Veidlapa Nr. M-3 (8)
Study Course Description
Physiotherapy in Internal Medicine, Rheumatology, Geriatrics
Course Code
REK_060
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medical Services
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Daiga Pulmane
Structure Unit Manager
Liāna Deklava
Structural Unit
Department of Rehabilitation
Contacts
Riga, 26a Anninmuizas boulevard, rk@rsu.lv, +371 20271291
About Study Course
Objective
To acquaint with the role of physiotherapy technologies in the treatment of internal diseases, the reduction of disease risks and recurrence, the strengthening of physical health, the primary and secondary prevention of diseases, the improvement of the body’s functional abilities in case of chronic diseases and functional impairments cause by them, as well as the improvement of quality of life.
Preliminary Knowledge
In anatomy, physiology, pathological physiology and internal diseases.
Learning Outcomes
Knowledge
1.Students will gain evidence-based knowledge of the normal and pathological functions of internal diseases, rheumatology and geriatrics, their assessment principles and physiotherapeutic treatments, know the course of the examination, interpret the results for the patient/person, set short - and long-term treatment goals, choose appropriate physiotherapy techniques and methods, provide recommendations for lifestyle changes.
Individual work and tests
Individual work
Skills
1.The student will be able to perform clinical and functional examination of the patient, study of documentation, collection of a history, determination of specific tests – pulse and respiratory frequency, blood pressure, vital capacity, chest excursions, respiratory type, pain, active mobility, edema, etc., and determination of functional tests – 6 minutes of walking test, mobility test, fall risk, etc., determination of disease risks, interpretation of the data obtained by setting and formulating the main problem, objectives, application of physiotherapy techniques appropriate and effective to the patient.
Competences
1.Ability to purposefully obtain relevant information from the patient or authorised person and medical documentation, to apply scientifically sound, targeted and appropriate methods of assessment of physiotherapy, to perform structured and targeted physiotherapeutic examination of the patient at the level of functions and structures, activities and participation, as well as to assess contextual factors, to identify “red flags” and contraindications for treatment of physiotherapy, to formulate the main problem of the physiotherapist based on interpretation of the results of the assessment carried out by synthesising general and professional knowledge, plan an appropriate physiotherapy treatment program based on specific, measurable, time-bound, realistic goals, taking into account the individual choices and beliefs of the patient, to choose appropriate evidence-based medical technologies in physiotherapeutic treatment planning tailored to the individual needs of the patient.
Individual work and tests
Examination
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
10.00% from total grade
|
Test
|
|
Preparation of presentations on oral and rheumatological diseases, including recent research on physiotherapy/rehabilitation processes. Examination of patients and preparation of a physiotherapy minutes, collection of examination results, preparation of therapeutic programmes, preparation of a description and practical demonstration. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
0.00% from total grade
|
10 points
|
|
• In the learning process: participation in student group discussions, analysis of situational tasks, compilation of patient examination minutes, presentations in seminar classes (10%), short test work (10%). • final tests: practical clinical case (80%). |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Pulmonary rehabilitation. Clinical and physiological rationale for the use of physical exercise. Breathing techniques, characteristics thereof.
Physiotherapy after acute pneumonia: objectives, methods. Physiotherapy in case of pleurisy: objectives, methods. Physiotherapy in case of bronchiectasis: objectives, methods. Physiotherapy in case of lung surgery, before and after the surgery: objectives, methods.
Chronic obstructive pulmonary disease: bronchitis, pulmonary emphysema. Objectives.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Getting acquainted with the practical class plan, objectives and requirements thereof. Specifics of examination of therapeutic patients. Physiotherapy in cardiology: 6-minute walk test training, evaluation thereof. Acute myocardial infarction. Modes of movement in the hospital. Learning the exercise programme. Participation in the cardiology group.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in cardiology. Interview with the patient: taking of anamnesis, examination of the patient. Getting acquainted with medical history. Individual physiotherapy and group classes for patients. Discussions about disease risk factors, patient education. Physiotherapy in cardiac surgery: breathing exercises and patient activation in the early postoperative period.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Risk factors of coronary heart disease. Patient education. Cardiac rehabilitation, phases, objectives.
Physiotherapy after acute myocardial infarction: objectives, modes of movement in the hospital, characteristics thereof. Contraindications for physiotherapy. Physiotherapy in the recovery phase after acute myocardial infarction: objectives, modes of movement. Types of classes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in cardiology and cardiosurgery. Discussion of physiotherapy objectives, preparation of individual programmes, work with patients individually and in groups. Medical control of cardiac patients. Training in dosed walking. Discussions about patients, team discussions.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in cardiology and cardiosurgery. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Medical control of cardiac patients. Principles of exercise dosing for cardiac patients. Functional examinations of the cardiovascular system: 6-minute walk test, veloergometry. Using the results in the development of a rehabilitation programme. Karvonen Formula. Physiotherapy in case of a hypertensive heart disease: stages, objectives, methods. Physiotherapy in case of hypotonia: objectives, methods.
Physiotherapy in cardiac surgery: preparation of patients before and after surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in rheumatology. Patient examination methods. Learning physiotherapy techniques for rheumatoid polyarthritis, ankylosing spondyloarthritis. Work in groups. Discussions.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in rheumatology. Interview with the patient about the anamnesis of the disease, examination of the patient’s joint functions, formulation of the main problems, objectives, drawing up programmes. Work in groups. Discussions about patients, team discussions. Rehabilitation methods in rheumatology, characteristics thereof.
Physiotherapy in case of rheumatoid polyarthritis: joint clinic, objectives, methods.
Physiotherapy in case of ankylosing spondyloarthritis: postural changes.
|
|
Gout, Reiter’s syndrome, psoriatic arthritis. Brief description of diseases. Possibilities of physiotherapy.
Peripheral vascular diseases: arterial diseases, characteristics thereof. Physiotherapy in the conservative and surgical stages of treatment.
Peripheral vascular diseases: vein diseases. Physiotherapy tactics.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in rheumatology. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Learning breathing techniques.
Exercises after acute pneumonia, pleurisy. Individual and group classes.
Physiotherapy and patient training before lung surgery.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Physiotherapy in gastroenterology: gastritis, ulcer disease, gastroptosis, constipation.
Physiotherapy in case of diabetes mellitus: objectives, methods. Patient education.
Obesity as a disease. Body mass index, stages of obesity.
Effect of physical exercise on weight management. Geriatrics: ageing and examination specifics, geroprophylaxis.
Principles for activating the elderly.
Types of physical exercise for the elderly.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Learning drainage techniques. Physiotherapy in case of chronic obstructive bronchitis and bronchiectasis. Activating patients after lung surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Learning relaxation techniques. Activating patients after lung surgery. Patient examination, discussing medical histories.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Individual and group work with patients. Team discussions. Evaluating treatment results. Drawing up a home programme.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in vascular surgery. Characteristics of surgeries, principles of physiotherapy after surgery. Diabetes mellitus and physical activity. Taking anamnesis.
Exercises.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in geriatrics, functional assessment of the elderly, formulation of needs, objectives and requirements. Possible physiotherapy exercises. Discussions, conclusion of the cycle.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Exam
PART-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Pulmonary rehabilitation. Clinical and physiological rationale for the use of physical exercise. Breathing techniques, characteristics thereof.
Physiotherapy after acute pneumonia: objectives, methods. Physiotherapy in case of pleurisy: objectives, methods. Physiotherapy in case of bronchiectasis: objectives, methods. Physiotherapy in case of lung surgery, before and after the surgery: objectives, methods.
Chronic obstructive pulmonary disease: bronchitis, pulmonary emphysema. Objectives.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Getting acquainted with the practical class plan, objectives and requirements thereof. Specifics of examination of therapeutic patients. Physiotherapy in cardiology: 6-minute walk test training, evaluation thereof. Acute myocardial infarction. Modes of movement in the hospital. Learning the exercise programme. Participation in the cardiology group.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in cardiology. Interview with the patient: taking of anamnesis, examination of the patient. Getting acquainted with medical history. Individual physiotherapy and group classes for patients. Discussions about disease risk factors, patient education. Physiotherapy in cardiac surgery: breathing exercises and patient activation in the early postoperative period.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Risk factors of coronary heart disease. Patient education. Cardiac rehabilitation, phases, objectives.
Physiotherapy after acute myocardial infarction: objectives, modes of movement in the hospital, characteristics thereof. Contraindications for physiotherapy. Physiotherapy in the recovery phase after acute myocardial infarction: objectives, modes of movement. Types of classes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in cardiology and cardiosurgery. Discussion of physiotherapy objectives, preparation of individual programmes, work with patients individually and in groups. Medical control of cardiac patients. Training in dosed walking. Discussions about patients, team discussions.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in cardiology and cardiosurgery. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Medical control of cardiac patients. Principles of exercise dosing for cardiac patients. Functional examinations of the cardiovascular system: 6-minute walk test, veloergometry. Using the results in the development of a rehabilitation programme. Karvonen Formula. Physiotherapy in case of a hypertensive heart disease: stages, objectives, methods. Physiotherapy in case of hypotonia: objectives, methods.
Physiotherapy in cardiac surgery: preparation of patients before and after surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in rheumatology. Patient examination methods. Learning physiotherapy techniques for rheumatoid polyarthritis, ankylosing spondyloarthritis. Work in groups. Discussions.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in rheumatology. Interview with the patient about the anamnesis of the disease, examination of the patient’s joint functions, formulation of the main problems, objectives, drawing up programmes. Work in groups. Discussions about patients, team discussions. Rehabilitation methods in rheumatology, characteristics thereof.
Physiotherapy in case of rheumatoid polyarthritis: joint clinic, objectives, methods.
Physiotherapy in case of ankylosing spondyloarthritis: postural changes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in rheumatology. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Learning breathing techniques.
Exercises after acute pneumonia, pleurisy. Individual and group classes.
Physiotherapy and patient training before lung surgery.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Physiotherapy in gastroenterology: gastritis, ulcer disease, gastroptosis, constipation.
Physiotherapy in case of diabetes mellitus: objectives, methods. Patient education.
Obesity as a disease. Body mass index, stages of obesity.
Effect of physical exercise on weight management. Geriatrics: ageing and examination specifics, geroprophylaxis.
Principles for activating the elderly.
Types of physical exercise for the elderly.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Learning drainage techniques. Physiotherapy in case of chronic obstructive bronchitis and bronchiectasis. Activating patients after lung surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Learning relaxation techniques. Activating patients after lung surgery. Patient examination, discussing medical histories.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in pulmonology and lung surgery. Individual and group work with patients. Team discussions. Evaluating treatment results. Drawing up a home programme.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in vascular surgery. Characteristics of surgeries, principles of physiotherapy after surgery. Diabetes mellitus and physical activity. Taking anamnesis.
Exercises.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Physiotherapy in geriatrics, functional assessment of the elderly, formulation of needs, objectives and requirements. Possible physiotherapy exercises. Discussions, conclusion of the cycle.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Guccione's Geriatric Physical Therapy. 4th edition, St. Lous, Elsevier/Masby. 2020.
2.
Essentials of Cardiopulmonary Physical Therapy, ST. Lous, Elsevier/Masby 2022.
3.
Cardiorespiratory physiotherapy : adults and paediatrics, Jenifer A Pryor, S.Armani Prasad, Churchill Livingstone, 2016.
4.
Cardiovascular and Pulmonary Physical Therapy, Elsevier, 2022.
5.
Tidy’s Physiotherapy/ edited by Stuart B. Porter.- 13th ed.-Edinburg: Butterworth Heinemann, 2013.
Additional Reading
1.
Andrejevs N., Praktiskā geriatrija, Rīga, 2006.
2.
Mauriņa, Lidija. Fiziskās aktivitātes kardioloģijā.Rīga, Nacionālais apgāds.2005.
Other Information Sources
1.
RSU zinātniskās datu bāzes