por5elo extended lower limb orthotics

EXTENDED EVIDENCE BASED ORTHOTIC MANAGEMENT OF THE LOWER LIMB

POR5ELO

2015

Credit points: 30

Subject outline

In this subject, students will develop a familiarity and understanding of the evidence base related to the clinical orthotic management of patients with complex lower limb pathologies. Sudents will demonstrate an ability to apply and communicate evidence and clinical information to generate appropriate orthotic clinical prescription and treatment planning for clients with complex lower limb presentations. Students will develop skills in the application of clinical assessment, prescription and practical skills in the orthotic management of complex lower limb pathologies with a focus on Knee Ankle Foot Orthoses (KAFO's). Clinical decision making skills and the justification of orthotic management are emphasized with peer based case studies and volunteer patients. Students are expected to apply previous knowledge and skills from preceding subjects.

SchoolSchool of Allied Health

Credit points30

Subject Co-ordinatorAnthony Francis

Available to Study Abroad StudentsYes

Subject year levelYear Level 5 - Masters

Exchange StudentsYes

Subject particulars

Subject rules

Prerequisites POR4FAE and POR5SAT

Co-requisitesN/A

Incompatible subjectsN/A

Equivalent subjectsN/A

Special conditions Students will be randomly assigned to a subject instance that is compatible with their enrolment in this and other fourth year subjects. That is, each student will be randomly assigned to a group of subject instances that are timetabled to enhance participation and avoid clashes for students in that group. This is administered by the NCPO.

Learning resources

Readings

Resource Type	Title	Resource Requirement	Author and Year	Publisher
Readings	A review of the Literature Pertaining to KAFO's and HKAFOs for ambulation. Journal of Prosthetics and Orthotics.	Prescribed	Fatone, S. 2006	VOL 18, NUM 3S, PP137-168
Readings	The importance of being earnest about shank and thigh kinematics especially when using ankle-foot orthoses	Prescribed	Owen, E. 2010	PROSTHETICS AND ORTHOTICS INTERNATIONAL 34(3): 254-269
Readings	You've heard about outcome measures, so how do you use them? Integrating clinically relevant outcome measures in orthotic management of stroke. Prosthetics and Orthotics International.	Prescribed	Robinson, C and Fatone, S. 2012	PUBLISHED ONLINE 8 JUN 2012 AT HTTP://POI.SAGEPUB.COM/CONTENT/EARLY/2012/06/08/0309364612446650
Readings	An Atlas of Lower Limb Orthotics, Chapter 6: Knee orthosis and knee-ankle-foot orthoses	Preliminary	Condie, D.N. and Turner, M.S. 1997	CHAPMAN AND HALL, LONDON
Readings	Gait Analysis: Normal and Pathological Function	Preliminary	Perry, J. 2010	2ND EDN. SLACK INCORPORATED
Readings	Orthotics: A Comprehensive Clinical Approach, Chapter 4: Knee Ankle Foot Orthoses and Knee Orthoses	Preliminary	Edelstein, J. and Bruckner, J. 2002,	SLACK INCORPORATED

Graduate capabilities & intended learning outcomes

01. ) Create, justify and communicate evidence based clinical prescriptions for the orthotic management of clients with complex lower limb presentations. a. Identify and explain how client characteristics (eg. physical characteristics, social, environmental and financial factors, activity level) influence orthotic prescription b. Present a logical, evidence based argument to justify the prescription c. Communicate a strong rationale and evidence base for the development of an orthotic prescription

Activities:: Clinical presentation of evidenced based orthotic management plan for clients with complex lower limb conditions Clinical case study prescription and critique activities

02. ) Source, critique and apply current clinical, theoretical and research evidence describing the orthotic management of persons with complex lower limb presentations a. Synthesise and critically appraise professional literature relevant to management of persons with complex lower limb presentations b. Effectively communicate the evidence for orthotic management of persons with complex lower limb presentations c. Integrate evidence into the orthotic management of persons with complex lower limb presentations

Activities:: Critical review of current evidence base and process development for the integratio of evidence into clincal decision making processes undertaken in lectures, tutorial sessions and assessment tasks

03. ) Demonstrate competence in clinically relevant professional skills related to the provision of lower limb orthoses a. Safely undertake patient interactions including assessment, fit and optimisation of orthotic devices b. Co-ordinate the fabrication of lower limb orthotic devices using appropriate materials and technical procedures to achieve clinical goals, including the implementation of safe work practices.

Activities:: Knee Ankle Foot Enquiry requiring student demonstration of safe practice and clinical provision skills

Subject options

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Melbourne, 2015, Week 06-24, Day

Overview

Online enrolmentYes

Maximum enrolment sizeN/A

Enrolment information

Subject Instance Co-ordinatorAnthony Francis

Class requirements

Lecture/PracticalWeek: 06 - 24
One 28.0 days lecture/practical per study period on weekdays during the day from week 06 to week 24 and delivered via face-to-face.
"Students will attend a 2-week intensve program prior to activities to be completed in the 7-week clinical school"

Assessments

Assessment element	Comments	%	ILO*
One 1,500-word KAFO enquiry project	Including clinical assessment, provision, optimisation and critique	20	03
One 1-hour written examination		15	01, 02, 03
One 2,000-word lower limb orthotic evidence review and clinical improvement proposal		25	02
One 20-minute oral presentation and one 3,000-word assignment	Formulation and presentation of an evidence based clinical management plan	40	01, 03, 02

Melbourne, 2015, Week 28-46, Day