Teaching GuideTerm
Faculty of Nursing and Podiatry
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Grao en Podoloxía
 Subjects
  Functional Rehabilitation in Foot and Leg Disorders
   Contents
Topic Sub-topic
Thematic Block I.
Functional assessment of the foot and lower limb.
Unit 0. Anatomical-biomechanical recollection of the foot and its kinetic and kinematic relationships with the lower limb.

Unit 1. Functional and neuro-orthopaedic examination of the lower limb. Generalities of the assessment process. Concept of dysfunction and biomechanical adaptation. The nervous system as an integrating structure. Heterometries, ascending and descending dysfunctional chains.
Thematic Block II.
Functional re-education and physiotherapy in inflammatory and degenerative processes of the foot. Model of tissue stress and soft tissue regeneration.
Unit 2. The fascial system as a source of pain and dysfunction. Cellular mechanotransduction.

Unit 3. Nervous system and neuromechanics. The nervous system as a source of pain and dysfunction. Evaluation and principles of neurodynamic treatment.

Unit 4. Soft tissue regeneration model based on controlled mechanical stimulus. Inflammatory response, phases and clinical implications. Ankle sprain, local and ascending implications. Chronic ankle instability. Proprioception and postural sensors.

Unit 5. Tissue stress model. Rotational theory and the windlass system. Kinetic considerations and their clinical implications. Upward and downward relationships.
Thematic Block III.
Assessment and functional intervention in the main podiatric disorders. Pain, proprioception and motor control.
Unit 6. Manifestations of tissue stress in the sole-Achilles-plantar system. Achilles tendinopathy. Local and ascending implications.

Unit 7. Tissue stress manifestations in the tibial system: medial tibial stress syndrome, tarsal tunnel and posterior tibial dysfunction. Local and ascending implications.

Unit 8. Tissue stress manifestations of plantar tissues. Local and ascending implications.

Unit 9. Tissue stress manifestations in the forefoot: metatarsalgia, predislocation syndrome, perineural fibrosis and dysfunction of the first radius. Local and ascending implications.
Practical Block I.
Functional assessment of the foot. Neuro-orthopaedic examination of the foot and lower limb.
Practical lesson 1. Examination of posture and postural sensors.

Practical lesson 2. Neurodynamic exploration of the lower limb: neural provocation test and evaluation of the potential mechanical conflict points of the peripheral nervous system in the lower limb.

Practical lesson 3. Static and dynamic assessment of the pelvis. Orthopaedic and functional tests.

Practical lesson 4. Examination of the statics and dynamics of the coxofemoral joint. Torsional alterations and rotational capacity. Exploration of the knee.

Practical lesson 5. Examination of the analytical joint mobility of the ankle-foot complex.

Practical lesson 6. Dynamic assessment: gait and functional motor control tests.
Practical Block II.
Functional re-education and physiotherapy in the main podiatric disorders.
Practical lesson 7. Joint techniques of the ankle-foot complex.

Practical lesson 8. Stretching, manual and instrumental myofascial techniques.

Practical lesson 9. Strategies for improving proprioception and motor control of the lower limb.

Practical lesson 10. Functional and proprioceptive taping.
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