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 - 2022

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

Students appreciated the way the unit blended perfectly with CHIR13008 (PCP 1). The integration of clinical reasoning and clinical examination encouraged students to want to learn more.

Recommendation

It is recommended that these two co-requisite units continue to be coordinated by the same unit coordinator to ensure the smooth delivery of content.

Feedback from Have Your Say

Feedback

Students reported that completing case studies throughout the semester helped amalgamate the theory and the practical components of chiropractic

Recommendation

It is recommended that the unit coordinator continues to generate and share authentic case scenarios with the students to help them apply their knowledge to cases that may present to them in practice.

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
Burlington Burlington , MA , USA
ISBN: 9781284457001
Binding: Paperback
Supplementary

Neurological Examination Made Easy

Edition: 5th (2013)
Authors: Geraint Fuller
Churchhill Livingstone Elseveir Ltd
Gloucester Gloucester , UK
ISBN: 978-0-7020-5177-7
Binding: Hardcover
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
Prentice Hall Prentice Hall , NJ , USA
ISBN: 9781496323033
Binding: Hardcover
Supplementary

Orthopedic Physical Assessment

(2014)
Authors: David Magee
Elviser
St Louis St Louis , MO , USA
ISBN: 978-1-4557-0977-9
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: 07 Mar 2022

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 Algorithms 5th (2016); Authors: Souza T.A; Chapter 1 

Events and Submissions/Topic

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


Week 2 - Cervical Spine Continued Begin Date: 14 Mar 2022

Module/Topic

2.1 OA - Spondylosis, Uncovertebral and Facet arthrosis; Stenosis

2.2 Whiplash/ Whiplash Associated Disorder and 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, 180-184, 217-219

Differential Diagnosis for the Chiropractor Protocols and Algorithms 5th (2016); Authors: Souza T.A; Chapter 2 

AOSpine Masters Series, Volume 5: Cervical Spine Trauma. Stuttgart: Thieme Medical, Incorporated, 2015. Web.; Chapters 2-4


Events and Submissions/Topic

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


Week 3 - Thoracic Spine Begin Date: 21 Mar 2022

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), 547

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; Chapter 4


Events and Submissions/Topic

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

CAD Term Test due by Friday 11:59PM

Week 4 - Lumbar Spine Begin Date: 28 Mar 2022

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 Syndrome

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; Chapter 6


Events and Submissions/Topic

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


Week 5 - Lumbar Sacral Spine Begin Date: 04 Apr 2022

Module/Topic

5.1 Special Groups & Cauda Equina

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

5.3 Other Conditions

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

Chapter

Assorted papers and readings on Lumbar-Sacral conditions per e-Reading list

Events and Submissions/Topic

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


Vacation Week Begin Date: 11 Apr 2022

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: 18 Apr 2022

Module/Topic

6.1 Script Concordance

Review Cases Full Spine

Chapter

Assorted papers and readings on spinal conditions 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.


Week 7 - Neuropathies & Entrapments Begin Date: 25 Apr 2022

Module/Topic

7.1 Overview of Nerve Entrapment/ Nerve Compression/ Compression Neuropathy

7.2 Upper Limb

a. Pronator Teres Syndrome

b. CTS – Carpal Tunnel Syndrome

c. Ulnar Nerve Compression

d. Cubital Tunnel Entrapment

7.3 Lower Limb

a. Meralgia Paresthetica

b. Tibial and Deep Peroneal Nerve Entrapment

c. Tarsal Tunnel Syndrome

d. Morton’s Neuroma


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.

CAD Term Test due by Friday 11:59PM

Week 8 - Myofascial/ Gait Disorders Begin Date: 02 May 2022

Module/Topic

8.1 Myofascial

8.2 Misc.

8.3 Gait Disorders


Chapter

Assorted papers and readings on myofascial conditions per e-Reading list

Events and Submissions/Topic

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


Week 9 - Shoulder Begin Date: 09 May 2022

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; Chapter 7

Events and Submissions/Topic

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


Week 10 - Elbow, Wrist, Hand Begin Date: 16 May 2022

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; 388-92; Chapter 7, Wrist/ Hand, 429-434

Differential Diagnosis for the Chiropractor Protocols and Algorithms 5th (2016); Authors: Souza T.A; Chapter 8 and 9

Events and Submissions/Topic

weekly portfolio submission Due: Week 10 Friday (20 May 2022) 11:45 pm AEST
CAD Term Quizzes Due: Week 10 Friday (20 May 2022) 11:59 pm AEST
Week 11 - Review of Term and Practical Cases Begin Date: 23 May 2022

Module/Topic

Review Week

11.1 Series of Practice Cases that Incorporate this Terms Learning Objectives

Chapter

Review and papers per e-Reading list

Events and Submissions/Topic

No submissions

Week 12 - Practice Cases Begin Date: 30 May 2022

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: 06 Jun 2022

Module/Topic

Chapter

Events and Submissions/Topic

End of Term Test Due: Review/Exam Week Thursday (9 June 2022) 1:00 pm AEST
Exam Week Begin Date: 13 Jun 2022

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 the portfolio questions with your answers to 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 (20 May 2022) 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 12 Friday (3 June 2022)

Feedback in tutorial in the following week of submission.


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. Grading will be given on a scale of 0-10 based on the quality and detail  of the answers provided. For the final portfolio entry in week 10, this will be due at 11:45PM on Friday  20/5/2022. It is expected that by the end of the term, the portfolio will be complete with correct answers by the student.


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
CAD Term Quizzes

Task Description

Three times during the term you will be expected to perform an online quiz. These will take place in weeks 3, 7 and 10 and will assist with review for the final assessment. The quiz will be based on the material presented in the period before the quiz (i.e. the week 3 quiz will cover material presented in weeks 1-3. The week 7 quiz will cover material presented in weeks 4-7 and the week 10 quiz will cover material presented in weeks 8-10). The quiz will involve multiple choice / True and False and Matching questions. The quiz will be open for 30 minutes once started. The quiz will be available during a 24 hour window. There are no extensions for the quiz except for special circumstances with advanced approval. 


Number of Quizzes

3


Frequency of Quizzes

Other


Assessment Due Date

Week 10 Friday (20 May 2022) 11:59 pm AEST

The final quiz will close at 11:59PM Friday night in week 10


Return Date to Students

Week 11 Friday (27 May 2022)

Via Gradebook


Weighting
30%

Minimum mark or grade
50%

Assessment Criteria

All quizzes will be graded. The student will need to achieve an overall grade of 50% or more on all quizzes to pass this assessment piece. If this grade is not attained, a supplementary assessment may be provided in accordance to CQU policy.


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. This task will take place on campus in a computer lab under invigilation. The test will include questions to assess your knowledge in relation to clinical reasoning, clinical diagnosis, physical examination as well as management strategies for the conditions that have been studied during the term. The test will be delivered via Moodle and will involve a range of question types including matching, short answer, essay and multiple choice. The test will be of 90 minute duration. 


Assessment Due Date

Review/Exam Week Thursday (9 June 2022) 1:00 pm AEST

End of Term Test starts at 11AM as per time table.


Return Date to Students

Exam Week Friday (17 June 2022)

via Moodle


Weighting
50%

Minimum mark or grade
50%

Assessment Criteria

A grade of 50% is required for a Pass. A supplementary test may be offered in accordance with CQU policy. 


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?