The Physioplus team is made up of a group of committed individuals with a very wide variety of evidence based clinical and educational experience. Together they have built a multitude of online courses covering a huge array of topics, in each case working closely with topic specialists, special interest groups and the researchers. Their courses collate from these multiple sources the very latest clinically relevant evidence based insights distilling the most useful, actionable information for the practising clincian.
Displaying 90 courses.
Dans ce module, nous en apprendrons davantage sur le processus détaillé d'adaptation afin d'assurer l'ajustement correct pour chaque utilisateur de fauteuil roulant. Une fois que la personne est correctement installée dans le fauteuil roulant, nous examinerons la formation des utilisateurs en termes de développement de compétences spécifiques adaptées à leurs besoins et à leur environnement et nous examinerons également l'importance de l'entretien régulier.
This course explores the assessment and classification of traumatic brain injury in relation to the International Classification of Functioning, Disability and Health (ICF) and reviews the range of outcome measures available to utilise in its management.
This course will cover the key definitions in physical activity, as well as the benefits, physiological adaptations, possible associated risks and global patterns of physical activity. It will not teach practical skills or lead to any clinical qualification. It is your responsibility to practice within your scope of practice within your country or state.
This course explores four most common causes of shoulder pain and impairment: rotator cuff / subacromial related, capsular related, glenohumeral instability, and acromioclavicular joint disease. Clinical reasoning skills to differentiate between these presentations will be covered, as well as understanding what affects prognosis including psychosocial factors that affect shoulder pain.
The course will introduce clinical reflection for both the student and the clinician. The different types of reflection will be introduced as well as clinical reasoning and how it is different for the novice and experienced physiotherapist. Clinical reflection for portfolio writing and tips for developing reflection skills will be discussed.
Different Reflective Frameworks will be discussed with information on how and when to apply them for Clinical Reflection. Reflective writing and thinking will be explored for both the student and the practising Physical Therapist / Physiotherapist. Practical advice will be shared on how to undertake Critical Reflection in different situations.
Los coronavirus son una familia de virus que causan enfermedades respiratorias o gastrointestinales. En enero de 2020 se identificó un coronavirus previamente desconocido en Wuhan China. El grupo de afecciones relacionadas con la infección por este nuevo virus fue nombrado Enfermedad Coronavirus 2019 (COVID-19) por la Organización Mundial de la Salud (OMS). Tras su rápida propagación por todo el mundo, la OMS ha declarado COVID-19 una pandemia. Se presenta principalmente con síntomas respiratorios, fiebre y puede resultar en dificultad respiratoria aguda o grave en poblaciones de alto riesgo.
In January 2020 a new coronavirus was identified from a cluster of cases in the city of Wuhan, China. By mid March this virus outbreak was declared a pandemic by the WHO having infected over 150,000 individuals and caused over 5000 fatalities in 123 countries around the world. All healthcare workers including physiotherapists / physical therapists have a vital role to play in the global efforts to manage the impact of this disease. This series of courses pulls together information relevant to all rehabilitation professionals to assist them to develop an understanding of the virus and the related disease, and to explore their role in working to treat related patients and also to contain and mitigate the disease.
An increase in the rehabilitation needs of COVID-19 patients following their discharge from the hospital is to be expected during the pandemic. Rehabilitation services in local communities are often the best-placed to provide rehabilitation and long-term care. Community-based physiotherapists will be key in the ongoing rehabilitation of survivors of COVID-19 to optimise the recovery of these patients.
People with severe COVID-19 infection have rehabilitation needs in the acute, post-acute and long-term phases of the disease. Many people who have suffered from COVID-19 may now be at risk of long-term impairment or disability. Physiotherapists are critical to the rehabilitation efforts in all phases of this disease. Rehabilitation has a positive effect on health and functioning outcomes, it improves recovery and can reduce disability, it may facilitate early discharge and reduce the risk of readmission. Physiotherapists also play a key role in supporting and empowering people through rehabilitation process.
COVID-19 poses a severe threat to all communities, but refugees, people who are displaced and those living in low-income areas will face even greater challenges. This course will introduce the issues faced by refugees/displaced people in camps and camp-like settings as well as explore various options that may help to reduce the transmission of COVID-19 in high-risk individuals in these settings.
People with severe COVID-19 infection have rehabilitation needs in the different phases of the disease and physiotherapists are critical to the rehabilitation of these patients while also continuing to provide rehabilitation for non-COVID-19 patients. Through this series of courses, you will also explore the effective rehabilitation of different patient population groups during a pandemic.
In this course we explore Dysfunctional Breathing. It has been reported that around 10% of patients can exhibit hyperventilation syndrome, a condition at the extreme end of the dysfunctional breathing scale. However a much greater number of people have a more subtle, yet clinically significant, breathing pattern disorder. These breathing disorders can mimic many pain presentations including back and neck pain and so it is very important that we are aware of the potential for this to be a part of our clients presentation so that we can manage them effectively.
Ce module donne un aperçu des étapes de la fourniture d'un fauteuil roulant approprié, suivi d'une analyse plus détaillée du processus d'évaluation, de prescription et de préparation des fauteuils roulants.
Dans l'idéal, la réadaptation commencera avant l'amputation. Au minimum, elle devrait commencer immédiatement après l'intervention chirurgicale. Ce module vous aidera à comprendre l'évaluation pré et post-amputation ainsi que la prise en charge initiale de ce patient. Il couvrira également d'autres considérations cruciales pendant cette période, telles que la prévention et le traitement des complications, la douleur post-amputation et les réactions émotionnelles et psychologiques qui y sont liées. Enfin, les risques et les conséquences d'une chute sont passés en revue avec les stratégies visant à réduire ce risque.
Ce module explore l'évaluation et la classification des traumatismes crâniens en relation avec la Classification internationale du fonctionnement, du handicap et de la santé (CIF) de l'Organisation mondiale de la santé (OMS) et passe en revue l'éventail des mesures de résultats disponibles pour sa prise en charge.
Le but de la réadaptation durant la phase prothétique devrait être de rétablir une marche efficace sur le plan énergétique, de préserver le membre sain et de prévenir les complications secondaires. Ce module est le quatrième d'une série sur la réadaptation des personnes amputées des membres inférieurs. Ce module vous apprendra comment aborder la réadaptation durant la phase prothétique et couvrira l'évaluation de la marche, les programmes/idées d'exercices, l'entraînement à la marche et à l'équilibre, les activités fonctionnelles, les compétences avancées d'entraînement à la marche et la réadaptation de haut niveau. Le module couvrira également les directives de pratique basées sur des preuves et l'éducation des patients.
Evidence based practice (EBP) has now been a part of our profession for over 20 years. The term and methodology was conceived in 1992 and in more recent years has been challenged. It remains an important part of our practice and should be utilised on a daily basis. This is facilitated by the development of enabling tools however in many circumstances it remains difficult to implement due to barriers that continue to exist. One thing is for sure, we should all know about EBP, understand the concepts and appreciate these barriers and challenges. This course will guide you through the EBP process, directing you to many informative resources along the way.
This course introduces the foot and ankle complex for development of foundation knowledge that will enable you to effectively assess and treat foot and ankle conditions. Following an initial revision of the anatomy, structure and function of the foot and ankle we will explore common traumatic and pathological presentations in both the foot and ankle. This course will have a strong emphasis on differential diagnosis, to try and develop your clinical reasoning skills within this area.
We have examined some of the biggest challenges to Global Health. Now we will take a look at Global Health Governance and examine Health Care Systems to understand their impact on Global Health Challenges. Finally we will review the historical development of Physiotherapy and consider the Role of the Physiotherapist in Global Health in the 21st Century.
Procedures and techniques for infection prevention and control are essential for good community health, to limit healthcare-acquired infections as well as control the general spread of epidemics and pandemics. A key component of this is basic hand hygiene which forms the foundation of infection control. The use of personal protective equipment (PPE) such as gloves, masks, gowns and goggles allows healthcare personal to treat patients with communicable diseases while protecting themselves and others. The procedures for putting on (donning) and taking off (doffing) of PPE needs to follow specific sequencing and techniques in order to ensure best infection control and prevention practices.
COVID-19 is currently placing significant pressure on health services around the world. A significant number of patients who become infected with COVID-19 will become severely unwell and require hospital-level care. Their ongoing rehabilitation requirements will often be high. However, due to the pandemic, rehabilitation professionals are unable to provide their usual services to both COVID-19 and non-COVID-19 patients. This course explores innovative approaches that rehabilitation professionals can adopt to ensure that they are able to continue providing essential rehabilitation services during the COVID-19 pandemic.
During this course we will come to understand what we need to consider as we prescribe exercise. Then we will consider adherence by looking at barriers to exercise and how we might motivate people to be more physically active. We are going to look at how we measure and quantify physical activity and learn how we can integrate physical activity into our clinical practice and encourage physical activity in larger populations at a community level. Lastly, we will also explore physical activity leadership and consider how we can all become physical activity leaders.
This course will explore the clinical presentation, causes, differential diagnosis, evaluation, examination and management of Internal Shoulder Impingement. It will not teach practical skills or lead to any clinical qualification.
Un large éventail de techniques et d'approches de traitement sont utilisées en réadaptation neurologique. Beaucoup d'entre elles viennent d'horizons philosophiques très différents. La recherche à l'appui des différentes approches varie énormément, avec une abondance de preuves scientifiques à l'appui de l'utilisation de certaines techniques alors que d'autres approches ne sont appuyées que par des preuves anecdotiques. Dans ce cours, nous explorerons les interventions thérapeutiques spécifiques qui sont actuellement utilisées dans le traitement et la prise en charge des traumatismes crâniens et les données probantes qui les étayent.
Le cours fournira un cadre permettant d'intégrer les principes théoriques de la prestation de services en fauteuil roulant dans tous les contextes. Il présentera le rôle du fauteuil roulant dans la mobilité, explorera l'évaluation et les rôles de l'équipe multidisciplinaire dans la prestation de services en fauteuil roulant et fournir une compréhension théorique des techniques de gestion et des considérations cliniques connexes. Il n'enseignera pas de compétences pratiques et ne mènera à aucune qualification clinique. Le réseau mondial formé grâce à ce cours permettra le partage des connaissances et des expériences pour soutenir de bons soins de santé et une meilleure qualité de vie pour les personnes qui ont besoin d'un fauteuil roulant pour se déplacer dans le monde entier.
Pour assurer une réadaptation efficace de la personne amputée d'un membre inférieur, il est important de bien comprendre le processus de réadaptation des personnes amputées et l'implication de l'équipe multidisciplinaire dans les différentes phases de la réadaptation. La compréhension des principales causes de l'amputation et des principes de l'amputation vous aidera à apprécier la manière dont le processus de réadaptation peut être influencé par la cause de l'amputation et la chirurgie.
Ce module se concentrera sur le développement d'une compréhension du traumatisme crânien ; ce qu'il est, ses causes, sa fréquence, ce que vous pouvez vous attendre à voir, ses impacts sur le mouvement et la fonction, et quelles autres pathologies associées peuvent apparaître. Nous devons être en mesure de répondre à ces questions afin de comprendre notre rôle en tant que kinésithérapeutes dans la prise en charge des traumatismes crâniens.
To effectively rehabilitate a person with a lower limb amputation it is important to have a good understanding of the amputee rehabilitation process and the multidisciplinary team involvement in the different phases of rehabilitation. An understanding of the major causes of amputation and the principles of amputation will help you to appreciate how the process of rehabilitation may be influenced by the causative condition and the surgery.
Neurology is an extensive topic with many different areas of specialism. This course will provide an overview of physical therapy / physiotherapy practice relating to neurology with many of the different areas touched upon.
Spinal Cord Injury refers to any damage to the spinal cord resulting from trauma, disease or degeneration with symptoms dependant on both the severity of injury and its location on the spinal cord. According to the World Health Organisation there is no reliable estimate of global prevalence of spinal cord injury, but it is estimated that annual global incidence varies from 40 to 80 cases per million population, which means between 250,000 to 500,000 people acquire a spinal cord injury every year. Approximately 90% of these cases occur as a result of traumatic causes, though the proportion of non-traumatic spinal cord injury appears to be growing. This course will focus on developing an understanding of spinal cord injury; what it is, what causes it, how often it occurs, what you might expect to see, the impacts it has on movement and what other associated conditions may occur. We need to be able to answer these questions in order to understand our role as physiotherapists in the management of spinal cord injury.
The knee is an enormous topic that we are unable to cover comprehensively in one course. This course will be a general introduction to develop an initial knowledge base that provides a good grounding to enable you to understand any knee condition that presents. We will be revising knee structure and function, exploring common conditions including paediatric conditions, consolidating assessment skills and also exploring current trends in prevention, management and rehabilitation of knee complaints. It is by no means an exhaustive exploration of the knee and we advise you to use it as a starting point for your understanding of treating knees.
Initially this course will explore the epidemiology of shoulder injuries globally and locally within your community allowing you to assess the impact of injuries to the shoulder in your individual context. This is followed by a review of shoulder structure and function which ensures a good foundation of knowledge for effective clinical reasoning. Age-related differences can have an impact on clinical reasoning, which will be explored in the paediatric and older populations. Finally the currently used classification systems for individuals with shoulder pain will be covered and how you might utilise these in your practice.
This course will focus on developing an understanding of Traumatic Brain Injury; what it is, what causes it, how often it occurs, what you might expect to see, the impacts it has on movement and function, and what other associated conditions may occur. We need to be able to answer these questions in order to understand our role as physiotherapists in the management of traumatic brain injury.
The course will provide a framework to develop theoretical principles for the management of wheelchair service delivery in all contexts. It will introduce the role of the wheelchair in mobility, explore assessment and the roles of the multidisciplinary team in wheelchair service delivery, as well as provide a theoretical understanding of management techniques and related clinical considerations. It will not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for individuals who require the use of a wheelchair for mobility around the world.
Ce cours vous donnera d'abord une compréhension plus approfondie de la neuroanatomie et de la neurophysiologie liées à l'AVC. Puis, en explorant l'épidémiologie et les facteurs de risque, nous parviendrons à comprendre la charge globale de l'AVC et les mesures de prévention auxquelles les kinésithérapeutes peuvent participer. L'évaluation est une compétence clé pour les kinésithérapeutes dans la prise en charge efficace des personnes ayant subi un AVC, nous prendrons en considération les échelles d'évaluation, les mesures des résultats et les rôles de l'équipe multidisciplinaire. Ensuite, sur la base des dernières données disponibles, nous explorerons différentes options de prise en charge pour la réadaptation des présentations aiguës et chroniques. Ce cours mettra fortement l'accent sur le diagnostic différentiel, afin de tester et développer vos capacités de raisonnement clinique dans ce domaine.
Low back pain is a very common health problem worldwide and a major cause of reduced disability – affecting performance at work and general well-being. It affects people of all ages, from children to the elderly, and is a very frequent reason for consultations. The 2010 Global Burden of Disease Study estimated that low back pain is among the top 10 diseases and injuries that account for the highest number of Disability Adjusted Life Years worldwide.
This course will give you an overview of the factors that influence outcomes in a patient with low back pain. Subjective and objective examination will be discussed as well as some treatment strategies. It will not teach practical skills or lead to any clinical qualification.
Ideally rehabilitation will begin prior to amputation surgery. As a minimum, it should start immediately following surgery. This course will help you to understand both the pre- and post-amputation assessment as well as the initial management of this patient. It will also cover other crucial considerations during this period, such as avoiding and treating complications, post-amputation pain, and the related emotional and psychological reactions. Finally the risks and consequences of falling are reviewed with strategies to reduce this risk.
The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living. This negatively impacts on a person's participation and integration into society. Prosthetic rehabilitation is a complex task that ideally requires input from an interdisciplinary rehabilitation team. This is the third course in a series and will cover all the aspects of pre-prosthetic rehabilitation and what therapists should know about prosthetics. You will learn more about outcome measures, pre-fitting physiotherapy management techniques, including bed mobility and transfers, stump/residuum management, musculoskeletal considerations and patient education. You will also be introduced to the different kinds of prostheses available, their component parts, fabrication and fitting.
The goal of prosthetic rehabilitation should be to establish an energy efficient gait, preserve the sound limb and prevent secondary complications. This is the fourth course in a series on lower limb amputee rehabilitation. This course will teach you how to approach prosthetic rehabilitation and will include gait assessment, exercise programmes/ideas, gait and balance training, functional activities, advanced gait training skills and high level rehabilitation. The course will also cover related evidence based practice guidelines and patient education.
There are many circumstances that can lead to amputations affecting the lower limb such as trauma in road traffic accidents and resulting from chronic diseases such as diabetes. With appropriate care, access to a prosthetic and related rehabilitation, many of these individuals can regain a high level of functioning and quality of life. The role of the physiotherapist is key in the process and this series of courses provides a comprehensive physiotherapy perspective on working with individuals with lower-limb amputations covering working with the client both before and after prosthetic prescription.
The course will provide you with practical advice on education, exercises, and treatment modalities for knee pain and will then focus on the specific evidence based treatment options for PFPS. It will not teach practical skills or lead to any clinical qualification.
Each time you work with an individual with spinal cord injury it is a unique experience depending on that individual’s presentation. You will use your knowledge and clinical reasoning skills to develop an individualised management plan specifically for that individual. As such we cannot prescribe to you specifically how to treat individuals with a spinal cord injury but you can use the resources below to inform your practice. We will examine different phases of management of individuals with spinal cord injury: acute, rehabilitation and long term management including best practice guidelines.
The World Disability report mentions that of 93 million children between 1-14 years present with a moderate to severe disability and 13 million with a severe disability. In low and middle-income countries, the literature reports a prevalence ranging from 0.4% to 12.7%. It also highlights that children in low and middle-income countries are exposed to multiple risks including poverty, malnutrition, poor health, and unstimulating environment, which can further impair their condition (WHO, 2011). The ICRC Physical Rehabilitation Department is working in 30 countries in situations of conflict/post conflict and witnesses that the situation of children with Cerebral Palsy merits increased attention and care. Indeed, not only the prevalence is very high but those children and their families often don’t received basic minimal care, which ensures them an acceptable quality of life. For the families this adds an additional burden to an already challenging life (ICRC, Annual Report 2015). Many professionals around the world neither benefit from any specialized training in paediatrics nor have access to the current literature. The ICRC Physical Rehabilitation Department have identified education in Cerebral Palsy as a priority. Through this course, the ICRC and Physiopedia aim to provide physiotherapists and other health related professionals free access to quality information on managing children with Cerebral Palsy, the ultimate goal being to increase theoretical knowledge as a basis for sound rehabilitation practice. This course does not intend to discuss or debate on advanced theories, techniques or build on additional advances in research as there are many specialists around the world who already do a great job. The ultimate goal of this course is first of all to provide physiotherapists and other health professionals involved in the management of children with Cerebral Palsy around the world basic knowledge and references, which will further increase their knowledge and most probably their competencies. They will then be in the position to find, read, critically appraise and choose the references and techniques appropriate to their needs and context. We also hope that the information shared will prevent physiotherapy interventions too far away from evidence based practice or even malpractice. Indeed, children with Cerebral Palsy should not cry during treatment, be systematically placed under electrophysical agents or benefit merely from passive or active range of movement. Mothers should not walk for hours to get the information and hope that their children will be “cured”. Last but not least, we hope again to bridge the gap between professionals from low and high income countries and therefore enlarge the community of practice in the field of Cerebral Palsy for the benefit of all, children, families and professionals. For clinicians working in under resourced regions the magnitude of this problem is self evident, a paradigm shift in response to the need is essential to begin to give children with Cerebral Palsy a meaningful life. “Children are a quality of life ... when our children are happy, then we are better as human beings." Whoopi Goldberg
The course will provide a framework to develop theoretical principles for the management of children with clubfoot relevant in all contexts. It will introduce the pathoanatomy, etiology and epidemiology underpinning idiopathic clubfoot, including: idiopathic in an infant, idiopathic clubfoot in the older child, relapse and atypical clubfoot. The course will explore assessment and the roles of the multidisciplinary team, as well as provide a theoretical understanding of management techniques and related clinical considerations. It will not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for children with clubfoot around the world.
Aproximadamente el 15% de las personas con COVID-19 desarrollan enfermedades de moderadas a graves y requieren hospitalización y apoyo de oxígeno, con un 5% adicional que requieren ingreso a una Unidad de Cuidados Intensivos y terapias de apoyo que incluyen intubación y ventilación. La complicación más común en pacientes graves con COVID-19 es la neumonía grave, pero otras complicaciones pueden incluir síndrome de dificultad respiratoria aguda (ARDS), sepsis y shock séptico, insuficiencia orgánica múltiple, incluyendo lesión renal aguda y lesión cardíaca. Los fisioterapeutas necesitan entender su papel en el manejo de pacientes con COVID-19 en el entorno hospitalario agudo y también en la rehabilitación tras la recuperación de la enfermedad.
So far we have covered what we mean by the term “Global Health”, how we measure it and why it is important. We have highlighted many of the challenges facing us and discussed the implications for us and discussed our role as physiotherapists. So, how will we meet future Global Health needs? What might global health needs be in the future. This course will consider the future of global health and examine how we as physiotherapists can continue to play a role in addressing these needs.
This course explores Movement and the Movement System. The Movement System is an important concept for physical therapists to understand; particularly those who seek to achieve the full potential of their critically important role in supporting a healthy society. Movement is the action of an entire system and its component parts; these include muscular, skeletal, neurologic, cardiovascular, pulmonary, and metabolic components. This course will explore some of the basics of understanding movement and go on to explore the current thinking on Movement and the Movement System.
Initially this course will explore the epidemiology of neck pain globally and locally within your community allowing you to assess the impact of Neck pain in your individual context. This is followed by a review of neck structure and function which ensures a good foundation of knowledge for effective clinical reasoning. Assessment is a key skill for Physiotherapists and Physical Therapists to effectively manage individuals with Neck Pain, we will consider key assessment skills, specific techniques and appropriate outcome measures. Then, based on the latest evidence available, we will explore different management options for acute and chronic presentations. This course will have a strong emphasis on differential diagnosis, to try and develop your clinical reasoning skills within this area.
La enfermedad del coronavirus 2019 (COVID-19) ha dado lugar a una pandemia mundial que afecta a una gran proporción de los países del mundo. Como profesionales de primera línea, es probable que los fisioterapeutas entren en contacto directo con pacientes infectados por este virus. Por lo tanto, es esencial que comprendan los muchos aspectos de su papel en la identificación, contención, mitigación y tratamiento de los síntomas de esta enfermedad. Esto incluye la implementación de métodos para reducir la transmisión de COVID-19, iniciar estrategias de identificación temprana y tratar los casos identificados adecuadamente en la clínica y los entornos domésticos. Nota: una revisión detallada de la atención respiratoria fisioterapia de estos pacientes se abordará en un curso posterior.
The course will provide you with an overview of the pathology and different stages of tendinopathy. The clinical presentation, and the medical and physical therapy management of patellar tendinopathy will be discussed. It will not teach practical skills or lead to any clinical qualification.
The course will review different antidepressant medications and the physiological effects they have on the body, as well as how these affect physiotherapy exercise prescription. Practical advice will be provided on how to gather information about different medications, and how to relate any medication effects a patient may have to the rest of the interdisciplinary team. Note - this course will not teach practical skills or lead to any clinical qualification or prescription rights.
This course will review different pharmacological pain management drugs including their actions and side-effects. A topic expert will provide advice on the considering a patient’s pharmacological uses or needs during therapy. The course will not teach practical skills or lead to any clinical qualification or prescription rights.
Physical inactivity has a major health effect worldwide. It has been identified as a leading risk factor for global mortality causing more than 5 million deaths globally per year. Of the deaths attributable to physical inactivity, 2.6 million are in low- and middle-income countries (LMICs). While physical inactivity is more prevalent in high- and middle-income countries, even in low-income countries it is among the top ten risk factors contributing to death. The global physical inactivity crisis, and the epidemic of life-style related diseases (non-communicable diseases or NCDs) has created an urgent need for health care professionals to develop effective approaches for including physical activity into patient interactions. Creating a more active population requires joined up thinking and action from many health care professionals and related stakeholders.
En 2017, Physiopedia, le Comité international de la Croix-Rouge (CICR) et l'Initiative mondiale Clubfoot (GCI) collaborent pour dispenser une formation en ligne gratuite intitulée "Pied Bot". Le pied bot est une malformation complexe et congénitale du pied, également appelée "Pied Bot Varus Equin" (PBVE), causée par le développement anormal des os, des ligaments et des muscles du bébé pendant la grossesse. Dans le monde entier, 150 000 à 200 000 bébés naissent chaque année avec des pieds bots, dont environ 80 % dans les pays à faible et moyen revenus. Sans traitement, la malformation du pied bot entraîne une incapacité permanente, car l'individu atteint éprouve des douleurs et des difficultés à marcher. Les personnes dont les pieds bots ne sont pas traités éprouvent des difficultés à accéder à l'éducation, à l'emploi et sont victimes d'exclusion de la société. Cependant, la plupart des cas de pieds bots peuvent être traités avec succès par une équipe multidisciplinaire de travailleurs de la santé utilisant des méthodes pouvant inclure une combinaison d'étirements, de plâtres et d'attelles.
Dans ce module, nous en apprendrons davantage sur les services en fauteuil roulant, examinerons les différents modèles de prestation de services en fauteuil roulant et développerons une compréhension de la fourniture de fauteuils roulants dans votre région, pays ou district. Nous envisagerons également les prochaines étapes dans le développement de vos connaissances et de vos compétences en matière de fourniture de fauteuils roulants.
Los procedimientos y técnicas para la prevención y el control de las infecciones son esenciales para una buena salud comunitaria, para limitar las infecciones adquiridas en la atención sanitaria y controlar la propagación general de epidemias y pandemias. Un componente clave de esto es la higiene básica de las manos que constituye la base del control de infecciones. El uso de equipos de protección personal (EPP) como guantes, máscaras, batas y gafas permite que la atención médica personal trate a los pacientes con enfermedades transmisibles mientras se protege a sí mismos y a los demás. Los procedimientos para poner (ponerse) y despegar (doffing) del EPP deben seguir técnicas y secuenciación específicas para garantizar las mejores prácticas de control y prevención de infecciones.
Chaque fois que vous travaillez avec une personne atteinte de traumatisme crânien, il s'agit d'une expérience unique, qui dépend de la situation de cette personne. En raison de la complexité des nombreuses affections qui peuvent survenir, il n'est pas possible de prescrire spécifiquement comment traiter les personnes atteintes d'un traumatisme crânien. Cependant, vous pouvez utiliser les ressources de ce module pour éclairer votre raisonnement clinique et votre pratique afin de développer un plan de prise en charge individualisée spécifiquement pour cette personne. Ce module examine également les différentes phases de la prise en charge des personnes souffrant de traumatismes crâniens et passe en revue les lignes directrices sur les meilleures pratiques existantes.
La paralysie cérébrale est l’un des troubles les plus courants du développement de l’enfant, avec une incidence de 2 à 2,5 pour 1 000 naissances vivantes. La pathologie a potentiellement un impact majeur sur la qualité de vie et l’implication dans la société de l'enfant atteint de paralysie cérébrale. La qualité de vie de la famille de l'enfant est également affectée, ce qui a des conséquences sur la capacité des parents de travailler, de se loger et de s'occuper d'un jeune enfant handicapé tout au long de leur enfance et jusqu'à l'âge adulte. La pathologie a également un impact majeur sur les services de santé, les services sociaux et l’éducation avec la survie croissante des enfants les plus gravement atteints.
La perte d'un membre inférieur a de graves conséquences sur la mobilité d'une personne et sur sa capacité à effectuer les activités de la vie quotidienne. Cela a un impact négatif sur la participation et l'intégration d'une personne dans la société. La réadaptation prothétique est une tâche complexe qui, dans l'idéal, nécessite l'intervention d'une équipe de réadaptation interdisciplinaire. Ce module est le troisième d'une série et couvrira tous les aspects de la réadaptation de la phase pré-prothétique et ce que les thérapeutes doivent savoir sur les prothèses. Vous en apprendrez davantage sur les mesures des résultats, les techniques de prise en charge de la kinésithérapie avant la mise en place de la prothèse, y compris la mobilité au lit et les transferts, la prise en charge du moignon, les considérations musculo-squelettiques et l'éducation du patient. On vous présentera également les différents types de prothèses disponibles, leurs composants, leur fabrication et leur adaptation.
It is critical that rehabilitation continues in people with specific rehabilitation needs, even during a pandemic. The COVID-19 pandemic has caused countries to implement strict infection control measures such as social distancing and restricting people’s regular movement. A lack of access to rehabilitation could have serious implications on the health outcomes of people with specific ongoing rehabilitation needs. Physiotherapists need to make difficult decisions relating to the continuation of rehabilitation services during the COVID-19 outbreak. Changes in rehabilitation services due to pandemic constraints will have significant implications for today and the future.
Approximately 15% of individuals with COVID-19 develop moderate to severe disease and require hospitalisation and oxygen support, with a further 5% who require admission to an Intensive Care Unit and supportive therapies including intubation and ventilation. The most common complication in severe COVID-19 patients is severe pneumonia, but other complications may include Acute Respiratory Distress Syndrome (ARDS), Sepsis and Septic Shock, Multiple Organ Failure, including Acute Kidney Injury and Cardiac Injury. Physiotherapists need to understand their role in the management of patients with COVID-19 in the acute hospital setting and also in the rehabilitation following recovery from the disease.
Are you aware of the implications of the fact that the muscles involved in respiration are also involved in core stability as well as other upper body movements and exercises. Research has demonstrated that exercising to increase the strength and endurance of the respiratory muscles can benefit back pain, balance and falls, artistic and athletic performance as well as address breathing difficulties caused by chronic conditions such as COPD and ageing.
This course will introduce you to the concept of Non-Communicable Diseases and will cover the role of physical activity in 5 diseases. It will not teach practical skills or lead to any clinical qualification. It is your responsibility to work within your scope of practice in your country or state.
The Coronavirus Disease 2019 (COVID-19) has led to a global pandemic affecting a large proportion of the countries of the world. As front line practitioners, it is likely that physiotherapists and physical therapists will come into direct contact with patients that are infected by this virus. It is therefore essential that they understand the many aspects of their role in identifying, containing, mitigating and treating the symptoms of this disease. This includes implementing methods to reduce the transmission of COVID-19, initiating early identification strategies, and dealing with identified cases appropriately in the clinic and home environments. Note: a detailed review of the physiotherapy respiratory care of these patients will be addressed in a subsequent course.
This course starts with a review of the principles of shoulder examination. Following this, there is a review of the evidence for orthopaedic special tests of the shoulder and explore when it is appropriate to use them. Next, the course covers shoulder pain and the importance of recognising the differences between acute and chronic pain, and the implications for assessment and management of the patient. Finally outcome measures and diagnostic imaging complete the assessment puzzle.
Shoulder pain is a common musculoskeletal condition that is is recognised as a disabling problem and can be associated with substantial economic burden. It has been reported as being the third most common musculoskeletal complaint presenting to physiotherapy. The pain and disability associated with shoulder pain can have a large impact on individuals and their families, communities, and healthcare systems affecting daily functioning and ability to work. This course will explore how shoulder pain impacts on global health, review structure and function of the shoulder through the ages, delve into assessment and provide an evidence base for the therapeutic interventions for effective management of the individual with shoulder pain.
A wide range of treatment techniques and approaches are utilised in neurological rehabilitation. Many of these come from quite different philosophical backgrounds. Research to support the different approaches varies widely, with a wealth of scientific evidence supporting the use of some techniques while other approaches are only supported by anecdotal evidence. In this course we will explore specific therapeutic interventions that are currently utilised in the treatment and management of traumatic brain injury and the evidence base behind each.
Assessment is arguably one of the most important steps in the rehabilitation process, as it provides the information on which clinical reasoning will be based and upon which decision-making is reliant. The treatment efficacy is only as good as the assessment on which it is based and should be an ongoing and continuous process. This course will explore the assessment of Spinal Cord Injury in relation to the World Health Organisation (WHO) International Classification of Functioning, Disability and Health (ICF) and review the range of outcome measures available to utilise across neurological conditions.
Spinal Cord Injury refers to any damage to the Spinal Cord resulting from trauma, disease or degeneration with symptoms dependant on both the severity of injury and its location on the spinal cord. According to the World Health Organisation there is no reliable estimate of global prevalence of Spinal Cord Injury, but it is estimated that annual global incidence varies from 40 to 80 cases per million population, which means between 250,000 to 500,000 people acquire a Spinal Cord Injury every year. Approximately 90% of these cases occur as a result of traumatic causes, though the proportion of non-traumatic spinal cord injury appears to be growing. Spinal Cord Injury is a complex pathology with many different clinical presentations. Best practice requires skills in assessment, treatment and rehabilitation when working with individuals with acute and chronic impairment as a result of a spinal cord injury. Spinal Cord Injury is a large topic area, and can be studied as an area of clinical specialism within Physiotherapy, therefore this programme of courses is by no means exhaustive. These courses will provide an overview of physiotherapy practice relating to Spinal Cord Injury to develop a foundation of knowledge that will enable you to assess and treat individuals with acute and chronic impairment as a result of Spinal Cord Injury. It will provide an understanding of the anatomy, structure, clinical presentation, assessment and management of spinal cord injury based on the latest evidence available.
Sport and Exercise Physiotherapy is now recognised as a specialist area with growing numbers of physiotherapists seeking to work in this diverse and exciting field. People are increasingly encouraged to undertake sport and exercise as part of a healthier lifestyle. Although this has a number of global health benefits, a related caveat is an increased risk of injury. Currently, sporting injuries commonly present to the health professional; these injuries present a unique challenge in terms of their aetiology, management and potential for recurrence. The responsibility of the pitch-side medical team has never been higher. Sport related healthcare professionals are under more and more scrutiny in terms of skill maintenance and professional development. The pitch-side physiotherapist has a duty of care to the team, but also a responsibility to update and improve their skills. This course will provide an introduction to the management of pitch side trauma. Physiotherapists working within Sport need to respond appropriately to acute injury or illness in both training and competition contexts, and require specific qualifications relating to cardiopulmonary resuscitation and first responder skills. Sport is an enormous topic that we are unable to cover comprehensively in one learn topic. This course will focus on developing an initial knowledge base by providing an overview of Sports Physiotherapy Practice based on the latest evidence available. We will be exploring the Role of the Sports Physiotherapist, investigating how we assess sport both on and off the field and also exploring current trends in prevention, management and rehabilitation of sports injuries. It is by no means an exhaustive exploration of Sports Physiotherapy and we advise you to use it as a starting point for your understanding of working within sport.
In 2008 with input from more than twenty-five wheelchair and rehabilitation experts the World Health Organisation (WHO) released guidelines on the provision of manual wheelchairs in less resourced settings. It outlines eight main steps that wheelchair service personnel need to carry out in order to provide a wheelchair. This course provides an overview of the steps to appropriate wheelchair provision followed by a more detailed review of the wheelchair assessment, prescription and preparation process.
The course will have a broad overview of Stratified Care for Low Back Pain and then have a deeper look at the Patient Prognosis Subgrouping with focus on the STarT Back Approach. The course will not teach practical skills or lead to any clinical qualification.
This course will first give you a deeper understanding of neuroanatomy and neuophysiology related to Stroke. Then by exploring epidemiology and risk factors we will come to understand the global burden of Stroke and prevention measures that Physiotherapists can get involved with. Assessment is a key skill for Physiotherapists in performing effective management of individuals following Stroke, we will consider assessment scales, outcome measures and the roles of the multi-disciplinary team. Then, based on the latest evidence available, we will explore different management options for rehabilitation of acute and chronic presentations. This course will have a strong emphasis on differential diagnosis, to try and develop your clinical reasoning skills within this area.
Tendon dysfunction is one of the most common soft tissue injuries that we see in our clinics. It's not just related to sports injuries as many un-athletic and even sedentary people can experience tendon dysfunction. It's currently a hot topic of conversation among clinicians and experts online and so we have brought all the most up-to-date information together for you in this online course. This course will explore tendinopathy to give you a deeper understanding of the anatomy, function, pathologies, assessment and treatment based on the latest evidence available.
During this course we are going to continue the focus on long term or age related conditions and the role of physical activity but also have a look at some conditions that may only be temporary such as pre and post surgery and pregnancy.
After exploring evidence-based interventions for individuals with shoulder pain and the evidence for conservative physiotherapy management, the course delves into specific management approaches including the Shoulder Symptom Modification Procedure, therapeutic exercise and prescription considerations. To finish off there is the opportunity to discover clinical approaches to management of specific conditions including instability, adhesive capsulitis, rotator cuff related pain and subacromial pain syndrome.
Traumatic Brain Injury (TBI) is defined as a non-progressive injury to the brain which occurred as a result of trauma. It occurs when an external force impacts the brain, & is most often caused by a blow, bump, jolt or penetrating wound to the head. It has been estimated that traumatic brain injury affects over 54 to 60 million people annually leading to either hospitalisation or mortality with low and medium-income countries experiencing nearly three times more cases of traumatic brain injury than high-income countries. It is a complex pathology with many different clinical presentations and best practice requires skills in assessment, treatment and rehabilitation when working with individuals with acute and chronic impairment as a result of a traumatic brain injury. The 2019 MOOC (Massive Open Online Course) aims to provide a basic theoretical understanding of the management of traumatic brain injury in order to equip physiotherapists with sufficient knowledge to manage a person following a traumatic brain injury. This includes assessing impairments, activity limitations and participation restrictions, setting appropriate goals of treatment, formulating an evidence-based treatment plan, implementing treatment and evaluating its success. This programme of four courses will involve around 4-6 hours of work each week (depending on your learning style). For each of the four courses, on passing the final quiz and completion of all of the required learning activities participants will receive a completion certificate as well as CPD points and any CEUs available. Note - Completing the overall TBI course programme with the submission of a written assignment is optional. More information about this programme of courses is available on the Introduction to Traumatic Brain Injury Course Physiopedia page.
This course will explore the algorithms and different treatment approaches that form part of the Treatment-Based Classification System and explore how to triage patients into these treatment/rehabilitation approaches. The course will not teach practical skills or lead to any clinical qualification.
"The key determinants of health of individuals and populations are the circumstances in which people are born, grow, live, work and age and these circumstances are affected by the social and economic environment.” Sir Michael Marmot, Chair of the Commission on Social Determinants of Health, World Health Organization, August 28, 2008. But what are the biggest Global Health Challenges affecting us? In this course we review emerging trends in global health and take the opportunity to examine in detail some of the major global health issues such as communicable disease, non-communicable disease and the impact of natural disaster and conflict on Global Health. You will also hear from fellow learners around the world about what the most prominent Global Health issues they are experiencing in their country.
Coronaviruses are a family of viruses that cause illnesses such as respiratory or gastrointestinal diseases. In January 2020 a previously unknown coronavirus was identified in Wuhan China. The group of conditions related with infection by this new virus was named Coronavirus Disease 2019 (COVID-19) by the World Health Organisation (WHO). Following its rapid spread around the globe, the WHO has declared the COVID-19 a pandemic. It mainly presents with respiratory symptoms, fever and can result in severe acute respiratory distress in high-risk populations.
There is more to enabling someone with a wheelchair than simply providing a wheelchair. It must fit correctly and the user must have the skills to use and maintain this assistive device. In this course we will be learning more about the detailed fitting process to ensure the correct fit for each individual wheelchair user. Once we have the individual adequately set up in the wheelchair we will then consider user training in terms of development of specific skills relevant to their needs and environment and also review the importance of ongoing maintenance.
Wheelchair Services provide the framework for assessing individual user needs, assist in selecting an appropriate wheelchair, train users and caregivers, and provide ongoing support and referral to other services where appropriate. This course will consider Wheelchair Services, examine the different models for wheelchair service delivery and develop an understanding of wheelchair provision in your region, country, or district. It will also enable you to explore the next steps in further developing your skills and competence in wheelchair provision.
This programme of courses and assignment will provide a framework to develop theoretical principles for the management of wheelchair service delivery in all contexts. It will introduce the role of the wheelchair in mobility, explore assessment and the roles of the multidisciplinary team in wheelchair service delivery, as well as provide a theoretical understanding of management techniques and related clinical considerations. It will not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for individuals who require the use of a wheelchair for mobility around the world.