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Terapeutik Manipulatif Kiropraksi

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    WELCOME TO OUR COURSE

     

     

  • Introduction

    W e l c o m e

    T e r a p e u t i k   M a n i p u l a t i f   K i r o p r a k s i

    [Therapeutics Manipulation - Chiropractics]

    Binawan University is an INTERNATIONAL - DIGITAL - Virtuous Campus, determined to shape graduates who are internationally competitive, in an environment of digital activities that prioritizes Information Technology and upholds Noble Morals which directs all members of Binawan to be Honest, Disciplined, Professional, and Virtuous.


    VISION

    To become the excellent higher education center with globally competitive and foremost in Indonesia by 2025

    MISSION

    To perform the 3 (three) Higher Education Duties (Tri Dharma Perguruan Tinggi) in accordance with knowledge development to fulfill National & International demands.

    To develop National – International networking to expand the cooperation between science and technology development, beneficial for the nation.

    Organizing a credible, transparent, fair and responsible coorporate and good governance university organization in accordance with national higher education standard (SNPT).

    Providing excellent and comprehensive services for Binawan University students.


    VISION Faculty of Health Sciences & Technology

    To become a leading Faculty of Health Sciences and Technology in producing competent graduates and innovative science and technology, globally competitive in 2025.

    MISSION Faculty of Health Sciences & Technology

    • Develop resources and management with integrity and accountability in supporting education, research and community service programs in the field of Health and Technology in line with the development of the digital era.
    • Realizing an academic culture in producing scientific works that are applicable, innovative and of international standard that are beneficial to the community.
    • Organizing a comprehensive operational quality assurance system that exceeds the National Higher Education Standards with continuous quality improvement.
    • Build a penta helix partnership network at the national and international levels. 


    1.  Course Description

    Spinal manipulation techniques that have been applied in various branches of the profession. The establishment of chiropractic technique is similar to manual therapy carried out by physiotherapists but significantly different in Philosophy. In this course, we will see the reasons or background for the development of chiropractic and how to apply those technique into clinical Physiotherapy. The design of this course has the following structure:

    1. Part One: Scientific and clinical development of chiropractic ( historical, philosophical, and theoretical contexts) [4  Sessions]
    2. Part Two: Research Related to Manipulation of musculoskeletal and neuromuscular conditions [2  Sessions]
    3. Part Three: Application of Chiropractic Approach Techniques: Patient Interaction, Handling, Spine Manipulation [8  Sessions]


    2. Course Learning Outcomes (CLO):

    1. Able to explain the history and principles of Manipulative practitioners – Chiropractic
    2. Interpret imaging and other laboratory results.
    3. able to carry out documentation related to manipulatives – chiropractic.
    4. Able to perform manipulative examinations related to neurology, orthopedics, connective tissue cases 
    5. Able to make adjustment/manipulation


    3. Graduate Learning Outcome

    ATTITUDE (S)

    S7

    Internalizing academic values, norms and ethics

    S10

    Able to be ethical and culturally sensitive in providing physiotherapy services

    KNOWLEDGE (P)

    P1

    Mastering knowledge of basic concepts, principles, and theories related to human health in general and specifically related to human movement, assessment and in-depth physiotherapy intervention technology to be able to formulate procedural problem solving

    P3

    Having knowledge of theoretical concepts about health care referral systems in general and specifically relating to the function of human movement in depth and able to formulate priority proposals for solving health problems

    GENERAL SKILLS (KU)

    KU3

    Able to study cases of application of science and technology that pays attention to and applies humanities values ​​according to their field of expertise in order to produce prototypes, standard procedures, designs or works of art, compile the results of their studies in the form of working papers, design specifications, or art essays, and upload them on the website College;

    KU4

    Able to compile the results of the above studies in the form of working papers, design specifications, or art essays, and upload them on the university's website;

    SPECIAL SKILLS (KK)

    KK1

    Able to work in health services as a professional physiotherapist by conducting assessments, diagnosis, intervention plans, implementation of physiotherapy interventions and evaluation of movement disorders/problems and human functions.

    KK2

    Able to solve problems of motion and human function through systematic analysis of problems of motion and human function and able to modify and adapt to the circumstances, conditions of the patient/client, family and community environment

    KK3

    Able to identify risk factors that can interfere with movement function activities and design alternative prevention

    Essential Material to follow :
    1. Syllabus 
    2. Rubrics
    3. Lecturer
    4. Attendance List
    5. Example of Laboratory Physiotherapy Report


    The steps to be successful in this Course.

    1. Become a self-regulated learner and an autonomous learner, where you can independently manage, manage and determine when to study, when to play and so on. You are the one who knows yourself better with your own busyness and activities, including your study time. You can also measure yourself the time it takes to study a particular topic. Everyone has a different pace of learning.
    2. Follow the instructions provided in the LMS. In this e-learning, there are various learning instructions that you can do.
    3. Actively ask. Ask colleagues and lecturers if there are instructions that are not understood or even material that is not understood.
    4. Tell a story. Tell the lecturer about your obstacles and obstacles in learning. Lecturer will help you

  • Week-1 : History of Vertebra Manipulation

    A. Description

    Spinal manipulation has been practiced for over two millennia. A Chinese text written two thousand years ago describes massage and exercises, and centuries later, another Chinese text illustrates a form of gravity traction. In the Western World Hippocrates describes a technique of spinal manipulation in the fifth century. Focus on those topic, this session we will explaining about the long history of Vertebral manipulation techniques.


    B. Relevance : Musculoskeletal, Basic Principle of Mobilization 

    C. Topics

    •  To place spinal manipulation in its proper historical context. 
    • To understand the development of early theories underlying the use of manipulation. 
    • To describe how several health professions other than chiropractic have adopted and adapted spinal manipulation.


    D. References

    Main References

    1. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341
    2. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]
    3. Salehi, A., Hashemi, N., Imanieh, MH, & Saber, M. (2015). Chiropractic: Is it Efficient in Treatment of Diseases? Reviews of Systematic Reviews. International journal of community based nursing and midwifery, 3(4), 244–254.
    4. Iben A, Lise H, Charlotte LY. Chiropractic maintenance care - what's new? A systematic review of the literature. Chiropractic Man Therapist. 2019 Nov 21;27:63. doi:10.1186/s12998-019-0283-6. Erratum in: Chiropr Man Therap. 2020 Jan 28;28(1):11. Erratum in: Chiropr Man Therap. 2020 Jan 28;28:11. PMID: 31832142; PMCID: PMC6868774.


    E. Learning Activity

    • Introduction (50 min)
    • Introduction to Lecture Procedures & Rules (50 min)
    • Discussion Regarding the History of Spinal Manipulation (50)
    • Introduction & Discussion (50 min)
    • Pre-Test Practical Ability (280 min)
    • Feedback (30 min)

  • Week-2: Philosophy in Chiropractic

    A. Description

    “Chiropractic philosophy” began its life as a series of hypotheses and a priori assumptions with roots in the popular and academic culture of the nineteenth century. Among the most prominent principles of chiropractic philosophy are homeostasis, holism, conservatism, the strategic role of the nervous system, and the desire for professional autonomy. In this session we will discuss about Chiropractic philosophy and see the differences between Physiotherapy and other profession philosophy.


    B. Relevance : Healthcare Philosophy, Physiotherapy Philosophy

    C. Topics

    • Review the historical roots of the principles and theories proposed by the Palmers.
    • Distinguish between philosophy as doctrine (dogma) and philosophy as a mode of critical inquiry, and to consider the relationship between philosophy and science.
    • Review several prominent principles (metaphors, heuristics, and a priori assumptions) in chiropractic. 
    • To consider the variety of epistemological strategies chiropractors employ and to point out fallacies of reasoning.
    • To delineate several major orientations or “schools of thought” within the chiropractic profession and to note some of the implications of these variations.

    D. References

    1. Susan J. Hall, Ph.D. (2012) Basic Biomechanics. Sevent Edition. College Of Health Sciences
    2. Bill Vicenzino, Wayne Hing, Toby Hall, Darren Rivett (2011) Mobilisation with Movement: The Art and the Science. Elsevier Australia, 2011 ISBN  0729538958, 978072953895

    3. Pettman, E. (2007). A history of manipulative therapy. Journal of Manual and Manipulative Therapy, 15(3), 165–174. https://doi.org/10.1179/106698107790819873

    E. Learning Activity

    • Chiropractic Understanding Video (50 min)
    • Discussion & Questions (30 min)
    • Demo (50 min)
    • Philosophy-Chiropractic therapeutic communication practicum (210 min)
    • Communication skill test (170 min)


  • Week 3 : Physical Examination - Musculoskeletal (1)

    A. Description

    In this topics we will see systematic reviews of randomized trials to summarize the evidence of effectiveness of a treatment by synthesizing the data or results from all published studies, and inform recommendations made in evidence-based clinical guideline. In the future event of research not only Physiotherapy but also Chiropractor, research is needed on the cost-effectiveness and cost utility of different types of  procedures as compared to other treatments for low back pain, neck pain, and other musculoskeletal conditions


    B. Relevance : Pathology, Musculoskeletal, Clinical Musculoskeletal. 

    C. Topics

    • To review the most appropriate study designs for evaluating treatment effectiveness and to discuss methods of summarizing research reporting on treatment effectiveness, including randomized clinical trials, systematic reviews, and evidencebased clinical practice guidelines.
    • To summarize, based on systematic reviews, evidence-based clinical guidelines, and recently published clinical trials, what is known regarding the effectiveness of spinal manipulation for acute and chronic low back pain.
    • To identify gaps in existing knowledge and to suggest areas for future research.

    D. References

    1. Ghasabmahaleh SH, Rezasoltani Z, Dadarkhah A, Hamidipanah S, Mofrad RK, Najafi S. Spinal Manipulation for Subacute and Chronic Lumbar Radiculopathy: A Randomized Controlled Trial. Am J Med. 2021 Jan;134(1):135-141. doi: 10.1016/j.amjmed.2020.08.005. Epub 2020 Sep 13. PMID: 32931763.
    2. Pickar JG. Neurophysiological effects of spinal manipulation. Spine J. 2002 Sep-Oct;2(5):357-71. doi: 10.1016/s1529-9430(02)00400-x. PMID: 14589467.

    3. Rist PM, Hernandez A, Bernstein C, Kowalski M, Osypiuk K, Vining R, Long CR, Goertz C, Song R, Wayne PM. The Impact of Spinal Manipulation on Migraine Pain and Disability: A Systematic Review and Meta-Analysis. Headache. 2019 Apr;59(4):532-542. doi: 10.1111/head.13501. Epub 2019 Mar 14. PMID: 30973196; PMCID: PMC6461372.


    E. Learning Activity

    • Quiz (50 min)
    • Discussion & Feedback (50 min)
    • Explanation & Demo on Types of physical examination (100 min)
    • Upper Extremity Muscle Examination Practicum (120 min)
    • Practicum Examination of Lower Extremity Muscles (120 min)
    • Examination Ability Test (70 min)

  • Week 4 : Physical Examination – Musculoskeletal (2)

    A. Description

    Stimulus energy can take different forms (e.g., mechanical, chemical, heat, light, sound). Sensory transduction is the process by which the stimulus energy changes the conformational state of membrane-bound proteins and elicits a generator potential in the form of electrochemical energy. It is believed that Spinal manipulation’s therapeutic effects may arise, at least in part, from its capacity to silence and/or activate the inflow of sensory information. So, In this session we will try to understand the benefit of sensory innervation related to individua overall health.


    B. Relevance : Neuromuscular, Physiology, Patophysiology

    C. Topics

    • To understand the role of the primary afferent neuron in mediating the transfer of information from the periphery to the central nervous system.
    • To review the anatomic organization of the vertebral column.
    • To review the mechanisms by which sensory stimuli elicit changes in the nervous system.
    • To identify those tissues in the vertebral column that are capable of signaling the presence of such stimuli.
    • To discuss the impact of spinal manipulation on spinal afferent input.


    D. References

    Main References

    1. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    2. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    3. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341
    4. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]


    E. Learning Activity

    • Quiz (50 min)
    • Discussion & Feedback (50 min)
    • Explanation & Demo on Types of Joint examination (100 min)
    • Joint Examination Practicum (240 min)
    • Examination Ability Test (70 min)

  • Week 5 : Physical Examination – Neuromuscular (2)

    A. Description

    In Clinical condition we have to understand All soft-tissue and bony structures are viscoelastic materials, meaning they possess both elastic and fluid properties that respond to external loading, such as compression, tension, and shear. These effects are described in terms of load–deformation curves. The primary soft-tissue structures that contribute to the biomechanics of the cervical spine include the ligaments, muscles, and the intervertebral discs. Each of these tissues has unique anatomical structures with their own biomechanical properties


    B. Relevance : Biomechanics, Kinesiology, Patophysiology

    C. Topics

    • To introduce the basic principles and nomenclature of importance in studying cervical biomechanics, including concepts such as elasticity, loading, and range of motion.
    • To discuss the different methods and their shortcomings for measuring global range of motion of the cervical & Lumbar spine.
    • To discuss the different anatomic structures that contribute to the biomechanical properties of the cervical spine & Lumbar.
    • To review the kinematics and kinetics of the cervical spine with reference to global range of motion and intersegmental ranges of motion.
    • To examine the role of intrinsic and extrinsic muscles in the normal biomechanics of the cervical & Lumbar spine.


    D. References

    Main References

    1. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    2. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341
    3. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]


    E. Learning Activity

    • Quiz (50 min)
    • Discussion & Feedback (50 min)
    • Explanation & Demo on Types of Joint examination (100 min)
    • Joint Examination Practicum (240 min)
    • Examination Ability Test (70 min)

  • Week 6 :Patient Manual Examination & Diagnosis : X-ray

    A. Description

    Risk factors are defined and measured in a variety of ways. This makes comparison of results from different studies difficult. In epidemiological research, the vast majority of studies are of an observational design; that is, researchers observe and measure a number of predetermined parameters in a defined study population without influencing any parameters relevant to the study. The most common research designs in epidemiology are cross-sectional studies, case-control studies, and cohort studies. Family and twin studies are genetic epidemiological study designs that can be used to describe and determine the genetic effects on disease occurrence as well as possible interactions between genes and environment.


    B. Relevance : Neuromuscular, Physiology, Patophysiology

    C. Topics

    • To introduce the reader to concepts and study designs in clinical and genetic epidemiology.
    • To address the issues of association and causality.
    • To review suspected risk factors for low back and neck pain and to describe the evidence for possible causal relationships.
    • To suggest how clinicians might communicate information about possible risk factors to their patients and to briefly describe future challenges in this field.


      • D. References

      Main References

      1. Gyer G, Michael J, Inklebarger J, Tedla JS. Spinal manipulation therapy: Is it all about the brain? A current review of the neurophysiological effects of manipulation. J Integr Med. 2019 Sep;17(5):328-337. doi: 10.1016/j.joim.2019.05.004. Epub 2019 May 9. PMID: 31105036.
      2. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341
      3. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]


      E. Learning Activity

    • X-ray Software Demo (100 min)
    • Manual & Functional Check Demo (50 min)
    • Manual & Functional Examination Practicum (250)
    • X-Ray Diagnostic Ability Test (110)


  • Week 7 :Clinical Disease History: concept – Terminology & Examination

    A. Description

    In Assessment process the clinical history needs to include information on the chief complaint, history of the condition, pain characteristics, associated symptoms, aggravating factors, relieving factors, previous similar episodes and treatment, leisure activities, occupational history, geographical history, and systems review. Additional information may also be gathered if indicated by the presenting complain. Here we will try to demonstrate how to take a history and use clinical terminology to help us understand the information from our patients.  


    B. Relevance : Physiology, Pathophysiology, Clinical Physiotherapy

    C. Topics

    • To review general and specific aspects of the case history.
    • To review the concept of the biopsychosocial model of disease.
    • To review the difference between a diagnosis and a clinical impression.
    • To emphasize practical approaches to obtaining a good case history in the context of chiropractic practice.

    D. References

    Main References

    1. Lendrum, C., 2014. Subjective examination for Physiotherapists. [online] STRENGTH PHYSIO. Available at: <http://www.strengthphysio.com/subjective-assessment-physiotherapy/>; [Accessed 23 March 2015].
    2. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341
    3. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]

    E. Learning Activity

    • Briefing (50 min)
    • Terminology proficiency test and Group 1 Examination (230 min)
    • Terminology proficiency test and Group 1 Examination (230 min)


  • MID TERM EXAM

    A.    Course Title

    :

    Manipulative - Chiropractic

    B.     Course Code/SKS

    :

     Fis20III329 (3 credit hour)

    C.     Semester

    :

    V

    D.    Study program

    :

    Physiotherapy

    E.     Nature of Courses

    :

    Face to face

    F.     Precondition

    :

     

    G.    Teaching Staff

    :

    Ezra Bernardus Wijaya

    H.    Meeting Time and Place     

    :

    Lab Practice

    Mid term Objectives:

    CPMK1 Able to explain the history and principles of Manipulative practitioners – Chiropractic

  • Week 9 : Lumbar manipulation biomechanics (1)

    A. Description

    Important cues from the history that indicate the need for a more specific and detailed physical examination arise from the review of systems. Those complaints relevant to a specific system should prompt further evaluation by the clinician using the procedures outlined in this session. n the examination of a region of the body, a systematic pattern of inspection, palpation, percussion, and auscultation should be followed. In addition, the use of special diagnostic tools such as the stethoscope, ophthalmoscope, and otoscope complete the diagnostic workup.

     

     


    B. Relevance : Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To review the purpose of the physical examination in the overall context of the clinical diagnostic process.
    • To identify important considerations to aid the student/clinician in performing a competent physical examination.
    • To identify important clinical cues from the history that would indicate the need for a specific and more detailed physical examination or screening procedure.
    • To identify common “red flags” or signs of serious pathology that would contraindicate chiropractic care and require referral to an appropriate medical practitioner.


    D. References

    Main References

    1. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    2. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    3. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Quiz (50 min)
    • Video Demo Lumbar area examination (50 min)
    • Lumbar examination & treatment practicum (240 min)
    • Discussion & Feedback (70 min)
    • Lumbar region examination ability test (100 min)

  • Week 10 Lumbar manipulation biomechanics (2)

    A. Description

    In this session we'll be discussing about evidence-based guidelines for radiography are based on the principle that diagnostic testing should only be performed when its result is likely to alter treatment. Use of these guidelines reduces unnecessary radiography, thereby reducing both exposure to radiation and cost, and improves the diagnostic yield of plain film radiographs, which is quite low in the absence of red flags. In the lumbar spine, for example, red flags include age older than 65, osteoporosis, persisting neurological deficit, night pain, and unexplained weight.


     

     

    B. Relevance : Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To trace the evolution of the use of radiographs within the chiropractic & Physiotherapy profession.
    • To provide evidence-based guidelines for the current use of x-ray in  practice.
    • To identify areas of controversy in the use of x-ray within chiropractic practice.
    • To review the categories of bone diseases and their salient clinical and radiological features.
    • To highlight the various pitfalls in radiographic interpretation in order to improve diagnostic accuracy


    D. References

    Main References

    1. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    2. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    3. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Quiz (50 min)
    • Demo Video Thoracic area examination (50 min)
    • Thoracic examination & treatment practicum (240 min)
    • Discussion & Feedback (70 min)
    • Ability Test Thoracic region examination (100 min)

  • Week 11 : Thoracic manipulation biomechanics (1)

    A. Description

    Manipulation procedures that employ a direct contact tend to be more specific than the methods that use longer levers.  The adjustive thrust can be defined as the application of a controlled directional force. This force is typically generated through a combination of practitioner muscular effort and body weight transfer. In this session we will focus on Lumbar manipulation

     

     

    B. Relevance : Kinesiology, Manipulation and Mobilization Physiotherapy, Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To review the support from various health care fields for the use of the high-velocity low-amplitude thrust (Lumbar Region)
    • To distinguish between the use of short and long levers with thrust techniques (Lumbar Region)
    • To differentiate between specific and general contacts taken with thrust technique (Lumbar Region)
    • To discuss the physics of the force developed and applied with thrust technique (Lumbar Region)


    D. References

    Main References

    1. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    2. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    3. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Thoracic Manipulation Video Demo (50 min)
    • Practical Handling Thoracic area manipulation (240 min)
    • Discussion & Feedback (70 min)
    • Thoracic region manipulation ability test (100 min)

  • Week 12: Thoracic manipulation biomechanics (2)

    A. Description

    In this session we will focus on Thoracic manipulation including ribs .Manipulation procedures that employ a direct contact tend to be more specific than the methods that use longer levers.  The adjustive thrust can be defined as the application of a controlled directional force. This force is typically generated through a combination of practitioner muscular effort and body weight transfer. 

     

     

    B. Relevance : Kinesiology, Manipulation and Mobilization Physiotherapy, Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To review the support from various health care fields for the use of the high-velocity low-amplitude thrust (Thorax Region)
    • To distinguish between the use of short and long levers with thrust techniques (Thorax Region)
    • To differentiate between specific and general contacts taken with thrust technique (Thorax Region)
    • To discuss the physics of the force developed and applied with thrust technique (Thorax Region)


    D. References

    Main References

    1. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 007137534
    2. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]
    3. Salehi, A., Hashemi, N., Imanieh, MH, & Saber, M. (2015). Chiropractic: Is it Efficient in Treatment of Diseases? Reviews of Systematic Reviews. International journal of community based nursing and midwifery, 3(4), 244–254.
    4. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    5. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    6. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Thoracic Manipulation Video Demo (50 min)
    • Practical Handling Thoracic area manipulation (240 min)
    • Discussion & Feedback (70 min)
    • Thoracic region manipulation ability test (100 min)

  • Week 13 : Cervical manipulation biomechanics (1)

    A. Description

    In this session we will focus on Cervical manipulation. The adjustive thrust can be defined as the application of a controlled directional force. While Manipulation procedures that employ a direct contact tend to be more specific than the methods that use longer levers.  This force is typically generated through a combination of practitioner muscular effort and body weight transfer. 

     

     

    B. Relevance : Kinesiology, Manipulation and Mobilization Physiotherapy, Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To review the support from various health care fields for the use of the high-velocity low-amplitude thrust (Cervical Region)
    • To distinguish between the use of short and long levers with thrust techniques (Cervical Region)
    • To differentiate between specific and general contacts taken with thrust technique (Cervical Region)
    • To discuss the physics of the force developed and applied with thrust technique (Cervical Region)


    D. References

    Main References

    1. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 007137534
    2. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]
    3. Salehi, A., Hashemi, N., Imanieh, MH, & Saber, M. (2015). Chiropractic: Is it Efficient in Treatment of Diseases? Reviews of Systematic Reviews. International journal of community based nursing and midwifery, 3(4), 244–254.
    4. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    5. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    6. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Quiz (50 min)
    • Video Demo Cervical area examination (50 min)
    • Practical examination & treatment on Cervical (240 min)
    • Discussion & Feedback (70 min)
    • Ability Test Cervical region examination (100 min)

  • Week 14 :Cervial manipulation biomechanics (2)

    A. Description

    The presentation and treatment of common and uncomplicated lumbar spine syndromes is reasonably distinctive. Skillful sorting of the clinical findings and selection of appropriate treatment should yield excellent outcomes in the majority of cases, and allow for the determination of those patients suitable for multidisciplinary care or surgery. So in this session students will be encourage not only applying assessment skill to do specific diagnosis but also being tested for manipulation skill.

     

     

    B. Relevance : Manipulation and Mobilization Physiotherapy, Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To review lumbar facet syndromes.
    • To review spondylolisthesis and spondylolysis.
    • To review lumbar intervertebral disc syndrome.
    • To review lumbar stenosis.
    • To review diffuse idiopathic skeletal hyperostosis.


    D. References

    Main References

    1. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 007137534
    2. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]
    3. Salehi, A., Hashemi, N., Imanieh, MH, & Saber, M. (2015). Chiropractic: Is it Efficient in Treatment of Diseases? Reviews of Systematic Reviews. International journal of community based nursing and midwifery, 3(4), 244–254.
    4. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    5. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    6. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Cervical Manipulation Video Demo (50 min)
    • Practical Handling Cervical area manipulation (240 min)
    • Discussion & Feedback (70 min)
    • Cervical region manipulation ability test (100 min)

    • resource icon
      Clinical Guideline File
    • folder icon
      Laboratory Practical Exam Report Folder
    • quiz icon
      Group-1 Quiz

      IMAM CAHYO ADI PUTRO
      GANJAR PUJO WICAKSONO
      MUHAMAD RA'IF MAHBUB
      MUHAMMAD ZAKI FATARIZQ
      ACHMAD HAKIM ZAEN
      IKHWANUL MIRZA

    • quiz icon
      Group-2 Quiz

      MELATI SKAR WANGI
      KADEK SUCI LESTARI PUTRI
      MEILANI AYU LESTARI
      NURAWAN NADHIR ALIF ATHALLAH
      DICKI RAMDHAN
      SYAHIDAH AINUL MARDHIYYAH
      NUR INDAH YUNANTRI
      NOVALLIN ENDRA DEVI

    • quiz icon
      Group-3 Quiz

      INATONIA

      ALIFAH NANDA ZALIKA

      DIVA CLARISSA NASUTION

      DONNA NATANYA SETYANINGRUM VANANTA

      KARIMA OCTAVIA

      KHAIRUNNISA FAJRIAH

      NABILAH AISYAH PUTERI

      AFIFA NUR RACHMA

      VANY SASKYA

      SINTA AFILIAH

      MUHAMMAD HAFIDZ ASH-SHIDDIQI

      LATHIFAH AYUNDARI

      DEVA NURIAFITRI

      VIECILIA TIRTA BUANA IMRON


    • quiz icon
      Group-4 Quiz

      INDAH IKA MAYA NINGTYAS
      RIZKY AMALIA WULANDARI
      RATIH OKTAVIANI
      SALSABILAH RENGGAYATI
      ULANDARI
      SAHLAH YUSUF BAISA

  • Week 15 :Clinical Exam

    A. Description

    The presentation and treatment of common and uncomplicated lumbar spine syndromes is reasonably distinctive. Skillful sorting of the clinical findings and selection of appropriate treatment should yield excellent outcomes in the majority of cases, and allow for the determination of those patients suitable for multidisciplinary care or surgery. So in this session students will be encourage not only applying assessment skill to do specific diagnosis but also being tested for manipulation skill.

     

     

    B. Relevance : Manipulation and Mobilization Physiotherapy, Clinical practice physiotherapy, Physiology, Pathophysiology, Assessment Physiotherapy

    C. Topics

    • To review lumbar facet syndromes.
    • To review spondylolisthesis and spondylolysis.
    • To review lumbar intervertebral disc syndrome.
    • To review lumbar stenosis.
    • To review diffuse idiopathic skeletal hyperostosis.


    D. References

    Main References

    1. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 007137534
    2. Susan J. Hall (2012) Basic biomechanics. New York: McGraw-Hill, 2012. ISBN [9781259095535]
    3. Salehi, A., Hashemi, N., Imanieh, MH, & Saber, M. (2015). Chiropractic: Is it Efficient in Treatment of Diseases? Reviews of Systematic Reviews. International journal of community based nursing and midwifery, 3(4), 244–254.
    4. Diagnostic Criteria in Neurology by Alan J.  ISBN: 9781597450782
    5. Atlas of Clinical Neurology by G. David Perkin; Fred H. Hochberg; Russell Lane; Douglas C. Miller; Maneesh C. Patel Tulane-s ISBN: 9780323032759
    6. Scott Haldeman, DC, MD, PhD (2005) PRINCIPLES & PRACTICE OF CHIROPRACTIC Third Edition. McGraw-Hill Education/Medical; 3rd edition (October 11, 2004). ISBN-10 ‏ : 0071375341


    E. Learning Activity

    • Post Test Quiz (170 min)
    • Mock Exam : Chiropractic Clinical Ability Test (340 min)

  • Final Exam

    A.    Course Title

    :

    Manipulative - Chiropractic

    B.     Course Code/SKS

    :

     FT165235(2 credit hour)

    C.     Semester

    :

    V

    D.    Study program

    :

    Physiotherapy

    E.     Nature of Courses

    :

    Face to face

    F.     Precondition

    :

     

    G.    Teaching Staff

    :

    Ezra Bernardus Wijaya

    H.    Meeting Time and Place     

    :

    Online & Blend Learning


    Final Exam Objectives:

    CPMK-2 : Interpret imaging and other laboratory results.

    CPMK-3 : Able to perform manipulative examinations related to neurology, orthopedics, connective tissue cases and able to carry out documentation related to manipulatives – chiropractic.

    CPMK-4 : Able to make adjustment manipulation


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