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 - 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 Student Survey Comments from "Have Your Say"
Although daunting in the amount of material, students appreciated that the Moodle site was numbered, easy to follow and the outcomes were clearly identified. Comments were made that the information was presented in a logical fashion and relevant at this introductory level. Students felt that presented material could have been clustered and prioritised in terms of usefulness and provided in the lecture material.
Despite the content being extensive, further streamlining and modifications to assist in integration was recommended with the discipline commencing a standard formatting layout among the units. Some of the recommendations can include standard and professional online video resources, (i.e.CQU digital media resources). Case scenarios can be designed for problem-based learning to engage the students more in the on-campus activity.
Feedback from Student Survey Comments from "Have Your Say"
Students appreciated having the extra tutorial and practical sessions. They greatly appreciated the input from the tutors that made this class both interesting and appropriate.
It is recommended that the discipline continue to have dedicated tutors that both appreciate and explain the nuances of orthopaedic testing in clinical settings. The students had indicated they appreciated the enthusiasm, passion and commitment of their respective tutors and felt it was a great asset for the unit and the chiropractic course.
Feedback from Student Survey Comments from "Have Your Say"
Students would like to see more diversity in both lecture presentations (rather than a description similar to 'just reading' - such as interjecting clinical pearls or personal experiences); another mid-term OSCE and an assignment to assess their knowledge in other ways than what was previously given.
Current format design of lecture and subsequent presentation will be re-assessed as to make the lectures 'more conducive to learning' - specifically to engage rather than 'sage on the stage' and merely speaking. The recommendations are, once again, to have clinical experiences interjected to maintain both interest and relevance to the need for material knowledge acquisition. The suggestion was to have more 'clinical pearls and experiences'.
- 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
Orthopedic Assessment
5th Edition (2019)
Authors: Nikita A Vizniak
Professional Health Systems Inc
Burnaby Burnaby , Canada
ISBN: 978-0-9936191-6-8
Binding: Paperback
Orthopedic Conditions
1st Edition (2015)
Authors: Nikita A Vizniak
Professional Health Systems Inc
Burnaby Burnaby , Canada
ISBN: 978-0-9732742-7-1
Binding: Spiral
Orthopedic Physical Assessment
6th Edition
Authors: David J Magee
Elsevier Saunders
St Louis St Louis , Missouri , USA
ISBN: 978-1-4557-0977-9
Binding: Hardcover
Orthopedic Physical Assessment - Atlas and Video
1st Edition (2011)
Authors: David J Magee, Derrick Sueki
Elsevier Saunders
St Louis St Louis , Missouri , USA
ISBN: 978-1-4377-1603-0
Binding: Paperback
Additional Textbook Information
All books are available to purchase at the CQUni Bookshop here: http://booskhop.cqu.edu.au (search on the Unit code)
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
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.
d.hannah@cqu.edu.au
Module/Topic
Practical Lab: A review of the GORP OMNI and review of the lumbar orthopaedic skills taught in PCP1.
Chapter
Vizniak, N, "Orthopedic 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 anomalies.
Practical: Hip involving general approach, screening observation, muscle, impingement and fracture; hip adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 330-344
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 198-223
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 344-349
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; knee adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 358-377
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 246-249; pages 260-261
Bergmann, T and Peterson, D ,"Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 358-364
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 knee adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 358-377
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 236-245; pages 250-260
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri, pages 358-364
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 foot/ankle adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 391-398
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 270-296
Bergmann, T and Peterson, D,"Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 371-380
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 shoulder adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 252-266
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 132-140
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 shoulder adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 292-296
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 144-148
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 302-314
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 elbow adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 310-318
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 154-168
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 322-325
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 wrist/hand adjustive setups.
Chapter
Vizniak, N, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 252-266
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 174-190
Bergmann, T and Peterson, D, "Chiropractic Technique, Principles and Procedures, 3rd Edition", 2011 Elsevier, Mosby, St Louis Missouri pages 333-337
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, "Orthopedic Assessment - Evidenced Informed', 5th Edition, Professional Health Systems Inc. 2018 pages 171-177
Vizniak, N "Orthopedic Conditions - Quick Reference Evidence Informed" Professional Health Systems Inc 2015 pages 72-84
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
On-Campus Activity Due: Week 11 Friday (4 Oct 2019) 11:59 pm AEST
Module/Topic
Lecture: None this week in preparation for the final examination and focus on the final OSCE.
Practical: FINAL OSCE.
Chapter
Events and Submissions/Topic
FINAL OSCE will be conducted in the last scheduled class time for each respective campus during the week October 7 - 11, 2019
PRACTICAL OSCE Due: Week 12 Friday (11 Oct 2019) 11:45 pm AEST
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Although there will be a review of many spinal orthopaedic tests presented in CHIR13008 Professional Chiropractic Practice 1 and some neurological testing procedures presented in CHIR12007 Clinical Assessment and Diagnosis 1, they will NOT be assessed in the practical OSCE for this unit. Illustration and understanding of these procedures will be considered 'required knowledge'; however, occasionally throughout CHIR13006 CAD2, they could be utilised in the relevant history, protocols, chiropractic management and treatment.
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 11 Friday (4 Oct 2019) 11:59 pm AEST
Last on-campus activity, requiring attendance, is scheduled in week 11 so shall be completed by the end of that week and handed to the tutor for initials or signature.
Week 12 Friday (11 Oct 2019)
Feedback from tutor or unit coordinator by the end of week 12.
The on-campus activity formative feedback will be on peer interaction, preparation, participation, and contribution to the class time overall.
- 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 Upper Limb and Lower Limb components. Time allocation for each component will be 6 minutes, giving a total of 12 minutes for the OSCE.
The components will be a generalised case scenario based on: (i) upper limb (shoulder, elbow or wrist/hand) or (ii) lower limb (hip, knee or ankle/foot). You will be presented with a random selection of cards drawn from condition descriptions covered throughout the course.
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 may 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 card. They should be appropriate for the region, however, not necessarily consistent with the provisional diagnosis provided.
Week 12 Friday (11 Oct 2019) 11:45 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 (18 Oct 2019)
Grades will be posted on Moodle for a limited time during review/exam week but prior to the commencement of the written examinations.
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?
