technique, appropriate patient handling. Furthermore, you will be required to perform the physical examination components below correlating your findings to your examiner by viva voce
- Motion palpation of the joint;
- Perform the appropriate setup and mock thrust adjustment
The tasks will be allocated to you randomly according to series of cards which have been previously composed.
Activity 2- Perform functional assessments demonstrating the correct technique with appropriate patient handling and viva voce assessment and or perform soft tissue therapeutic procedures and non-force techniques at an intermediate level. e.g PNF stretches, trigger point therapy, mobilizations, cross-fibre friction therapy. This tasks will be allocated to you randomly according to series of cards which have been previously composed.
Activity 3 - You will be required to perform four (4) upper limb setups/ mock thrust adjustments at an intermediate level demonstrating correct technique, appropriate patient handling. Furthermore, you will be required to perform the physical examination components below correlating your findings to your examiner by viva voce:
- Motion palpation assessment of a spinal segment.
- Perform the appropriate setup and mock thrust adjustment.
Please note:
- Must perform the appropriate setup/ mock thrust adjustment for the lesion in question. The tasks will be allocated to you randomly according to series of cards which have been previously composed.
- You present for your OSCE dressed professionally. Any student not adhering to the dress code may be excluded from the assessment;
- Each activity is timed. You will have the set time to complete the activity, therefore if an activity is not completed within the allocated time the practical element will be stopped and you will be marked based on your performance to that point;
- Clinical and skills staff may be present as part of the examiner assessment date;
- The assessment will be recorded using a video camera to enable moderation, however, these recordings will not be available for student feedback.
Week 12 Friday (11 Oct 2019) 11:45 pm AEST
practical assessments are performed in-class in scheduled time
Exam Week Friday (25 Oct 2019)
Results will be released once moderated
You will complete a Mid Term Exam (OSCE), with a value of 20% in week 6 and a Final Term Exam (OSCE) with a value of 30% in week 12 in scheduled lab times where possible.
Your performance will be graded using a marking rubric which will be provided to you via Moodle.This marking rubric will grade your performance according to the following:
- Infection control
- Draping
- Verbal Consent
- Static palpation of the region
- Motion palpation of the joint
- Perform the appropriate adjustment for the lesion in question
- Appropriate interpretation of findings
- Practitioner position
- Patient position
- Patient handling
- Examiners over all impression
No submission method provided.
- Interpret the findings from musculoskeletal assessments including radiographic mensuration of the cervical, thoracic spine, temporomandibular joint and upper extremities to recommend an appropriate treatment/management protocol, including the adjusting techniques used
- Demonstrate adjusting/manipulative setups/adjustments for cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
- Perform soft tissue therapeutic procedures and non-force techniques of the cervical, thoracic spine, temporomandibular joint and upper extremities at an intermediate level
- Communication
- Problem Solving
- Team Work
Examination
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.