Study Guide. Master of Science in Physiotherapy (Kandidatuddannelsen i fysioterapi)

Transcription

1 Study Guide Master of Science in Physiotherapy (Kandidatuddannelsen i fysioterapi) Motion analysis in physiotherapy research and the clinical setting 3rd semester (5th quarter) (October 24 - November ) 1

2 Contents Contents... 2 Prerequisites... 3 Course content... 3 Aims of the course... 3 Achieved skills... 3 Teaching methods... 3 Workload... 4 Module overview... 5 Evaluation and testing... 5 Evaluation of the module... 5 Course coordinator... 6 Course secretary... 6 Lecturers... 6 Course Plan... 7 References

3 Prerequisites A bachelor in sports science, physiotherapy, occupational therapy, medicine or clinical biomechanics. Course content The course will give insight into specific methods and software used for collection and analysis of 2D and 3D motion analysis data. The course will give insight into the use of the above-mentioned methods to investigate selective physiotherapy related research questions. The course will give insight to basic analytical methods to analyze biomechanical data The course will give hands-on experience with working in a motion analysis laboratory Aims of the course The aims of the course Motion analysis in physiotherapy research and the clinical setting are to give students knowledge about different methods and software for 2D and 3D motion analysis in the research laboratory and in the clinical setting, their strength and weaknesses and how to interpret the results. Achieved skills Completion of the course will give the student the following skills: Theoretical, Academic skills Knowledge about basic biomechanical concepts such as; kinematics and kinetics Knowledge about 2D and 3D motion analysis methods and software and their strengths and limitations in physiotherapy research and in the clinical setting Basic knowledge on analytical methods used in biomechanical research Ability to synthesize and present obtained 2D and 3D biomechanical data Ability to read and critically scrutinize research literature on motion analysis Practical, Didactic skills Assist in set-up and collection of 3D data in the biomechanical laboratory Be responsible for set-up and collection of 2D data in the clinical setting Ability to graphically present obtained biomechanical data Teaching methods Combination of lectures, problem-based learning and laboratory exercises. The students are expected to engage actively in discussions during lectures and exercises. Furthermore, they are expected to participate actively in laboratory experiments and participate in the preparation of work reports from the experiments. 3

4 Workload 5 ECTS equivalent to approximately 138 hours of course work: Course literature + e-course Scheduled lectures and exam Group work Exam preparation Total 71 hours 37 hours 10 hours 20 hours 138 hours 4

5 Module overview Week 1 (43) (24/10-28/10) Week 2 (44) (31/10-4/11) Week 3 (45) (7/11-11/11) Monday Tuesday Wednesday Thursday Friday Course Introduction to 2D motion introduction (JBT) 2D motion analysis group analysis and work (JB) Motion analysis group work (JB) theory (AHL) International guest lecture on biomechanics in knee osteoarthritis (MWC+JBT) Exam questions Evaluation and testing D motion analysis in the biomechanical lab (AHL, TS) Track-Star demonstration (TS) D motion analysis group work (AHL, TS) Group presentations (AHL) D motion analysis group work (JB) Group presentations (JB) EXAM (3 hours) The course is completed with a 3 hour written exam. All aids are allowed for the exam except internet access. Grading of students will be according to 7 trins-skalaen by intern evaluation. The grade 12 is given when the student demonstrates comprehensive understanding and knowledge in relation to the content and aim of the course with only minor insufficiencies. Evaluation of the module An oral evaluation will be conducted on the last course day (together with exam questions) with the course coordinator and/or the program leader of the Master of Science Programme in Physiotherapy. Additionally, the course will be evaluated in the standardized manner of the University of Southern Denmark (i.e. electronic evaluation questionnaire via e-learn). 5

6 Course coordinator Associate professor Jonas Bloch Thorlund Department of Sports Science and Clinical Biomechanics Phone: / Course secretary Inge Poetzsch Winsløwparken 19, III, 5000 Odense C Phone: ipoetzsch@health.sdu.dk Lecturers Associate Professor Anders Holsgaard-Larsen (AHL), Department of Orthopedics and Traumatology, Odense University Hospital and Department of Clinical Sciences Assistant Professor Jan Brønd (JB), Department of Sports Science and Clinical Biomechanics, University of Southern Denmark Engineer Tue Skallgård (TS), Department of Sports Science and Clinical Biomechanics, University of Southern Denmark Assistant head of school Mark W. Creaby, Australian Catholic University, Department of Sports Science, Brisbane, Australia Associate Professor Jonas Bloch Thorlund (JBT), Department of Sports Science and Clinical Biomechanics, University of Southern Denmark 6

7 Course Plan Week 1 (24/10-28/10) Day: Monday, October 24 Room: Meeting room 5, 1. floor, building Course introduction (JBT) Introduction to clinical 3D motion analysis. Kinetic and kinematic outcomes. Defined phases of a stride and reference values of normal gait (AHL) Movement analysis and pathology - Osteoarthritis of hip and knee, anterior cruciate ligament injuries and cerebral palsy. (AHL) Literature: Richards J. Biomechanics in Clinic and Research (text book). Elsevier, 2008: - Chapter 4, pp Chapter 5, pp Chapter 6, pp (detailed understanding not necessary) - Chapter 8, pp Gage JR. Specific problems of the hips, knees and ankles, Chapter 13, page in The Treatment of Gait Problems in Cerebral Palsy, Edited by James R Gage. Hall M, Stevermer CA, Gilette JC. Gait analysis post anterior cruciate ligament reconstruction: Knee osteoarthritis perspective, Gait & Posture, 36(1):56-60, 2012 Kean CO, Hinman RS, Bowles KA, Cicuttini F, Davies-Tuck M, Bennell KL. Comparison of peak knee adduction moment and knee adduction impulse in distinguishing between severities of knee osteoarthritis, Clin Biomech, 27(5), , 2012 Rasmussen HM, Nielsen DB, Pedersen NW, Overgaard S, Holsgaard-Larsen. Gait deviation index, Gait profile score and Gait variable score in children with spastic cerebral palsy: Intra-rater reliability and agreement across two repeated sessions, Gait & Posture, 42(2), , 2015 Rosenlund S, Holsgaard-Larsen A, Overgaard S, Jensen C. The Gait deviation index is associated with hip muscle strength and patient-reported outcome in patients with severe hip osteoarthritis A cross-sectional study, PLoS One, 11(4), 2016 Jensen C, Rosenlund S, Nielsen DB, Overgaard S, Holsgaard-Larsen A. The use of the Gait Deviation Index for the evaluation of participants following total hip arthroplasty: An explorative randomized trial, Gait & Posture, 42(1), 36-41,

8 Day: Wednesday, October 26 Room: Running lab and meeting room 2 (Department of Sports Science and Clinical Biomechanics) Assignment before lecture 1: 1. Make a video recording of a standing long jump. Make sure the camera is steady during the full movement (you can use your phone for this if you want). 2. Install the software Kinovea ( and SkillSpector ( on your own computer. The software is only available for Windows. The software can be installed on Apple OSX, but requires dual boot. We have few windows computers that can be borrowed for the group work. 3. If you have access to a video camera, bring it! Qualitative and quantitative movement analysis Qualitative movement analysis of the standing long jump using Kinovea Introduction to quantitative movement analysis (kinematic analysis using video) Hands on 2D motion analysis using SkillSpector and standard off-the-shelf-camera (JB) Group work: Collection of own data for analysis (JB) Literature: Richards J. Biomechanics in Clinic and Research (text book). Elsevier, 2008: - Chapter 8, pp Damsted C, Nielsen RO, Larsen LH, Reliability of video-based quantification of the kneeand hip angle at foot strike during running. Int J Sports Phys Ther, 10(2), , 2015 Maykut JN, Taylor-Haas JA, Paterno MV, DiCesare CA, Ford KR, Concurrent validity and reliability of 2D kinematic analysis of frontal plane motion during running. Int J Sports Phys Ther, 10(2), , 2015 Day: Thursday, October 27 Room: Meeting room 4 (Department of Sports Science and Clinical Biomechanics) Group work: Data collection, analysis and interpretation (JB) Day: Friday, October 28 Room: Meeting room 4 (Department of Sports Science and Clinical Biomechanics) Group work: Data analysis and interpretation (JB) Presentation of own data (JB) Week 2 (31/10-4/11) Day: Wednesday, November 2 Room: Motion analysis laboratory, ground floor, building D motion analysis. Introduction to the Gait Lab, marker protocol and placement, data collection and processing. Collection of data for group exercise (AHL, TS) 8

9 Literature: Richards J. Biomechanics in Clinic and Research (text book). Elsevier, 2008: - Chapter 9, pp Sonne-Holm S, Bencke J, Jacobsen S. Klinisk Ganganalyse En oversigt over anvendeligheden af et ganglaboratorium. Ugeskrift for læger 169/4, Day: Tuesday, November 3 Room: U72, Motion analysis laboratory, ground floor, building Track-Star demonstration. Demonstration of a biomechanical analysis of movement without motion capture (TS) Group work: Analyzing and interpreting data from 3D motion analysis (AHL) Presentation of group work (AHL) Literature: - Week 3 (7/11-11/11) Day: Monday, November 7 Room: U Online (live) guest lecture Biomechanics in osteoarthritis (OA) research (Assistant Head of School Mark W. Creaby, School of Exercise, Australian Catholic University, Brisbane, Australia) Exam related questions. (JBT) Literature: Hinman RS, Bowles KA, Metcalf BB, Wrigley TV, Bennell KL. Lateral wedge insoles for medial knee osteoarthritis: Effects on lower limb frontal plane biomechanics. Clin Biomechanics 27, 27-33, 2012 Simic M, Hunt MA, Bennell KL, Hinman RS, Wrigley TV. Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: The effect of varying trunk lean angles. Arthritis Care Res 64(10), , 2012 Additional group readings: Guo M, Axe MJ, Manal K. The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis. Gait Posture 26(3), , 2007 Mündermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheum 50(4), , 2004 Prodromos CC, Andriacchi TP, Galante JO. A relationship between gait and clinical changes following high tibial osteotomy. J Bone Joint Surg Am 67(8), ,

10 Aaboe J, Bliddal H, Messier SP, Alkjær T, Henriksen M. Effects of an intensive weight loss program on knee joint loading in obese adults with knee osteoarthritis. Osteoarthritis Cartilage 19(7), , 2011 Day: Friday, November 11 Room: U7 Time: hour written exam (all aids are allowed NO internet access) 10

11 References Richards J. Biomechanics in Clinic and Research (text book). Elsevier, 2008: - Chapter 4, pp Chapter 5, pp Chapter 6, pp (detailed understanding not necessary) - Chapter 8, pp Chapter 8, pp Chapter 9, pp Damsted C, Nielsen RO, Larsen LH, Reliability of video-based quantification of the knee- and hip angle at foot strike during running. Int J Sports Phys Ther, 10(2), , 2015 Gage JR. Specific problems of the hips, knees and ankles, Chapter 13, page in The Treatment of Gait Problems in Cerebral Palsy, Edited by James R Gage. Guo M, Axe MJ, Manal K. The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis. Gait Posture 26(3), , 2007 Hall M, Stevermer CA, Gilette JC. Gait analysis post anterior cruciate ligament reconstruction: Knee osteoarthritis perspective, Gait & Posture, 36(1):56-60, 2012 Hinman RS, Bowles KA, Metcalf BB, Wrigley TV, Bennell KL. Lateral wedge insoles for medial knee osteoarthritis: Effects on lower limb frontal plane biomechanics. Clin Biomechanics 27, 27-33, 2012 Jensen C, Rosenlund S, Nielsen DB, Overgaard S, Holsgaard-Larsen A. The use of the Gait Deviation Index for the evaluation of participants following total hip arthroplasty: An explorative randomized trial, Gait & Posture, 42(1), 36-41, 2015 Kean CO, Hinman RS, Bowles KA, Cicuttini F, Davies-Tuck M, Bennell KL. Comparison of peak knee adduction moment and knee adduction impulse in distinguishing between severities of knee osteoarthritis, Clin Biomech, 27(5), , 2012 Maykut JN, Taylor-Haas JA, Paterno MV, DiCesare CA, Ford KR, Concurrent validity and reliability of 2D kinematic analysis of frontal plane motion during running. Int J Sports Phys Ther, 10(2), , 2015 Mündermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheum 50(4), , 2004 Prodromos CC, Andriacchi TP, Galante JO. A relationship between gait and clinical changes following high tibial osteotomy. J Bone Joint Surg Am 67(8), ,

12 Rasmussen HM, Nielsen DB, Pedersen NW, Overgaard S, Holsgaard-Larsen. Gait deviation index, Gait profile score and Gait variable score in children with spastic cerebral palsy: Intra-rater reliability and agreement across two repeated sessions, Gait & Posture, 42(2), , 2015 Rosenlund S, Holsgaard-Larsen A, Overgaard S, Jensen C. The Gait deviation index is associated with hip muscle strength and patient-reported outcome in patients with severe hip osteoarthritis A crosssectional study, PLoS One, 11(4), 2016 Simic M, Hunt MA, Bennell KL, Hinman RS, Wrigley TV. Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: The effect of varying trunk lean angles. Arthritis Care Res 64(10), , 2012 Sonne-Holm S, Bencke J, Jacobsen S. Klinisk Ganganalyse En oversigt over anvendeligheden af et ganglaboratorium. Ugeskrift for læger 169/4, Aaboe J, Bliddal H, Messier SP, Alkjær T, Henriksen M. Effects of an intensive weight loss program on knee joint loading in obese adults with knee osteoarthritis. Osteoarthritis Cartilage 19(7), ,