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Neuromusculoskeletal System I - #36030
Principles and Overview


 

 
Joseph Sweere, DC
3.0
45.0
3.0
0.0

Discussion of the integral relationship between neuromusculoskeletal structure and function and the healthy function of all other body systems and organs. Introduction to the evaluation and treatment of neuromusculoskeletal responses to common postural and traumatic insults, and to pathologies in the neuromusculoskeletal system and other body systems. Students practice diagnostic and treatment procedures; and discuss how chiropractors can participate in the management of patients who have NMS disorders.

Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
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  1. Describe the clinical manifestations and diagnosis of covered neuromusculoskeletal conditions via history, exam and laboratory findings.
  2. Describe the pathophysiology and natural history of covered neuromusculoskeletal diseases.
  3. Describe the common, conservative treatment options as well as non-conservative measures used by other clinicians to diagnose and treat various neuromusculoskeletal conditions.
  4. Describe the segmental motor-sensory-reflex evaluation of a patient.
Materials
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A. Required Text(s):
  1. Textbook of Disorders and Injuries of the Musculoskeletal System, 3rd ed. R.R. Salter; published by Williams & Wilkins.
  2. NMS 1 WEB site accessible from Northwestern Health Sciences University home page.

B. Recommended Text(s):
  1. Chiropractic Management of Spine Related Disorders. M. Gatterman.
  2. Turek's Orthopaedics. Weinstein & Buckwalter.
  3. Primer on Rheumatic Diseases, 8th Edition, Published by The Arthritis Foundation.
  4. Wheeless' Textbook of Orthopaedics on the world wide web at www.medmedia.com

C. Required Materials for Lab:
  1. None
Assignments
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  1. Please understand that the notes, supplemental handout materials, and the lecture portion of the class are intended to facilitate your reading of the respective chapter pages in your assigned text.
Attendance
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Attendance is expected at all lectures and labs
Grading Criteria
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  1. Examinations: 3, 50 question, multiple choice, written unit will be provided. Unit two and the final exam will both be cumulative

    You should consider the grading scale firm.

Guaranteed grades are as follows:

A = 90 - 100% of Total Possible Points.
B = 80 - 89% of Total Possible Points.
C = 76 - 79% of Total Possible Points.
D = 75 - 70% of Total Possible Points.
F = Failure to accrue at least 70% of the Total Possible Points.
Course Competencies
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COGNITIVE DOMAIN


Students will be able to construct and follow a rational diagnostic process in evaluating patients who present with the following neuromusculoskeletal symptoms:
  1. normal structure and function of neuromusculoskeletal tissue
  2. commonly encountered normal variants
  3. congenital anomalies
  4. generalized and disseminated disorders of bone
  5. inflammatory disorders of bones and joints
  6. degenerative changes of bones and joints and related tissues
  7. neuromuscular disorders based upon neurologic compromise
  8. disorders that affect the epiphyseal plate or epiphyseal growth


Conditions:
See attached list

PSYCHOMOTOR DOMAIN


No psychomotor competencies.

AFFECTIVE DOMAIN


Students will demonstrate integrity, sensitivity, respect, courtesy, compassion and professionalism at all times, and will be able to apply the history, physical examination and treatment techniques learned in this course to any patient while demonstrating those same qualities.
Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1 -- Introduction: review of course syllabus, conduct and goals.
Week 2 -- Lec: Reactions of MS tissues to disorders & injuries; Salter, chap. 3, pp.29-49; notes, pp. 19-24. Student responsibility: Review the anatomy & embryology of, and physiologic processes that affect, the NMS system; Salter, chap. 2, pp. 7-28; notes, pp. 11-19.
Week 3 -- Lec: Clinical terminology common to NMS pathology; Salter, chap. 4, pp. 51-59; notes, pp. 12-13. Clinical evaluation of NMS patient presentations, including Hx, PE, imaging & laboratory examinations; Salter, chap. 5, pp. 61-90; notes, pp. 1-9.
Week 4 -- Lec: Review of conservative and surgical treatment procedures common to MS presentations; Salter, chap. 6, pp. 91-115 & chap. 12, pp. 306-307; notes, pp. 1-9. Common MS normal variants; Salter, chap. 7, pp. 117-129; notes, pp. 24-26.
Week 5 -- Lec: Common MS normal variants continue. Congenital MS anomalies; Salter, chap. 8, pp. 131-182; notes, pp. 26-31.
Week 6 -- Lec: Congenital MS anomalies continue. Generalized & disseminated disorders of bone & structure; Salter, chap. 9, pp. 183-206; notes, pp.32-35.
Written unit examination #1; Date TBA
Week 7 -- Lec: Generalized & disseminated disorders continue. Inflammatory disorders of bones & joints; Salter, chap. 10, pp. 207-255; notes, pp. 36-45.
Week 8 -- Lec: Inflammatory disorders continue
Week 9 -- Lec: Inflammatory disorders continue.
Degenerative disorders of joints & related structure; Salter, chap. 11, pp. 257-302; notes, pp. 46-49.
Week 10 -- Lec: Degenerative disorders continue
Written unit examination #2; Date TBA
Week 11 -- Lec: Degenerative disorders continued.
Week 12 -- Lec: Circulatory & epiphyseal disturbances in bone; osteochondroses; Salter, chap. 13, pp. 339-377; notes, pp. 50-57.
Week 13 -- Lec: Circulatory and epiphyseal disturbances continue.
Week 14 --
 FINAL EXAMS AS SCHEDULED
Week 15 --
 FINAL EXAMS AS SCHEDULED
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Northwestern College of Chiropractic
Last updated: 15 August, 2005
 

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