CQUniversity Unit Profile
CHIR12007 Clinical Assessment and Diagnosis 1
Clinical Assessment and Diagnosis 1
All details in this unit profile for CHIR12007 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student).
The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.
General Information

Overview

In this unit you will learn about important features of clinical conditions which are commonly encountered in chiropractic practice. In learning the etiology, incidence, pathophysiology and clinical presentation of these conditions, you will integrate this theoretical knowledge with the the assessment and management skills acquired in Professional Chiropractic Practice 1 (CHIR13008).

Details

Career Level: Undergraduate
Unit Level: Level 2
Credit Points: 6
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Prerequisites: MPAT12001 Medical Pathophysiology  Co-requisite: CHIR13008 Professional Chiropractic Practice 1 

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 1 - 2021

Brisbane
Mackay
Sydney

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).

Class and Assessment Overview

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

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

1. Portfolio
Weighting: 20%
2. Online Quiz(zes)
Weighting: 30%
3. In-class Test(s)
Weighting: 50%

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.

Previous Student Feedback

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

Feedback

The students appreciated and enjoyed the content and quality of information.

Recommendation

It is recommended that the content be continued and expanded for future offerings.

Feedback from Have your Say and Verbal feedback

Feedback

Students felt the lecturer was engaging and supportive, assisting them to apply the information and develop their clinical understanding and application.

Recommendation

It is recommended that the tutorial continue to provide an opportunity to demonstrate clinical application of the lecture, reading and resource materials.

Feedback from Have your Say and Class discussion

Feedback

Students would have preferred the pre-recorded lectures to be more timely and delivered in a manner that was more engaging and entertaining.

Recommendation

It is recommended that lecturers receive training and skills in the art of lecture recording. It is recommended these are done in a more timely manner.

Feedback from Have your say

Feedback

Students felt the assessment tasks were appropriate, helpful for learning the material, returned in a time frame that supported learning and feedback was supportive.

Recommendation

It is recommended that assessment tasks continue to be of an appropriate standing to be helpful for learning the material and support learning.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Discuss the etiology, incidence and pathophysiology of commonly encountered conditions of the spine and extremities in chiropractic practice
  2. Describe the clinical presentation of commonly encountered conditions of the spine and extremities in chiropractic practice
  3. Demonstrate an introductory level of clinical reasoning in relation to the selection and application of commonly used assessment and management procedures.

Learning outcome 1 - competency 3 (3.4)

Learning outcome 2 - competency 3 (3.4)

Learning outcome 3 - competency 1 (1.2, 1.3), 3 (3.3, 3.4, 3.5). 4 (4.1, 4.2)

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3
1 - Portfolio - 20%
2 - Online Quiz(zes) - 30%
3 - In-class Test(s) - 50%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3
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 - Portfolio - 20%
2 - Online Quiz(zes) - 30%
3 - In-class Test(s) - 50%
Textbooks and Resources

Textbooks

Prescribed

Differential Diagnosis for the Chiropractor

Edition: 5th (2018)
Authors: TA Souza
Jones and Bartlett
USA
ISBN: 9781284457001
Binding: Paperback
Supplementary

Orthopaedic Neurology A Diagnostic Guide to Neurologic Levels A Diagnostic Guide to Neurologic Levels

Edition: 2 (2018)
Authors: JD Hoppenfeld and Stanley Hoppenfeld
Lippincott Williams & Wilkins USA
USA
ISBN: 9781496323033
Binding: Hardcover

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
Referencing Style

All submissions for this unit must use the referencing style: American Psychological Association 7th Edition (APA 7th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Kenneth Lorme Unit Coordinator
k.lorme@cqu.edu.au
Schedule
Week 1 - Introduction and Cervical Spine Begin Date: 08 Mar 2021

Module/Topic

1.1 Unit profile, expectations, assessments and portfolio.

1.2 Developing a Diagnosis, Differential Diagnosis, Clinical Reasoning & Guideline based management

1.3 Red and Yellow Flags

1.4 Pain

1.5 Cervical Spine: Tissue & Anatomy, Facet Sprain vs. Dysfunction; Cervical Muscle strain; Subluxation/ Cervical Manipulable lesions

Chapter

Orthopedic Physical Assessment 6th (2014); Authors: David J. Magee; Chapter 1

AOSpine Masters Series, Volume 5: Cervical Spine Trauma. Stuttgart: Thieme Medical, Incorporated, 2015. Web.; Chapter 1

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 59-72

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 2 - Cervical Spine Continued Begin Date: 15 Mar 2021

Module/Topic

2.1 OA - Spondylosis, Uncovertebral and Facet arthrosis; Stenosis

2.2

A. Whiplash/ WAD

B. Cervical Spine Trauma

2.3 Cervical Disc Lesions, Radiculopathy and Myelopathy

2.4 Torticollis

Chapter

Orthopedic Physical Assessment 6th (2014); Authors: David J. Magee; Chapter 3 - Cervical Spine 148-162, 180-183

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 79-96, 103-104

AOSpine Masters Series, Volume 5: Cervical Spine Trauma. Stuttgart: Thieme Medical, Incorporated, 2015. Web.; Chapters 2-16

Kasch, Helge, Dennis Turk, and Troels S. Jensen. Whiplash Injury : Perspectives on the Development of Chronic Pain. 2016. Web.; Chapters 3 & 8

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 3 - Thoracic Spine Begin Date: 22 Mar 2021

Module/Topic

3.1 Thoracic Spine – Tissue and Anatomy; Mechanical Pain

3.2 Costochondritis, Scapulocostal Bursitis/ Tendonitis, Herpes Zoster; Thoracic Disc lesions

3.3 Compression fracture; Rib – Subluxation vs Fracture

3.4 Thoracic Spine OA and other common Arthropathies; Facet Syndrome

3.5 Scheuermann’s disease; Postural Syndromes

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 8, Thoracic Spine; 508-515, 536 (Tables)

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 119-123, 127-133

Merck Manual of Diagnosis and Therapy 20th; Authors: Merck Editor; 1624-1625

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 4 - Lumbar Spine Begin Date: 29 Mar 2021

Module/Topic

4.1 Lumbar Spine – Tissue and Anatomy

4.2 Chronic LBP. Disc Disease and OA

4.3 Lumbar Radiculopathy, Spinal Stenosis, Sciatica, Piriformis S

4.4 Lumbar Strain/Sprain; SI syndrome; Coccyx 

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 9, Lumbar Spine; 550-562, 563 & 566 (Tables), 588-594; Chapter 10, Pelvis; 649-654

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 163-180, 190-221, 233-235


Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 5 - Lumbar Sacral Spine Begin Date: 05 Apr 2021

Module/Topic

5.1 Special Groups & Cauda Equina

5.2 Spinal Myofascial Pain Disorders (incl dysfunction/ subluxation); Postural Dysfunctions

5.3 Other Conditions

Infection, Herpes Zoster (Shingles), Neuropathy (DM, Alcoholic); AAA

Chapter

No additional Reading

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Vacation Week Begin Date: 12 Apr 2021

Module/Topic

N/A

Chapter

N/A

Events and Submissions/Topic

N/A

Week 6 - Review Spinal Cervical, Thoracic and Lumbar Sacral/ Script Concordance Begin Date: 19 Apr 2021

Module/Topic

6.1 Script Concordance

Review Cases Full Spine

Chapter

Readings per e-Reading list

Script Concordance

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 7 - Neuropathies & Entrapments/ Gait Begin Date: 26 Apr 2021

Module/Topic

7.1 Overview of Nerve Entrapment/ Nerve Compression/ Compression Neuropathy

7.2 Upper Limb

a. Pronator Teres S

b. CTS – Carpal Tunnel S

c. Ulnar Nerve S

d. Cubital Tunnel Entrapment

7.3 Lower Limb

a. Meralgia Paresthetica

b. Tibial and Deep Peroneal Nerve Entrapment

c. TTS – Tarsal Tunnel S

d. Morton’s neuroma

7.4 Gait

Chapter

Patten, John. Neurological Differential Diagnosis. 2nd ed. London ; New York: Springer, 1996. Print; Chapters 16 & 17

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 6, Elbow; 399, 412-416, 426 (Table); Chapter 7, Wrist/ Hand, 483 (+Table); Chapter 11, 731-732, 734 (Table), Chapter 12, 852-854; Chapter 13, 942-947

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 8 - Myofascial/ Gait (continued) Begin Date: 03 May 2021

Module/Topic

7.4 Gait (cont)

8.1 Myofascial

8.2 Misc.


Chapter

Readings per e-reading list

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 9 - Shoulder Begin Date: 10 May 2021

Module/Topic

9.1 Review Shoulder Anatomy and Tissue

9.2 Subacromial Bursitis, Adhesive Capsulitis

9.3 Rotator Cuff S , Impingement, Labral Tears,

9.4 Misc

a. Shoulder Trauma (Fracture/ Dislocation) & Instability

b. Shoulder Arthropathies

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 5, Shoulder; 252-264; 349

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 237-245, 272-288, 298-300

Events and Submissions/Topic

Portfolio Questions to be submitted no later than Sunday 6PM after the weekly material presented.

Weekly Test

Week 10 - Elbow, Wrist, Hand Begin Date: 17 May 2021

Module/Topic

10.1 Review Elbow, Wrist and Hand Tissue and Anatomy

10.2 Tennis/ Golfer’s Elbow

10.3 Elbow Bursitis/ Tendonitis

10.4 Wrist Intersection

10.5 Misc

a. Elbow, Wrist and Hand trauma Fracture/ Dislocation)

b. Elbow, Wrist and Hand Arthropathies

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 6, Elbow; 388-90; Chapter 7, Wrist/ Hand, 429-433

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 303-308, 311-321, 326-336, 342-356

Events and Submissions/Topic

Final Portfolio Questions to be submitted no later than Friday 11:45 PM AEST (21/5/2021)

Weekly Test


weekly portfolio submission Due: Week 10 Friday (21 May 2021) 11:45 pm AEST
Week 11 - Review of Term and Practical Cases Begin Date: 24 May 2021

Module/Topic

Review Week

11.1 Series of Practice Cases that Incorporate this Terms Learning Objectives

Chapter

No specific reading

Events and Submissions/Topic

No submissions

Week 12 - Practice Cases Begin Date: 31 May 2021

Module/Topic

12.1 Series of Practice Cases that Incorporate this Terms Learning Objectives




Chapter

None specific

Events and Submissions/Topic

None for CAD




Review/Exam Week Begin Date: 07 Jun 2021

Module/Topic

Chapter

Events and Submissions/Topic

End of Term Test (Thursday 9-11)


End of Term Test Due: Review/Exam Week Thursday (10 June 2021) 11:00 am AEST
Exam Week Begin Date: 14 Jun 2021

Module/Topic

Chapter

Events and Submissions/Topic

Assessment Tasks

1 Portfolio

Assessment Title
weekly portfolio submission

Task Description

Portfolio Questions

Each week you will be expected to upload to Moodle the portfolio questions with answers found weekly in Moodle. These questions will be discussed in tutorial the following week. You will be expected to correct any answers that are not correct in your portfolio. This will commence week 1 and will assist with review for the final assessment. 


Assessment Due Date

Week 10 Friday (21 May 2021) 11:45 pm AEST

Every Sunday by 6 PM after the material is presented. Final submission the Friday of Week 10 by 11:45 PM.


Return Date to Students

Week 11 Friday (28 May 2021)

Feedback in tutorial in the following week.


Weighting
20%

Minimum mark or grade
50%

Assessment Criteria

All weekly portfolio questions are to be uploaded with attempted answers by Sunday 6 PM after the material has been presented .  If there is no weekly submission by the student, a zero will be allotted for that week. Marking rubric will posted on Moodle.  It is expected that by the end of the term, the portfolio will be complete with correct answers


Referencing Style

Submission
Online

Submission Instructions
Turnitin

Learning Outcomes Assessed
  • Demonstrate an introductory level of clinical reasoning in relation to the selection and application of commonly used assessment and management procedures.


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Ethical practice

2 Online Quiz(zes)

Assessment Title
Weekly Quiz

Task Description

Each week you will be expected to perform an online quiz This will commence week 1 and will assist with review for the final assessment. The quiz will be based on the current weeks material. It will involve multiple choice / True and False and Matching questions. It will be a 15 minute quiz. The quiz will be available during a 24 hour window.


Number of Quizzes


Frequency of Quizzes

Weekly


Assessment Due Date

Return Date to Students

Weighting
30%

Minimum mark or grade
50%

Assessment Criteria

All weekly quizzes will be graded.  If there is no weekly submission by the student a grade of zero will be given.


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Discuss the etiology, incidence and pathophysiology of commonly encountered conditions of the spine and extremities in chiropractic practice
  • Describe the clinical presentation of commonly encountered conditions of the spine and extremities in chiropractic practice


Graduate Attributes
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Information Technology Competence

3 In-class Test(s)

Assessment Title
End of Term Test

Task Description

You will be able to recall important and clinically relevant concepts of diseases presented as they relate to conditions presented. You will be able to demonstrate diagnosis and differential diagnosis skills based on clinical history and clinical findings. You will be able to formulate a reasonable management strategy for the diagnosis of the conditions presented. The examination will cover all material presented throughout the term.


Assessment Due Date

Review/Exam Week Thursday (10 June 2021) 11:00 am AEST

End of Term Test starts at 9AM as per time table.


Return Date to Students

Exam Week Friday (18 June 2021)

via Moodle


Weighting
50%

Minimum mark or grade
50%

Assessment Criteria

A grade of 50% is required for a Pass.


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Discuss the etiology, incidence and pathophysiology of commonly encountered conditions of the spine and extremities in chiropractic practice
  • Describe the clinical presentation of commonly encountered conditions of the spine and extremities in chiropractic practice
  • Demonstrate an introductory level of clinical reasoning in relation to the selection and application of commonly used assessment and management procedures.


Graduate Attributes
  • Problem Solving
  • Critical Thinking
  • Information Literacy

Academic Integrity Statement

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.

What can you do to act with integrity?