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PHT542 Physiotherapy In Orthopaedics UITM Assignment Answer Malaysia 

The PHT542 Physiotherapy in Orthopaedics course at UITM aims to provide students with a comprehensive understanding of musculoskeletal tissue and trauma. The course emphasizes the processes of healing and repair, clinical features, and complications associated with musculoskeletal injuries. The Physiotherapy Orthopaedics course also focuses on developing the skills necessary for evaluating factors related to individual presenting problems in the peripheral musculoskeletal system. Students will learn about the principles of doctor management and the effects of immobilization on healing. Additionally, the PHT542  course highlights the role of physiotherapists in maximizing positive effects on healing during the immobilization and post-immobilization stages.

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Assignment Task 1: Explain principles of bone tissue healing, function and dysfunction of bone and joint, doctor and physiotherapy management of bone and joint.

Principles of Bone Tissue Healing: Bone tissue healing follows a specific process called fracture healing, which can be divided into three phases: the inflammatory phase, the reparative phase, and the remodeling phase.

  • Inflammatory Phase: Immediately after a bone fracture, bleeding occurs at the fracture site, leading to the formation of a blood clot. Inflammatory cells migrate to the area, initiating an inflammatory response. The clot acts as a temporary scaffold for the subsequent healing process.
  • Reparative Phase: In this phase, specialized cells called osteoblasts and chondroblasts are involved in the repair process. Osteoblasts lay down a collagen-rich matrix that forms a callus around the fracture site. Chondroblasts convert the callus into cartilage. Eventually, the callus is replaced by woven bone through a process known as endochondral ossification.
  • Remodeling Phase: This phase involves the replacement of the woven bone with lamellar bone, which is stronger and more organized. The remodeling phase can last for several months to years, during which the bone gradually gains its original strength and structure.

Function and Dysfunction of Bone and Joint: Bones provide mechanical support, protect vital organs, and allow for movement. We also serve as a mineral reservoir and participate in blood cell formation. Joints are the connections between bones, enabling movement and providing stability.

Dysfunction of bones and joints can occur due to various conditions such as fractures, osteoarthritis, rheumatoid arthritis, osteoporosis, ligament sprains, and muscle strains. These conditions can lead to pain, restricted mobility, deformity, instability, and impaired quality of life.

Doctor and Physiotherapy Management of Bone and Joint: Doctors play a crucial role in the management of bone and joint conditions. They assess and diagnose the specific condition, order diagnostic tests (e.g., X-rays, MRIs), prescribe medications, and perform  surgical interventions when necessary. 

Physiotherapy plays a vital role in the rehabilitation and management of bone and joint conditions. Physiotherapists use various techniques and modalities to promote healing, restore function, and relieve pain. This may include manual therapy, therapeutic exercises, joint mobilization, electrotherapy, heat or cold therapy, and patient education. Physiotherapists also provide guidance on activity modification, assistive devices, and lifestyle modifications to optimize recovery and prevent future complications.

Assignment Task 2: Perform physiotherapy assessment in managing cases of traumatology condition

Performing Physiotherapy Assessment in Managing Cases of Traumatology Condition In managing cases of traumatology conditions, a physiotherapy assessment aims to gather information about the patient’s condition, functional limitations, and goals. The assessment typically involves the following components:

  1. Subjective Assessment: Physiotherapists interview the patient to obtain a comprehensive history of the condition, including the mechanism of injury, symptoms, previous treatments, and any relevant medical history. They also discuss the patient’s goals and expectations.
  2. Objective Assessment: Physiotherapists perform a physical examination to assess the patient’s range of motion, strength, joint stability, sensation, and functional abilities. They may use specific tests and measures to assess the affected area and identify any impairments or deficits.
  3. Special Tests and Investigations: In some cases, physiotherapists may request and interpret specific tests or investigations, such as X-rays, MRIs, or blood work, to assist in diagnosis and guide treatment planning.
  4. Functional Assessment: Physiotherapists evaluate the patient’s functional abilities and limitations related to activities of daily living, work, and leisure activities. This assessment helps identify specific areas requiring intervention and provides a baseline for tracking progress.

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Assignment Task 3: Present clinical reasoning within health and disability traumatology conditions.

Clinical reasoning within health and disability traumatology conditions involves the process of analyzing patient information, making judgments, and developing appropriate treatment plans. The following steps outline a typical clinical reasoning process:

  1. Gathering Information: Physiotherapists collect relevant data through subjective and objective assessments, including patient history, physical examination findings, special tests, and functional assessments.
  2. Analyzing and Interpreting Data: Physiotherapists review and analyze the collected information to identify patterns, potential impairments, and functional limitations. They consider the underlying causes of the condition, contributing factors, and any red flags that may require further investigation or referral.
  3. Formulating Hypotheses: Based on the analysis, physiotherapists generate hypotheses or clinical impressions regarding the primary problem, contributing factors, and potential goals of treatment. These hypotheses guide the development of an individualized treatment plan.
  4. Developing a Treatment Plan: Physiotherapists design a comprehensive treatment plan tailored to the patient’s specific needs. The plan may include therapeutic exercises, manual therapy techniques, modalities, education, and lifestyle modifications. They consider evidence-based practice guidelines, patient preferences, and available resources while formulating the plan.
  5. Implementing and Evaluating the Plan: Physiotherapists implement the treatment plan, monitoring the patient’s progress and adjusting interventions as needed. They reassess the patient regularly, comparing outcomes to initial baseline measurements. Modifications are made based on the patient’s response and overall goals.
  6. Reflecting and Revising: Throughout the treatment process, physiotherapists engage in reflective practice, critically evaluating the effectiveness of interventions and adjusting the treatment plan accordingly. They consider patient feedback, reassessments, and their own clinical expertise to optimize outcomes.

Clinical reasoning in traumatology conditions involves a dynamic and iterative process that allows physiotherapists to provide individualized and evidence-based care to patients, promoting their recovery and optimal function.

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