Identifying Data 2015/16
Subject (*) FISIOTERAPIA XERAL Code 651G01008
Study programme
Grao en Fisioterapia
Descriptors Cycle Period Year Type Credits
Graduate Yearly
First Obligatoria 9
Language
Spanish
Galician
English
Teaching method Face-to-face
Prerequisites
Department Fisioterapia
Coordinador
Riveiro Temprano, Socorro
E-mail
socorro.riveiro.temprano@udc.es
Lecturers
Martinez Rodriguez, Alicia
Riveiro Temprano, Socorro
Robles García, Verónica
Souto Gestal, Antonio
E-mail
alicia.martinez@udc.es
socorro.riveiro.temprano@udc.es
veronica.robles@udc.es
antonio.souto@udc.es
Web
General description Esta materia pretende capacitar ao alumnado para fundamentar a elección da técnica de electroterapia, ultrasonoterapia, fototerapia, magnetoterapia, masoterapia, hidroterapia e balneoterapia, en base aos coñecementos científicos existentes e á experiencia clínica e necesidades específicas (contextuales, clínicas e psicosociais). Para iso é básico o coñecemento do fundamento físico de cada axente, os efectos que produce (distintos parámetros regulables) e cómo se traducen en efectos fisiolóxicos e terapéuticos.
En canto á destreza no manexo dos equipos e as técnicas precísase do traballo non presencial a partir da demostración no laboratorio.
Un dos grupos para a parte do segundo módulo (electroterapia e ultrasonoterapia) realizarase en INGLÉS para aquel alumnado interesado (EXCLUSIVAMENTE no SEGUNDO CUATRIMESTRE, NO PRIMEIRO CUATRIMESTRE NON HABERÁ DOCENCIA ALGUNHA EN INGLÉS)

Study programme competencies
Code Study programme competences
A2 Conocer y comprender las ciencias, los modelos, las técnicas y los instrumentos sobre los que se fundamenta, articula y desarrolla la fisioterapia.
A3 Conocer y comprender los métodos, procedimientos y actuaciones fisioterapéuticas, encaminados tanto a la terapéutica propiamente dicha a aplicar en la clínica para la reeducación o recuperación funcional, como a la realización de actividades dirigidas a la promoción y mantenimiento de la salud.
A8 Ejecutar, dirigir y coordinar el plan de intervención de fisioterapia, utilizando las herramientas terapéuticas propias y atendiendo a la individualidad del usuario.
B13 Asumir riscos e vivir en contornos de incerteza.
B19 Mostrar a súa orientación ao paciente/usuario.
C1 Expresarse correctamente, tanto de forma oral coma escrita, nas linguas oficiais da comunidade autónoma.
C6 Valorar criticamente o coñecemento, a tecnoloxía e a información dispoñible para resolver os problemas cos que deben enfrontarse.

Learning aims
Learning outcomes Study programme competences
Identify the physical bases of the electromagnetic agents (currents, laser and phototherapy, magnetics therapy), mechanical (ultrasounds, masotherapy, hidrotherapy), thermal (criotherapy and termotherapy) and chemical (balneotherapy) A2
- To know the indications and contraindicacións of each modality and its causes due to translation of the physical effects into physiological and therapeutic effects. A3
B13
- To act looking for the hygiene and the prevention of infections, as well as for the correct preservation of the machines and elements used. A2
To select the body position, placement of the machine, pillows and other elements to preserve the patient´s and physiotherapist´s ergonomy and the efficiency of the intervention. A2
To select and use correctly the parameters of application and elements associated to the machine or technicl selected. A2
A3
To adapt the application to the concrete needs of health- clinical or psicosocial ones- recognizing the complementary character of the majority of the passive therapeutic modalities. A8
B19
To identify the alarm signs to stop the therapy or to change the parameters selected. B13
To differentiate the applications based in the clinical experience from that based in the scientific evidence, using the first empiric knowledge when scientific evidence does not exist. C6
To explain the actions to the patients using a comprehensible language: the possibilities of intervention, the possible adverse effects and the existence of other alternatives of intervention. B19
C1

Contents
Topic Sub-topic
MÓDULO I MASOTHERAPY AND OTHER THERAPIES

-Unidad 1. Masotherapy and other therapies

TEMA 1. Masotherapy
History of masotherapy.
Efects.
Modalities of application.
Indications and contraindications.
TEMA 2. Magnetotherapy Definition
Efects.
Parámeters.
Indications and contraindications.
TEMA 3. Hidrotherapy and balneotherapy Concept and general topics.
Types of water, physical-chemistry principles
Modalities of application
Efects
Indications of contraindications
TEMA 4. Climatotherapy and talasotherapy Concept and general topics.
Types of climates.
Efects
Indications of contraindication
TEMA 5. Termotherapy and criotherapy Concept and general principles.
Modalities of application
Efects
Indications and contraindications
TEMA 6. Fototerapia Concept and general principles.
Modalities of application
Efects
Indications and contraindications
TEMA 7. Ohter therapies. Vibrotherapy. Concept and general topics.
Modalities of application
Efects
Indications and contraindications
PRACTICAL LESONS. MASOTHERAPY AND OTHER THERAPIES
1.- Masotherapy
2.- Magnherapy
4.-Termotherapy
5.-Criotherapy
6.-Phototherapy
Description of the machines
Description of the applicacion protocols.
To apply the technics.
II: Electrotherapy and ultrasonotherapy. Professor: Alicia Martínez Rodríguez.

UNIT 1. Electrotherapy and ultrasonotherapy bases.

TEMA 1. Introduction and main points.
Therapeutic use of the electrical and sound phisical agents.
Context of the intervention in the biopsicosocial model.
THEME 2. Electrotherapy and ultrasonotherapy principles. Electromagnetic spectrum.
Main paramenters of the electromagnetic currents.
Mechanical waves: ultrasound physical principles.
TEMA 3. Clasification of electrical and electromagnetical currents for clinical use.:low frequency, medium frequency and high frequency currents.
Definition of electrotherapy.
Clasification: polarity; continuity/pulsed (direct, altern or pulsed current).Other parameters to clasify the currents:
specific denomination
frequency of the current; ow frequency, medium frequency and high frequency currents.
UNIT 2. Electrotherapy: low frequency, medium frequency and high frequency currents.

TEMA 4. Galvanic current. Low frequency pulsed currents I (diadinamics, Träbert).
Physical characteristics
Efects.
Main parameters.
Perfonmance.
Indications and contraindications.
TEMA 5. Low frequency pulsed currents II: analgesic and healing (microcurrents, high voltage and TENS). Iontophoresis.
TEMA 6. Low frequency pulsed currents III: strengthening.
TEMA 7: Medium frequency currents: Interferencial currents, Russian currents and Aussie currents.
TEMA 8: High frequency currents: shortwave and microwave.
Physical characteristics
Efects.
Main parameters.
Perfonmance.
Indications and contraindications.

UNIT 3. Ultrasonotherapy

TEMA 9: Ultrasounds and combined therapy (ultrasound-electrical currents).
Physical characteristics
Efects.
Main parameters.
Perfonmance.
Indications and contraindications.

PRACTICAL LESSONS

1. Physical bases, electrodes, conections body positioin and performance.
2. Galvanic current, diadiinamics and Trabert. Iontophoresis.
3. Low frequency currents analgesic effect I- TENS
4. Low frequency currents analgesic effect II - high voltage.
5. Low frequency currents strenghtening effect (NMES I)
6. Medium frequency currents analgesic effect (Interferencial currents)
7. Medium frequency currents for strenghtening (NMES II)
8. High frequency currents I- short-wave
9. High frequency currents II- microwave
10. Ultrasound I
11. Ultrasound II
Machine description and taking care of the matherials.
Protocol description.
Doing the practices.
Clean and tidy the used matherials.

Planning
Methodologies / tests Competencies Ordinary class hours Student’s personal work hours Total hours
Introductory activities A2 0 2 2
Guest lecture / keynote speech A3 B13 38 0 38
Practical test: A2 A3 A8 B13 B19 C1 C6 36 72 108
Collaborative learning A8 B13 B19 C1 C6 20 20 40
Mixed objective/subjective test A2 A3 A8 B13 B19 C1 C6 5 30 35
 
Personalized attention 2 0 2
 
(*)The information in the planning table is for guidance only and does not take into account the heterogeneity of the students.

Methodologies
Methodologies Description
Introductory activities ELECTROTHERAPY AND ULTRASONOTHERAPY PART


Reading: physical basis in electrotherapy and ultrasonotherapy: electromagentic and mechanic waves.
Guest lecture / keynote speech It will be initiated with lessons for the whole group (also interactive classes) in order to deal with more contents and be able to begin as soon as possible with practical lessons. The next interactive classes will be done by groups to reach the theoretical- practical integration and to make possible the active participation for students and encourage the meaningful learning.
Practical test: As a classroom activity, will be performed in the laboratory in groups of 10 students in 1.5 hours classes, prior to the demonstration and explanation of the teacher.

The practice after the class is very important to acquire the necessary skills so is strongly recommended to participate in the program of "collaboration students" to be able to open the laboratory and practice.
Collaborative learning The work will be done in small groups and will consist of make a summary of the readings suggested, or in the resolution of questions raised by the teacher.

Its implementation will be monitored throughout the course.

It will be 20% of the final mark, but only will be added if the student reaches at least a 5/10 in the theoretical and practical parts, for each of the two terms.
Mixed objective/subjective test A theoretical and a practical exam will count till 50% and 30%- respectively- of the final mark.

The theoretical exam will have several open-questions of variable length depending on the group learning dynamics. Sone controls can be done during the course, and they will be only corrected if there is a doubt in the mark.

Practical exam will be carried out for a clinic problem and all the parameters used will be explained. The maximum time will be 10 minutes per case. The following parameters will be assessed: a valid argument for selection the parameters; adequacy of blocks, pillows and so on and correct patient position; correct and relevant application parameters (time, intensity ...); quickly performance and absence of negative effects ("pinch" drop,…). Misuse of equipements and materials will low the mark until and if something is broken the student will fail automatically.

The collaborative learning mark will be added only if there has been successful in the theoretical and practical exam (5/10).

A final average mark will be given only if both parts have been successful and being aware that a minimun of 5 of 10 points will be necessary in each theoretical and practical exams.

Personalized attention
Methodologies
Practical test:
Mixed objective/subjective test
Guest lecture / keynote speech
Description
MASOTHERAPY AND OTHER THERAPIES PART

The keynote session is conducted in the classroom 1 with relevant visual and teaching aids (transparencies, slides ...) starting with a question and develop its implications for the classroom. That's direct involvement of the student is needed.

The labs will have a demonstrative character. To acquire the relevant skills the students will have to practice on their own.

It is recommended not to leave any questions for the end, as well as hinder learning, it is likely that given the demand can not be resolved to everyone.


ELECTROTHERAPY AND ultrasonotherapy PART

The keynote session is conducted in the classroom 1 with relevant visual and teaching aids (transparencies, slides, wax ...) starting with a question and develop its implications for the classroom. That's direct involvement of the student is needed.

The labs will have a demonstrative character. To acquire the relevant skills the student will have to practice on his/her own.

There will be a schedule of face tutorials and one of non-contact, in order to resolve doubts or reinforce specific content. It is recommended not to leave any doubts as to the end, in addition to hinder learning, it is likely that given the demand can not be resolved in time. The delivery schedule set of non-contact work for the center for sequencing the work will continue.

Also will seek to create a forum with frequently so that they can be consulted by everyone doubts.


Assessment
Methodologies Competencies Description Qualification
Collaborative learning A8 B13 B19 C1 C6 The teacher will present the questions / topic that must be solving for the students and can be used as controls. It does not count for general note, except as to benefit the student in the case of showing a steady and dedicated work during the course and previously exceeding 50% of the score.

Exclusively for the module of ELECTROTHERAPY AND ULTRASONOTHERAPY, there will be a peer tutoring program that will add a point to the final mark. It is optional and the methodology will be explained in the class.
20
Mixed objective/subjective test A2 A3 A8 B13 B19 C1 C6 The theoretical examination will up to 50% of the grade, and the practical test 30% of the final grade.

Theoretical exam: may have a first part of test questions, and a second part of open questions, reasoning ability or capacity of synthesis of networking and writing are checked. Just in case of doubtful note, it may be referred to the results of ongoing evaluation controls for the corresponding module.

The practical test, in general, shall consist of 2 cases to be addressed by students for theoretical and practical resolution. Students will be assessed by a teacher who does not have to match the one who taught the student in practical lessons.

To be able to average, at least 50% of the maximum score in each of the examinations (theoretical and practical ones) must be achieved. The collaboratory learning mark will be added only if the theoretical and practical exams were passed for each of the modules.

The mean mark will only be done if both parts are passed.




80
 
Assessment comments

Attendance at the laboratory is highly recommended and non-attendance should be well justified and may prevent the continuous assessment. Approved each quarter note to the July, including saved. If it had not approved the two modules in Jule, the part will be saved for the following year if the score is at least 70% of the grade. If someone is presented to test one of the two parts and not the other, will be considered as not presented in the final grade. If it is presented at both parts can no longer be considered as not presented. 

For this course, MASSOTHERAPY AND OTHER THERAPIES  will the first part (in the first quarter) and will continue with electrotherapy and ultrasonotherapy part in the second quarter

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Sources of information
Basic (). .
Andrade, Carla-Krystin, (2004). Masaje basado en resultados. Barcelona : Editorial Paidotribo
Koury JM (1998). Acuaterapia. Barcelona:Ediciones Bellaterra
Schmid F (1987). Aplicación de corrientes estimulantes. Barcelona:Ed. Jims
Robinson AJ, Snyder-Mackler LS. ( 2008). Clinical Electrophysiology. Electrotherapy and electrophysiologic testing. Philadelphia: Lippincott Williams & Wilkins
Hernández Álvaro J y Tovar Pescador J (1997). Electricidad y magnetismo. Jaén: Universidad de Jaén
Watson T. (2009). Electroterapia basada en la evidencia. Barcelona. Elsevier
Sheila Kitchen, Sarah Bazin (1998). Electroterapia de Clayton . Sâo Paolo : Editora Manole
Rodriguez M (2004). Electroterapia en fisioterapia. . Madrid: Ed. Médica Panamericana
Low, J (1999). Electrotherapy explained : principles and practice . Boston, MA : Butterworth-Heinemann
San José Arango, C (2012). Hidrología médica y terapias complementarias. Sevilla: Publicaciones universitarias
Termatalia (2008). Jornadas técnicas sobre hidrología médica.
Martínez et al (1998). Manual de medicina física. Barcelona: Harcourt Brace
Prentice WE (1990). Medicina deportiva. Técnicas terapéuticas. Barcelona: Mosby
Pérez Fernández et al. (2005). Principios de hidroterapia y balneoterapia. Madrid: McGraw Hill Interamericana
Albornoz Cabello M, Meroño Gallut J. (2012). Procedimientos generales de fisiotrapia. Práctica basada en la evidencia. Barcelona: Elsevier

Complementary


Recommendations
Subjects that it is recommended to have taken before

Subjects that are recommended to be taken simultaneously
ANATOMÍA I E HISTOLOXÍA/651G01001
ANATOMÍA II/651G01002
BIOFÍSICA E BIOQUÍMICA/651G01004
MARCO TEÓRICO DA FISIOTERAPIA E A REHABILITACIÓN FÍSICA/651G01006

Subjects that continue the syllabus

Other comments

It is recommended as basic carrying a day theoretical and practical classes to get the maximum and to pass the course, given the density of content, abstraction of their fundamentals and the first course. It is important to have knowledge of English or do some of the same course, especially for Electrotherapy And Ultrasound therapy part. 

Although the language most commonly used by teachers of this subject is Spanish, interchangeably use Spanish and Galician and, of course, students can express themselves in the language of their choice. The exam in Galician will be provided at the request of interested students. Such request shall be made not later than one week before the exam. 

For part of electrotherapy and ultrasonic therapy in practice lessons, there is the possibility of participating in a group in which the language used is English

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(*)The teaching guide is the document in which the URV publishes the information about all its courses. It is a public document and cannot be modified. Only in exceptional cases can it be revised by the competent agent or duly revised so that it is in line with current legislation.