Clinical Pattern in Manual Therapy and Advanced Motor Control

Faculty

Faculty of Business Management and Social Sciences

Version

Version 1 of 11.03.2025.

Module identifier

22M1160

Module level

Master

Language of instruction

German

ECTS credit points and grading

5.0

Module frequency

only summer term

Duration

1 semester

 

 

Teaching and learning outcomes

Block 1

Consolidation of findings and treatment in the lower quadrant. Neuromusculoskeletal Differential Diagnosis of the Lower Extremity - Recognizing Clinical Patterns and Evidence-Based Treatment of Lumbar Stenosis. Clinical approach to the investigation and appropriate treatment of different levels of motor control of the lumbar spine-pelvis region and lower limb.

Block 2

Functional and learning processes of motor systems - deepening the knowledge of motor learning, motor memory and its translation into daily function.  How cortical and subcortical sensorimotor factors influence e.g. sensory input, neuromuscular feedback, motor experience and pain perception of the motor learning process, motor readiness and coordination (timing). 

Block 3

Influences on motor function - pain and its clinical consequences for sensorimotor strategies and automated and protective movement patterns - contextual factors? and motor control - biomechanical and neuroreflective treatment models for facilitation and inhibition of muscle function

Block 4

Current knowledge of pain neurobiology and implementation according to Pain Neuroscience Education(PNE) strategies and their application

IFOMPT criteria: A1, 3; D1, 3, 4, 5; K1, 3, 4, 6, 11 S1, 3, 5, 6, 7

Overall workload

The total workload for the module is 150 hours (see also "ECTS credit points and grading").

Teaching and learning methods
Lecturer based learning
Workload hoursType of teachingMedia implementationConcretization
45SeminarPresence or online-
Lecturer independent learning
Workload hoursType of teachingMedia implementationConcretization
105Work in small groups-
Graded examination
  • Homework / Assignment or
  • Project Report, written
Exam duration and scope

Howework  of 10-15 pages, project report: written approx. 15-20 pages,

Project report oral 30 min , 

Project report presentation approx. 30 minutes 

Knowledge Broadening

The students have a broad knowledge of assessments and treatments of neuromusculoskeletal dysfunctions. They are able to recognise partly complicated patterns via functional motor control tests and have the possibility to integrate corresponding assessments and treatments into their daily practice via forward-reasoning strategies. They deepen the theoretical knowledge of motor function circuits and the resulting consequences for motor control in physical pathologies and dysfunctions. They know influences and contextual factors on motor functions and their underlying neurophysiological and biomechanical mechanisms. They have subject-related knowledge of underlying models and theories. They know and understand different principles and concepts of motor rehabilitation, functional training applied in rehabilitation and sports as well as influencing factors such as overload, training specificity, periodisation and deconditioning.The students expand their knowledge of the neurobiology of pain, which they can apply in the education and rehabilitation of neuromuscular dysfunctions and pain.

Knowledge deepening

Students will deepen their knowledge in neuromusculoskeletal patterns and corresponding dysfunctions, such as CAM impingement of the hip joint, soft tissue dysfunctions, anterior knee pain, achillodynia, shoulder impingement, tennis elbow and carpal tunnel syndrome. They critically interpret the current evidence on motor dysfunctions and motor learning strategies and transfer these to current clinical neuromusculoskeletal patterns in different body regions, such as the cervical spine, lumbar spine or hip. The students know the "state of the art" of rehabilitation methods of motor systems and reflect and interpret these methods critically against the background of the individual problem of the patient and the evidence base.The students are able to interpret and reflect the influence of pain on motor functions and can assess the general consequences for motor rehabilitation processes based on international guidelines for the classification of pain.

Knowledge Understanding

Students integrate their knowledge of clinical neuromuculoskeletal patterns and motor learning processes and influencing factors in complex therapy situations. They decide on the best possible strategy for optimising manual techniques and motor learning processes on the basis of their knowledge and problem-solving skills. In doing so, they take into account current evidence, individual ideas and prerequisites of the patient as well as their own experiences. They initiate their own projects in therapeutic practice in order to gain new knowledge in motor rehabilitation.

Application and Transfer

Students can put into practice what they have learned to generate clinical research questions

Students have manual and cognitive skills to apply the principles of motor learning and rehabilitation in daily practice with individual patients in situations they are familiar with and also in new situations.

Academic Innovation

By combining evidence bases and new teaching (skills, theories and models), new researchquestion can emerge in the field.

Communication and Cooperation

The students have communicative skills to communicate the principles of clinical assessments, motor learning processes and rehabilitation to their patients in daily practice at a simple level and to professional representatives at a scientific level in an understandable way. They guide patients according to motor learning principles, taking into account current underlying theories. They disseminate the latest learning principles in the therapeutic team and clearly communicate their reasons for movement. They can use neurobiological knowledge of pain as a basis for treatment strategies such as graded exposure, graded activity and pacing.

Literature

  • Bray, A., (2017). Essentials of physical medicine and rehabilitation: musculoskeletal disorders, pain, and rehabilitation (Vol. 67, No. 1, pp. 80-81). UK: Oxford University Press.
  • Butler D, Moseley L ,(2017)Explain Pain Supercharged: The Clinician's Manual, NOI Publisher,  Adelaide(Aus)
  • Dommerholt J (2015): Manual Therapy for Musculoskeletal Pain Syndroms, 1st Edition. Elsevier, Edinburgh.
  • Frommelt, P, Gr?tzbach H (Hrsg.) (1999): Neurorehabilitation. Blackwell, Oxford. Butler D, Moseley L (2009): Schmerz Verstehen. Springer-Verlag. Frob?se I, Nellessen-Martens G, Wilke C (2009): Training in der Therapie.
  • Hamilton, C.J., Swan, V.J.D. and Jamal, S.A.( 2010). The effects of exercise and physical activity participation on bone mass and geometry in postmenopausal women: a systematic review of pQCT studies. Osteoporosis international, 21(1), pp.11-23.
  • Hollmann, W. and Strüder, H.K.,(2009). Sportmedizin: Grundlagen für k?rperliche Aktivit?t, Training und Pr?ventivmedizin; mit 91 Tabellen. Schattauer Verlag.
  • Jenis LG, An HS (2000): Spine update. Lumbar foraminal stenosis. Spine 25: 389-394.
  • Johnsson KE, Uden A, Rosen I (1992): The natural course of lumbar spinal stenosis. Clin Orthop 279: 82-6.
  • Jull, G., Moore, A., Falla, D., Lewis, J., McCarthy, C. and Sterling, M.(2015), Grieve's modern musculoskeletal physiotherapy. Elsevier Health Sciences.
  • Johnsson KE, Redlund-Johnell I, Uden A, Willner S (1989): Preoperative and postoperative instability in lumbar spinal stenosis. Spine 14: 591-3.
  • Lau, S., Peters, L., von Piekartz, H. and Ballenberger, N.(2021), Wirksamkeit von Physiotherapie nach einem chirurgischen Eingriff bei lumbaler Spinalkanalstenose. MSK–Muskuloskelettale Physiotherapie, 25(02), pp.83-90
  • Laube, W., 2009. Sensomotorisches System: Physiologisches Detailwissen für Physiotherapeuten. Georg Thieme Verlag
  • Louw A,Smidt S,, Z.Kimneuy Z, Pain Neuroscience Education; Teaching  People about Pain (2018), ,Own Publisher (2018)
  • King, H.H., Janig, W. and Patterson, M.M. eds., 2010. The science and clinical application of manual therapy. Elsevier Health Sciences.
  • Streicher, H., M?tzold, F., Hamilton, C. and Wagner, P., 2014. Comparison of group motor control training versus individual training for people suffering from back pain. Journal of Bodywork and Movement Therapies, 18(3), pp.489-496.
  • Falla, D, Cook, C, Lewis, J, McCarthy, C, Sterling, M (2024): Grieve’s Modern Musculoskeletal Physiotherapy, Elsevier LTD
  • Ballenberger, N (2025): Evidenzbasierte Assessments in der Muskuloskelettalen Physiotherapie, Urban & Fischer Verlag/Elsevier GmbH
  • Aktuelle wissenschaftliche Studien, die sich mit der Modulthematik befassen, werden in die 正规赌篮球软件 eingebunden.

Applicability in study programs

  • Musculoskeletal Therapy (Manual Therapy – OMT)
    • Musculoskeletal Therapy (Manual Therapy - OMT)

    Person responsible for the module
    • Piekartz, Herman Josef Maria
    Teachers
    • Piekartz, Herman Josef Maria
    • Timpe, Timo
    • Hamilton, Christine