university: alexandria faculty : medicine · for physical medicine, rheumatology &...

واالعتمادهيئة القومية لضمان جودة التعليم ال

University: Alexandria

Faculty : Medicine

Program Specifications (Academic year: 2013/ 2014)


A. Basic Information:

1. Program title: Master Degree of Physical Medicine, Rheumatology & Rehabilitation

2. Program Award: Master Degree.

3. Department (s) offering the program; Physical Medicine, Rheumatology& Rehabilitation.

4. Program Coordinator :Ass Prof Dr Enas Shahin

5. External evaluator(s) : Prof Dr Alessandro Guistini

6. Type of the program: Single

7. Date of most recent program specifications approval: 10/3/2014 B. Professional Information:

1- Program Aims: The aim of this program is to:

1.1. Qualify candidates with skills needed for diagnosing, treating and rehabilitating rheumatic and joint diseases,

regional pain syndromes and all locomotor problems.

1.2 Provide a training program in orthotic and prosthetic prescription, electrodiagnosis and physical

therapeutic modalities

1.3 Offer a special training program for rehabilitating patients with disability, besides all neurological,

orthopedic, pediatric and surgical problems that necessitate rehabilitation

2- Academic reference standards (ARS)& ILOs:

Academic reference standards of Mater Degree in Physical Medicine, Rheumatology & Rehabilitation designed and

approved by Department of Physical Medicine, Rheumatology & Rehabilitation Faculty of Medicine. Alexandria

University. Based on: Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009).

Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National

[http://naqaae.org/main/php/book/index.php]

Benchmarks : guided by Accreditation Council for Graduate Medical Education (ACGME) program requirements

Domain Academic Reference

Standards

Ilos

A. Knowledge and

understanding

Graduate of this program

must have :

• Basic facts and theories of

Physical Medicine,

Rheumatology &

Rehabilitation and related

subjects/fields

By the end of the program the PG

students will be able to:

A1- Describe the characteristics of

structure, and function of different

components of musculoskeletal system

A2- Identify the effect of different factors

involved in the pathogenesis of

musculoskeletal disorders

A3- Discuss the etiology, pathogenesis and

clinical presentation of the different


A4- Describe the management protocols

&/or procedures adopted in management

And rehabilitation of neuromusculoskeletal

affections.


• Main advances in the field

of Physical Medicine,

Rheumatology &

Rehabilitation and relevant

update literature

• Quality standards of

practice in the field of

Physical Medicine,

Rheumatology &

Rehabilitation

• Basics and ethics of

scientific research ,

especially in what concerns

disabled and handicapped

A5 Recognize the recent advances in the

diagnosis of musculoskeletal diseases.

A6 Describe up-to-date management

procedures of neuro-musculoskeletal

disorders.

A7-Describe management and

rehabilitation of cardiovascular and

pulmonary disorders.

A8 Recognize the quality standards of

practice in the field of Physical Medicine,

Rheumatology and Rehabilitation in

relation to diagnosis.

A9 Recognize the quality standards in

practice of Physical Medicine,

Rheumatology & Rehabilitation in relation

to management.

A10 Review basics and ethics of scientific

research in general.

A11 Recognize basics and ethics

specifically relevant to disabled and

handicapped.

B. Intellectual

skills

Graduate must have the

following :

• Interpret clinical findings

to reach appropriate

differential diagnosis

• Use available information

to plan for a comprehensive

management plan for the

patient



B1- Analyze the clinical signs and

symptoms of musculoskeletal problems to

reach a diagnosis /differential diagnosis

B2- Use the structural & functional

characteristics of the musculoskeletal

system to explain the different pathological

problems

B3- Plan the appropriate investigations for

each patient to help reaching the diagnosis

B4 Solve common and some uncommon

problems not conforming to classic cases.

B5 Evaluate risks imposed to the patient or

the managing team during professional


• Co-operate in a team for

conduction of scientific

research in a field related to

the specialty.

practice related to the field of the specialty

B6 Recognize the essential principals of

scientific medical research.

B7 Plan for professional improvement in

physical medicine, rheumatology and

rehabilitation.

B8 Critically appraise current literature on

physical medicine, rheumatology &

Rehabilitation

C. Professional

skills


following:

• Conduct all basic technical

procedures in the fields of

Rheumatology, Physical

Medicine, Rehabilitation

and Electrodiagnosis

• Conduct some advanced

technical procedures in the

fields of Rheumatology,

Physical medicine,

Rehabilitation and

Electrodiagnosis



C1- Perform full examination of different

components of the musculoskeletal system

C2. Manage the common types of

musculoskeletal disorders within

internationally accepted standards of time

and competency.

C3- Evaluate patients functionally.

C4- Perform basic electrodiagnostic

procedures.

C5 perform advanced electrodiagnostic

procedures.

C6- Perform different pain control

techniques.

C7 Perform techniques for control of

spasticity.

C8 Prescribe the appropriate physical agent

modalities and exercises for

neuromusculoskeletal disorder.

C9 Prescribe the appropriate orthosis or

prosthesis for locomotory disorders.

C10 Supervise the physical rehabilitation

plan.

C11 Perform intrarticular and soft tissue

injection.

c12Aspirate synovial fluid for major joints


• Write comprehensive

medical report

C13 Recognize basics of medical reporting

C14 Report patient status in a

comprehensive professional way.

D. General and

transferrable

skills


following:

• Effective Communication

skills with his colleagues

and superiors, different

members of the

rehabilitation team &

patients of different social

levels

• Practice self appraisal and

determine learning needs.

• Leadership capabilities &

ability to work in multi-

disciplinary teams

• Able to manage time and



D1- Retrieve information from all sources

(printed, electronic, communications

etc…).

D2-Verify the accuracy of scientific

material on basis of best evidence in

medicine and in practice

D3-Present scientific information to

individuals and groups of different

educational and social levels

D4 Communicate effectively with different

members of the rehabilitation team

D5 Use information technology to improve

his professional practice and improve his

learning abilities.

D6- Lead the rehabilitation team.

D7 Contribute efficiently in a


resources effectively multidisciplinary team.

D8 Plan rehabilitation programs in

reference to available resources (place,

equipment, team and time).

D9 Evaluate the sufficiency and efficiency

of available medical resources in view of

the work load.

E. Attitudes and

ethical

behavior


following:

• Awareness of national code

of ethics & respect patients

rights

• Present ethical manners

when dealing with team

members, colleagues and

seniors.



E1-Follow national code of ethics &

respect patients rights

E2-Council patients & parents with

appreciation and understanding

E3-Respect rights of disabled &

handicapped

E4-Deal with different team members in a

professional and cooperative manner


Program courses ILOs Matrix

ILOs

Course title

A

1

A

2

A

3

A

4

A

5

A

6

A

7

A

8

A

9

A

10

A

11

B

1

B

2

B

3

B

4

B

5

B

6

B

7

B

8

Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation

X X X X

Physiology for Physical Medicine, Rheumatology & Rehabilitation

X X X

Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation

X X X X X X X

Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation

X X X X X X X X X X X

Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation

X X X X X X X X X

Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation

X X X X X X X X

Pathology for Physical Medicine, Rheumatology & Rehabilitation

X X X X X X

Applied Physics for Physical Medicine, Rheumatology & Rehabilitation

X X X X X

Physical Medicine I (Physical Agent Modalities & Electrotherapy)

X X X X X X X X X

Physical Medicine II (Exercises, Hydrotherapy, Manipulation, Traction and Massage)

X X X X X X

Rheumatology I X X X X X X X X X X X X X X X X X

Rheumatology II X X X X X X X X X X X X X X X X X

Regional Pain X X X X X X X X X X

Electrodiagnosis X X X X X X X X X X X X X X

Neurorehabilitation X X X X X X X X X X

Rehabilitation in Pediatrics X X X X X X X X X X X X X X

Rehabilitation in Orthopedic and Surgical Disorders

X X X X X X X

Rehabilitation in Rheumatological Conditions

X X X X X X X X

Chest and Cardiac Rehabilitations

X X X

Geriatric Rehabilitation and Rehabilitation of Special Conditions

X X X X X X X X X X X

Orthotics, Prosthetics & Assistive Devices

X X X X X X

Biomechanics & kinesiology X X X X X X

Thesis X X X X


ILOs

Course title

C

1

C

2

C

3

C

4

C

5

C

6

C

7

C

8

C

9

C

1

0

C

1

1

C

1

2

C

1

3

C

1

4

D

1

D

2

D

3

D

4

D

5

D

6

D

7

D

8

D

9

E

1

E

2

E

3

E

4

Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation

Physiology for Physical Medicine, Rheumatology & Rehabilitation

X X

Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation

X X X

Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation

X X X X X X

Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation

X X X X X

Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation

X X X X X

Pathology for Physical Medicine, Rheumatology & Rehabilitation

Applied Physics for Physical Medicine, Rheumatology & Rehabilitation

X

Physical Medicine I (Physical Agent Modalities & Electrotherapy)

X X X X X X X X X X X X

Physical Medicine II (Exercises, Hydrotherapy, Manipulation, Traction and Massage)

X X X X X X X X

Rheumatology I X X X X X X X X X X X X X X X X X

Rheumatology II X X X X X X X X X X X X X X X

Regional Pain X X X X X X X X X X X X X

Electrodiagnosis X X X X X X X

Neurorehabilitation X X X X X X X X X X X X X X X X

Rehabilitation in Pediatrics X X X X X X X X X X X X X

Rehabilitation in Orthopedic and Surgical Disorders

X X X X X X X X X X X X X X X X

Rehabilitation in Rheumatological Conditions

X X X X X X X X X X X X X

Chest and Cardiac Rehabilitations

X X X X X X

Geriatric Rehabilitation and Rehabilitation of Special Conditions

X X X X X X X X

Orthotics, Prosthetics & Assistive Devices

X X X X X X X X

Biomechanics & kinesiology

X X X

Thesis X X X X


3- Curriculum Structure:

-Program duration: This program is fulfilled in not less than 2 years with a maximum of five years.

-Program structure: Total 40 Credit Hours

1. Basics of research: 3 Credit Hours. 2. Obligatory subjects: 29 Credit Hours.

3. Thesis: 8 Credit Hours Obligatory Courses:

Code Course Credit hours

CREDIT HOURS

LECTURES CLINICAL OTHERS

1 05500801 Basics of research 2 051408300 Applied human Anatomy for Physical Medicine,

Rheumatology & Rehabilitation 1 1/2 1/2

3 052008300 Medical Physiology for Physical Medicine, Rheumatology & Rehabilitation

1 1 -

4 051508300 Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation

1 1/2 1/2

5 052108300 Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation

1 1/2 1/2

6 052208300 Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation

1 1/2 1/2

7 052608300 Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation

1 1/2 1/2

8 052808300 Pathology for Physical Medicine, Rheumatology & Rehabilitation

1 1 -

9 05300801 Applied Physics for Physical Medicine, Rheumatology & Rehabilitation

1 1 -

10 05300802 Physical Medicine I (Physical Agent Modalities & Electrotherapy)

2 1 1

11 05300803 Physical Medicine II (Exercises, Hydrotherapy, Manipulation, Traction and Massage)

1 1/2 1/2

12 05300804 Rheumatology I 2 1 1

13 05300805 Rheumatology II 3 2 1

14 05300806 Regional Pain 1 1/2 1/2 15 05300807 Electrodiagnosis 3 1 2 16 05300808 Neurorehabilitation 2 1 1 17 05300809 Rehabilitation in Pediatrics 1 1/2 1/2 18 05300810 Rehabilitation in Orthopedic and Surgical Disorders 1 1/2 1/2 19 05300811 Rehabilitation in Rheumatological Conditions 1 1/2 1/2 20 05300812 Chest and Cardiac Rehabilitations 1 1/2 1/2 21 05300813 Geriatric Rehabilitation and Rehabilitation of Special

Conditions 1 1/2 1/2

22 05300814 Orthotics, Prosthetics & Assistive Devices 1 1 - 23 05300815 Biomechanics & Kinesiology 1 1/2 1/2


COURSE DESCRIPTION

1 Code Credit hours (1) Course

051408300 Lectures Practical Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation

0.5 0.5

Given as 7lectures + 14 hours of practical teaching/semester. It includes: anatomy of muscles, nerves, bones, joints and blood

vessels of the upper and lower limbs in addition to neuroanatomy, anatomy of the chest, spinal articulations, trunk muscles,

muscles & articulations of the head & neck.


052008300 Lectures Practical Physiology for Physical Medicine, Rheumatology & Rehabilitation

1 -

Physiology of respiration, exercises, muscles, nerves, autonomic nervous system, bones, endocrinal system and circulation as

well as neurophysiology. It is given as 14 lectures.


051508300 Lectures Clinical Internal Medicine For Physical Medicine, Rheumatology & Rehabilitation

0.5 0.5

. Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: musculoskeletal manifestations of internal medicine

diseases, clinical immunology, geriatric medicine, chest diseases, cardiovascular diseases, endocrinal disorders, connective tissue

diseases, renal diseases, blood diseases & DM.


052108300 Lectures Clinical Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation

0.5 0.5

Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: Neurology: Neurological examination, neuropathies,

myopathies, motor neurone disease, spinal muscle atrophy, disorders of neuromuscular junction, hemiplegia, paraplegia, ataxia

and other CNS diseases (demyelinating, inflammatory, infective & degenerative), Psychiatry: depression, anxiety, hysteria &

psychosis. Psychiatric disorders presenting with musculoskeletal manifestations & those which are common in disabled persons.


052208300 Lectures Clinical Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation

0.5 0.5

Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: Peripheral nerve injuries, head injuries, spinal cord

injuries, hydrocephalus, intervertebral disc prolapse & spinal/brain tumors. Care following neurosurgery.


052608300 Lectures Clinical Orthopedic Surgery for Physical Medicine, Rheumatology &

Rehabilitation

0.5 0.5

Given as 7 lectures + 14hours of clinical teaching /semester. It includes: Orthpedic examination of the hip, knee, foot,

shoulder, elbow, hand & spine. The common musculoskeletal injuries (including ligament & meniscal injuries), shoulder

dislocation, foot deformities, post-fracture complications, compartmental syndrome, avascular necrosis, slipped epiphysis,

CHD, reconstructive surgery in brachial plexus injuries, reconstructive surgery in CP, reconstructive surgery following hand

injuries, limb lengthening, arthroplasty and care following orthopedic surgery.



052808300 Lectures Practical Pathology for Physical Medicine, Rheumatology & Rehabilitation

1 -

14 lectures/semester. It includes: pathology of connective tissue & joint diseases (i.e. OA, spondylosis, RA, vasculitis, systemic

sclerosis, AS, SLE, MCTD, polymyositis/dermatomyositis, Behcet disease, palindromic rheumatism, septic arthritis, TB arthritis,

gouty arthritis, ochronosis, Haemophilic arthropathy) as well as bone diseases, (i.e. Osteoporosis; Osteogenesis imperfecta

Osteomalacia; Parathyroid osteodystrophy; Paget's disease of bone;Perth’s disease). In addition to pathology of neuropathies &

myopathies.


05300801 Lectures Practical Applied Physics for Physical Medicine, Rheumatology & Rehabilitation

1 -

It is given as: A) 7 lectures on basic physics. It includes: 1) Electricity, electric resistance, capacitance, inductance, magnetism.

Physics of sound & light. Spectrum of light. Physics of heat & physics of water. 2) Mechanics of the body (lever system, pulleys,

… etc). B) 7 lectures on: Applied clinical physics: It includes: Physical properties, physiological effects & hazards/precautions of:

1) Sinusoidal, direct & pulsed currents used for muscle & nerve stimulation or pain relief (including diadynamic currents &

amplitude modulating currents), 2) Ultraviolet light, laser, radio waves, short waves, infrared radiation, , paraffin wax baths,

sound waves, ultrasound waves, 3) Examples for the different lever systems in the human body.


05300802 Lectures Clinical Physical Medicine I (Physical Agent Modalities & Electrotherapy)

1 1

It includes the indications, precausions, contraindications, techniques of applications of: 1. Heat therapy (infrared, hot packs, wax

bath, contrast baths, SWD, USD, MWD, Hydrotherapy and spa therapy). 2. Electric stimulation of innervated and denervated

muscles. 3. Electrical stimulation for pain relief (Diadynamic currents, interferential therapy, TENS, …). 4. Electrical stimulation

for spasticity management. 5. Laser therapy. 6. UVL. 7. Functional electric stimulation. 8. Magnetic field therapy. 9.Biofeedback

10. Acupuncture 11. Hyperbaric oxygen


05300803 Lectures Clinical Physical Medicine II (Exercises, Hydrotherapy, Manipalation, Traction and Massage)

0.5 0.5

It includes: 7 lecture + 14hours of clinical training. The physiological effects, purpose, techniques, indications and

contraindication of the different forms of exercise therapy and massage are given. The benefits, hazards, precausions, indications,

contraindications, techniques and uses of hydrotherapy, spinal traction and manipulation are given.


05300804 Lectures Clinical Rheumatology !

1 1

It is given 2 CH (1 lectures/wk + 2 hours of clinical teaching/wk x 14 wks). It includes: 1.Synovial fluid cfaracteistics. 2.

Techniques of joint aspiration and intraarticular injection 3. Techniques of local injection4. Osteoarthritis and degenerative joint

diseases5. Disorders of the spine and intervertebral disc degeneration and prolapse. 6. Crystal arthropathies. 7. Rheumatoid

arthritis. 8. Ankylosing spondylitis. 9. Spondyloarthropathies



05300805 Lectures Clinical Rheumatology II

2 1

It is given 3CH (1 lecture/wk + 4 hours of clinical teaching/wk x 14 wks). It includes: 1. The different joint diseases, arthritis

including their diagnosis, differential diagnosis, investigations and treatment. 2. Soft tissue rheumatism: tenosynovitis, bursitis,

periarthritis, trigger fingers, polymyalgia rheumatica, myofascial pain, fibromyalgia. 3. Joint diseases associated with blood

disorders. 4. Intermittant arthritic syndromes & periodic rheumatic diseases. 5. Clinical examination & investigations in rheumatic

diseases . 6. SLE & antiphospholipid syndrome. 7. Scleroderma & calcinosis. 8. Mixed connective tissue diseases and overlap

syndrome. 9. Metabolic bone diseases & osteoporosis.. 10. Vasculitis. 11. Rheumatic diseases of childhood. 12. Arthritis

accompanying systemic disorders. 13. Arthritis associated with malignancy. 14. Management of rheumatic diseases.


05300806 Lectures Clinical Regional Pain

0.5 0.5

It is given as 7 lecture + 14hours of clinical training. It includes the causes, diagnosis, differential diagnosis and treatment of knee,

ankle, foot, hip, low back, upper back, neck, shoulder, elbow, wrist and hand pains. The causes include all rheumatological,

orthopedic, neurological & neuromuscular causes as well as refered pain.


05300807 Lectures Clinical Electrodiagnosis

1 2

It is given as 1 lecture and 4 hours of practical training/week x 14 weeks. It includes: motor nerve conduction, sensory nerve

conduction, reflex studies (Blink reflex, H-reflex), F-wave studies, electromyography, somatosensory evoked potential and motor

evoked potential. The course includes: techniques, rational and interpretation of results.


05300808 Lectures Clinical Neurorehabilitation

1 1

It includes the evaluation, determining the aim, methods of rehabilitation & physical modalities that should be used in all

neurological and locomotory problem e.g. stroke, paraplegia, quadriplegia, spinal cord injuries, TBI, facial palsy, polyneuropathy,

mononeuropathy, entrapment neuropathy, peripheral nerve injuries, ataxias, myopathies, muscle dystrophies and parkinsonism.


05300809 Lectures Clinical Rehabilitation in Pediatrics

0.5 0.5

The examination & evaluation of all pediatric locomotory problems. The physical modalities & the rehabilitation methods that can

be used in the management of the common pediatric problems that necessitates rehabilitation are given. It includes:: cerebral palsy,

brachial plexus birth injuries, floppy infant syndrome, neuropathy and myopathies in children, joint deformities, spinal deformities

and joint diseases.



05300810 Lectures Clinical Rehabilitation in Orthopedic and Surgical Disorders

0.5 0.5

It includes the plan, modalities and techniques of physical therapy; and rehabilitation procedures (including the use of orthoses,

assistive devices or walking aids) of orthopedic and surgical problems that need physical therapy and/or rehabilitation such as: post-

burn contracture, post-skin graft, following tendon repair, post-menisectomy, post-spinal surgery, following repair of ligament

injury, post-plaster fixation, post-joint replacement, following joint injuries or surgery, muscle wasting, muscle weakness, joint

stiffness, post abdominal or limb surgery & rehabilitation of amputee.


05300811 Lectures Clinical Rehabilitation in Rheumatological Conditions

0.5 0.5

It includes: 1. Evaluation in rheumatic diseases (clinical, laboratory and functional) 2. The physical therapy that is used in

rheumatology (modalities, techniques, indications, contraindications, precausions, plan of treatment & procedures). 3.

Rehabilitation methods. 4. The common surgical procedures that can be applied in the management & rehabilitation of the

different rheumatological conditions.


05300812 Lectures Clinical Chest and Cardiac Rehabilitations

0.5 0.5

It includes: functional evaluation in chest diseases and heart diseases. Breathing exercises and postural draining as well as

principles of cardiac rehabilitation.


05300813 Lectures Clinical Geriatric Rehabilitation and Rehabilitation of Special Conditions

0.5 0.5

It is given as 7 lectures + 14 hours of clinical training/semester. It includes the common problems in elderly. Also, it includes

the rehabilitation of elderly, diabetic foot ulcer, patients with malignancy & post-organ transplant.


05300814 Lectures Clinical Orthotics, Prosthetics & Assistive Devices

1 -

It includes: 1. The different upper limb orthoses, lower limb orthoses, upper limb prostheses, lower limb prostheses, spinal

orthoses. Functional and static varieties are included. Special emphesis is made on principles of orthotic and prosthetic

prescription and the various forms of orthoses and prostheses.

2. The different methods for assessment in the practice of rehabilitation medicine (evaluation of muscle power, joint ROM, ADL

activities, assessment of spinal deformities and movement, principles of posturography & balance assessment, …). 3. Walking

aids: crutches, walkers, canes, …. 4. Assistive devices used for eating, dressing, washing, working …. 5. Shoe modifications: for

painful feet, foot deformity, paralysis.


05300815 Lectures Clinical Biomechanics & Kinesiology

0.5 0.5

It includes 1.The principles of normal biomechanics 2. The main pathological biomechanics 3. Basics of kinesiologic

assessment 4. Principles of muscle testing 5. Principles of goniometry


4- Program Admission Requirements:

According to the regulations of the credit hour bylaws of the Faculty of Medicine

Alexandria University (annex).

5- Regulations for Progression and Program Completion:

According to the regulations of the credit hour bylaws of the Faculty of Medicine

Alexandria University (annex).

6- Methods of student assessment:

Methods Intended Learning outcomes to be

assessed

1. Written Exam a1-a11, b1-b5

2. Clinical Exam c1-c14, e1-e4

4. Assignments b6-b8,d1-d9,e1-e4

5. Thesis a6, b6-b7,d1-d3

7- Methods of program evaluation:

Evaluator Tool Sample

1. Students enrolled in the program Questionnaires.

2. Alumni --------

3. Stakeholders (Employers) Focus group

4. External Evaluator (s) Yes

5. Others:

Program Director: Prof Dr Dia Mohasseb

Program Coordinator: Ass Pr Dr Enas Shahine

Course Specifications


Faculty: Medicine

Department: Physical Medicine, Rheumatology and Rehabilitation.

Course Information

Course Code: 051408300 Course Name: Applied Human Anatomy for Physical Medicine, Rheumatology & Rehabilitation

Program in which the Course is Given Master Degree of Physical Medicine, Rheumatology & Rehabilitation

Number of Credit Hours 1 Theoretical Clinical/Practical

Course Aims It aims at providing the student with information about : anatomy of muscles, nerves, bones, joints and blood vessels of the upper and lower limbs in addition to neuroanatomy, anatomy of the chest, spinal articulations, trunk muscles, muscles & articulations of the head & neck.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

a1- Describe the characteristics of


components of musculoskeletal

system

a3- Discuss the etiology,

pathogenesis and clinical

presentation of the different


a1-Recognize anatomy of muscles, nerves,

bones, joints and blood vessels of the upper

and lower limbs.

a2-Recognize musculoskeletal structures of

the upper and lower limbs, in addition to

chest and trunk muscles.

a3-Recognize musculoskeletal structures of

the head and neck, in addition to spinal

articulation.

a4-Recognize neuroanatomical structures.

a5- Identify the etiology and pathogenesis of

musculoskeletal affections of upper limbs,

lower limbs, head and neck, trunk and

central nervous system in terms of

anatomical alterations.

a6-Discuss the clinical presentations of

different anatomical abnormalities of upper

and lower limbs, trunk, chest and head and

neck in terms of anatomical structures.

1/2

1/2

a4- Describe the management

protocols &/or procedures adopted

in management and rehabilitation

of neuromusculoskeletal

affections.

a7- Discuss the management protocols of

different musculoskeletal affections based

on the recognition of the anatomy of

different body structures.

a8- Identify the impact of anatomical

alterations on the rehabilitation of

neuromusculoskeletal disorders.

B. Intellectual

skills

b2- Use the structural & functional

characteristics of the

musculoskeletal system to explain

the different pathological problems

b1- Use the structural characteristics of the

musculoskeletal system to explain some

clinical problems.

b2- Use anatomical knowledge to explain

clinical presentation of peripheral nerve

injuries

b3- Use anatomical knowledge to explain

clinical presentation of CNS disorders

b4. Analyze skeletal deformities on

anatomical basis

b5. Determine mechanical joint derangement

in light of anatomical structure and

biomechanics

C.Professional

and Practical

Skills

D. General

Skills

E- Attitudes

and ethical

behavior

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Anatomy of muscles, nerves, bones,

joints and blood vessels of the upper

limbs.

(✓) (✓)


joints and blood vessels of the lower

limbs

(✓) (✓)


joints and blood vessels of the chest.

(✓) (✓)

Neuroanatomy. (✓) (✓)

Anatomy of spinal articulations. (✓) (✓)

Anatomy of trunk muscles. (✓) (✓)

anatomy of the muscles & articulations

of the head & neck.

(✓) (✓)

Please check (✓) the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

Mid-term %

End of term 100 %

Distribution of Marks

Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes

Lecture notes for each topic.

Course Text Books

Last’s Anatomy regional and applied text

book.

Gray’s anatomy atlas.

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor

Name: Prof.Dr. Madeha Signature:

Program Coordinator

Name: Ass.Prof. Dr. Enas Shahine Signature:

Program Director (Head of Department)

Name: Prof. Dr. Diaa Mohasseb Signature:

(✓)

(✓)



Faculty: Medicine

Department: Physical medicine, Rheumatology and Rehabilitation.

Course Information

Course Code: 052008300 Course Name: Medical Physiology for Physical

medicine

Program in which the Course is Given : Master degree of Physical medicine , Rheumatology and

Rehabilitation.

Number of Credit Hours : 1 CH Theoretical Clinical/Practical

Course Aims : The aim of this program is to revise the basic facts and introduce the student to the recent advances relating to the physiology of respiration, exercises, muscles, nerves, autonomic nervous system, bones, endocrinal system and circulation as well as neurophysiology.



matrix) Course ILOs

A. Knowledge

and

Understanding




structure , and function of different


system

By the end of the course the PG students

will be able to :

a1- Describe the functional divisions of the

nervous system and their role

a2. Describe the different types of receptors

and the neural pathways for different

sensations.

a3. Explain the structures and pathways

involved in a reflex arc.

a4. Describe the origin , pathway and

significance of the different tracts

a5. Identify the structures involved in the

control of speech and equilibrium

A6. Explain the mechanisms of nerve

conduction

A7. Explain the mechanism of muscle tone,

contraction and fatigue

------ 1





A8- explain the role of aberrations in

different nervous system functions in the

pathogenesis of musculoskeletal disorders

B. Intellectual

skills



b1- Analyze the clinical signs and

symptoms of musculoskeletal

problems to reach a diagnosis

/differential diagnosis

By the end of the course the PG students

will be able to :

b1. Analyze the different types of sensations

b2. Distinguish different types of pain

b3. Describe the integration of sensory input

and motor responses in correlation to the

clinical signs and symptoms.

b4. Explain the respiratory and

cardiovascular effects of exercise in relation

to the signs and symptoms.

b5. Analyze neurological signs and

symptoms based on physiological principles.

C.Professional

and practical

skills

D. General

Skills



1- Retrieve information from all

sources ( printed, electronic,

communications etc…).

2-Verify the accuracy of scientific


Medicine and in practice

By the end of this course the PG students

will be able to :

d1- Retrieve information related to the

physiology of the neuromusculoskeletal system

from all sources ( printed, electronic,


d2-Creticize scientific material on basis of best

evidence in Medicine and in practice.

d3. Appraise websites concerned with applied

physiology of neuromusculoskeletal systems.

d4. Identify the journals dealing with physiology

of neuromusculoskeletal systems.

d5. Identify recent evidence based information

regarding the regenerative potential capabilities

of muscle and nerves.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Neuro-physiology ( including CNS and

ANS).

✓ ✓

Muscle and nerve physiology. ✓

Bone physiology ✓

Physiology of the endocrinal system. ✓

Exercise physiology ( including effect

of exercise on respiration and

circulation)

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 80 %

Practical/Clinical Exam -- %

Others (assignment) 20 %


Lecture Notes

Course Text Books Human physiology and mechanisms of disease,

( A. Guyton)

Suggested Extra Reading Review of medical physiology,( W. F. Ganong)

✓ ✓

✓

Course Instructor

Name: Prof. Dr. Abeer El Emam Signature:

Program Coordinator

Name: Ass. Prof. Dr. Enas Shahine Signature:





Faculty: Medicine

Department: Physical Medicine, Rheumatology & Rehabilitation

Course Information

Course Code: 051508300 Course Name:

Internal Medicine for Master of Physical

Medicine , Rheumatology and Rehabilitation.

Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology & Rehabilitation

Number of Credit Hours : 1 Theoretical Clinical/Practical

Course Aims: The aim of this course is: To train and teach PG the different skills for diagnosing and treating some of the Internal Medicine

diseases related to the Physical Medicine , Rheumatology and Rehabilitation



matrix) Course ILOs

A. Knowledge

and

Understanding

a2-Identify the effect of different

factors involved in the pathogenesis

of musculoskeletal disorders

a3-Discuss the etiology, pathogenesis

and clinical presentation of the

different - musculoskeletal disorders

A1. Identify the musculoskeletal changes

that occur in elderly.

A2. List the musculoskeletal changes in

renal diseases.

A3.Name the musculoskeletal changes in

endocrinal diseases.

A4. Identify the musculoskeletal changes in

blood diseases.

A5-Identify the clinical presentation of

certain connective tissue diseases eg. SLE,

rheumatoid arthritis.

A6-Identify the etiology, pathogenesis&

clinical presentation of musculoskeletal

involvement in diabetes mellitus and other

endocrinal disorders.

A7. Recognize the etiology, pathogenesis&


0.5 0.5

a4-Describe the management


in management of musculoskeletal

affections

a5-Recognize the recent advances in

the diagnosis

involvement in blood diseases.

A8. Identify the etiology, pathogenesis&


involvement in renal diseases.

A9-Describe the management of ischemic

heart disease, chronic obstructive pulmonary

disease.

A10. Describe the management of

musculoskeletal manifestations in diabetes

mellitus.

A11.Describe the management of

musculoskeletal manifestations in renal

diseases.

A12.Describe the management of connective

tissue diseases

A13.Discuss recent advances in diagnosis of

diabetes mellitus.

A14.Recognize the new trends in diagnosis

of ischemic heart disease.

A15.Identify the recent imaging studies used

for early diagnosis of chest problems.

A16.Identify the recent methods in diagnosis

of renal diseases.

B. Intellectual

skills

b1-Analyze the clinical signs and



/differential diagnosis .

b3-Plan the appropriate

investigations for each patient to

help reaching the diagnosis .

B1-Analyze the clinical symptoms & signs

of rheumatoid arthritis , SLE, ischemic heart

disease, COPD, thyroid diseases & diabetes

mellitus.

B2. Assess activity and severity of

connective tissue diseases as RA and SLE.

B3. Detect musculoskeletal manifestations

of endocrinal diseases especially diabetes

mellitus.

B4. Distinguish musculoskeletal

manifestations of renal diseases.

B5. Recommend the appropriate imaging

technique to diagnose musculoskeletal

involvement in endocrinal, renal and chest

diseases.

B6. Appraise the role of electrodiagnosis in

detecting neuromuscular involvement in

b4-Solve common and some

complex problems not conforming to

classic cases.

elderly, endocrinal and renal diseases as well

as paraneoplastic syndrome.

B7-Analyse the atypical presentation of

certain diseases that may occur in elderly.

C.Professional

and Practical

Skills

c1-Perform full examination of

different components of the

musculoskeletal system

c2- Manage the common types of


internationally accepted standards of

time and competency.

C1-Perfom correct examination of different

body systems with special stress to

musculoskeletal system.

C2. Perform proper clinical examination in

elderly.

C3-Integrate laboratory tests& radiological

examinations with the clinical data to reach

a diagnosis.

C4. Prescribe pharmacological therapy for

endocrinal and renal diseases, ischemic heart

disease, chest diseases and connective tissue

diseases.

D. General

Skills

d7-Contribute efficiently in a multidisciplinary team

d1-Present data clearly to other team members d2- Work effectively with a team.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

musculoskeletal manifestations of internal medicine diseases

✓ ✓ ✓

clinical immunology and connective tissue diseases ✓ ✓ ✓ geriatric medicine ✓ ✓ ✓ cardiovascular diseases ✓ ✓ ✓ chest diseases ✓ ✓ ✓ endocrinal disorders ✓ ✓ ✓ renal diseases and blood diseases ✓ ✓ ✓ Diabetes mellitus ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 80%


Others %


Lecture Notes

Printout of lectures

Course Text Books


Kumar Text book of Medicine


Course Instructor

Name: Prof.Dr. Susan Abo Raya Signature:

Program Coordinator

Name: Ass Prof Dr Enas Shahine Signature:


Name: Pr Dr Dia Mohasseb Signature:

✓

✓



Faculty: Medicine

Department: Physical Medicine, Rheumatology, & Rehabilitation

Course Information

Course Code: 052108300 Course Name: Neuropsychiatry for Physical

Medicine, Rheumatology, & Rehabilitation

Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology, &

Rehabilitation


Course Aims

To teach and train doctors the different skills for recognizing and managing the neurologic problems.



matrix) Course ILOs

A. Knowledge

and

Understanding

By the end of the course the

participants should be able to:

a2- Identify the effect of different



a3- Discuss the etiology, pathogenesis


different musculoskeletal disorders

By the end of the course the participants

should be able to:

A1- Identify risk factors of stroke.

A2. Define the environmental factors that lead to

some neuromuscular disorders as exposure to

toxins, nutritional deficiencies etc.

A3. Identify the role of undue stress in inducing

neurological as well as psychiatric disorders.

A4- Recognize the etiology , pathogenesis and

clinical presentation of the common peripheral

nervous system disorders.

A5. Recognize the etiology , pathogenesis and

clinical presentation of the common central

nervous system disorders.

A6. Identify the clinical presentation and

pathogenic mechanisms responsible for the

neurological and neuromuscular manifestations

of systemic diseases.

A7. Recognize the clinical presentation and the

pathogenesis of somatoform disorders.

1/2 1/2


protocols &/or procedures adopted in

management and rehabilitation of

neuro-muscular affections.

a5- Recognize the recent advances in

the diagnosis of musculoskeletal

diseases.

a6 -Describe up-to-date management


disorders.

a11- Recognize basics and ethics


handicapped.

A8. Discuss the pathology and manifestations of

some psychiatric disorders.

A9- Identify the workup for diagnosis of a case

of headache and the possible lines of treatment.

a10. Recognize the workup for diagnosis of

different peripheral nervous system disorders

and the pharmacological and non

pharmacological lines of treatment.

A11. Describe the pharmacological and non

pharmacological management of stroke and

paraplegia.

A12. Identify the pharmacological and non

pharmacological management of some

psychiatric disorders.

A13. Identify the pharmacological and non

pharmacological management of epilepsy.

A14. State the grades of coma and the

characteristics of each grade.

A15- Identify the recent imaging techniques

used to diagnose and quantify neural damage in

central nervous system disorders.

A16. Recognize the recent biochemical markers

and molecular genetic studies which support the

diagnosis of some neurological disorders.

A17. Recognize the role of gene therapy in some

neuromuscular diseases.

A18. Identify the role of stem cell therapy in

some neurological disorders.

A19. Define the role of repetitive transcranial

magnetic stimulation in treatment of some

neurological disorders.

A20. Recognize the updates in management of

epilepsy.

A21- Define the ethical guidelines for disabled

and handicapped.

B. Intellectual

skills





B1- Integrate the historical and clinical data to

diagnose patients with

neuromuscular/neurological disorders.

B2- Analyze meticulously the clinical data to

limit the differential diagnosis of some



system to explain the different

pathological problems

b3- Plan the appropriate

investigations for each patient to help

reaching the diagnosis

b4 Solve common and some

uncommon problems not conforming

to classic cases.

b5 Evaluate risks imposed to the

patient or the managing team during

professional practice related to the

field of the specialty

neuromuscular/neurological disorders as

persistent headache, paraplegia etc

B3- Distinguish the neuromuscular/neurological

findings among patients with systemic diseases.

B4- Relate the clinical data to the anatomical

structure of the peripheral or central nervous

systems to determine where is the lesion.

B5- Explain the clinical findings in view of the

function ( physiology) of the peripheral or

central nervous systems.

B6- Determine the proper imaging study in

neurological patients.

B7- Recommend the laboratory tests that may

help diagnosing neuromuscular/neurological

disorders as cerebrospinal fluid (CSF) analysis,

detection of toxins or autoantibodies in blood or

CSF etc.

B8- Assess the physiological function and

integrity of neural structures and muscles using

electrophysiological examination.

B9-Distinguish the unusual manifestations of

patients with neuromuscular/neurological

disorders.

B10-- Specify the most appropriate

investigations to reach the most probable

diagnosis of such patients.

B11-Appraise the risks imposed to patients with

certain neuropsychiatric disorders as epilepsy,

psychiatric diseases when the drug therapy is

inadequate.

C.Professional

and Practical

Skills

c1- Perform full examination of







C1- Examine all systems of the body with stress

on detailed peripheral and central nervous

system examination.

C2- Apply the diagnostic criteria to diagnose


C3- Assess the severity of

neuromuscular/neurological disorders using the

c14- Report patient status in a


approved severity scales.

C4- Recommend the most appropriate

investigations to diagnose


C5- Plan the relevant lines of treatment of

neuromuscular/neurological diseases whether

pharmacological or non pharmacological.

C6- Deliver clear, concise, and thorough oral

and written presentations of a patient's history

and examination.

D. General

Skills

d1- Retrieve information from all

sources (printed, electronic,


d2-Verify the accuracy of scientific



D1- Identify the websites concerned with

neuropsychiatric diseases.

D2- Read information about neuropsychiatric

diseases from specialized journals.

D3-Appraise the evidence based

neuropsychiatric information in the fields of

diagnosis and treatment.

E. Attitudes

and ethical

behavior

e3-Respect rights of disabled &

handicapped

E1- Appraise the importance of indulging

disabled & handicapped secondary to

neurological or psychiatric disorders in the

community so long as their conditions are

controlled.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Stroke ✓ ✓ ✓

Epilepsy ✓ ✓ ✓

Muscle diseases ✓

Peripheral neuropathy ✓ ✓

Paraplegia ✓ ✓

Headache ✓ ✓

Cranial pains ✓

Neurological manifestations of systemic

disorders

✓ ✓

Coma ✓ ✓ ✓

Anxiety ✓

Somatoform disorders ✓

Delirium ✓ ✓

Dementia ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term

End of term 100 %


Written Exam 90 %

Practical/Clinical Exam

Others 10 %


Lecture Notes

- Lectures

Course Text Books

1. Principles of Neurology

2. Localization in Clinical Neurology

3. Neurology in Clinical Practice


- Internet web sites


- Annals of Neurology

Course Instructor

Name: Prof. Dr. Doaa Signature:

Program Coordinator



Name: Prof. Dr. Dia Mohasseb Signature:

✓

✓



Faculty: Medicine


Course Information

Course Code: 052208300 Course Name: Neurosurgery for Physical Medicine,

Rheumatology & Rehabilitation

Program in which the Course is Given: Master of Physical Medicine, Rheumatology and

Rehabilitation.


Course Aims Recognize peripheral nerve injuries, head injuries, spinal cord injuries, hydrocephalus, intervertebral disc prolapse & spinal/brain tumors.



matrix) Course ILOs

A. Knowledge

and

Understanding








A1. Identify the effect of the different factors involved in the pathogenesis of neurosurgical disorders. A2. Define the common types of traumas that lead to head and spinal cord injuries. A3. Identify mechanisms and types of hydrocephalus. A4. Recognize the stages and clinical presentation of intervertebral disk prolapse (IVDP). A5. Discuss the mechanisms, stages and pathogenesis of head and spinal cord injuries and their clinical correlates. A6. Describe clinical pictures of peripheral nerve and brachial plexus injuries. A7. Recognize the different imaging

0.5 0.5



in management and rehabilitation of

neuromusculoskeletal affections.

a5 Recognize the recent advances in


diseases.

a6 Describe up-to-date management


disorders.

techniques used for the diagnosis of head and spinal cord injuries, IVDP, hydrocephalus and brain tumors. A8. Describe the surgical principles for IVDP, hydrocephalus, brain tumors, nerve injuries and head and spinal cord injuries. A9. Recognize recent trends in diagnosis of neurosurgical problems. A10. Identify the new imaging modalities used in diagnosing neurosurgical problems. A11. Discuss the most recent advances in management of common neurosurgical disorders. A12. Discuss the results of the new lines of treatment as stem cell therapy in some neurosurgical problems as spinal cord or peripheral nerve injuries, or the use of gamma rays (γ knife) in treating brain tumors etc. A13. Recognize the recent surgical procedures used in common neurosurgical problems.

B. Intellectual

skills





B1. Analyze the clinical symptoms and signs to reach diagnosis or differential diagnosis of neurosurgical problems. B2. Determine the degree of head and spinal cord injuries based on clinical manifestations. B3. Judge the severity of nerve injury according to the clinical manifestations. B4. Analyze the clinical data in terms of the differential diagnosis of back pain. B5. Analyze the clinical data in terms of the differential diagnosis of headache.







help reaching the diagnosis

b4 Solve common and some uncommon problems not conforming to classic cases.

B6 Utilize the structural and functional characteristics of the nervous system to explain different neurosurgical problems. B7. Integrate the clinical findings to determine the extent and severity of neural injury e.g. spinal cord, head and peripheral nerve injuries. B8. Plan appropriate investigations for neurosurgical problems. B9. Specify the appropriate imaging technique to define the characteristics of the brain or spinal cord lesions. B10. Use the appropriate electrodiagnostic test to determine the site and severity of neural injury/lesion. B11. Solve clinical neurosurgical problems not conforming to classical cases by recommending the most appropriate investigations. B12. Distinguish the red flags in patients with low back pain. B13. Detect patients with clinical features suggestive of increased intracranial tension.

C.Professional

and Practical

Skills




c1. Perform full examination of different components of the nervous system . c2. Perform basic clinical examination and diagnostic measures for intervertebral disc prolapse (lumbar, dorsal and cervical) c3. Perform basic clinical examination to detect important signs for brain and spinal tumors.

c4- Diagnose different neurosurgical disorders within internationally accepted standards of





c14 Report patient status in a


time and competency. c5. Manage different neurosurgical disorders within internationally accepted standards of time and competency. c6. Evaluate neurosurgical patient in emergencies and elective situations. c7. Detect common congenital neurological disorders and methods of their treatment. c8. Specify the impact of neurological trauma and methods of treatment.

c9. Report the patient status following

neurosurgical intervention in a professional way

with stress on the surgical procedures in brief,

date of surgery and the needed post operative

care.

D. General

Skills






medicine and in practice.

D1. Collect scientific information related to neurosurgery from trustable websites. D2. Read journals concerned with information related to neurosurgery D3. Verify accuracy of scientific information related to neurosurgery. D4. Identify the evidence-based surgical intervention( regarding its outcome) in the field of neurosurgery. D5. Evaluate the accuracy of different investigations in diagnosing neurosurgical problems.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Peripheral nerve injuries ✓ ✓ ✓

head injuries ✓ ✓ ✓

spinal cord injuries ✓ ✓ ✓

Hydrocephalus ✓ ✓ ✓

intervertebral disc prolapse ✓ ✓ ✓

spinal/brain tumors. ✓ ✓ ✓

Care following neurosurgery ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %

✓ ✓

✓


Written Exam 80 %


Others %


Lecture Notes

Course Text Books

Neurology, neurosurgery illusterated.



Course Instructor Signature:

Name: Prof. Dr. Khaled Aref Signature:

Program Coordinator

Name: Ass Prof. Dr Enas Shahine Signature:


Name: Prof Dr. Diaa Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 052608300 Course Name: Orthopedic Surgery for Physical

Medicine, Rheumatology & Rehabilitation

Program in which the Course is Given: Master degree in Physical Medicine,


Number of Credit Hours: 1 Theoretical Clinical/Practical

Course Aims: 1. To provide a training course in orthopedic examination of the spine & major joints 2. To review common orthopedic problems relevant to the practice of physical medicine 3. To acquire the knowledge about reconstructive surgery of the limbs relevant to the

practice of physical medicine


Program ILO

(refer to program matrix) Course ILOs

A. Knowledge

and

Understanding








A1- Recognize the risk factors which lead compartmental syndrome and post fracture complications. A2- List factors responsible for shoulder dislocation. A3- Define the predisposing factors of avascular necrosis of bones especially the femoral head. A4- Discus the etiology of common orthopedic problems relevant to the practice of physical medicine. A5- Identify the pathogenesis of common orthopedic problems relevant to the practice of physical medicine. A6- Relate the mechanism of trauma to the type of mechanical derangement of the knee joint.

1/2

1/2







diseases.

A7- Identify the faulty postures that lead to shoulder dislocation and intervertebral disk prolapse. A8- Describe the clinical presentations of common orthopedic problems relevant to the practice of physical medicine. A9- Describe the management protocols for

common orthopedic problems relevant to the

practice of physical medicine

A10- Describe reconstructive surgery adopted in

managing residual disability following brachial

plexus injuries, nerve injuries &/or cerebral

palsy.

A11- Recognize the recent advances in the

diagnosis of common orthopedic problems

relevant to the practice of physical medicine.

B. Intellectual

skills









b1- Analyze the clinical signs and symptoms of common orthopedic problems relevant to the practice of physical medicine to reach a diagnosis /differential diagnosis. B2- Predict the injured structures in cases of mechanical derangement of the knee joint by analyzing the mechanism of trauma. B3- Determine the post fracture complication (s) based on the clinical manifestations. B4- Propose the causes of regional pain by analyzing the clinical data.

B5- Use the structural & functional characteristics of the musculoskeletal system to explain the different pathological orthopedic problems. B6- Explain foot deformities based on its anatomical structure and function. B7- Determine the possible causes of deformities/attitudes in cerebral palsy, nerve or brachial plexus injuries based the anatomical structure and function of the affected region and the underlying pathology.




b4 Solve some complex problems not

conforming to classic cases (

incomplete data or unusual findings)

B8- Plan the appropriate investigations for each patient to reach the diagnosis of common orthopedic problems relevant to the practice of physical medicine. B9- Select the most appropriate imaging technique to diagnose orthopedic problems. B10- Recommend sensitive imaging techniques to detect subtle or early changes in orthopedic problems. B11- Appraise the role of electrodiagnosis in pre and post operative evaluation of patients subjected to reconstructive orthopedic surgery etc. b12-Solve some complex problems (relating to rehabilitation of orthopedic conditions)not conforming to classic cases ( incomplete data or unusual findings) b13- Detect causes of prosthetic ( arthroplasty) loosening or failure based on clinical data and results of investigations. B14- Specify the cause of limb length discrepancy based on clinical data and results of investigations.

C.Professional

and Practical

Skills



musculoskeletal system .

c2- Manage common types of




c1- Perform full clinical orthopedic examination.

c2- Recommend the most appropriate investigations to diagnose orthopedic problems c3- Select the most convenient surgical intervention based on the patient condition and the life style. C4- Appraise the role of pre-operative rehabilitation in certain orthopedic problems as elective amputation, reconstructive surgery, arthroplasty etc. C5- Appraise the role of post operative rehabilitation to improve the functional outcome of surgery.

D. General

Skills




D1- Identify websites that deal with orthopedic disorders and traumatology. D2- Read specialized journals in orthopedic disorders and traumatology. D3- Discuss the goals of surgery and expected

d3-Present scientific information to


educational and social levels

d5- Use information technology to

improve his professional practice and

improve his learning abilities.

outcomes with the patient and/or caregivers. D4- Specify to the patient and/or caregivers in a clear way the post operative instructions especially for arthroplasty and reconstructive surgery. D5- Use The new versions of prosthetic joints to provide more stability and functional improvement. D6- Utilize the most evidence-based advances in orthopedic management (diagnosis and surgery).



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Clinical orthopedic examination

✓

2. Post-fracture complications & Compartmental syndrome

✓ ✓

3. Foot deformities ✓ ✓

4. Congenital hip dislocation (CDH) & slipped epiphysis

✓ ✓

5. Common ligament injuries of the

knee & ankle

✓ ✓

6. Meniscal injuries of the knee ✓ ✓

7. Common tendon injuries at upper

& lower limbs (including

reconstructive surgery following

tendon injuries of the hand)

✓

8. Avascular necrosis,

osteochondromatosis &

apophysitis

✓

9. Shoulder dislocation. ✓ ✓

10. Reconstructive surgery for residual

disability following brachial plexus

& peripheral nerve injuries

(principles of surgery).

✓

11. Reconstructive surgery in cerebral

palsy (CP) (principles of surgery).

✓

12. Limb lengthening, ✓

13. Care following arthroplasty ✓

14. Common spinal injuries ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %

Practical/Clinical Exam %

Others 30%


Lecture Notes

Course Text Books

1. Adams’s outline of orthopedics. By:

Hamblen DL & Simpson H. Churchill

Livingstone 2010.

2. Adams outlines of fracture


Electronic book:

HSS Manual of Rheumatology and Outpatient

Orthopedic Disorders. By: Fields TR et al.

(2006)

✓

✓

✓


Course Instructor

Name: Pro. Dr. Hasan El Husseini Signature:

Program Coordinator

Name: Ass Prof.Dr. Enas Shahine Signature:


Name: Prof.Dr. Dia Mohaseb Signature:



Faculty: Medicine


Course Information

Course Code: 052808300 Course Name: Pathology for Physical Medicine,


1. Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology & Rehabilitation

Number of Credit Hours: one Theoretical Clinical/Practical

Course Aims:

• Provide the basic relevant knowledge to the master candidates in the field of pathology

• Establish a pathological work up for common rheumatologic diseases.



matrix) Course ILOs

A. Knowledge

and

Understanding






diseases.

a1. Recognize pathogenesis of the

different musculoskeletal disorders.

a2. Describe the relevant pathological

findings in common musculoskeletal

disorders.

a3. Define diagnostic pathologic

approaches of the different musculoskeletal disorders.

a4. Identify the role of different

pathological techniques (such as special

stains & immunohistochemistry) in

diagnosis of some musculoskeletal disorders.

- 1

a6 Describe up-to-date management


disorders.

a5. Identify the impact of the

pathological diagnosis on prognosis

and lines of management of patient

with musculoskeletal disorders

B. Intellectual

skills








b4 Solve common and some uncommon problems not conforming to classic cases

b1. Apply the principles of clinico-

pathologic correlation to diagnose

different musculoskeletal problems

b2. Interpret the key pathological features in

relation with the clinical data to reach or

confirm a diagnosis.

b3. Integrate relevant clinical findings

together with pathological findings

to pose a differential diagnosis in

various musculoskeletal problems

b4. Create proper management algorithms

by integrating clinical history, laboratory

findings, pathologic findings and

imaging results.

b5. Determine if the patient’s study is

sufficient to reach the proper

diagnosis.

b6. Recommend the further pathological

work up most useful to reach the

definite diagnosis

b7. Formulate evidence based search

questions to answer any clinical

problem.

C.Professional

and Practical

Skills

D. General

Skills



Lectures self

learning

Practical

/

Clinical

Small

group

discussion

Other

s

Pathology of connective tissue &

joint diseases:

* Classification of arthritis

- Osteoarthritis

- Ankylosing spondylitis

- Rheumatoid arthritis

- Septic arthritis

- Tuberculous arthritis

- Gouty arthritis.

- Haemophilic arthropathy

- Ochronosis

* Systemic lupus erythematosus

* Systemic sclerosis

* Mixed connective tissue disease

*Behcet disease:

* Vasculitis:

- Classification of vasculits

- Temporal arteritis:

- Takayasu arteritis

- Polyarteritis nodosa:

- Kawasaki syndrome:

- Microscopic polyangitis

- Wegener granulomatosis

- Burger disease:

- Raynaud disease & Raynaud

phenomenon

✓ ✓(assign)

Pathology of bone diseases:

* Metabolic bone diseases

- Osteoporosis

- Paget's disease of bone

- Osteomalacia and Rickets

- Ostitis fibrosa cystica

-Osteogenesis imperfecta

* Perthes disease

✓

Pathology of neuropathies:

- Classification .

- Guillian Barre syndrome

- Infectious neuropathies (leprosy,

diphtheria, varicella zoster)

- Hereditary neuropathies

- Metabolic neuropathies (diabetic,

nutritional)

- Neuropathies associated with

malignancies

- Peripheral nerve injuries

-Toxic neuropathies.

✓

Pathology of myopathies:

- Classification

- Ion channel myopathies

- Congenital myopathies

- Inflammatory myopathies: infectious

&noninfectious(polymyositis,

✓

dermatomyositis, inclusion body

myositis)

- Myopathies associated with systemic

inflammatory diseases

- Toxic myopathies.

-Myasthenia gravis

-Lambert-Eaton myasthenic syndrome


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 90 %

Practical/Clinical Exam - %

Others 10 % (assignment)


Lecture Notes

-

Course Text Books

-Vinay Kumar, Nelso Faustor, Abul Abbas.

Robbins & Cotran Pathologic Basis of

Disease: Seventh Edition


- Rosai J. Rosai and Ackerman’s Surgical

Pathology. Ninth Edition


Available journals of pathology on the internet

✓

✓

http://www.amazon.com/Vinay-Kumar/e/B001IO8CQG/ref=ntt_athr_dp_pel_1

http://www.amazon.com/Vinay-Kumar/e/B001IO8CQG/ref=ntt_athr_dp_pel_1

http://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-alias=books&field-author=Abul%20Abbas

Course Instructor

Name: Prof. Dr. Nevin El Deeb. Signature:

Program Coordinator



Name: Pr Dr Dia Mohasseb Signature:



Faculty: Medicine

Department: Physical Medicine, Rheumatology and Rehabilitation

Course Information

Course Code: 05300801 Course Name: Applied Physics for Physical Medicine,


Program in which the Course is Given: Master Physical Medicine, Rheumatology and

Rehabilitation.

Number of Credit Hours :1 Theoretical Clinical/Practical

Course Aims

To describe the applied physics related to Physical Medicine that a postgraduate of Master degree in physical medicine, Rheumatology and Rehabilitation department should know



matrix) Course ILOs

A. Knowledge

and

Understanding




system.



of musculoskeletal disorders.




a1-To recognize body mechanics.

a2. State the physical laws that govern the

function of musculoskeletal system.

a3-Identify the role of body mechanics in

understanding some musculoskeletal

problems.

a4. Explain tissue injury based on the

physical properties of musculoskeletal

system.

a5. Describe the role of physical modalities

in treatment of neuromusculoskeletal

affections.

- 1


affections.

a8 Recognize the quality standards

of practice in the field of Physical

Medicine, Rheumatology and

Rehabilitation in relation to

diagnosis.

a6. Recognize the quality standards of the

use of different physical modalities in

treatment of neuromusculoskeletal diseases.

B. Intellectual

skills

b5 Evaluate risks imposed to patient

or managing team during professional

practice related to the field of the

specialty

b1-Recognize the risks of the different

physical modalities used to the patient by the

therapists

b2-Apply knowledge of body mechanics on

exercise therapy to minimize the effort done

by the patient.

C.Professional

and Practical

Skills

c8 Prescribe the appropriate

physical agent modalities and

exercises for neuromusculoskeletal

disorder.

c1. Use the different mechanical and

electrical apparatuses without any risk.

D. General

Skills



Lectures self

learning

Practical/

Clinical

Small group

discussion

Others

Physics of heat ✓

Short wave and microwave ✓

Sound and ultrasound waves ✓

Physics of sinusoidal, direct & pulsed

currents used for muscle & nerve

stimulation or pain relief (including

diadynamic currents & amplitude

modulating currents)

✓

Treatment with water and Buonucy ✓

Body mechanics ✓

Introduction of different AC and DC

currents

✓

-Fundamental Principles and structure ✓

of matter- laws of motion

-Visible light- Light dispersion -

Electromagnetic radiation- Infrared-

Ultraviolet

✓ ✓

-Heat capacity- specific heat – latent

heat- transmission of heat – heat

balance of human body

✓

-Sources of electricity- types of

electricity- direct and alternating

current- magnetic and electric field-

connection of resistance-

✓

-Types of electrostatic – induction-

transformers- condensers- rectifiers-

tuning circuit- resonance frequency-

high frequency.

✓

Ultrasound therapy (basic physics). ✓

-Fundamental Principles and structure

of matter- laws of motion

✓

-Visible light- Light dispersion –

Spectrum. Electromagnetic radiation-

Infrared-Ultraviolet

✓ ✓

-Heat capacity- specific heat – latent

heat- transmission of heat – heat

balance of human body

✓


Student Assessment



Case

Assignment OSCE/OSPE

Logbook fulfillment

Others

Schedule of Assessment Mid-term %

----- ✓

-----

✓ -----

End of term (✓) 100 %


Written Exam 80 %


Others %


Lecture Notes

✓

Course Text Books

-Clayton’s electrotherapy-theory and practice -Physics and electronics in physical medicine by A.NIGHTINGALE



Course Instructor

Name: Prof. Dr. Mohamad Emam. Signature:

Program Coordinator

Name: Ass Prof. Dr . Enas Shahine Signature:





Faculty: Medicine


Course Information

Course Code: 05300802 Course Name:

Physical Medicine I (Physical Agent

Modalities & Electrotherapy)

Program in which the Course is Given:

Master degree in Physical Medicine, Rheumatology & Rehabilitation


Course Aim:

To provide a training program in the clinical application of physical agent modalities &

electrotherapy.

This includes the indications, precautions, contraindications, techniques of applications of: 1. Heat

therapy (infrared, hot packs, wax bath, contrast baths, SWD, USD, MWD, hydrotherapy, contrast

baths and spa therapy). 2. Cold therapy. 3. Electric stimulation of innervated and denervated

muscles. 4. Functional electrical stimulation 5. Electrical stimulation for pain relief (Diadynamic

currents, interferential therapy, TENS, …). 6. Electrical stimulation for spasticity management. 7.

Laser therapy. 8. UVL. 9. Magnetic field therapy. 10. Extracorporeal shock wave therapy. 11.

Compression chamber & garments. 12. Biofeedback 13. Hyperbaric oxygen 14. Acupuncture



matrix) Course ILOs

A. Knowledge

and

Understanding




affections.

a1-Describe the different heat modalities

used in physical medicine & rehabilitation,

besides their method of application.

a2-Describe the different methods of cold

applications.

a3-Describe the application of the different

electrical currents used for pain relief.

a4-Describe the applications of different

electrical currents used for muscle

stimulation.

a5-Recognize the physical & physiological

effects of each physical modality and

1 1

a6 Describe up-to-date

management procedures of



in practice of Physical Medicine,

Rheumatology & Rehabilitation in

relation to management.

a10 Review basics and ethics of

scientific research in general.

a11 Specify basics and ethics

specifically relevant to disabled

and handicapped.

alternate medicine modality used in physical

medicine.

a6-Recognize the physical & physiological

effects of each electrical current used in

physical medicine & rehabilitation.

a7-Recognize the application of

magnetotherapy, laser therapy, shock wave

therapy, ultraviolet light & compression

chambers in physical medicine &

rehabilitation.

a8-Select the appropriate physical modality

for each patient.

a9-Recognize recent advances in using heat

& cold therapy.

a10-Recognize recent advances in using

electrotherapy.

a11- Recognize uses of the more recent

physical modalities such as magnetotherapy,

laser therapy, shock wave therapy

a12-Recognize the indications &

contraindications of heat/cold therapy (that

is used in physical medicine &

rehabilitation).


contraindications of electrotherapy.


contraindications of magnetotherapy, laser

therapy & shock wave therapy.

a15-Identify ethics relevant to the use of the

different physical modalities in research.

a16-Identify ethics relevant to the use of the

different physical modalities in disabled

persons.

B. Intellectual

skills

B5- Evaluate risks imposed to

patient or managing team during


b1-Revise the risk of using short waves,

microwaves & ultrasound therapy on the

patient, on the managing team &/or on

field of the specialty.

b6- Recognize the essential

principals of scientific medical

research.

b7- Plan for professional

improvement in Physical

Medicine, Rheumatology &

Rehabilitation

b8- Critically appraise current

literature on physical medicine,

rheumatology & Rehabilitation

the nearby persons.

b2-Assess the risk of using laser therapy

on the patient & operator.

b3-Estimate the risk for using

electrotherapy in each patient before

using it.

b4-Recognize principals of using

common physical agent modalities in

research.

b5-Recognize principals of using more

recent modalities such as laser,

magnetotherapy & shock waves in

research.

b6- Manage for improving the use of

physical agent modalities in rheumatic

diseases

b7-Plan for improving the use of

electrotherapy for muscle strengthening

and pain relief

b8- Review the literature concerning

electrotherapy and laser therapy

b9- Revise advances in using shock

waves in musculoskeletal disorders from

the literature

b10- Revise advances in using physical

agent modalities in musculoskeletal

disorders from the literature.

C.Professional

and Practical

Skills

c6- Perform different pain control

techniques.

c7- Perform techniques for control

of spasticity.

c1-Perform TENS for pain relief.

c2-Perform laser therapy by different

techniques for pain relief.

c3-Use magnets/magnetic field to relieve

pain.

c4-Apply head & cold to reduce

spasticity.

c5-Perform electrotherapy to reduce

spasticity.

c8- Prescribe the appropriate



disorder.

c10- Supervise the physical

rehabilitation plan.

c13- Recognize basics of medical

reporting



c6-Select the appropriate physical agent

modality for each patient with

musculoskeletal disorders.

c7-Prescribe the appropriate

electrotherapy for each patient with

regional pain, paralysis, weakness or

arthritis.

c8-Supervise the patient while receiving

physical rehabilitation.

c9-Recognize basis of medical reporting

for patients receiving physical

modalities.

c10-Report patient status during & after

receiving physical agent modalities.

c11-Report patient status during & after

receiving electrotherapy.

D. General

Skills




d2-Verify the accuracy of

scientific material on basis of best

evidence in Medicine and in

practice

d3-Present scientific information

to individuals and groups of

different educational and social

levels.

d4 Communicate effectively with

different members of rehabilitation

d1-Retrieve recent information on the

use of physical modalities from all

sources.

d2-Cites recent information on the use of

electrotherapy

d3-Apply evidence based medicine in

using physical modalities &

electrotherapy

d4-Organize scientific meetings relevant

to the use of physical modalities for


educational and social levels.

d5-Communicate effectively with

physiotherapists & nurses in the

team

d5 Use information technology to

improve his professional practice

and improve his learning abilities.

d7 - Contribute efficiently in a

multidisciplinary team.

rehabilitation team.

d6-Use information technology to

improve his practice and improve his

knowledge.

d7-Contribute efficiently in the

managing team by criticizing

indications/contraindications & methods

of application of the different physical

modalities.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Superficial heat therapy ✓ ✓

2. Short wave & microwave

therapy

✓ ✓

3. Ultrasound therapy ✓ ✓

4. Cold therapy ✓ ✓

5. Low intensity laser therapy ✓ ✓

6. Magnetotherapy ✓ ✓

7. Transcutaneous electrical nerve

stimulation (TENS)

✓ ✓

8. Microcurrent ✓ ✓

9. Principles of extracorporial

shock wave therapy

✓ ✓

10. Electrical stimulation of muscles

(for denervated muscles - to

prevent disuse & to strengthen

innervated muscle).

✓ ✓

11. Interferential therapy &

amplitude modulating currents

✓ ✓

12. Diadynamic currents ✓ ✓

13. Compression chamber &

garments

✓ ✓

14. Ultraviolet rays ✓ ✓

15. Iontophoresis ✓ ✓

16. Biofeedback Training ✓ ✓

17. Acupuncture ✓ ✓

18. Hyperbaric oxygen therapy ✓ ✓

19. Herbal therapy ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70%

Practical/Clinical Exam 30%

Others


Lecture Notes

✓

Course Text Books

1) Krusen’s Handbook of physical medicine

& rehabilitation. Editor: Braddom RL.

Philadelphia: Saunders; 2004

2) Physical medicine & rehabilitation:

principles & practice. Editor: DeLisa et al.

✓

✓

✓

Lippincott Williams & Wilkins 2009.

3) Practical manual of physical medicine and

rehabilitation. Editor: Tan JC. 2nd edition;

2006

4) Clayton’s electrotherapy: by: Kitchen S.

Publisher: Churchill Livingstone (2002)


Physical medicine and rehabilitation secrets.

Edited by: O’Young BJ et al. 3rd ed. Philadelphia:

Mosby; 2008.


Course Instructor:

Name: Ass. Prof. Marwa Hasan Signature:

Program Coordinator

Name: Ass Prof. Dr. Enas Shahine Signature:


Name: Prof.Dr. Dia Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 05300803 Course Name: Physical Medicine II (Exercises,

Hydrotherapy, Manipulation, Traction and Massage)

Program in which the Course is Given Master of Physical Medicine, Rheumatology & Rehabilitation


Course Aims To provide the students with knowledge about: The physiological effects, purpose, techniques, indications and contraindication of the different forms of exercise therapy and massage are given. The benefits, hazards, precautions, indications, contraindications, techniques and uses of hydrotherapy, spinal traction and manipulation are given.



matrix) Course ILOs

A. Knowledge

and

Understanding




affections

a6 -Describe up-to-date



a9- Recognize the quality standards




a1. Describe range of motion exercises,

strengthening, endurance and aerobic

exercises in musculoskeletal affection.

a2. Describe hydrotherapeutic modalities.

a3. Describe traction and massage in


a4. Define recent hydrotherapeutic

modalities.

a5. Describe the up-to-date exercise

protocols in different musculoskeletal

disorders.

a6. Define the guidelines for applying

different types of exercises.

a7. Define international standards in

applying hydrotherapy in patients with


1/2 1/2

a8. Define guidelines for spinal traction.


B. Intellectual

skills


or managing team during



b7 Plan for professional improvement

in Physical Medicine, Rheumatology

& Rehabilitation

b8 Critically appraise current



b1. Judge the age of the patient during

traction.

b2. Detect health problems especially the

cardiovascular state prior to exercise

therapy.

b3. Integrate the appropriate physical

modalities in the rehabilitation program.

B4. Integrate the appropriate therapeutic

exercises in the rehabilitation program.

b5. Employ the most evidence-based

physical modalities in rehabilitation.

b6. Describe the current literature regarding

some physical modalities when used in

certain diseases.

b7- Appraise the debate regarding the

efficacy of some physical modalities and

therapeutic exercises in certain diseases.

C.Professional

and Practical

Skills





c8. Prescribe physical modalities and

exercises in neuromusculoskeletal

disorders.

c14 Report patient status in a comprehensive professional way.

c1. Use the appropriate imaging techniques

to diagnose osteoporosis prior to traction.

c2. Assess the aerobic capacity of cardiac

patients prior to aerobic exercises.

c3. Determine the contraindications of

exercises, traction and physical modalities

prior to their utilization.

c4. Apply traction, massage, and

hydrotherapy in different musculoskeletal

disorders.

c5. Prescribe range of motion exercises,

strengthening and aerobic exercises in


c6. Prescribe the appropriate physical

modalities in neuromusculoskeletal

disorders.

c7. Report about the specifications of

therapeutic exercises, traction and physical

modalities used in each specific

rehabilitation program and the response of

the patient to theses remedies.

D. General

Skills

d4 communicate effectively with


team




d6- Lead the rehabilitation team.

d8 plan rehabilitation programs in

reference to available resources

(place, equipment, team and time).

d9 Evaluate the sufficiency and efficiency of available medical resources in view of the work load.

d1. Adjust rehabilitation plan with all the

members of rehabilitation team.

d2. Plan of rehabilitation programs in

musculoskeletal disorders using recent

technology.

d3. Lead the rehabilitation team in neurorehabilitation.

d4. Plan rehabilitation for traction to neck.

d5. Plan rehabilitation program for

hydrotherapy in RA patients.

d6. Evaluate competency of the


d7. Revise present apparatus available for

therapy.

E. Attitudes

and ethical

behavior



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Exercise therapy ✓ ✓ ✓

Massage ✓ ✓ ✓

Spinal traction ✓ ✓ ✓

Hydrotherapy ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE

✓

✓


Others


Mid-term %

End of term 100 %


Written Exam 80 %


Others %


Lecture Notes

✓

Course Text Books

Krusen’s Textbook of Physical Medicine and

Rehabilitation



Course Instructor

Name: Ass. Prof. Dr. Marwa Hasan Signature:

Program Coordinator

Name: Ass Prof Dr. Enas Shahine Signature:


Name: Prof Dr Diaa Mohasseb Signature:

✓



Faculty: Medicine


Course Information

Course Code: 05300804 Course Name: Rheumatology I




Course Aims

1. To provide a training program in aspirating synovial fluid from joints & in intra-articular

injection.

2. To provide information regarding synovial fluid analysis.

3. To introduce the student to the main inflammatory and degenerative joint disorders



matrix) Course ILOs

A. Knowledge

and

Understanding




system


factors involved in the

pathogenesis of musculoskeletal

disorders

A1-Identify the structure of joints and

related structures

A2- Describe the function of joints and

related structures

A3-Describe the different genetic and

acquired factors involved in the

pathogenesis of rheumatic disorders

A4- Explain efficiently the etiology and

1

1









affections.

a5 Recognize the recent advances

in the diagnosis of musculoskeletal

diseases.


management procedures of neuro-


pathogenesis of the different rheumatic

disorders in terms of changes in structure

and function and underlying mechanisms,

including those in the synovial fluid

A5- Describe the clinical presentation of the

different rheumatic disorders in a

professional way

A6- Classify the main protocols adopted in

management of rheumatic affections,

including intraarticular and local injection.

A7-Explain the different pharmacologic

approaches utilized in management of

rheumatic affections.

A8-Explain the different non-pharmacologic


rheumatic affections

A9- Explain the role of joint aspiration in

the diagnosis of rheumatic diseases.

A10- Define the role of polarized

microscopy in the diagnosis of

rheumatological diseases.

A11- Define the most recent advances in the

pharmacologic management of

rheumatologic disorders.


non- pharmacologic management of






diagnosis.




relation to management



A13- Identify the quality standards related to

the methods of laboratory investigation of

rheumatologic patients


imaging of rheumatologic patients

A15- Extrapolate the quality standards to the

methods of assessment of rheumatological

patients

A16- Identify the quality standards to the

methods of drug treatment of rheumatologic

patients

A17- Describe the quality standards to the

methods of rehabilitation of rheumatologic

patients

A18- Recognize the ethical guidelines in

conducting scientific research on

rheumatological patients

B. Intellectual

skills









symptoms of rheumatologic problems to

reach a diagnosis

B2- Contrast the possible differential

diagnoses for a rheumatological problem

B3- Explain the different pathological

problems using the structural characteristics






uncommon problems not

conforming to classic cases.


patient or the managing team

during professional practice

related to the field of the specialty

b6 Recognize the essential


research.

of joints and related structures

B4- Analyze the different pathological

problems referring to the functional

characteristics of joints and related

structures

b5- Determine the appropriate laboratory

investigations to help reaching the diagnosis

for each rheumatologic patient

b6- Determine the appropriate imaging



b7- Analyze common problems in

rheumatology conforming to classic cases

b8- Analyze some uncommon problems in

rheumatology not conforming to classic

cases ( incomplete data or unusual findings)

b9- Appraise the role of different tools to

solve encountered problems

b10 Evaluate risks imposed to the patient

due to pharmacological agents used


during non pharmacological management

b12 Evaluate risks imposed to the managing

team during rehabilitation of a rheumatic

patient

b13 Recognize the essential principals of

scientific medical research in

b7 Plan for professional

improvement in physical

medicine, rheumatology and

rehabilitation.




Rheumatology.

b14- Imply creativity and innovation for

achieving professional improvement in

Rheumatology

b15-Analyze current literature in the field of

rheumatology depending on acquired

knowledge and skills

b16. Criticize current literature about recent

advances in drug management in rheumatic

diseases

C.Professional

and Practical

Skills






internationally accepted standards

of time and competency.

c3- Evaluate patients functionally.

c1- Perform full examination of the joints

and related structures

c2- Perform examination of the different

other body organs as indicated in a

particular patient with rheumatic problem

c3- Use different tools to define rheumatic

disease activity and severity

c4- Diagnose common rheumatic problems

according to internationally accepted

criteria

c5- Manage common rheumatic problems


standards

c6- Assess rheumatic patients functionally

using standard objective methods for

assessment of pain


c13 Recognize basics of medical

reporting




assessment of ADL

c8- Identify the elements of a comprehensive

report for a patient with rheumatic problem

c9- Report in a comprehensive professional

way about rheumatological patient status.

D. General

Skills






evidence in medicine and in

practice




levels




d7 Contribute efficiently in a


D1- Collect information from all sources

( printed, electronic, communications etc…)

in field of rheumatology

D2-Criticize the accuracy of scientific

literature in rheumatology depending on

evidence-based criteria

D3- Construct a scientific talk related to

rheumatology to rheumatologists

D4- Organize a scientific presentation

related to rheumatology to physicians in

other specialties

D5- Present suitable information to the

patient (and his family) about the nature of

his disease

D6- use information technology to improve

his knowledge about rheumatic diseases

D7- Use information technology to solve

problems in the diagnosis and management

of a particular patient

D8- communicate efficiently with collegues

from other specialties for efficient

d9 Evaluate the sufficiency and

efficiency of available medical

resources in view of the work load

management of a patient with rheumatic

disease

D9 Contribute efficiently a multidisciplinary

team for rehabilitation of a rheumatological

patient

D10 Evaluate the sufficiency of resources

for pharmacological treatment of a patient

with rheumatic disease

D11analyze the efficiency of available

resources for properly rehabilitating a

patient with rheumatological problem.

Attitudes and

ethical

behavior

e1-Follow national code of ethics

& respect patients rights

e2-Council patients & parents

with appreciation and

understanding


handicapped

e4-Deal with different team

members in a professional and

cooperative manner

e1- Define the national code of ethics for

rheumatological patients rights

e2- Apply ethics in patient management

regarding privacy and his right to know

about his condition


regarding his right to share in decisions

about his management

e4- Appraise rheumatological patients and

caregivers in an understanding manner.

E5-Reflect in his practice the rights of

rheumatological patients in a fruitful

enjoyable life

E6- Cooperate professionally with different

team members to achieve the goals of

management for each particular patient



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

General characteristics & composition

of the synovial fluid in healthy subjects

& in the different arthritic conditions

✓

Indications, precautions &

contraindications for joint fluid

aspiration.

✓

Intra-articular therapy & Local soft

tissue injection (indication – the used

medications – precautions-

contraindications- techniques)

✓

Knee joint aspiration & intra-articular

injection

✓

Shoulder joint aspiration & intra-

articular injection

✓

Wrist joint aspiration & intra-articular

injection

✓

Elbow joint aspiration & intra-articular

injection

✓

Ankle joint aspiration & intra-articular

injection

✓

Acromioclavicular joint injection ✓

Local injection in some bursae

(anserine, olecranon, retrocalcaneal,

subacromial, trochanteric, …)

✓

Local injection in tenoperiosteal

inflammation (Tennis elbow & Golfer’s

elbow)

✓

Local injection of tendons sheeth

(bicipital tendinitis, DeQuervan’s

✓

tenosynovitis, tenosynovitis around the

ankle & wrist, paratendinitis of tendo-

Achiles, tenosynovitis stenosum,...)

Local injection in plantar fasciitis (or

calcaneal spur) .

✓

Local injection in trigger points of

myofascial pain syndrome

✓

Osteoarthritis ✓ ✓ ✓

Cercical spondylosis ✓ ✓ ✓

Lumbar spondylosis ✓ ✓ ✓

Crystal arthropathies ✓ ✓ ✓

Rheumatoid arthritis ✓ ✓ ✓

Ankylosing spondylitis ✓ ✓ ✓

Other spondyloarthropathies ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others 10 %

✓

✓ ✓

✓

✓


Lecture Notes

Course Text Books

Kelley’s textbook of rheumatology.

Editors: Harris ED, et al. 7th edition:

Chapters 46 & 47.

Primer in rheumatic diseases


Electronic book

HSS Manual Ch. 8 - Arthrocentesis,

Intraarticular therapy

From: HSS Manual of Rheumatology

and Outpatient Orthopedic Disorders.

By: Fields TR et al. (2006)


Annals of Rheumatic Diseases

Arthritis & Rheumatism

Course Instructor

Name: Prof Dr. Abd El Moneim Helal. Signature:

Program Coordinator



Name: Prof.Dr. Dia Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 05300805 Course Name: Rheumatology II

Program in which the Course is Given

Master Degree of Physical Medicine, Rheumatology & Rehabilitation


Course Aims

The course aims at introducing the student to different joint diseases, including their diagnosis,

differential diagnosis, investigations and treatment. As well as giving him the concepts of soft

tissue rheumatism,j oint diseases associated with blood disorders, Intermittant arthritic syndromes

& periodic rheumatic diseases.and systemic CT diseases



matrix) Course ILOs

A. Knowledge

and

Understanding




system


factors involved in the

pathogenesis of musculoskeletal

disorders





A1-Identify the structure of joints and

related structures

A2- Describe the function of joints and

related structures

A3-Describe the different genetic and

acquired factors involved in the

pathogenesis of rheumatic disorders

A4- Explain efficiently the etiology and

pathogenesis of the different rheumatic

disorders in terms of changes in structure

and function and underlying mechanisms

A5- Describe the clinical presentation of the

different rheumatic disorders in a

professional way

1 2





affections.

a5 Recognize the recent advances

in the diagnosis of musculoskeletal

diseases.








diagnosis.

A6- Classify the main protocols adopted in

management of rheumatic affections.

A7-Explain the different pharmacologic


rheumatic affections.

A8-Explain the different non-pharmacologic


rheumatic affections

A9- Explain the role of joint aspiration in

the diagnosis of rheumatic diseases.

A10- Define the role of polarized

microscopy in the diagnosis of

rheumatological diseases.


pharmacologic management of



non- pharmacologic management of



the methods of laboratory investigation of

rheumatologic patients


imaging of rheumatologic patients







A15- Extrapolate the quality standards to the

methods of assessment of rheumatological

patients

A16- Identify the quality standards to the

methods of drug treatment of rheumatologic

patients

A17- Describe the quality standards to the

methods of rehabilitation of rheumatologic

patients

A18- Recognize the ethical guidelines in

conducting scientific research on

rheumatological patients

B. Intellectual

skills













symptoms of rheumatologic problems to

reach a diagnosis

B2- Contrast the possible differential

diagnoses for a rheumatological problem

B3- Explain the different pathological

problems using the structural characteristics

of joints and related structures

B4- Analyze the different pathological

problems referring to the functional

characteristics of joints and related

structures

b5- Determine the appropriate laboratory




uncommon problems not

conforming to classic cases.


patient or the managing team

during professional practice

related to the field of the specialty



research.


improvement in physical

medicine, rheumatology and

rehabilitation.



b6- Determine the appropriate imaging



b7- Analyze common problems in

rheumatology conforming to classic cases

b8- Analyze some uncommon problems in

rheumatology not conforming to classic

cases ( incomplete data or unusual findings)

b9- Appraise the role of different tools to

solve encountered problems


due to pharmacological agents used


during non pharmacological management

b12 Evaluate risks imposed to the managing

team during rehabilitation of a rheumatic

patient

b13 Recognize the essential principals of

scientific medical research in

Rheumatology.

b14- Imply creativity and innovation for

achieving professional improvement in

Rheumatology

b15-Analyze current literature in the field of

rheumatology depending on acquired


knowledge and skills

b16. Criticize current literature about recent

advances in drug management in rheumatic

diseases

C.Professional

and Practical

Skills










reporting



c1- Perform full examination of the joints

and related structures

c2- Perform examination of the different

other body organs as indicated in a

particular patient with rheumatic problem

c3- Use different tools to define rheumatic

disease activity and severity

c4- Diagnose common rheumatic problems


criteria

c5- Manage common rheumatic problems


standards



assessment of pain



assessment of ADL

c8- Identify the elements of a comprehensive

report for a patient with rheumatic problem

c9- Report in a comprehensive professional

way about rheumatological patient status.

D. General

Skills

d1- Retrieve information from all D1- Collect information from all sources






practice




levels








( printed, electronic, communications etc…)

in field of rheumatology

D2-Criticize the accuracy of scientific

literature in rheumatology depending on

evidence-based criteria

D3- Construct a scientific talk related to

rheumatology to rheumatologists

D4- Organize a scientific presentation

related to rheumatology to physicians in

other specialties

D5- Present suitable information to the

patient (and his family) about the nature of

his disease

D6- use information technology to improve

his knowledge about rheumatic diseases

D7- Use information technology to solve

problems in the diagnosis and management

of a particular patient

D8- communicate efficiently with collegues

from other specialties for efficient

management of a patient with rheumatic

disease

D9 Contribute efficiently a multidisciplinary

team for rehabilitation of a rheumatological

patient

D10 Evaluate the sufficiency of resources

for pharmacological treatment of a patient


with rheumatic disease

D11analyze the efficiency of available

resources for properly rehabilitating a

patient with rheumatological problem.

Attitudes and

ethical

behavior





understanding


handicapped

e4-Deal with different team

members in a professional and

cooperative manner

e1- Define the national code of ethics for

rheumatological patients rights


regarding privacy and his right to know

about his condition


regarding his right to share in decisions

about his management

e4- Appraise rheumatological patients and

caregivers in an understanding manner.

E5-Reflect in his practice the rights of

rheumatological patients in a fruitful

enjoyable life

E6- Cooperate professionally with different

team members to achieve the goals of

management for each particular patient



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

SLE and antiphospholipid syndrome ✓ ✓ ✓

Scleroderma and calcinosis ✓ ✓ ✓

Polymyositis and dermatomyositis ✓ ✓ ✓

Mixed CT diseases and overlap

syndrome

✓ ✓ ✓

Osteoporosis ✓ ✓ ✓

Metabolic bone disease ✓ ✓ ✓

Vasculitis ✓ ✓ ✓

Juvenile idiopathic arthritis ✓ ✓ ✓

Rheumatic fever ✓ ✓ ✓

Intermittent syndromes ✓ ✓ ✓

Metabolic and endocrinal arthropathies ✓ ✓ ✓

Arthritis associated with

haermatological disorders

✓ ✓ ✓

Fibromyalgia ✓ ✓ ✓

Traumatic and infectious joint diseases ✓ ✓ ✓

Arthitis associated with malignancy ✓ ✓ ✓

Soft tissue rheumatism ✓ ✓ ✓

Joint manifestations in systemic

affections

✓ ✓ ✓

Non-steroidal anti-inflammatory drugs ✓ ✓ ✓

Disease Modifying Drugs ✓ ✓ ✓

Corticosteroids ✓ ✓ ✓

Biological Agents ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others 10 %


Lecture Notes

NA

Course Text Books

Primer in rheumatic diseases


Textbook of Rheumatology


Annals of Rheumatic Diseases

Arthritis & Rheumatism

Course Instructor

Name: Dr Dia Mohasseb Signature:

Program Coordinator



Name: Dr Dia Mohasseb Signature:

✓

✓ ✓

✓

✓



Faculty: Medicine


Course Information

Course Code: 05300806 Course Name: Regional Pain




Course Aims:

1. To recognize the different causes of regional pain syndromes (whether rheumatological,

orthopedic , neurological, referred or psychogenic).

2. To train and teach doctors the different skills for the diagnosis, differential diagnosis and

treatment of back, neck, shoulder, elbow, wrist, hand, hip, knee, ankle and foot pains.


Program ILO

(refer to program matrix) Course ILOs

A. Knowledge

and

Understanding





A1.Identify the causes of back & neck

pain.

A2. Recognize the causes of shoulder &

scapular pain.

A3. List the causes of elbow pain.

A4. Define the causes of wrist & hand

pain.

A5. Recognize the causes of hip pain.

A6. Describe the causes of knee pain.

A7. Recognize the causes of ankle and

foot pain.

A8. Discuss the clinical presentation of

the different causes of regional pain

1/2 1/2




affections

a8- Recognize the quality

standards of practice in the field of

Physical Medicine, Rheumatology

and Rehabilitation in relation to

diagnosis.

a9-Recognize the quality standards




a10- Review basics and ethics of


A9. Recognize the investigations

required in regional pain management.

A10. Describe the treatment options

adopted in managing regional pain

syndromes.

A11. Review the diagnostic

signs/symptoms for the different causes of

regional pain.

A12. Review the recent advances in the

diagnosis/investigation of regional pain

A13. Recognize the quality standards in

selecting the appropriate investigation in

regional pain management.

.

A14. Recognize the available therapeutic

options in regional pain management.

A15. Describe the appropriate

therapeutic option for each cause of

regional pain.

A16. Recognize patients’ rights &

ethical standard during performing a

scientific research on regional pain

management.

B. Intellectual

skills




/differential diagnosis.

B1. Analyze the clinical signs and

symptoms in patients with back or neck

pain to identify the cause of pain.


symptoms in patients with knee, hip or

foot pain to identify the cause of pain.


symptoms in patients with upper limb

pain to identify the cause of pain.



help reaching the diagnosis.

b5- Evaluate risks imposed to







Rehabilitation.




B4. Select the appropriate laboratory

investigation needed in each patient to

diagnose the cause of regional pain.

B5. Select the appropriate imaging

technique needed in each patient to

diagnose the cause of regional pain.

B6. Assess the psychological disturbance

that commonly occurs in patients with

chronic pain.

B7. Judge the benefit of the suggested

therapeutic option versus the possible

side effects in each patient.

B8. Revise precautions &

contraindications of the used therapeutic

option.

B9. Use the appropriate diagnostic

tool/investigation for each patient with

regional pain.

B10. Use the appropriate therapeutic

option for each patient with regional

pain.

B11. Recognize precautions &

contraindications of the used therapeutic

option during regional pain management.

B12. Review the literature for the

available laboratory & imaging

techniques used in regional pain

management.

B13. Cite the available therapeutic

options used in regional pain

management from the literature.

C. Professional

and Practical

Skills



musculoskeletal system .

C1. Perform the needed rheumatological,

neurological and/or orthopedic

examination to diagnose the cause of

pain.







techniques.




disorder.


orthosis or prosthesis for

locomotory disorders.

c11 Perform intrarticular and soft

C2. Detect the relevant signs &

symptoms that help reaching the

diagnosis.

C3. Diagnose the cause of regional pain

in each patient.

C4. Select the appropriate therapeutic

options specific for managing the cause

of regional pain syndromes.

C5. Evaluate the range of motion &

muscle power in patients with chronic

pain.

C6. Assess the psychological state of

patients with chronic pain.

C7. Perform soft tissue and/or intra-

articular injection whenever necessary in

chronic pain management.

C8. Apply TENS in chronic pain

management.

C9. Apply magnetic pellets for pain

management in myofascial pain,

fibromyalgia & joint pain.

C10. Prescribe the appropriate heat or

cold modality for regional pain

management.

C11. Prescribe interferential therapy &

other electrotherapeutic modalities for

regional pain management.

C12. Prescribe the appropriate orthosis

needed in pain management.

C13. Prescribe the appropriate bypass

prosthesis for controlling pain of the

weight bearing joints.

C14. Perform soft tissue and/or intra-

articular injection for regional pain

management.

tissue injection.



C15. Report pain patients’ status in a

professional way.

D. General

Skills

By the end of the program the

PG students will be able to:







practice.




levels.


d8 - Plan rehabilitation programs

in reference to available resources


D1. Retrieve information concerning

chronic pain management from all available

sources (printed, electronic, communications

etc…).

D2. Verify the accuracy of scientific

information depending on evidence

based medicine

D3. Organize meeting for discussing

chronic pain management.

D4. Present information about

therapeutic options in chronic pain

management in news papers &

conferences.

D5. Lead a multidisciplinary

rehabilitation team for chronic pain.

D6. Plan a rehabilitation program for

chronic pain.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Evaluation in chronic pain

management (Pain measurement- ROM,

Assessment of functional status-

Psychological evaluation)

✓ ✓

Investigations & diagnostic tests

commonly used in chronic pain

management

✓

Treatment options in chronic pain

management (medication – physical

modalities– biofeedback – local

injection & interventions – others)

✓ ✓ ✓

Back pain (causes & management) ✓ ✓

Neck pain (causes & management) ✓ ✓

Shoulder pain (causes & management) ✓ ✓

Elbow pain (causes & management) ✓ ✓

Wrist & hand pain (causes &

management)

✓ ✓

Hip pain (causes & management) ✓ ✓

Knee pain (causes & management) ✓ ✓

Ankle and foot pain (causes &

management)

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others


Lecture Notes

✓

Course Text Books

1. Kelley’s textbook of rheumatology.

Editors: Harris ED, et al. 7th edition:

Chapters 36-43 & 47.

2. Adams’s outline of orthopedics. By:

Hamblen DL & Simpson H. Churchill

Livingstone 2010.

3. Krusen’s Handbook of physical

medicine & rehabilitation. Editor:

Braddom RL. Philadelphia: Saunders;

2004.


Physical medicine and rehabilitation

secrets. Edited by: O’Young BJ et al.

3rd ed. Philadelphia: Mosby; 2008.


1. Archives of physical medicine &

rehabilitation

2. Pain

Course Instructor

Name: Prof. Dr. Tarek Shafshak Signature:

Program Coordinator

Name: Ass Prof. Dr.Enas Shahine Signature:

✓

✓ ✓

✓ ✓


Name: Prof.Dr. Diaa Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 05300807 Course Name: Electrodiagnosis


Rehabilitation.

Number of Credit Hours: (3) Theoretical Clinical/Practical

Course Aims: This course aims at providing the students with information about electrodiagnostic approaches to different

clinical problems and practical training for different electrodiagnostic techniques . It includes: motor nerve

conduction, sensory nerve conduction, reflex studies (Blink reflex, H-reflex), F-wave studies,

electromyography, somatosensory evoked potential and motor evoked potential. The course includes also:

techniques, rational and interpretation of results.



matrix) Course ILOs

A. Knowledge

and

Understanding






system



By the end of the program the PG students will

be able to:

a1- Describe the structure and function of

different components of neuromuscular system

to be able to understand the electrodiagnosis

approach in different neuromuscular disorders.

a2- Identify the structure of motor unit.

a3- Identify the structure of neuro-muscular

junction.

a4- Identify blink reflex pathway

a5- Identify the pathway of somatosensory

evoked potentials.

a6- Describe the pathway of motor evoked

potentials

a7- Discuss the different factors involved in the

pathogenesis of neuromuscular disorders.

a8- Discuss the different factors contributing to

2 1







diseases.

a6- Describe up-to-date management


disorders.

a8- Recognize the quality standards of

practice in the field of Physical


Rehabilitation in relation to diagnosis.

a9- Recognize the quality standards in




abnormal motor conduction


abnormal motor unit action potentials


abnormal blink reflex.

a11- Discuss etiology, pathogenesis and clinical

presentation of different neuromuscular disorder.

a12- Discuss the relation between the

pathogenesis and the electrodiagnostic

approaches

a13- Describe recent advances in the

electrodiagnosis of neuromuscular diseases.

a14- Recognize recent advances of

electrodiagnostic techniques.

a15- Recognize different techniques used in

electrodiagnosis

a16- Recognize the normal and abnormal results

of every electrodiagnostic techniques.

a17- Recognize up to date approaches for

electrodiagnosis of neuromuscular disorders

a18- Recognize up to date techniques for

electrodiagnosis of neuromuscular disorders

a19- Identify the quality standards of practice in

the field of electrodiagnosis.

a20- Identify the quality standards of practice

using electromyography.

a21- Identify the quality standards of practice

using evoked potentials.

a22- Recognize the quality standards of practice

using electromyography.


using evoked potentials.


using motor conduction study.


using sensory conduction study.

B. Intellectual

skills










b4 Solve common and some complex

problems not conforming to classic

cases.



be able to:

b1- Use the structure and functional

characteristics of different components of

neuromuscular system to be able to understand

the electrodiagnosis approach in different

neuromuscular disorders.

b2- Use structure and function of motor unit to

explain changes in myopathies and neuropathies.

b3- Use the structure of neuro-muscular junction

to explain electrodiagnosis of myoneural

junction disorders.

b4- Use blink reflex pathway to explain its use in

electrodiagnosis.

b5- Use the pathway of somatosensory evoked

potentials to explain its role in assessment of

central disorders .

b6- Use the pathway of motor evoked potentials

to explain its role in electrodiagnosis

b7- Plan the appropriate electrodiagnostic

approaches for every patient with specific neuro-

muscular problem.

b8- Recognize techniques used in

electrodiagnosis.

b9- discuss the role of every technique in

diagnosis of different neuro-muscular disorder.

b10- Describe lab investigations used for

diagnosis of patients with neuromuscular

disorders.

b11- Solve common and complex problems in

applying different techniques for patients during

electrodiagnosis.

b12- Evaluate risks imposed to patients during

electrodiagnosis.



specialty

b6 Recognize the essential principals

of scientific medical research.



& Rehabilitation.




b13- Identify the essential principals of scientific

medical research in the field of electrodiagnosis.

b14- Plan for professional improvement in

electrodiagnosis

b15- Critically appraise current literature on

electrodiagnosis

C.Professional

and Practical

Skills






c2- Mange the common types of





c4- Perform basic electrodiagnostic

procedures.


be able to:

c1- Perform full examination of different

components of the neuro-musculo-skeletal

system

c2- Diagnose different types of neuro-muscular

disorders by electrodiagnosis.

c3- Evaluate patients with neuromuscular

disorders functionally

c4- Perform appropriate electrodiagnostic

approaches for specific neuro-muscular clinical

problem.

c5- Practice techniques used in electrodiagnosis.

c6. Recognize normal and abnormal result of

every technique.

c7- Recognize difficulties and errors related to

every technique.



c8. Recognize features of every wave results

from each technique.

c9- Practice electrodiagnostic reporting for

specific problems

c10- Recognize the salient electrodiagnostic

features of every neuro-muscular disorder.

c11- Practice electrodiagnostic reporting.

D. General

Skills



d4- Communicate effectively with

different members of the

rehabilitation team



resources in view of the work load.


be able to:

d1. Communicate with different specialties

whose patients can be managed and

diagnosed using electrodiagnosis.

d2.Evaluate the sufficiency and efficiency of

available medical resources in view of the

work load in the field of electrodiagnosis



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Sensory Conduction ✓ ✓

Motor Conduction ✓ ✓

Electromyography ✓ ✓

Reflex studies ✓ ✓

F waves and Late waves ✓ ✓

Somatosensory evoked potentials ✓ ✓

Motor evoked potentials ✓ ✓

Repetitive nerve stimulation ✓ ✓

Electrodiagnosis in neuromuscular

disorders.

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term 20 %

End of term 80 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

Pactical Electromyography



Course Instructor

Name: Prof. Dr. Mowaffak Mostafa. Signature:

Program Coordinator

Name: Ass Prof. Dr.Enas Shahine Signature:



✓

✓

✓



Faculty: Medicine


Course Information

Course Code: 05300808 Course Name: Neurorehabilitation

Program in which the Course is Given Master of Physical Medicine, Rheumatology & Rehabilitation


Course Aims To provide the student with sufficient knowledge about the evaluation, determining the aim, methods of rehabilitation & physical modalities that should be used in all neurological and locomotory problem e.g. stroke, paraplegia, quadriplegia, spinal cord injuries, traumatic brain injury, facial palsy, polyneuropathy, mononeuropathy, entrapment neuropathy, peripheral nerve injuries, ataxias, myopathies, muscle dystrophies and parkinsonism.



matrix) Course ILOs

A. Knowledge

and

Understanding




affections


the diagnosis




a1. Describe functional evaluation in

neuromuscular disorders (NMD).

a2. Describe recent physical modalities in

neuromuscular disorders.

a3. Describe range of motion exercises and

strengthening training in neuromuscular

disorders.

a4. Recognize the role of MRI in NMD.

a5. Recognize the role of electrodiagnosis in

NMD.

a6. Identify the role of biofeedback in NMD.

a7. Describe treadmill training with partial

body weight support in managing NMD.

a8. Identify the role of functional electrical

stimulation in managing NMD.

1 1

a8 Recognize the quality standards of




diagnosis.

a9 Recognize the quality standards in






a9. Identify the diagnostic criteria for

diagnosing different NMD

a10. Recognize the quality standards in

assessing the severity of NMD.

a11. Identify the international classification

of functional disability and health.

a12. Describe the methods used to assess

functional activities as Fugel-Mayer motor

assessment scales etc.

a13. Define the methods used to assess

muscle strength as MRC etc.

a14. Describe the quality standards in

rehabilitation of NMD.

a15. Define a comprehensive objective for

the research.

a16. Recognize the ethical guidelines in

scientific research including signing a

consent by the patient.

B. Intellectual

skills









& Rehabilitation.



b1. Evaluate cardiovascular risk during

therapeutic exercises in neuromuscular

diseases.

b2. Evaluate areas of skin hyposthesia in

NMD during electrotherapy and heat therapy

in neuromuscular diseases.

b3. Estimate the degree of osteoporosis in

elderly with NMD.

b4. Assess validity, reliability and sensitivity

in medical research in the field of

neurorehabilitation.

b5. Apply controlled study in medical

research in the field of neurorehabilitation.

b6. Plan for workshops and training courses

in electrodiagnosis.

b7. Plan for workshops and training courses

in updates of rehabilitation practice.

rheumatology & Rehabilitation.

b8. Appraise recent literature in the field of

neurorehabilitation.

C.Professional

and Practical

Skills









c7 Perform techniques for control

of spasticity.

c8 Prescribe the appropriate physical

agent modalities and exercises for




c1. Examine all systems of the body

including neuromuscular system.

c2. Use suitable apparatus for evaluation of

muscle strength in addition to MRC.

c3. Apply guidelines for prescription of

strengthening and aerobic exercises.

c4. Specify the goals of rehabilitation

program based on the clinical and functional

evaluation as well as the patient’s needs.

c5. Design a rehabilitation program to fit

with the predetermined goals.

c6. Apply scales for functional evaluation

e.g. Fugel-Mayer score and Barthel index.

c7. Apply antispastic measures like

injection of botulinium toxin in spastic

muscles.

c8- Prescribe different physical agents used

for neuromuscular disorders.

c9. Prepare a specific neurorehabilitation

sheet.

c10. Practice medical reporting for patients

needing neurorehabilitation.

D. General

Skills



team




d1. Explain rehabilitation plan to the

different members of the rehabilitation team.

d2. Use recent techniques (E-learning) in

mediating information.

d3. Apply new concepts in

neurorehabilitation practice.




d8 plan rehabilitation programs in



d9 Evaluate the sufficiency and efficiency of available medical resources in view of the work load.

d4. Identify short-term and long-term goals

of rehabilitation program.

d5. Plan rehabilitation program with the


d6. Specify the role of different team

members cooperating in the program.

d7. Contribute efficiently in a rehabilitation

team for NMD.

d8. Plan different components of the

rehabilitation program in view of the

available resources

d9. Evaluate competence of the


d10. Evaluate the apparatuses used in the

rehabilitation program.

E. Attitudes

and ethical

behavior

e1-Follow national code of ethics &

respect patients rights

e2-Council patients & parents with



handicapped

e4-Deal with different team members

in a professional and cooperative

manner.

e1. Respect patient feelings and needs.

e2. Involve patient in short and long-term

goals.

e3. Involve patient and family in goal

setting.

e4. Respect the patient preferences.

e5. Plan with the patient for functional

independence.

e6. Integrate handicapped or disabled in the

community.

e7. Discuss the outcome of the rehabilitation

programs with the rehabilitation team.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

stroke. ✓ ✓ ✓ Paraplegia ✓ ✓ ✓

Quadriplegia ✓ ✓ ✓

spinal cord injuries ✓ ✓ ✓

TBI ✓ ✓ ✓

facial palsy ✓ ✓ ✓

, polyneuropathy ✓ ✓ ✓

Mononeuropathy ✓ ✓ ✓

entrapment neuropathy ✓ ✓ ✓

peripheral nerve injuries ✓ ✓ ✓

Ataxias ✓ ✓ ✓

Myopathies ✓ ✓ ✓

muscle dystrophies ✓ ✓ ✓

Parkinsonism ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %

Distribution of Marks Written Exam 80 %

✓

✓

✓


Others %


Lecture Notes

✓

Course Text Books


Rehabilitation



Course Instructor

Name: Prof. Dr. Mona el Bardaweel Signature:

Program Coordinator



Name: Prof Dr Dia Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 05300809 Course Name: Rehabilitation in Pediatrics


Rehabilitation.


Course Aims: This course aims at providing the students with information about the examination & evaluation of all

pediatric locomotory problems, the physical modalities & the rehabilitation methods that can be used in the

management of the common pediatric problems that necessitates rehabilitation. It includes:: cerebral palsy,

brachial plexus birth injuries, floppy infant syndrome, neuropathy and myopathies in children, joint

deformities, spinal deformities and joint diseases.



matrix) Course ILOs

A. Knowledge

and

Understanding







be able to:


presentation of children with cerebral palsy.


presentation of children with brachial plexus

injury.


presentation for children with floppy infant

syndrome.


presentation of children with neuropathies.


presentation of children with myopathies.


presentation of children with joint disease.


presentation of children with spinal deformities.

a8- Recognize different musculoskeletal

1/2 1/2


protocols &/or procedures adopted in

management and rehabilitation of




diseases.

a6- Descibe up-to-date management


disorders.

disorders in children that need rehabilitation.

a9- Identify management protocol of children

with cerebral palsy.


with brachial plexus injury.

a11- Identify management protocol for children

with floppy infant syndrome.


with neuropathies.


with myopathies.


with joint disease.


with spinal deformities.

a16- Recognize principles of rehabilitation of

children with musculoskeletal disorder

a17- Describe the most recent advances in the

diagnosis of myopathies in children.


diagnosis of neuropathies in children.

a19- Identify the most recent advances in the

diagnosis of arthritis in children.

a 20- Describe the role of electrodiagnosis for

assessment of children with neuropathies.


assessment of children with myopathies.


differential diagnosis of floppy infant syndrome


differential diagnosis of children with hypotonic

cerebral palsy.

a 24- Describe the role of evoked potentials for

assessment of children with spinal deformities.


management (physical and surgical) of brachial

plexus injury in children.

a26- Describe the up-to-date management of

a8- Recognize the quality standards of



Rehabilitation in relation to diagnosis.

a9- Apply the quality standards in




a10- Review basics and ethics of


a11- Recognize basics and ethics


children with cerebral palsy.


children with myopathies.


children with neuropathies.


children with arthritis.


children with spinal deformities.

a31- Discuss recent advances of different

physical modalities, orthotics, prosthetics used in

pediatric rehabilitation.


in assessment of children with cerebral palsy.


in assessment of children with arthritis.

a 34- Recognize the quality standards of practice

in assessment of children with spinal

deformities.


in assessment of children with cerebral palsy.


in assessment of children with arthritis.

a 37- Recognize the quality standards of practice

in assessment of children with spinal

deformities.

a38- Identify basics and ethics of scientific

research in the field of pediatric rehabilitation.

a39- Identify basics and ethics relevant to the

disabled children

handicapped.

a 40- Describe multi-disciplinary goal-oriented

approaches used for rehabilitation of children


B. Intellectual

skills












be able to:

b1- Describe the clinical signs and symptoms of

musculoskeletal problems in children with

cerebral palsy.

b 2- Analyze the clinical signs and symptoms of


arthritis.



myopathies.



neuropathies.

b5- Recognize the clinical signs and symptoms

of musculoskeletal problems in children with

spinal deformities.

b6- Recognize the manifestations and

complications of floppy infants. b7- Plan appropriate investigations for

differential diagnosis of floppy infant syndrome.

b8- Plan appropriate investigations for

differential diagnosis of children with arthritis.


characteristics of the musculoskeletal system to

explain the different neuro-musculo-skeletal

problems in children with cerebral palsy




problems in children with myopathies




problems in children with neuropathies






b4 Solve common and some complex

problems not conforming to classic

cases.




specialty.


problems in children with spinal deformities

b13- Describe the lab investigations for

diagnosis of floppy infant syndrome.

b14- Describe the lab investigations for

diagnosis of children with cerebral palsy.

b 15- Describe the role of electrodiagnosis for

assessment of children with neuropathies.

b 16- Describe the role of electrodiagnosis for

assessment of children with myopathies.

b17- Describe the role of electrodiagnosis for

differential diagnosis of floppy infant syndrome

b 18- Describe the role of evoked potentials for


b 19- Discus the role of lab investigations for

assessment of children with arthritis.

b 20 Describe the role of imaging study for

assessment of children with joint deformities.




assessment of children with arthritis.

b23- Identify obstacles (familial, social,..)

imposed to children with cerebral palsy during

rehabilitation.

b24- Identify obstacles (familial, social,..)

imposed to children with arthritis during

rehabilitation.

b25- Specify appropriate solutions to

overcome such obstacles. b26- Solve common and some complex

problems in children with multiple handicaps.

b27- Assess risks imposed to children with

multiple handicaps.

b28- Recognize the essential principals of



scientific medical research in pediatric

rehabilitation.

C.Professional

and Practical

Skills











c7- Perform techniques for control of

spasticity.


be able to:

c1- Examine a child with musculoskeletal

problem

c2- Examine a child with arthritis.

c3- Examine a child with cerebral palsy.

musculoskeletal problem

c4- Examine a child with neuro-muscular

disorder.

c5- Examine a child with spinal deformity.

c6- Identify an approach for the diagnosis of

floppy infant syndrome.





c9- Perform assessment and functional

evaluation of a child with musculoskeletal

disorder.

c10- Perform functional evaluation of a child



with arthritis.


with spinal deformity.

c13- Recognize communication problems in

children with musculoskeletal problem.

c14- Recognize learning problems in

children with musculoskeletal problem

c15- Practice physical modalities for control of

spasticity.

c16- Perform Local injection techniques for

control of spasticity.

c17- Identify orthopedic management of

c8- Prescribe the appropriate physical



c9- Prescribe the appropriate orthosis

or prosthesis for locomotory

disorders.

c10- Supervise the physical


spasticity

c18- Identify medical management of spasticity.

c19- Recognize the applications of different

physical modality in pediatric rehabilitation..

c20- Practice the technique of application of

each modality for specific patient.

c21- Recognize indications and

contraindications of each modality for pediatric

age group.

c22- Prescribe the appropriate orthosis for

children with cerebral palsy.





C25- Lead and supervise the multi-professional

physical rehabilitation plan for children with

musculoskeletal disorder.

D. General

Skills





team


be able to:

d1- Communicate with different members of

rehabilitation team for children with cerebral

palsy.


rehabilitation team for children with arthritis.


rehabilitation team for children with spinal

deformities.


rehabilitation team for children with brachial

plexus birth injuries.







d8 Plan rehabilitation programs in






d5- Use information technology to improve the

professional practice in the field of pediatric

rehabilitation.

d6- Lead rehabilitation team in pediatric

rehabilitation.

d7- Describe the role of the family for

rehabilitation in each child.

d8- Modulate the rehabilitation program in

children according to the social resources.

d9- Communicate efficiently with different

members of rehabilitation team to furnish

optimum management for children with

diabilites.

d10- Describe the role of the family for

rehabilitation in each child.

d11- Modulate the rehabilitation program in

children according to the resources.

d12- Analyze the sufficiency and efficiency of

available medical resources in view of the work

load in pediatric rehabilitation



Lectures Self

learning

Practical/

Clinical

Small

group

discussion

Others

Cerebral Palsy ✓ ✓

Floppy infant syndrome ✓ ✓

Brachial plexus injury ✓ ✓

Arthritis in children ✓ ✓

Neuropathies ✓ ✓

Myopathies ✓ ✓

Spinal deformities ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 80 %


Others %


Lecture Notes

Course Text Books

- Physical disabilities in childhood

- Rehabilitation Medicine : Principles

and Practice.

- Krusen’s Physical Medicine and

Rehabilitation



Course Instructor

Name: Prof. Dr. Gihan Abd el Latif. Signature:

Program Coordinator




✓

✓

✓



Faculty: Medicine


Course Information

Course Code: 05300810

Course Name: Rehabilitation in Orthopedic and Surgical Disorders



Course Aims It includes: plan, modalities and techniques of physical therapy; and rehabilitation procedures (including the use of orthoses, assistive devices or walking aids) of orthopedic and surgical problems that need physical therapy and/or rehabilitation such as: post-burn contracture, post-skin graft, following tendon repair, post-menisectomy, post-spinal surgery, following repair of ligament injury, post-plaster fixation, post-joint replacement, following joint injuries or surgery, muscle wasting, muscle weakness, joint stiffness, post abdominal or limb surgery & rehabilitation of amputee.



matrix) Course ILOs

A. Knowledge

and

Understanding




affections

a1. Recognize musculoskeletal problems

that result following surgical procedures in

order to avoid their occurrence by

appropriate pre and post surgical


a2. Recognize musculoskeletal problems

that result from specific orthopedic

problems.

a3. Identify the appropriate procedure(s)

which facilitate diagnosis of musculoskeletal

problems that result from specific orthopedic

problems and /or surgical procedures.

a4. Recognize the immediate and remote

goals of rehabilitation of patients with

specific orthopedic problems and /or

following surgical procedures.

0.5 0.5







a5. Define indications of rehabilitation for

patients with specific orthopedic problems

and /or following surgical procedures.

a6. Recognize methods of assessment of

post- surgery and /or orthopedic disease

patient fitness for rehabilitation program.

a7. Recognize the quality standards of

assessment of patients with post- surgery

and /or orthopedic disease.

a8. Recognize the quality standards of

rehabilitation of patients with post- surgery


a9. Apply the quality standards of

assessment of patients with post- surgery


a10. Apply the quality standards of

rehabilitation of patients with post- surgery


a11. Review basics and ethics of scientific

research in post- surgery and /or orthopedic

disease patient.

B. Intellectual

skills

b5 Evaluate risks imposed to






research.

b1. Recognize risks of rehabilitation

program of patients with specific orthopedic

problems and /or following surgical

procedures.

b2. Recognize contraindications of

rehabilitation program of patients with



b3. Recognize the essential principals of

scientific medical research in the

improvement of rehabilitation programs for






Rehabilitation.


literature on Physical Medicine,

Rheumatology & Rehabilitation.

b4. Locate recent and advanced methods of

diagnosis and management of specific

orthopedic problems.

b5. Integrates recent and advanced methods

in rehabilitation program of patients with



b6. Critically appraise current literature on

post- surgery and /or orthopedic disease

rehabilitation.

b7. Employ current literature for tailoring a

rehabilitation program for patients with post-

surgery and /or orthopedic disease.

C.Professional

and Practical

Skills












c1. Examine patients with specific

orthopedic problems and /or following

surgical procedures.

c2. Examine different upper and lower limb

muscles and determine their grading.

c3. Specify medical problems of patients

with post- surgery and /or orthopedic

disease.

c4. Order appropriate investigations that

help in diagnosis and follow up of patients

with post- surgery and /or orthopedic

disease.

c5. Design a treatment plan for patients with

post- surgery and /or orthopedic disease.

c6. Assess patients with specific orthopedic


procedures functionally using appropriate

functional scoring system.

c7. Determine varieties of physical agents

applicable for treatment of patients with

post- surgery and /or orthopedic disease.

disorder.


orthosis or prosthesis for

locomotory disorders.


reporting.



c8. Prescribe the appropriate physical agent

modalities for patients with specific



c9. Determine the appropriate orthosis or

prosthesis for patients with specific



c10. Prescribe the appropriate orthosis or

prosthesis for patients with specific



c11. Design an initial, follow up and final

assessment charts for patients.

c12. Employ an initial, follow up and final

assessment charts for patients.

c13 Report post surgical and orthopedic

diseased patient status in a comprehensive

professional way.

D. General

Skills



team.





d1. Identify the rehabilitation team members

d2. Determine the role of each of the

rehabilitation team members.

d3. Communicate and deal with

rehabilitation team members; each according

to his role.

d4. Use information technology to improve

his professional practice and improve his

learning abilities in post surgical and

orthopedic diseased patient status in a


d5. Lead the rehabilitation team to achieve

the maximum benefits for patients with











d6. Contribute effectively among the

rehabilitation team to achieve the maximum

benefits for patients with specific orthopedic


procedures.

d7. Plan a rehabilitation program tailored for

each patient according to available resources

(place, equipment, team and time) and

according to his/her needs and abilities.

d8. Evaluate and analyze the sufficiency and

efficiency of available medical resources in

view of the work load for patients with



E- Attitudes

and ethical

behavior





understanding


handicapped

e1. Deal ethically with patient and his/ her

family members or his/ her care givers.

e2. Educate patient and his/ her family

members or his/ her care givers to achieve

maximum benefits.

e3. Respect rights of disabled &

handicapped.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Post burn rehabilitation. (✓) (✓)

Rehabilitation after tendon repair. (✓) (✓)

Rehabilitation after surgery for

peripheral nerve injury.

(✓) (✓)

Post fracture rehabilitation (✓) (✓)

Rehabilitation following hip joint

replacement.

(✓) (✓)

Rehabilitation following arthroscopic

meniscectomy.

(✓) (✓)

Rehabilitation following knee joint

replacement.

(✓) (✓)

Rehabilitation following limb

amputation.

(✓) (✓)

Rehabilitation of bed ridden patient. (✓) (✓)

Rehabilitation of spinal cord surgery. (✓) (✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others 30 %


Lecture Notes

Lecture notes for each lecture and data show

with illustrations.

Course Text Books


Rehabilitation



(✓)

(✓)

✓

Course Instructor

Name: Prof. Dr. Mohamad Emam Signature:

Program Coordinator

Name: Ass. Prof. Dr. Enas Shahine Signature:





Faculty: Medicine


Course Information

Course Code: 05300811 Course Name: Rehabilitation in Rheumatological

Conditions


Rehabilitation.

Number of Credit Hours : 1 hour Theoretical Clinical/Practical

Course Aims: By the end of this course the student has to know: 1. Evaluation in rheumatic diseases (clinical, laboratory and functional) 2. The physical therapy that is used in rheumatology (modalities, techniques, indications, contraindications, precautions, plan of treatment & procedures). 3. Rehabilitation methods. 4. The common surgical procedures that can be applied in the management & rehabilitation of the different rheumatological conditions.



matrix) Course ILOs

A. Knowledge

and

Understanding




affections


the diagnosis.

a1- Identify the level of functional

disturbance related to the locomotor system.

a2- Recognize the impact of pathology of

each rheumatic disease on the patient’s

management.

a3- Define the components of rehabilitation

program of rheumatic diseases.

a4- Describe the traditional scheme of rehab.

Program in rheumatic diseases.

a5- Recognize the International

Classification of Functioning, disability and

health (ICF).

a6- Describe the components of ICF.

a7-Identify the most updated concepts of

0.5 0.5

A9 Recognize the quality standards of




management

a11 Recognize basics and ethics


handicapped.

rehab. Of patients with rheumatic diseases.

a8- Recognize the most updated devices and

equipments that improve the quality of life

of patients with rheumatic diseases.

a9- Identify the objective methods for

assessing pain, joints range of motion

(ROM) and muscle strength.

a10- Recognize the objective methods used

in the assessment of activity of daily living

(ADL)in patients with rheumatic diseases.

a11- Identify the different types and role of

exercises fitting with the different stages of

arthritis and/or myositis as well as the

patient’s condition.

a12- Identify the appropriate orthosis

according to the stage of a given rheumatic

disease.

a13- Identify the proper physical modality

based on the disease manifestations and the

patient’s condition.

a14- Recognize the role of vocational rehab.

In achieving independence and improving

patient’s psychological status.

a15- Identify indications of surgical

intervention in rheumatic diseases.

a16- Define the role of rehabilitation in

achieving independence for patients with

rheumatic diseases.

a17- Recognize the importance of vocational

and recreational rehab in keeping self

confidence and improving the quality of life

of handicaps

B. Intellectual

skills





b1- Select the appropriate physical modality

for managing patients with rheumatic

diseases considering its indications and

contraindications in respect to the rheumatic

disease stage and the patient’s general

condition.

b2- Determine the exercise therapy suitable

for a particular patient with rheumatic

disease based on the disease stage and

general condition.

b3- Recommend the proper orthosis for a





& Rehabilitation




patient with a rheumatic disease in the

different disease stages.

b4- Appraise the benefits and risks of rest

versus exercise in patients with rheumatic

diseases under different disease conditions.

b5- Select the proper assessment tools for

evaluation of patients with rheumatic

diseases.

b6- Design a proper rehab. Program for a

given rheumatic disease to fit with the point

of research.

b7- Recognize the recent updates in

rehabilitation of rheumatic diseases.

b8- Construct upgraded rehab. Programs

including both updates and the suitable

traditional rehab. Measures.

b9. Critically appraise current literature on

physical medicine, rheumatology &

Rehabilitation

b10- Select the proper components of

rehabilitation program that fit with each

individual patient with respect to the features

of his rheumatic disease and his own general

condition.

b11- Analyze the conflicts related to some

concepts in rehabilitation of rheumatic

diseases especially in the field of exercise

therapy and physical modalities.

C.Professional

and Practical

Skills








c1- Examine the different musculoskeletal

components by the traditional clinical

methods.

c2- Use certain tools for examination of

musculoskeletal components as

dynamometer, goniometer etc.

c3- Revise diagnostic criteria for the

different rheumatic diseases.

c4- Formulate a problem list based on

patient evaluation.

c5- Design a proper individualized

rehabilitation program based on the problem

list and the actual needs of the patient with a

rheumatic disease.





c9 Prescribe the appropriate orthosis


disorders.


reporting



c6- Apply the different functional

assessment tools used in rheumatic diseases.

c7- Analyze the clinical data of the

rheumatic disease to determine their impact

on the functional performance of the patient.

c8- Determine the physical modality for a

patient with rheumatic disease according to

the manifestations which are based mainly

on the disease activity (acute or chronic

arthritis), presence of pain and/or joint

stiffness etc.

c9. Prescribe exercise program for patients

with rheumatic diseases.

c10- Analyze the patient’s condition to

determine the indication of orthosis e.g to

decrease joint pain or provide stability etc.

c11- Determine clearly the specifications of

the orthosis needed to produce optimal

effect.

C12- Analyze the components of the

medical report of a patient with a rheumatic

disease.

c13- Specify the patient’s problems

according to priorities determined by the

stage of the disease and the patient’s needs.

c134- Formulate a medical report for a

patient with a rheumatic disease with

emphasis on disease stage and activity,

medical treatment and rehab measures given

to the patient and the current problem (s).

c15- Determine the aim of referral e.g.

surgery or medical consultation by a relevant

specialty according to the aim of the report.

D. General

Skills



rehabilitation team

d1- Appraise the role of each member of the

rehab team.

d2- Accurately and simply specify the task

imposed of each member.

d3- Prescribe the appropriate orthosis in an

accurate simple way easy to understand by

the technician.










d4- Recommend in a clear and precise way

the essential environmental modifications to

be carried out by the occupational therapist.

d5- Present cases with different

rheumatological diseases for updated rehab.

d6- Use known links to explore web sites

specialized in rehab of rheumatic diseases.

d7- Evaluate the performance of each

member of the rehab team based on the

follow up evaluation of the patient’s

condition.

d8- Recommend corrective actions for

improper performance.

d9- Design an action plan for each member

of the team serving rehab for patients with

rheumatic diseases.

d10- Solve the technical problems

encountered in daily practice by finding

alternatives as shortage of some resources,

fully occupied devices etc.

d11- Appraise the concept of team work in

rehab practice in general and in rheumatic

diseases in particular as most of the

rheumatic diseases are actually systemic

diseases showing preference

to joint involvement.

d12- Recommend referral to certain

specialties for certain intervention for

optimal rehab.

d13- Determine priorities for treatment for

each patient according his clinical condition

e.g start with the most painful or stiff joint

etc.

d14- Construct a precise rehab program

according to the predetermined priorities.

d15- Evaluate the patient periodically at

predetermined intervals to modify or

terminate the treatment according to

progression of his condition.

d9 Evaluate the sufficiency and efficiency of available medical


d16- Select the highly indicated

rheumatological conditions for admission in

rehab sessions e.g patients with ankylosing

spondylitis, subacute or chronic RA, painful

OA or skin tightness in SS etc.

d17- Prescribe home program for patients

with some rheumatic manifestations as

acutely inflamed joints (resting splints) or

improving OA or ankylosing spondylitis

with emphasis on follow up for reevaluation.

# Ethics were fulfilled in the domain of knowledge and understanding and transferable skills.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Rehabilitation of rheumatic diseases ✓

Rehabilitation of rheumatoid arthritis ✓ ✓

Rehabilitation of ankylosing spondylitis ✓ ✓

Rehabilitation of psoriatic arthritis ✓ ✓

Rehabilitation of osteoarthritis ✓ ✓

Rehabilitation of systemic sclerosis ✓ ✓

Rehabilitation of systemic lupus

erythematosus

✓ ✓

Rehabilitation of polymyositis/

dermatomyositis

✓ ✓

Surgery in rheumatic diseases. ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100% %


Written Exam 90%

Practical/Clinical Exam %

Others 10 %

✓

✓

✓


Lecture Notes

✓

Course Text Books

Krusen ‘s physical medicine and rehabilitation.

Kelley’s textbook of rheumatology.



Course Instructor

Name: Prof. Dr. Noha Abd El Halim El Sawy. Signature:

Program Coordinator



Name: Prof. Dr Dia Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 05300812

Course Name: Chest and Cardiac Rehabilitation



Course Aims

The course aims at introducing the student to subjects related to rehabilitation of patients with

cardiac &/or pulmonary problems: Evaluation of cardiac patient. Principles of exercise testing for

cardiac patients. Components of rehabilitation programs for cardiac patients. Principles of exercise

prescription for cardiac patients. Evaluation of patients with pulmonary disorders. Principles of

exercise testing for patients with pulmonary disorders. Components of rehabilitation programs for

pulmonary patients. Principles of exercise prescription for patients with pulmonary disorders.



matrix) Course ILOs

A. Knowledge

and

Understanding

a7- Describe management and

rehabilitation of cardiovascular

and pulmonary disorders.

a1- Identify the concepts of cardiac

rehabilitation/secondary prevention

(definition, patients eligible,

contraindications, goals).

a2- Identify the components of cardiac


a3- Specify the cardiopulmonary

rehabilitation team members and the role of

each member of cardiopulmonary


a4- Recognize standards of functional

assessment of patients with cardiovascular

diseases.

a5- Identify benefits of exercise training for

cardiac patients.

a6- Identify principles of exercise

prescription for cardiac patients.

a7- Recognize risks of exercise training for

cardiac patients.

1/2 1/2

a8- Identify outcome measures of cardiac

rehabilitation.

a9- Identify the concepts of pulmonary

rehabilitation (definition, indications,


a10- Recognize standards of functional

assessment of patients with chest diseases.

a11- Identify benefits of exercise training for

patients with chest disease.

a12- Identify principles of exercise

prescription for patients with chest diseases.

a13- Identify outcome measures of

pulmonary rehabilitation.

B. Intellectual

skills




Rehabilitation.




b1- Select the most practical and evidence

based methods of assessment of patients

with cardiac/pulmonary diseases prior to

enrollment in rehabilitation program.

b2.Formulate (design) a rehabilitation

program for patients with cardiovascular

disease based on baseline evaluation.

b3.Formulate (design) a rehabilitation

program for patients with chest disease

based on baseline evaluation.

b4. Integrate current literature in the

rehabilitation program of cardiac and

pulmonary diseased patient.

C.

Professional

and Practical

Skills

c3- Evaluate patients functionally



c1-Assess cardiac patients functionally by

activity of daily living scores and exercise

stress tests.

c2-Assess pulmonary patients functionally

by activity of daily living scores, 6-minute

walk test and exercise stress test.

c3- Report cardiopulmonary patients’ status

in a comprehensive professional way.

D. General

Skills

d4- Communicate effectively with


team

d1- Communicate with cardiopulmonary

rehabilitation team members; each according

to his/her role.

d2-Lead the rehabilitation team to achieve

the maximum benefits for cardiopulmonary

patient.

d3- Integrate rehabilitation team members in

.

the continuous medical and functional

assessment of cardiopulmonary patients.

d4-Contribute effectively among the

rehabilitation team to achieve the maximum

benefits for cardiopulmonary patient.

E- Attitudes

and ethical

behavior



e2-Council patients & parents with



handicapped

e1-Deal ethically with cardiopulmonary

patient.

e2-Deal ethically with cardiopulmonary

patient‘s family members and his/ her

care givers.

e3- Council cardiopulmonary patients &

family with appreciation and

understanding.

e4- Respect rights of disabled &

handicapped in cardiopulmonary

rehabilitation..



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Concepts of cardiac rehabilitation

(definition, patients eligible,

contraindications, goals, components of

cardiac rehab program, cardiac rehab

team)

(✓)

Phases of cardiac rehabilitation (✓)

Functional assessment of patients with

cardiovascular diseases.

(✓) (✓)

Exercise training for cardiac patients (I). (✓) (✓)

Exercise training for cardiac patients

(II).

(✓)

Concepts of pulmonary rehabilitation

(definition, indications,


(✓)

Functional assessment of patients with

pulmonary disorders

(✓) (✓)

Exercise training for patients with

pulmonary diseases

(✓) (✓)

Breathing exercises (✓) (✓)

Postural drainage (✓) (✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 90 %


Others 10 %


Lecture Notes

lecture note on pulmonary rehabilitation

lecture note on cardiac rehabilitation

Course Text Books

Exercise prescription text book



Course Instructor

Name: Ass.Prof. Dr. Naglaa Abd El Mohsen. Signature:

Prof. Dr. Gihan Abd El Latif Signature:

Program Coordinator

Name: Ass. Prof. Dr. Enas Mohamed Shahine Signature:



(✓)

(✓) (✓)



Faculty: Medicine

Department: Physical Medicine, Rheumatology & Rehabilitation.

Course Information

Course Code: 05300813 Course Name: Geriatric Rehabilitation and

Rehabilitation of Special Conditions.

Program in which the Course is Given : Master degree of Physical Medicine, Rheumatology &

Rehabilitation.


Course Aims

To provide the students with knowledge about: The common problems in elderly , rehabilitation

of elderly, diabetic foot ulcer, patients with malignancy & post-organ transplant.



matrix) Course ILOs

A. Knowledge

and

Understanding




system




a1- Recognize structural changes in elderly

which predispose to medical disorders.

a2- Identify the role of organ changes in

elderly on producing common health

problems.

a3-Identify the factors involved in the

pathogenesis of common health problems in

the elderly.

a4- Identify the factors responsible for the

development of diabetic foot ulcers.

a5- Realize the impact of malignancy on the

general health of the patient and different

systems including the musculoskeletal

system.

a6- Identify the impact of organ transplant

on the general health of the patient and the

1/2 1/2









a8 Recognize the quality standards of




diagnosis.

a9 Recognize the quality standards in





a7- Discuss the functional problems and

manifestations of organ defects in elderly.

a8- Discuss the pathogenesis and clinical

presentation of diabetic foot ulcer.

a9- Discuss the functional problems in

patients with malignancy.

a10- Describe the functional problems in

patients with organ transplant.

a11- Describe the rehabilitation program for

elderly to improve their quality of life.

a12- Identify the rehabilitation program for

patients with diabetic foot ulcer.

a13- Identify the rehabilitation program for

patients with organ transplant.

a14- Define the quality standards in the

diagnosis of common health problems

encountered in elderly.


diagnosis of a patient with diabetic foot

ulcer.


diagnosis of a patient with malignancy.


diagnosis of a patient with organ transplant.

a18- Define the quality standards of

functional evaluation of elderly.


rehabilitation of a patient with diabetic foot

ulcer.


rehabilitation of a patient with malignancy.


rehabilitation of a patient with organ

transplant.

B. Intellectual

skills




b1- Analyze the clinical presentation and/or

functional deficits of elderly, patients with

malignancy, organ transplant or diabetic foot




to classic cases.


patient or the managing team during




in physical medicine, rheumatology

and rehabilitation.



rheumatology & Rehabilitation.

ulcers.

b2- Relate the clinical presentation and/or

functional deficits of such patients to the

possible underlying pathogenic mechanism

(s).

b3- Detect the clinical or functional deficits

which are not conforming with classic

diseases.

b4- Specify the most appropriate

investigations to establish the diagnosis and

explain such findings.

b5- Select the appropriate physical

modalities for elderly, patients with

malignancy, organ transplant and diabetic

foot ulcer based on the patient status and

stage of the disease.

b6- Determine the appropriate therapeutic

exercise according to the patient condition.

b7- Select the proper orthosis or assistive

device for each patient to avoid possible

adverse effects.

b8- Evaluate risks of the different tools used

in rehabilitation of such patients according

to the patient medical and functional status.

b9- Construct upgraded rehab. Programs for

elderly, patients with malignancy, organ

transplant and diabetic foot ulcer.

b10- Appraise the recent updates in

rehabilitation of elderly, patients with

malignancy, organ transplant and diabetic

foot ulcer.

b11- Appraise current literature in geriatric

rehabilitation and in the rehabilitation of

special conditions.

C.Professional

and Practical

Skills




c1- Apply standard clinical examination of

the musculoskeletal system for elderly,

patients with malignancy, organ transplant

and diabetic foot ulcer.

c2- Utilize certain tools for examination of









c9 Prescribe the appropriate orthosis


disorders.

c10 Supervise the physical


musculoskeletal components as

dynamometer, goniometer etc

c3- Recommend the relevant investigations

to detect complications related to

malignancy, diabetes and organ transplant.

c4- Recommend the relevant investigations

to determine the cause of functional deficits

in elderly.

c5- Plan an appropriate individualized

rehabilitation program for elderly, patients

with malignancy, organ transplant and

diabetic foot ulcer according to the problem

list of the patient as well as his / her needs.

c6- Assess functional performance of the

patients using standard methods of

measuring joints range of motion, muscle

strength etc.

c7- Assess the quality of life and disability

level using relevant questionnaires.

c8- Evaluate the patient at regular intervals

to continue or modify the program

accordingly.

c9- Determine the physical modality suitable

for elderly, patients with malignancy, organ

transplant and diabetic foot ulcer according

to the patient condition.

c10- Evaluate the patient properly to identify

the type of orthosis/assistive device needed.

c11- Determine clearly the specifications of

the assistive device to fit properly with the

patient.

c12- Specify clearly the components of the

rehab program for the therapist.

.

D. General d1- Retrieve information from all d1- Identify the sources ( textbooks,

Skills






websites etc.) that deal with diseases in

elderly, patients with malignancy, organ

transplant and diabetic foot ulcer.

d2- Utilize these sources to get information

about these diseases.

d3- Recognize the trustable approved

sources of information dealing with these

diseases.

d4- Appraise the evidence-based

information dealing with these diseases.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Common medical problems in elderly

and their management.

✓ ✓ ✓

Principals of rehabilitation of aged

patients.

✓

Rehabilitation of the effect of

hospitalization of geriatric patients.

✓

Principals of exercising geriatric

patients.

✓ ✓

Physical therapy & rehabilitation of

aged and cancer patients.

✓ ✓

Gait disorders in geriatric patients. ✓

Rehabilitation of geriatric patients with

balance disorders.

✓ ✓

Rehabilitation of patients with organ

transplant.

✓

The use of assistive devices, crutches,

canes, walkers and wheelchairs.

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 80 %


Others %


Lecture Notes

✓

Course Text Books

Krusen Textbook of Physical Medicine &

Rehabilitation.



✓

Course Instructor

Name: Ass. Prof. Dr. Naglaa Abe El Mohasen Signature:

Program Coordinator



Name: Prof. Dr. Dia Mohasseb. Signature:

✓

✓

✓



Faculty: Medicine


Course Information

Course Code: 05300814 Course Name: Orthotics, Prosthetics & Assistive Devices


Number of Credit Hours : 1 Theoretical Clinical/Practical

Course Aims : To provide the students with knowledge about: 1. The different upper limb orthoses, lower

limb orthoses, upper limb prostheses, lower limb prostheses, spinal orthoses. Functional and static varieties are included. Special

emphasis is made on principles of orthotic and prosthetic prescription and the various forms of orthoses and prostheses.2. The

different methods for assessment in the practice of rehabilitation medicine (evaluation of muscle power, joint ROM, ADL activities,

assessment of spinal deformities and movement, principles of posturography & balance assessment, …). 3. Walking aids: crutches,

walkers, canes, …. 4. Assistive devices used for eating, dressing, washing, working …. 5. Shoe modifications: for painful feet, foot

deformity, paralysis.



matrix) Course ILOs

A. Knowledge

and

Understanding




affections

a6- Describe up-to-date



a9- Recognize the quality standards

A1- Describe different types of orthotic

devices, prosthetic devices for different

anatomical body parts.

A2- Describe the different varieties of

walking aids.

A3- Recognize the biomechanical function

of the orthotic and prosthetic device.

A4- Recognize the biomechanical function

of the walking aids

A5- Identify the biomechanical function of

the devices to their intended clinical

indication.

0.5 0.5




A6- Recognize the quality standards in

prescription of well fitting orthosis,

prosthesis, walking aids and assistive

devices.

B. Intellectual

skills

b2- Use the structural and functional

characterisitics of the


the different pathological problems.


improvement in Physical Medicine,





B1- Analyze structural and functional

characteristics of musculoskeletal system in

patients in need for orthosis, prosthesis,

walking aid or assistive device.

B2- Identify structural and functional factors

indicating or contraindicating the use of

orthosis, prosthesis, walking aid or assistive

device.

B3- Determine the negative impact of the

use of the orthosis, prosthesis, walking aid

or assistive device on musculoskeletal

system

B4- Determine insufficiency in managing

orthosis and prosthesis fitting issues

B5 Plan for improving the process of

orthosis and prosthesis fitting.

B6- Review recent literature in the field.

B7- Recognize recent advances of orthotics

and prosthetics.

B8- Compare research outcome for different

devices.

C.

Professional

and Practical

Skills









C1- Evaluate clinically the patient in need of

an orthosis, prosthesis, walking aid or

assistive device.

C2- Interpret the clinical findings of patients

in need for orthosis, prosthesis, walking aid

or assistive device.

C3- Determine clinical problems of orthosis,

prosthesis, walking aid or assistive device.

C4- Manage functional impairments by

orthotics and prosthetics.

C5- Prescribe orthosis, prosthesis, walking

aid or assistive device.

C6- Determine functional goals of patients


techniques.

c7- Perform techniques for control of

spasticity.

c14- Report patient status in a comprehensive professional way.

in need of orthosis, prosthesis, walking aid


C7- Evaluate the functional performance of

the patient after fitting the device.

C8- Evaluate pain problems of patients in

need for orthosis, prosthesis, walking aid or

assistive device.

C9- Evaluate spasticity problems of patients

in need for orthosis, prosthesis, walking aid


C10- Prescribe assistive devices or orthosis

that can reduce pain.

C11- Utilize devices that help to reduce

spasticity.

C12- Record important aspects of the patient

using of orthosis, prosthesis, walking aid or

assistive device.

C13- Report on state of efficient or deficient

performance with fitted devices.

D. General

Skills


d9- Evaluate the sufficiency and efficiency of available medical resources in view of the work load.

D1- Communicate with professions

associated with orthosis, prosthesis, walking

aid or assistive device manufacturing.

D2- Determine logistics associated with

patient`s fitting to an orthosis, prosthesis,

walking aid or assistive device.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Upper limb orthosis ✓ ✓ ✓

Lower limb orthosis-1 ✓ ✓ ✓

Lower limb orthosis-2 ✓ ✓ ✓

Spinal orthosis ✓ ✓ ✓

Shoe modifications ✓ ✓ ✓

Upper limb prosthesis ✓ ✓ ✓

Lower limb prosthesis ✓ ✓ ✓

Walking aids ✓ ✓ ✓

Assistive devices ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others 10 %

✓ ✓

✓

✓ ✓


Lecture Notes

Lectures on CDs

Course Text Books

Atlas of Orthoses



Course Instructor

Name: Prof. Dr. Gihan Abd El Latif. Signature:

Program Coordinator:

Name: Ass Professor Dr Enas Shahine Signature:


Name: Professor Diaa Mohasseb Signature:



Faculty: Medicine


Course Information

Course Code: 05300815 Course Name: Biomechanics and Kinesiology


Rehabilitation.


Course Aims It includes 1.The principles of normal biomechanics 2. The main pathological biomechanics 3. Basics of

kinesiologic assessment 4. Principles of muscle testing 5. Principles of goniometry.



matrix) Course ILOs

A. Knowledge

and

Understanding




system






diseases.

a1. Recognize knowledge of the functional

anatomy of locomotor apparatus as it relates

to human function/ movement.

a2. Identify in details the anatomical

structures involved in motion performance.

a3. Identify in details the physiology of

structures involved in maintenance of human

posture and balance.

a4. Describe the mechanisms involved in

maintaining human dynamic and static

posture.

a5. Describe the details of normal gait cycle.

a6. Describe abnormal gait patterns.

a7. Identify the most recent methods used in

gait analysis.

a8. Define gait laboratory and its

components ( equipments)

1/2 1/2

B. Intellectual

skills











to classic cases.

b1. Select the most evidence-based methods

to assess human kinetics and kinematics.

b2. Appraise the most practical objective

clinical methods to assess the locomotor

system.

b3. Explain the changes occurring in

particular diseases in terms of biomechanical

alteration

b4. Plan for interference with morbid

biomechanical changes occurring in some

common problems

C.Professional

and Practical

Skills





c1. Perform muscle testing in a skillful

manner

c2. Perform goniometric assessment in a

skillful manner.

c3. Employ the different clinical methods to

test balance.

c4. Assess gait pattern using different gait

parameters.

c5. Apply standard questionnaires to detect

the impact of the locomotor disturbance on

the patient’s quality of life.

D. General

Skills



rehabilitation team

d1.Explain to the rehabilitation team the

biomechanical changes observed in a

particular patient and the measures needed to

cope with these changes

.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Functional anatomy of locomotion. ✓ ✓ ✓

Posture and balance. ✓ ✓ ✓

Gait laboratory. ✓

Human kinetics. ✓ ✓ ✓

Gait analysis. ✓ ✓ ✓

Vertebral column motion & stability ✓ ✓

Stresses acting on the lower limbs joints

during standing and walking

✓ ✓

Muscle testing ✓ ✓

Goniometric assessment ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %

✓

✓

✓


Lecture Notes

- Lectures

Course Text Books

- Locomotor System: Functional Anatomy.

- The Illustrated Guide to Functional

Anatomy of the Musculoskeletal System.

- KRUSEN'S HANDBOOK OF PHYSICAL

MEDICINE AND REHABILITATION.


- Internet web sites


- Archives of Physical Medicine and

Rehabilitation.

- American Journal of Physical Medicine and

Rehabilitation.

- Gait and posture

Course Instructor

Name: Ass. Prof. Dr. Sherin El Sherif. Signature:

Program Coordinator




http://www.google.com.eg/url?sa=t&source=web&cd=15&ved=0CCEQFjAEOAo&url=http%3A%2F%2Fwww.amazon.com%2FLocomotor-System-Functional-Anatomy-Michael%2Fdp%2FB000YCKVFI&ei=RD7HTO_aL8Oj4Qa-htGqDw&usg=AFQjCNHMJ86nwID0F8-UE9pVuRbaGxn9hQ

university: alexandria faculty : medicine · for physical medicine, rheumatology &...

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