Overview
This unit will build upon Foundations of Chiropractic Practice 3 (CHIR12005), Foundations of Chiropractic Practice 4 (CHIR12006), Professional Chiropractic Practice 1 (CHIR13008), and Clinical Assessment and Diagnosis 1 (CHIR12007) with the focus on peripheral orthopaedic assessments, respective conditions, and a review of regional peripheral psychomotor adjustive skills. You will practice peripheral orthopaedic examinations, in conjunction with specific psychomotor techniques aimed to investigate pertinent principles of differential diagnoses. You will study peripheral conditions and protocols using relevant case studies and discuss the chiropractic management and treatment appropriate for your diagnoses.
Details
Pre-requisites or Co-requisites
Pre-requisite: CHIR12005, CHIR12006, CHIR12007 and CHIR13008
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 - 2018
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 Class respresentatives and student feedback; self reflection
The unit coordinator and tutors are aware of the challenges in consistent delivery and assessment of the material across the various campuses. Changes have been made but will need to have continued editing and monitoring to put in place standardisations in assessment criteria and marking rubrics. One goal is to provide the student with more formative, real time feedback opportunities in a timely fashion.
This recommendation will be to continue developing specific and well-defined rubrics and assessment criteria. Another recommendation will be to improve the response to attending ZOOM sessions that had been allocated for tutor training and/or addressing any questions or concerns (i.e. workshops) so that each tutor knows what is expected.
Feedback from Student Feedback
Heavy amount of theoretical material and well as orthopaedic tests to memorise.
Despite this being the first time through with this material content for this unit, restructuring and refinement will be instituted for Term 2, 2018t. Improved application of the material and coordination (referenced material) within the practical sessions will be undertaken. There is an appreciation about the number of tests and how they can be presented, however, it is ethically obligatory to utilise as many diagnostic 'tools' as possible to confirm or deny suspected differential diagnoses. References to textbooks detailing more sensitivity and specificity of tests will be reviewed.
Feedback from Student Feedback
Lack of or unapproachable response from unit coordinator and or rude responses to enquiries.
Provisions had been made to respond, rather quickly, to direct email, questions on the Moodle Q & A Forum as well as weekly one-hour recorded ZOOM sessions to address any concerns or comments. There were only 3-4 students that consistently attended those sessions; all items were satisfactorily addressed. However, in 2018, the Q & A Forum, and weekly ZOOM sessions will continue and students shall be encouraged to address questions and concerns through this medium.
- Apply orthopaedic diagnostic procedures and/or adjustive set-up psychomotor skills focused on the appendicular skeleton.
- Develop differential diagnoses from medical histories and physical examinations specific to the appendicular skeleton.
- Utilise clinical reasoning skills and evidence based approaches to diagnose conditions suitable or contraindicated to chiropractic care of the appendicular skeleton.
- Investigate appropriate chiropractic techniques in the treatment and management of appendicular skeletal conditions.
Alignment of Assessment Tasks to Learning Outcomes
| Assessment Tasks | Learning Outcomes | |||
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | |
| 1 - On-campus Activity - 0% | ||||
| 2 - Objective Structured Clinical Examinations (OSCEs) - 60% | ||||
| 3 - Examination - 40% | ||||
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 - Objective Structured Clinical Examinations (OSCEs) - 60% | ||||||||||
| 3 - Examination - 40% | ||||||||||
Textbooks
Physical Assessment
1st Edition (2016)
Authors: Nikita Vizniak
Professional Health Systems Inc
Burnaby Burnaby , British Columbia , Canada
ISBN: 978-0-9732742-0-2
Binding: Spiral
Additional Textbook Information
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
No referencing style set.
d.hannah@cqu.edu.au
Module/Topic
Practical Lab: A review of the GORP OMNI and review of the lumbar skills taught in PCP1.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018, pages 4-15
Events and Submissions/Topic
On-Campus Activity: - case scenario lumbar spine (as a review only)
Module/Topic
Lecture: Hip conditions involving muscle, impingement and trauma, infection and congenital.
Practical: Hip involving general approach, screening observation, muscle, impingement and fracture, adjustive setups pertinent to these conditions will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 330-344
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 343-350
Events and Submissions/Topic
On-Campus Activity: - case scenario hip condition
Module/Topic
Lecture: Overview and key facts on knee conditions, knee conditions affecting patella and meniscus.
Practical: Knee general approach followed by meniscal and patellofemoral tests, adjustive setups pertinent to these conditions will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 358-377
Bergmann, T and Peterson, D ,"Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 356-364
Events and Submissions/Topic
On-Campus Activity: - case scenario knee condition
Module/Topic
Lecture: Knee conditions involving ligaments, tendinopathy, bursa and miscellaneous conditions.
Practical: Knee ligamentous instability, followed by adjustive setups pertinent to these conditions will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 358-377
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri, pages 356-364
Events and Submissions/Topic
On-Campus Activity: - case scenario knee condition
Module/Topic
Lecture: Overview of ankle, conditions involving ligaments, muscles, stress fractures etc., then overview of foot conditions.
Practical: Ankle and foot ligamentous Instability, followed by adjustive setups pertinent to these conditions will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 391-398
Bergmann, T and Peterson, D,"Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 370-379
Events and Submissions/Topic
On-Campus Activity: - case scenario ankle condition
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Lecture: Overview of shoulder conditions and approach, tendinopathy and impingement.
Practical: Shoulder general screening with tendinopathy and impingement tests, followed by adjustive setups pertinent to the glenohumeral joint will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 252-266
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 301-315
Events and Submissions/Topic
On-Campus Activity: - case scenario knee condition
Module/Topic
Lecture: Shoulder conditions involving ligament and other structures.
Practical: Shoulder tests for stability and labral tears, followed by adjustive setups for AC and SC joints will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 292-296
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 301-315
Events and Submissions/Topic
On-Campus Activity: - case scenario shoulder condition
Module/Topic
Lecture: Overview of elbow conditions, tendinopathy, bursitis, sprains, and neuropathy.
Practical: Elbow tests for muscular and ligamentous stability, followed by adjustive setups for the elbow will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 310-318
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 320-325
Events and Submissions/Topic
On-Campus Activity: - case scenario elbow condition
Module/Topic
Lecture: Overview of wrist and hand conditions, tendinopathy, sprains, neuropathy and other conditions.
Practical: Wrist and hand tests for general conditions, followed by ligamentous stability, vascular and fracture issues, followed by adjustive setups for the wrist, and hand will be reviewed.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 252-266
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 332-337
Events and Submissions/Topic
On-Campus Activity: - case scenario wrist/hand condition
Module/Topic
Lecture: Overview of rib - thoracic conditions, scoliosis, visceral referral and TMJ issues.
Practical: Overview of the scoliosis screening, and testing for rib/thoracic conditions, followed by palpation and TMJ assessment approach.
Chapter
Vizniak, N, "Orthopaedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 171-177
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 291-294
Events and Submissions/Topic
On-Campus Activity: - case scenario chest condition
Module/Topic
Lecture: None this week in preparation for the final examination and focus on the final OSCE.
Practical: Revision for FINAL OSCE.
Chapter
Revision
Events and Submissions/Topic
On-Campus Activity: - case scenario lower leg condition
Module/Topic
Lecture: None this week in preparation for the final examination and focus on the final OSCE.
Practical: Revision for FINAL OSCE.
Chapter
Events and Submissions/Topic
FINAL OSCE: Wednesday October 3, 2018
On-Campus Activity Due: Week 12 Friday (5 Oct 2018) 11:50 pm AEST
PRACTICAL OSCE Due: Week 12 Wednesday (3 Oct 2018) 4:00 pm AEST
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Although there will be a review of the spinal orthopaedic tests presented in CHIR13008 Professional Chiropractic Practice 1 and neurological testing procedures presented in CHIR12007 Clinical Assessment and Diagnosis 1, they WILL NOT be assessed in the Final OSCE for this unit. Illustration and understanding of these procedures will be considered 'required knowledge', however, occasionally through CHIR13006 CAD2, they will be utilised in the relevant history, protocols, chiropractic management and treatment. A review of the peripheral extremity adjustive setup techniques presented in CHIR12005 Foundations of Chiropractic Practice 3 and CHIR12006 Foundations of Chiropractic Practice 4, WILL BE assessed, along with any new peripheral orthopaedic material presented in this unit.
1 On-campus Activity
The on-campus activities are formative in nature and will assist in preparing you to learn the material throughout this term. There will not be a specific marking rubric for each activity, as it is dependent upon your interactive participation with the tutor and your colleagues. It will be monitored, and should not to be interpreted as merely "attendance". You will receive a PASS/FAIL for the activities which is required to complete this unit.
Week 12 Friday (5 Oct 2018) 11:50 pm AEST
Feedback from tutor by the end of week12.
Review/Exam Week Friday (12 Oct 2018)
The on-campus activity formative feedback will be not only on attendance but peer interaction, preparation participation and contribution.
No submission method provided.
- Develop differential diagnoses from medical histories and physical examinations specific to the appendicular skeleton.
- Utilise clinical reasoning skills and evidence based approaches to diagnose conditions suitable or contraindicated to chiropractic care of the appendicular skeleton.
- Investigate appropriate chiropractic techniques in the treatment and management of appendicular skeletal conditions.
- Communication
- Problem Solving
- Team Work
2 Objective Structured Clinical Examinations (OSCEs)
This practical examination will be presented in an OSCE format consisting of 3 components. Time allocation will be identified by week 10 of the term.
The three (3) components will be case scenarios based on a shoulder or hip, an elbow or knee and a wrist/hand or ankle/foot conditions. You will be presented with a random selection of cards drawn from condition descriptions covered throughout the course as per the regions indicated above.
You will need to form an action plan to perform diagnostic aspects of GORP OMNI. You will select relevant orthopaedic tests to confirm or deny the given provisional diagnosis.
You will be asked questions to substantiate the significance and your understanding of the tests you are performing, as part of the diagnostic procedure specified in the learning outcomes.
You will be given adjustive setups that you will be required to demonstrate, from each component card. They will be appropriate for the region, however, not necessarily consistent with the provisional diagnosis provided.
Week 12 Wednesday (3 Oct 2018) 4:00 pm AEST
Exact time run at each campus will be provided in due course to ensure no overlap with other units.
Review/Exam Week Friday (12 Oct 2018)
You will be assessed on the relevance of the selected examinations, care and communication, your ability to discuss and describe the examination, the clinical relevance of any findings from the examination and a professional demonstration of the adjustive setups.
Assessment Criteria
- Overall performance, flow, organisation and confidence.
- Patient communication.
- Orthopaedic tests and/or procedure - each one performed; performed correctly; interpreted correctly.
- Ability to discuss and describe the significance of the examination findings (eg. what is a positive test etc).
- General knowledge relating to the overall interaction with the patient.
- Patient handling and positioning during the adjustive setups.
-
Demonstration of competent procedures of the adjustive setups.
No submission method provided.
- Apply orthopaedic diagnostic procedures and/or adjustive set-up psychomotor skills focused on the appendicular skeleton.
- Communication
- Team Work
- Cross Cultural Competence
- Ethical practice
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.
What can you do to act with integrity?
