واالعتمادهيئة القومية لضمان جودة التعليم ال
University: Alexandria
Faculty : Medicine
Program Specifications (Academic year: 2013/ 2014)
واالعتمادهيئة القومية لضمان جودة التعليم ال
A. Basic Information:
1. Program title: Master Degree of Physical Medicine, Rheumatology & Rehabilitation
2. Program Award: Master Degree.
3. Department (s) offering the program; Physical Medicine, Rheumatology& Rehabilitation.
4. Program Coordinator :Ass Prof Dr Enas Shahin
5. External evaluator(s) : Prof Dr Alessandro Guistini
6. Type of the program: Single
7. Date of most recent program specifications approval: 10/3/2014 B. Professional Information:
1- Program Aims: The aim of this program is to:
1.1. Qualify candidates with skills needed for diagnosing, treating and rehabilitating rheumatic and joint diseases,
regional pain syndromes and all locomotor problems.
1.2 Provide a training program in orthotic and prosthetic prescription, electrodiagnosis and physical
therapeutic modalities
1.3 Offer a special training program for rehabilitating patients with disability, besides all neurological,
orthopedic, pediatric and surgical problems that necessitate rehabilitation
2- Academic reference standards (ARS)& ILOs:
Academic reference standards of Mater Degree in Physical Medicine, Rheumatology & Rehabilitation designed and
approved by Department of Physical Medicine, Rheumatology & Rehabilitation Faculty of Medicine. Alexandria
University. Based on: Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009).
Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National
[http://naqaae.org/main/php/book/index.php]
Benchmarks : guided by Accreditation Council for Graduate Medical Education (ACGME) program requirements
Domain Academic Reference
Standards
Ilos
A. Knowledge and
understanding
Graduate of this program
must have :
• Basic facts and theories of
Physical Medicine,
Rheumatology &
Rehabilitation and related
subjects/fields
By the end of the program the PG
students will be able to:
A1- Describe the characteristics of
structure, and function of different
components of musculoskeletal system
A2- Identify the effect of different factors
involved in the pathogenesis of
musculoskeletal disorders
A3- Discuss the etiology, pathogenesis and
clinical presentation of the different
musculoskeletal disorders
A4- Describe the management protocols
&/or procedures adopted in management
And rehabilitation of neuromusculoskeletal
affections.
واالعتمادهيئة القومية لضمان جودة التعليم ال
• Main advances in the field
of Physical Medicine,
Rheumatology &
Rehabilitation and relevant
update literature
• Quality standards of
practice in the field of
Physical Medicine,
Rheumatology &
Rehabilitation
• Basics and ethics of
scientific research ,
especially in what concerns
disabled and handicapped
A5 Recognize the recent advances in the
diagnosis of musculoskeletal diseases.
A6 Describe up-to-date management
procedures of neuro-musculoskeletal
disorders.
A7-Describe management and
rehabilitation of cardiovascular and
pulmonary disorders.
A8 Recognize the quality standards of
practice in the field of Physical Medicine,
Rheumatology and Rehabilitation in
relation to diagnosis.
A9 Recognize the quality standards in
practice of Physical Medicine,
Rheumatology & Rehabilitation in relation
to management.
A10 Review basics and ethics of scientific
research in general.
A11 Recognize basics and ethics
specifically relevant to disabled and
handicapped.
B. Intellectual
skills
Graduate must have the
following :
• Interpret clinical findings
to reach appropriate
differential diagnosis
• Use available information
to plan for a comprehensive
management plan for the
patient
By the end of the program the PG
students will be able to:
B1- Analyze the clinical signs and
symptoms of musculoskeletal problems to
reach a diagnosis /differential diagnosis
B2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different pathological
problems
B3- Plan the appropriate investigations for
each patient to help reaching the diagnosis
B4 Solve common and some uncommon
problems not conforming to classic cases.
B5 Evaluate risks imposed to the patient or
the managing team during professional
واالعتمادهيئة القومية لضمان جودة التعليم ال
• Co-operate in a team for
conduction of scientific
research in a field related to
the specialty.
practice related to the field of the specialty
B6 Recognize the essential principals of
scientific medical research.
B7 Plan for professional improvement in
physical medicine, rheumatology and
rehabilitation.
B8 Critically appraise current literature on
physical medicine, rheumatology &
Rehabilitation
C. Professional
skills
Graduate must have the
following:
• Conduct all basic technical
procedures in the fields of
Rheumatology, Physical
Medicine, Rehabilitation
and Electrodiagnosis
• Conduct some advanced
technical procedures in the
fields of Rheumatology,
Physical medicine,
Rehabilitation and
Electrodiagnosis
By the end of the program the PG
students will be able to:
C1- Perform full examination of different
components of the musculoskeletal system
C2. Manage the common types of
musculoskeletal disorders within
internationally accepted standards of time
and competency.
C3- Evaluate patients functionally.
C4- Perform basic electrodiagnostic
procedures.
C5 perform advanced electrodiagnostic
procedures.
C6- Perform different pain control
techniques.
C7 Perform techniques for control of
spasticity.
C8 Prescribe the appropriate physical agent
modalities and exercises for
neuromusculoskeletal disorder.
C9 Prescribe the appropriate orthosis or
prosthesis for locomotory disorders.
C10 Supervise the physical rehabilitation
plan.
C11 Perform intrarticular and soft tissue
injection.
c12Aspirate synovial fluid for major joints
واالعتمادهيئة القومية لضمان جودة التعليم ال
• Write comprehensive
medical report
C13 Recognize basics of medical reporting
C14 Report patient status in a
comprehensive professional way.
D. General and
transferrable
skills
Graduate must have the
following:
• Effective Communication
skills with his colleagues
and superiors, different
members of the
rehabilitation team &
patients of different social
levels
• Practice self appraisal and
determine learning needs.
• Leadership capabilities &
ability to work in multi-
disciplinary teams
• Able to manage time and
By the end of the program the PG
students will be able to:
D1- Retrieve information from all sources
(printed, electronic, communications
etc…).
D2-Verify the accuracy of scientific
material on basis of best evidence in
medicine and in practice
D3-Present scientific information to
individuals and groups of different
educational and social levels
D4 Communicate effectively with different
members of the rehabilitation team
D5 Use information technology to improve
his professional practice and improve his
learning abilities.
D6- Lead the rehabilitation team.
D7 Contribute efficiently in a
واالعتمادهيئة القومية لضمان جودة التعليم ال
resources effectively multidisciplinary team.
D8 Plan rehabilitation programs in
reference to available resources (place,
equipment, team and time).
D9 Evaluate the sufficiency and efficiency
of available medical resources in view of
the work load.
E. Attitudes and
ethical
behavior
Graduate must have the
following:
• Awareness of national code
of ethics & respect patients
rights
• Present ethical manners
when dealing with team
members, colleagues and
seniors.
By the end of the program the PG
students will be able to:
E1-Follow national code of ethics &
respect patients rights
E2-Council patients & parents with
appreciation and understanding
E3-Respect rights of disabled &
handicapped
E4-Deal with different team members in a
professional and cooperative manner
واالعتمادهيئة القومية لضمان جودة التعليم ال
Program courses ILOs Matrix
ILOs
Course title
A
1
A
2
A
3
A
4
A
5
A
6
A
7
A
8
A
9
A
10
A
11
B
1
B
2
B
3
B
4
B
5
B
6
B
7
B
8
Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation
X X X X
Physiology for Physical Medicine, Rheumatology & Rehabilitation
X X X
Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation
X X X X X X X
Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation
X X X X X X X X X X X
Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation
X X X X X X X X X
Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation
X X X X X X X X
Pathology for Physical Medicine, Rheumatology & Rehabilitation
X X X X X X
Applied Physics for Physical Medicine, Rheumatology & Rehabilitation
X X X X X
Physical Medicine I (Physical Agent Modalities & Electrotherapy)
X X X X X X X X X
Physical Medicine II (Exercises, Hydrotherapy, Manipulation, Traction and Massage)
X X X X X X
Rheumatology I X X X X X X X X X X X X X X X X X
Rheumatology II X X X X X X X X X X X X X X X X X
Regional Pain X X X X X X X X X X
Electrodiagnosis X X X X X X X X X X X X X X
Neurorehabilitation X X X X X X X X X X
Rehabilitation in Pediatrics X X X X X X X X X X X X X X
Rehabilitation in Orthopedic and Surgical Disorders
X X X X X X X
Rehabilitation in Rheumatological Conditions
X X X X X X X X
Chest and Cardiac Rehabilitations
X X X
Geriatric Rehabilitation and Rehabilitation of Special Conditions
X X X X X X X X X X X
Orthotics, Prosthetics & Assistive Devices
X X X X X X
Biomechanics & kinesiology X X X X X X
Thesis X X X X
واالعتمادهيئة القومية لضمان جودة التعليم ال
ILOs
Course title
C
1
C
2
C
3
C
4
C
5
C
6
C
7
C
8
C
9
C
1
0
C
1
1
C
1
2
C
1
3
C
1
4
D
1
D
2
D
3
D
4
D
5
D
6
D
7
D
8
D
9
E
1
E
2
E
3
E
4
Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation
Physiology for Physical Medicine, Rheumatology & Rehabilitation
X X
Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation
X X X
Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation
X X X X X X
Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation
X X X X X
Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation
X X X X X
Pathology for Physical Medicine, Rheumatology & Rehabilitation
Applied Physics for Physical Medicine, Rheumatology & Rehabilitation
X
Physical Medicine I (Physical Agent Modalities & Electrotherapy)
X X X X X X X X X X X X
Physical Medicine II (Exercises, Hydrotherapy, Manipulation, Traction and Massage)
X X X X X X X X
Rheumatology I X X X X X X X X X X X X X X X X X
Rheumatology II X X X X X X X X X X X X X X X
Regional Pain X X X X X X X X X X X X X
Electrodiagnosis X X X X X X X
Neurorehabilitation X X X X X X X X X X X X X X X X
Rehabilitation in Pediatrics X X X X X X X X X X X X X
Rehabilitation in Orthopedic and Surgical Disorders
X X X X X X X X X X X X X X X X
Rehabilitation in Rheumatological Conditions
X X X X X X X X X X X X X
Chest and Cardiac Rehabilitations
X X X X X X
Geriatric Rehabilitation and Rehabilitation of Special Conditions
X X X X X X X X
Orthotics, Prosthetics & Assistive Devices
X X X X X X X X
Biomechanics & kinesiology
X X X
Thesis X X X X
واالعتمادهيئة القومية لضمان جودة التعليم ال
3- Curriculum Structure:
-Program duration: This program is fulfilled in not less than 2 years with a maximum of five years.
-Program structure: Total 40 Credit Hours
1. Basics of research: 3 Credit Hours. 2. Obligatory subjects: 29 Credit Hours.
3. Thesis: 8 Credit Hours Obligatory Courses:
Code Course Credit hours
CREDIT HOURS
LECTURES CLINICAL OTHERS
1 05500801 Basics of research 2 051408300 Applied human Anatomy for Physical Medicine,
Rheumatology & Rehabilitation 1 1/2 1/2
3 052008300 Medical Physiology for Physical Medicine, Rheumatology & Rehabilitation
1 1 -
4 051508300 Internal Medicine for Physical Medicine, Rheumatology & Rehabilitation
1 1/2 1/2
5 052108300 Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation
1 1/2 1/2
6 052208300 Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation
1 1/2 1/2
7 052608300 Orthopedic Surgery for Physical Medicine, Rheumatology & Rehabilitation
1 1/2 1/2
8 052808300 Pathology for Physical Medicine, Rheumatology & Rehabilitation
1 1 -
9 05300801 Applied Physics for Physical Medicine, Rheumatology & Rehabilitation
1 1 -
10 05300802 Physical Medicine I (Physical Agent Modalities & Electrotherapy)
2 1 1
11 05300803 Physical Medicine II (Exercises, Hydrotherapy, Manipulation, Traction and Massage)
1 1/2 1/2
12 05300804 Rheumatology I 2 1 1
13 05300805 Rheumatology II 3 2 1
14 05300806 Regional Pain 1 1/2 1/2 15 05300807 Electrodiagnosis 3 1 2 16 05300808 Neurorehabilitation 2 1 1 17 05300809 Rehabilitation in Pediatrics 1 1/2 1/2 18 05300810 Rehabilitation in Orthopedic and Surgical Disorders 1 1/2 1/2 19 05300811 Rehabilitation in Rheumatological Conditions 1 1/2 1/2 20 05300812 Chest and Cardiac Rehabilitations 1 1/2 1/2 21 05300813 Geriatric Rehabilitation and Rehabilitation of Special
Conditions 1 1/2 1/2
22 05300814 Orthotics, Prosthetics & Assistive Devices 1 1 - 23 05300815 Biomechanics & Kinesiology 1 1/2 1/2
واالعتمادهيئة القومية لضمان جودة التعليم ال
COURSE DESCRIPTION
1 Code Credit hours (1) Course
051408300 Lectures Practical Applied Anatomy for Physical Medicine, Rheumatology & Rehabilitation
0.5 0.5
Given as 7lectures + 14 hours of practical teaching/semester. It includes: anatomy of muscles, nerves, bones, joints and blood
vessels of the upper and lower limbs in addition to neuroanatomy, anatomy of the chest, spinal articulations, trunk muscles,
muscles & articulations of the head & neck.
2 Code Credit hours (1) Course
052008300 Lectures Practical Physiology for Physical Medicine, Rheumatology & Rehabilitation
1 -
Physiology of respiration, exercises, muscles, nerves, autonomic nervous system, bones, endocrinal system and circulation as
well as neurophysiology. It is given as 14 lectures.
3 Code Credit hours (1) Course
051508300 Lectures Clinical Internal Medicine For Physical Medicine, Rheumatology & Rehabilitation
0.5 0.5
. Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: musculoskeletal manifestations of internal medicine
diseases, clinical immunology, geriatric medicine, chest diseases, cardiovascular diseases, endocrinal disorders, connective tissue
diseases, renal diseases, blood diseases & DM.
4 Code Credit hours (1) Course
052108300 Lectures Clinical Neuropsychiatry for Physical Medicine, Rheumatology & Rehabilitation
0.5 0.5
Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: Neurology: Neurological examination, neuropathies,
myopathies, motor neurone disease, spinal muscle atrophy, disorders of neuromuscular junction, hemiplegia, paraplegia, ataxia
and other CNS diseases (demyelinating, inflammatory, infective & degenerative), Psychiatry: depression, anxiety, hysteria &
psychosis. Psychiatric disorders presenting with musculoskeletal manifestations & those which are common in disabled persons.
5 Code Credit hours (1) Course
052208300 Lectures Clinical Neurosurgery for Physical Medicine, Rheumatology & Rehabilitation
0.5 0.5
Given as 7 lectures + 14 hours of clinical teaching /semester. It includes: Peripheral nerve injuries, head injuries, spinal cord
injuries, hydrocephalus, intervertebral disc prolapse & spinal/brain tumors. Care following neurosurgery.
6 Code Credit hours (1) Course
052608300 Lectures Clinical Orthopedic Surgery for Physical Medicine, Rheumatology &
Rehabilitation
0.5 0.5
Given as 7 lectures + 14hours of clinical teaching /semester. It includes: Orthpedic examination of the hip, knee, foot,
shoulder, elbow, hand & spine. The common musculoskeletal injuries (including ligament & meniscal injuries), shoulder
dislocation, foot deformities, post-fracture complications, compartmental syndrome, avascular necrosis, slipped epiphysis,
CHD, reconstructive surgery in brachial plexus injuries, reconstructive surgery in CP, reconstructive surgery following hand
injuries, limb lengthening, arthroplasty and care following orthopedic surgery.
واالعتمادهيئة القومية لضمان جودة التعليم ال
7 Code Credit hours (1) Course
052808300 Lectures Practical Pathology for Physical Medicine, Rheumatology & Rehabilitation
1 -
14 lectures/semester. It includes: pathology of connective tissue & joint diseases (i.e. OA, spondylosis, RA, vasculitis, systemic
sclerosis, AS, SLE, MCTD, polymyositis/dermatomyositis, Behcet disease, palindromic rheumatism, septic arthritis, TB arthritis,
gouty arthritis, ochronosis, Haemophilic arthropathy) as well as bone diseases, (i.e. Osteoporosis; Osteogenesis imperfecta
Osteomalacia; Parathyroid osteodystrophy; Paget's disease of bone;Perth’s disease). In addition to pathology of neuropathies &
myopathies.
8 Code Credit hours (1) Course
05300801 Lectures Practical Applied Physics for Physical Medicine, Rheumatology & Rehabilitation
1 -
It is given as: A) 7 lectures on basic physics. It includes: 1) Electricity, electric resistance, capacitance, inductance, magnetism.
Physics of sound & light. Spectrum of light. Physics of heat & physics of water. 2) Mechanics of the body (lever system, pulleys,
… etc). B) 7 lectures on: Applied clinical physics: It includes: Physical properties, physiological effects & hazards/precautions of:
1) Sinusoidal, direct & pulsed currents used for muscle & nerve stimulation or pain relief (including diadynamic currents &
amplitude modulating currents), 2) Ultraviolet light, laser, radio waves, short waves, infrared radiation, , paraffin wax baths,
sound waves, ultrasound waves, 3) Examples for the different lever systems in the human body.
9 Code Credit hours (2) Course
05300802 Lectures Clinical Physical Medicine I (Physical Agent Modalities & Electrotherapy)
1 1
It includes the indications, precausions, contraindications, techniques of applications of: 1. Heat therapy (infrared, hot packs, wax
bath, contrast baths, SWD, USD, MWD, Hydrotherapy and spa therapy). 2. Electric stimulation of innervated and denervated
muscles. 3. Electrical stimulation for pain relief (Diadynamic currents, interferential therapy, TENS, …). 4. Electrical stimulation
for spasticity management. 5. Laser therapy. 6. UVL. 7. Functional electric stimulation. 8. Magnetic field therapy. 9.Biofeedback
10. Acupuncture 11. Hyperbaric oxygen
10 Code Credit hours (1) Course
05300803 Lectures Clinical Physical Medicine II (Exercises, Hydrotherapy, Manipalation, Traction and Massage)
0.5 0.5
It includes: 7 lecture + 14hours of clinical training. The physiological effects, purpose, techniques, indications and
contraindication of the different forms of exercise therapy and massage are given. The benefits, hazards, precausions, indications,
contraindications, techniques and uses of hydrotherapy, spinal traction and manipulation are given.
11 Code Credit hours (2) Course
05300804 Lectures Clinical Rheumatology !
1 1
It is given 2 CH (1 lectures/wk + 2 hours of clinical teaching/wk x 14 wks). It includes: 1.Synovial fluid cfaracteistics. 2.
Techniques of joint aspiration and intraarticular injection 3. Techniques of local injection4. Osteoarthritis and degenerative joint
diseases5. Disorders of the spine and intervertebral disc degeneration and prolapse. 6. Crystal arthropathies. 7. Rheumatoid
arthritis. 8. Ankylosing spondylitis. 9. Spondyloarthropathies
واالعتمادهيئة القومية لضمان جودة التعليم ال
12 Code Credit hours (3) Course
05300805 Lectures Clinical Rheumatology II
2 1
It is given 3CH (1 lecture/wk + 4 hours of clinical teaching/wk x 14 wks). It includes: 1. The different joint diseases, arthritis
including their diagnosis, differential diagnosis, investigations and treatment. 2. Soft tissue rheumatism: tenosynovitis, bursitis,
periarthritis, trigger fingers, polymyalgia rheumatica, myofascial pain, fibromyalgia. 3. Joint diseases associated with blood
disorders. 4. Intermittant arthritic syndromes & periodic rheumatic diseases. 5. Clinical examination & investigations in rheumatic
diseases . 6. SLE & antiphospholipid syndrome. 7. Scleroderma & calcinosis. 8. Mixed connective tissue diseases and overlap
syndrome. 9. Metabolic bone diseases & osteoporosis.. 10. Vasculitis. 11. Rheumatic diseases of childhood. 12. Arthritis
accompanying systemic disorders. 13. Arthritis associated with malignancy. 14. Management of rheumatic diseases.
13 Code Credit hours (1) Course
05300806 Lectures Clinical Regional Pain
0.5 0.5
It is given as 7 lecture + 14hours of clinical training. It includes the causes, diagnosis, differential diagnosis and treatment of knee,
ankle, foot, hip, low back, upper back, neck, shoulder, elbow, wrist and hand pains. The causes include all rheumatological,
orthopedic, neurological & neuromuscular causes as well as refered pain.
14 Code Credit hours (3) Course
05300807 Lectures Clinical Electrodiagnosis
1 2
It is given as 1 lecture and 4 hours of practical training/week x 14 weeks. It includes: motor nerve conduction, sensory nerve
conduction, reflex studies (Blink reflex, H-reflex), F-wave studies, electromyography, somatosensory evoked potential and motor
evoked potential. The course includes: techniques, rational and interpretation of results.
15 Code Credit hours (2) Course
05300808 Lectures Clinical Neurorehabilitation
1 1
It includes the evaluation, determining the aim, methods of rehabilitation & physical modalities that should be used in all
neurological and locomotory problem e.g. stroke, paraplegia, quadriplegia, spinal cord injuries, TBI, facial palsy, polyneuropathy,
mononeuropathy, entrapment neuropathy, peripheral nerve injuries, ataxias, myopathies, muscle dystrophies and parkinsonism.
16 Code Credit hours (1) Course
05300809 Lectures Clinical Rehabilitation in Pediatrics
0.5 0.5
The examination & evaluation of all pediatric locomotory problems. The physical modalities & the rehabilitation methods that can
be used in the management of the common pediatric problems that necessitates rehabilitation are given. It includes:: cerebral palsy,
brachial plexus birth injuries, floppy infant syndrome, neuropathy and myopathies in children, joint deformities, spinal deformities
and joint diseases.
واالعتمادهيئة القومية لضمان جودة التعليم ال
17 Code Credit hours (1) Course
05300810 Lectures Clinical Rehabilitation in Orthopedic and Surgical Disorders
0.5 0.5
It includes the plan, modalities and techniques of physical therapy; and rehabilitation procedures (including the use of orthoses,
assistive devices or walking aids) of orthopedic and surgical problems that need physical therapy and/or rehabilitation such as: post-
burn contracture, post-skin graft, following tendon repair, post-menisectomy, post-spinal surgery, following repair of ligament
injury, post-plaster fixation, post-joint replacement, following joint injuries or surgery, muscle wasting, muscle weakness, joint
stiffness, post abdominal or limb surgery & rehabilitation of amputee.
18 Code Credit hours (1) Course
05300811 Lectures Clinical Rehabilitation in Rheumatological Conditions
0.5 0.5
It includes: 1. Evaluation in rheumatic diseases (clinical, laboratory and functional) 2. The physical therapy that is used in
rheumatology (modalities, techniques, indications, contraindications, precausions, plan of treatment & procedures). 3.
Rehabilitation methods. 4. The common surgical procedures that can be applied in the management & rehabilitation of the
different rheumatological conditions.
19 Code Credit hours (1) Course
05300812 Lectures Clinical Chest and Cardiac Rehabilitations
0.5 0.5
It includes: functional evaluation in chest diseases and heart diseases. Breathing exercises and postural draining as well as
principles of cardiac rehabilitation.
20 Code Credit hours (1) Course
05300813 Lectures Clinical Geriatric Rehabilitation and Rehabilitation of Special Conditions
0.5 0.5
It is given as 7 lectures + 14 hours of clinical training/semester. It includes the common problems in elderly. Also, it includes
the rehabilitation of elderly, diabetic foot ulcer, patients with malignancy & post-organ transplant.
21 Code Credit hours (1) Course
05300814 Lectures Clinical Orthotics, Prosthetics & Assistive Devices
1 -
It includes: 1. The different upper limb orthoses, lower limb orthoses, upper limb prostheses, lower limb prostheses, spinal
orthoses. Functional and static varieties are included. Special emphesis is made on principles of orthotic and prosthetic
prescription and the various forms of orthoses and prostheses.
2. The different methods for assessment in the practice of rehabilitation medicine (evaluation of muscle power, joint ROM, ADL
activities, assessment of spinal deformities and movement, principles of posturography & balance assessment, …). 3. Walking
aids: crutches, walkers, canes, …. 4. Assistive devices used for eating, dressing, washing, working …. 5. Shoe modifications: for
painful feet, foot deformity, paralysis.
22 Code Credit hours (1) Course
05300815 Lectures Clinical Biomechanics & Kinesiology
0.5 0.5
It includes 1.The principles of normal biomechanics 2. The main pathological biomechanics 3. Basics of kinesiologic
assessment 4. Principles of muscle testing 5. Principles of goniometry
واالعتمادهيئة القومية لضمان جودة التعليم ال
4- Program Admission Requirements:
According to the regulations of the credit hour bylaws of the Faculty of Medicine
Alexandria University (annex).
5- Regulations for Progression and Program Completion:
According to the regulations of the credit hour bylaws of the Faculty of Medicine
Alexandria University (annex).
6- Methods of student assessment:
Methods Intended Learning outcomes to be
assessed
1. Written Exam a1-a11, b1-b5
2. Clinical Exam c1-c14, e1-e4
4. Assignments b6-b8,d1-d9,e1-e4
5. Thesis a6, b6-b7,d1-d3
7- Methods of program evaluation:
Evaluator Tool Sample
1. Students enrolled in the program Questionnaires.
2. Alumni --------
3. Stakeholders (Employers) Focus group
4. External Evaluator (s) Yes
5. Others:
Program Director: Prof Dr Dia Mohasseb
Program Coordinator: Ass Pr Dr Enas Shahine
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 051408300 Course Name: Applied Human Anatomy for Physical Medicine, Rheumatology & Rehabilitation
Program in which the Course is Given Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims It aims at providing the student with information about : anatomy of muscles, nerves, bones, joints and blood vessels of the upper and lower limbs in addition to neuroanatomy, anatomy of the chest, spinal articulations, trunk muscles, muscles & articulations of the head & neck.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
a1-Recognize anatomy of muscles, nerves,
bones, joints and blood vessels of the upper
and lower limbs.
a2-Recognize musculoskeletal structures of
the upper and lower limbs, in addition to
chest and trunk muscles.
a3-Recognize musculoskeletal structures of
the head and neck, in addition to spinal
articulation.
a4-Recognize neuroanatomical structures.
a5- Identify the etiology and pathogenesis of
musculoskeletal affections of upper limbs,
lower limbs, head and neck, trunk and
central nervous system in terms of
anatomical alterations.
a6-Discuss the clinical presentations of
different anatomical abnormalities of upper
and lower limbs, trunk, chest and head and
neck in terms of anatomical structures.
1/2
1/2
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation
of neuromusculoskeletal
affections.
a7- Discuss the management protocols of
different musculoskeletal affections based
on the recognition of the anatomy of
different body structures.
a8- Identify the impact of anatomical
alterations on the rehabilitation of
neuromusculoskeletal disorders.
B. Intellectual
skills
b2- Use the structural & functional
characteristics of the
musculoskeletal system to explain
the different pathological problems
b1- Use the structural characteristics of the
musculoskeletal system to explain some
clinical problems.
b2- Use anatomical knowledge to explain
clinical presentation of peripheral nerve
injuries
b3- Use anatomical knowledge to explain
clinical presentation of CNS disorders
b4. Analyze skeletal deformities on
anatomical basis
b5. Determine mechanical joint derangement
in light of anatomical structure and
biomechanics
C.Professional
and Practical
Skills
D. General
Skills
E- Attitudes
and ethical
behavior
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Anatomy of muscles, nerves, bones,
joints and blood vessels of the upper
limbs.
(✓) (✓)
Anatomy of muscles, nerves, bones,
joints and blood vessels of the lower
limbs
(✓) (✓)
Anatomy of muscles, nerves, bones,
joints and blood vessels of the chest.
(✓) (✓)
Neuroanatomy. (✓) (✓)
Anatomy of spinal articulations. (✓) (✓)
Anatomy of trunk muscles. (✓) (✓)
anatomy of the muscles & articulations
of the head & neck.
(✓) (✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Lecture notes for each topic.
Course Text Books
Last’s Anatomy regional and applied text
book.
Gray’s anatomy atlas.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof.Dr. Madeha Signature:
Program Coordinator
Name: Ass.Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Diaa Mohasseb Signature:
(✓)
(✓)
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 052008300 Course Name: Medical Physiology for Physical
medicine
Program in which the Course is Given : Master degree of Physical medicine , Rheumatology and
Rehabilitation.
Number of Credit Hours : 1 CH Theoretical Clinical/Practical
Course Aims : The aim of this program is to revise the basic facts and introduce the student to the recent advances relating to the physiology of respiration, exercises, muscles, nerves, autonomic nervous system, bones, endocrinal system and circulation as well as neurophysiology.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the program the PG
students will be able to:
a1- Describe the characteristics of
structure , and function of different
components of musculoskeletal
system
By the end of the course the PG students
will be able to :
a1- Describe the functional divisions of the
nervous system and their role
a2. Describe the different types of receptors
and the neural pathways for different
sensations.
a3. Explain the structures and pathways
involved in a reflex arc.
a4. Describe the origin , pathway and
significance of the different tracts
a5. Identify the structures involved in the
control of speech and equilibrium
A6. Explain the mechanisms of nerve
conduction
A7. Explain the mechanism of muscle tone,
contraction and fatigue
------ 1
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
A8- explain the role of aberrations in
different nervous system functions in the
pathogenesis of musculoskeletal disorders
B. Intellectual
skills
By the end of the program the PG
students will be able to:
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
By the end of the course the PG students
will be able to :
b1. Analyze the different types of sensations
b2. Distinguish different types of pain
b3. Describe the integration of sensory input
and motor responses in correlation to the
clinical signs and symptoms.
b4. Explain the respiratory and
cardiovascular effects of exercise in relation
to the signs and symptoms.
b5. Analyze neurological signs and
symptoms based on physiological principles.
C.Professional
and practical
skills
D. General
Skills
By the end of the program the PG
students will be able to:
1- Retrieve information from all
sources ( printed, electronic,
communications etc…).
2-Verify the accuracy of scientific
material on basis of best evidence in
Medicine and in practice
By the end of this course the PG students
will be able to :
d1- Retrieve information related to the
physiology of the neuromusculoskeletal system
from all sources ( printed, electronic,
communications etc…).
d2-Creticize scientific material on basis of best
evidence in Medicine and in practice.
d3. Appraise websites concerned with applied
physiology of neuromusculoskeletal systems.
d4. Identify the journals dealing with physiology
of neuromusculoskeletal systems.
d5. Identify recent evidence based information
regarding the regenerative potential capabilities
of muscle and nerves.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Neuro-physiology ( including CNS and
ANS).
✓ ✓
Muscle and nerve physiology. ✓
Bone physiology ✓
Physiology of the endocrinal system. ✓
Exercise physiology ( including effect
of exercise on respiration and
circulation)
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 80 %
Practical/Clinical Exam -- %
Others (assignment) 20 %
List of Textbooks and References
Lecture Notes
Course Text Books Human physiology and mechanisms of disease,
( A. Guyton)
Suggested Extra Reading Review of medical physiology,( W. F. Ganong)
✓ ✓
✓
Course Instructor
Name: Prof. Dr. Abeer El Emam Signature:
Program Coordinator
Name: Ass. Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Diaa Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 051508300 Course Name:
Internal Medicine for Master of Physical
Medicine , Rheumatology and Rehabilitation.
Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims: The aim of this course is: To train and teach PG the different skills for diagnosing and treating some of the Internal Medicine
diseases related to the Physical Medicine , Rheumatology and Rehabilitation
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a2-Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a3-Discuss the etiology, pathogenesis
and clinical presentation of the
different - musculoskeletal disorders
A1. Identify the musculoskeletal changes
that occur in elderly.
A2. List the musculoskeletal changes in
renal diseases.
A3.Name the musculoskeletal changes in
endocrinal diseases.
A4. Identify the musculoskeletal changes in
blood diseases.
A5-Identify the clinical presentation of
certain connective tissue diseases eg. SLE,
rheumatoid arthritis.
A6-Identify the etiology, pathogenesis&
clinical presentation of musculoskeletal
involvement in diabetes mellitus and other
endocrinal disorders.
A7. Recognize the etiology, pathogenesis&
clinical presentation of musculoskeletal
0.5 0.5
a4-Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a5-Recognize the recent advances in
the diagnosis
involvement in blood diseases.
A8. Identify the etiology, pathogenesis&
clinical presentation of musculoskeletal
involvement in renal diseases.
A9-Describe the management of ischemic
heart disease, chronic obstructive pulmonary
disease.
A10. Describe the management of
musculoskeletal manifestations in diabetes
mellitus.
A11.Describe the management of
musculoskeletal manifestations in renal
diseases.
A12.Describe the management of connective
tissue diseases
A13.Discuss recent advances in diagnosis of
diabetes mellitus.
A14.Recognize the new trends in diagnosis
of ischemic heart disease.
A15.Identify the recent imaging studies used
for early diagnosis of chest problems.
A16.Identify the recent methods in diagnosis
of renal diseases.
B. Intellectual
skills
b1-Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis .
b3-Plan the appropriate
investigations for each patient to
help reaching the diagnosis .
B1-Analyze the clinical symptoms & signs
of rheumatoid arthritis , SLE, ischemic heart
disease, COPD, thyroid diseases & diabetes
mellitus.
B2. Assess activity and severity of
connective tissue diseases as RA and SLE.
B3. Detect musculoskeletal manifestations
of endocrinal diseases especially diabetes
mellitus.
B4. Distinguish musculoskeletal
manifestations of renal diseases.
B5. Recommend the appropriate imaging
technique to diagnose musculoskeletal
involvement in endocrinal, renal and chest
diseases.
B6. Appraise the role of electrodiagnosis in
detecting neuromuscular involvement in
b4-Solve common and some
complex problems not conforming to
classic cases.
elderly, endocrinal and renal diseases as well
as paraneoplastic syndrome.
B7-Analyse the atypical presentation of
certain diseases that may occur in elderly.
C.Professional
and Practical
Skills
c1-Perform full examination of
different components of the
musculoskeletal system
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
C1-Perfom correct examination of different
body systems with special stress to
musculoskeletal system.
C2. Perform proper clinical examination in
elderly.
C3-Integrate laboratory tests& radiological
examinations with the clinical data to reach
a diagnosis.
C4. Prescribe pharmacological therapy for
endocrinal and renal diseases, ischemic heart
disease, chest diseases and connective tissue
diseases.
D. General
Skills
d7-Contribute efficiently in a multidisciplinary team
d1-Present data clearly to other team members d2- Work effectively with a team.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
musculoskeletal manifestations of internal medicine diseases
✓ ✓ ✓
clinical immunology and connective tissue diseases ✓ ✓ ✓ geriatric medicine ✓ ✓ ✓ cardiovascular diseases ✓ ✓ ✓ chest diseases ✓ ✓ ✓ endocrinal disorders ✓ ✓ ✓ renal diseases and blood diseases ✓ ✓ ✓ Diabetes mellitus ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 80%
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
Printout of lectures
Course Text Books
Suggested Extra Reading
Kumar Text book of Medicine
Journals and Periodicals, others
Course Instructor
Name: Prof.Dr. Susan Abo Raya Signature:
Program Coordinator
Name: Ass Prof Dr Enas Shahine Signature:
Program Director (Head of Department)
Name: Pr Dr Dia Mohasseb Signature:
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology, & Rehabilitation
Course Information
Course Code: 052108300 Course Name: Neuropsychiatry for Physical
Medicine, Rheumatology, & Rehabilitation
Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology, &
Rehabilitation
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims
To teach and train doctors the different skills for recognizing and managing the neurologic problems.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the course the
participants should be able to:
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a3- Discuss the etiology, pathogenesis
and clinical presentation of the
different musculoskeletal disorders
By the end of the course the participants
should be able to:
A1- Identify risk factors of stroke.
A2. Define the environmental factors that lead to
some neuromuscular disorders as exposure to
toxins, nutritional deficiencies etc.
A3. Identify the role of undue stress in inducing
neurological as well as psychiatric disorders.
A4- Recognize the etiology , pathogenesis and
clinical presentation of the common peripheral
nervous system disorders.
A5. Recognize the etiology , pathogenesis and
clinical presentation of the common central
nervous system disorders.
A6. Identify the clinical presentation and
pathogenic mechanisms responsible for the
neurological and neuromuscular manifestations
of systemic diseases.
A7. Recognize the clinical presentation and the
pathogenesis of somatoform disorders.
1/2 1/2
a4- Describe the management
protocols &/or procedures adopted in
management and rehabilitation of
neuro-muscular affections.
a5- Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
a6 -Describe up-to-date management
procedures of neuro-musculoskeletal
disorders.
a11- Recognize basics and ethics
specifically relevant to disabled and
handicapped.
A8. Discuss the pathology and manifestations of
some psychiatric disorders.
A9- Identify the workup for diagnosis of a case
of headache and the possible lines of treatment.
a10. Recognize the workup for diagnosis of
different peripheral nervous system disorders
and the pharmacological and non
pharmacological lines of treatment.
A11. Describe the pharmacological and non
pharmacological management of stroke and
paraplegia.
A12. Identify the pharmacological and non
pharmacological management of some
psychiatric disorders.
A13. Identify the pharmacological and non
pharmacological management of epilepsy.
A14. State the grades of coma and the
characteristics of each grade.
A15- Identify the recent imaging techniques
used to diagnose and quantify neural damage in
central nervous system disorders.
A16. Recognize the recent biochemical markers
and molecular genetic studies which support the
diagnosis of some neurological disorders.
A17. Recognize the role of gene therapy in some
neuromuscular diseases.
A18. Identify the role of stem cell therapy in
some neurological disorders.
A19. Define the role of repetitive transcranial
magnetic stimulation in treatment of some
neurological disorders.
A20. Recognize the updates in management of
epilepsy.
A21- Define the ethical guidelines for disabled
and handicapped.
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
B1- Integrate the historical and clinical data to
diagnose patients with
neuromuscular/neurological disorders.
B2- Analyze meticulously the clinical data to
limit the differential diagnosis of some
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
pathological problems
b3- Plan the appropriate
investigations for each patient to help
reaching the diagnosis
b4 Solve common and some
uncommon problems not conforming
to classic cases.
b5 Evaluate risks imposed to the
patient or the managing team during
professional practice related to the
field of the specialty
neuromuscular/neurological disorders as
persistent headache, paraplegia etc
B3- Distinguish the neuromuscular/neurological
findings among patients with systemic diseases.
B4- Relate the clinical data to the anatomical
structure of the peripheral or central nervous
systems to determine where is the lesion.
B5- Explain the clinical findings in view of the
function ( physiology) of the peripheral or
central nervous systems.
B6- Determine the proper imaging study in
neurological patients.
B7- Recommend the laboratory tests that may
help diagnosing neuromuscular/neurological
disorders as cerebrospinal fluid (CSF) analysis,
detection of toxins or autoantibodies in blood or
CSF etc.
B8- Assess the physiological function and
integrity of neural structures and muscles using
electrophysiological examination.
B9-Distinguish the unusual manifestations of
patients with neuromuscular/neurological
disorders.
B10-- Specify the most appropriate
investigations to reach the most probable
diagnosis of such patients.
B11-Appraise the risks imposed to patients with
certain neuropsychiatric disorders as epilepsy,
psychiatric diseases when the drug therapy is
inadequate.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
C1- Examine all systems of the body with stress
on detailed peripheral and central nervous
system examination.
C2- Apply the diagnostic criteria to diagnose
neuromuscular/neurological disorders.
C3- Assess the severity of
neuromuscular/neurological disorders using the
c14- Report patient status in a
comprehensive professional way.
approved severity scales.
C4- Recommend the most appropriate
investigations to diagnose
neuromuscular/neurological disorders.
C5- Plan the relevant lines of treatment of
neuromuscular/neurological diseases whether
pharmacological or non pharmacological.
C6- Deliver clear, concise, and thorough oral
and written presentations of a patient's history
and examination.
D. General
Skills
d1- Retrieve information from all
sources (printed, electronic,
communications etc…).
d2-Verify the accuracy of scientific
material on basis of best evidence in
medicine and in practice
D1- Identify the websites concerned with
neuropsychiatric diseases.
D2- Read information about neuropsychiatric
diseases from specialized journals.
D3-Appraise the evidence based
neuropsychiatric information in the fields of
diagnosis and treatment.
E. Attitudes
and ethical
behavior
e3-Respect rights of disabled &
handicapped
E1- Appraise the importance of indulging
disabled & handicapped secondary to
neurological or psychiatric disorders in the
community so long as their conditions are
controlled.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Stroke ✓ ✓ ✓
Epilepsy ✓ ✓ ✓
Muscle diseases ✓
Peripheral neuropathy ✓ ✓
Paraplegia ✓ ✓
Headache ✓ ✓
Cranial pains ✓
Neurological manifestations of systemic
disorders
✓ ✓
Coma ✓ ✓ ✓
Anxiety ✓
Somatoform disorders ✓
Delirium ✓ ✓
Dementia ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term
End of term 100 %
Distribution of Marks
Written Exam 90 %
Practical/Clinical Exam
Others 10 %
List of Textbooks and References
Lecture Notes
- Lectures
Course Text Books
1. Principles of Neurology
2. Localization in Clinical Neurology
3. Neurology in Clinical Practice
Suggested Extra Reading
- Internet web sites
Journals and Periodicals, others
- Annals of Neurology
Course Instructor
Name: Prof. Dr. Doaa Signature:
Program Coordinator
Name: Ass Prof Dr Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Dia Mohasseb Signature:
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 052208300 Course Name: Neurosurgery for Physical Medicine,
Rheumatology & Rehabilitation
Program in which the Course is Given: Master of Physical Medicine, Rheumatology and
Rehabilitation.
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims Recognize peripheral nerve injuries, head injuries, spinal cord injuries, hydrocephalus, intervertebral disc prolapse & spinal/brain tumors.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
A1. Identify the effect of the different factors involved in the pathogenesis of neurosurgical disorders. A2. Define the common types of traumas that lead to head and spinal cord injuries. A3. Identify mechanisms and types of hydrocephalus. A4. Recognize the stages and clinical presentation of intervertebral disk prolapse (IVDP). A5. Discuss the mechanisms, stages and pathogenesis of head and spinal cord injuries and their clinical correlates. A6. Describe clinical pictures of peripheral nerve and brachial plexus injuries. A7. Recognize the different imaging
0.5 0.5
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation of
neuromusculoskeletal affections.
a5 Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
a6 Describe up-to-date management
procedures of neuro-musculoskeletal
disorders.
techniques used for the diagnosis of head and spinal cord injuries, IVDP, hydrocephalus and brain tumors. A8. Describe the surgical principles for IVDP, hydrocephalus, brain tumors, nerve injuries and head and spinal cord injuries. A9. Recognize recent trends in diagnosis of neurosurgical problems. A10. Identify the new imaging modalities used in diagnosing neurosurgical problems. A11. Discuss the most recent advances in management of common neurosurgical disorders. A12. Discuss the results of the new lines of treatment as stem cell therapy in some neurosurgical problems as spinal cord or peripheral nerve injuries, or the use of gamma rays (γ knife) in treating brain tumors etc. A13. Recognize the recent surgical procedures used in common neurosurgical problems.
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
B1. Analyze the clinical symptoms and signs to reach diagnosis or differential diagnosis of neurosurgical problems. B2. Determine the degree of head and spinal cord injuries based on clinical manifestations. B3. Judge the severity of nerve injury according to the clinical manifestations. B4. Analyze the clinical data in terms of the differential diagnosis of back pain. B5. Analyze the clinical data in terms of the differential diagnosis of headache.
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
pathological problems
b3- Plan the appropriate
investigations for each patient to
help reaching the diagnosis
b4 Solve common and some uncommon problems not conforming to classic cases.
B6 Utilize the structural and functional characteristics of the nervous system to explain different neurosurgical problems. B7. Integrate the clinical findings to determine the extent and severity of neural injury e.g. spinal cord, head and peripheral nerve injuries. B8. Plan appropriate investigations for neurosurgical problems. B9. Specify the appropriate imaging technique to define the characteristics of the brain or spinal cord lesions. B10. Use the appropriate electrodiagnostic test to determine the site and severity of neural injury/lesion. B11. Solve clinical neurosurgical problems not conforming to classical cases by recommending the most appropriate investigations. B12. Distinguish the red flags in patients with low back pain. B13. Detect patients with clinical features suggestive of increased intracranial tension.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c1. Perform full examination of different components of the nervous system . c2. Perform basic clinical examination and diagnostic measures for intervertebral disc prolapse (lumbar, dorsal and cervical) c3. Perform basic clinical examination to detect important signs for brain and spinal tumors.
c4- Diagnose different neurosurgical disorders within internationally accepted standards of
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c14 Report patient status in a
comprehensive professional way.
time and competency. c5. Manage different neurosurgical disorders within internationally accepted standards of time and competency. c6. Evaluate neurosurgical patient in emergencies and elective situations. c7. Detect common congenital neurological disorders and methods of their treatment. c8. Specify the impact of neurological trauma and methods of treatment.
c9. Report the patient status following
neurosurgical intervention in a professional way
with stress on the surgical procedures in brief,
date of surgery and the needed post operative
care.
D. General
Skills
d1- Retrieve information from all
sources (printed, electronic,
communications etc…).
d2-Verify the accuracy of scientific
material on basis of best evidence in
medicine and in practice.
D1. Collect scientific information related to neurosurgery from trustable websites. D2. Read journals concerned with information related to neurosurgery D3. Verify accuracy of scientific information related to neurosurgery. D4. Identify the evidence-based surgical intervention( regarding its outcome) in the field of neurosurgery. D5. Evaluate the accuracy of different investigations in diagnosing neurosurgical problems.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Peripheral nerve injuries ✓ ✓ ✓
head injuries ✓ ✓ ✓
spinal cord injuries ✓ ✓ ✓
Hydrocephalus ✓ ✓ ✓
intervertebral disc prolapse ✓ ✓ ✓
spinal/brain tumors. ✓ ✓ ✓
Care following neurosurgery ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
✓ ✓
✓
Distribution of Marks
Written Exam 80 %
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
Neurology, neurosurgery illusterated.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor Signature:
Name: Prof. Dr. Khaled Aref Signature:
Program Coordinator
Name: Ass Prof. Dr Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof Dr. Diaa Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 052608300 Course Name: Orthopedic Surgery for Physical
Medicine, Rheumatology & Rehabilitation
Program in which the Course is Given: Master degree in Physical Medicine,
Rheumatology & Rehabilitation
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims: 1. To provide a training course in orthopedic examination of the spine & major joints 2. To review common orthopedic problems relevant to the practice of physical medicine 3. To acquire the knowledge about reconstructive surgery of the limbs relevant to the
practice of physical medicine
Intended Learning Outcomes (ILOs)
Program ILO
(refer to program matrix) Course ILOs
A. Knowledge
and
Understanding
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
A1- Recognize the risk factors which lead compartmental syndrome and post fracture complications. A2- List factors responsible for shoulder dislocation. A3- Define the predisposing factors of avascular necrosis of bones especially the femoral head. A4- Discus the etiology of common orthopedic problems relevant to the practice of physical medicine. A5- Identify the pathogenesis of common orthopedic problems relevant to the practice of physical medicine. A6- Relate the mechanism of trauma to the type of mechanical derangement of the knee joint.
1/2
1/2
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation of
neuromusculoskeletal affections.
a5- Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
A7- Identify the faulty postures that lead to shoulder dislocation and intervertebral disk prolapse. A8- Describe the clinical presentations of common orthopedic problems relevant to the practice of physical medicine. A9- Describe the management protocols for
common orthopedic problems relevant to the
practice of physical medicine
A10- Describe reconstructive surgery adopted in
managing residual disability following brachial
plexus injuries, nerve injuries &/or cerebral
palsy.
A11- Recognize the recent advances in the
diagnosis of common orthopedic problems
relevant to the practice of physical medicine.
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
pathological problems
b1- Analyze the clinical signs and symptoms of common orthopedic problems relevant to the practice of physical medicine to reach a diagnosis /differential diagnosis. B2- Predict the injured structures in cases of mechanical derangement of the knee joint by analyzing the mechanism of trauma. B3- Determine the post fracture complication (s) based on the clinical manifestations. B4- Propose the causes of regional pain by analyzing the clinical data.
B5- Use the structural & functional characteristics of the musculoskeletal system to explain the different pathological orthopedic problems. B6- Explain foot deformities based on its anatomical structure and function. B7- Determine the possible causes of deformities/attitudes in cerebral palsy, nerve or brachial plexus injuries based the anatomical structure and function of the affected region and the underlying pathology.
b3- Plan the appropriate
investigations for each patient to
help reaching the diagnosis
b4 Solve some complex problems not
conforming to classic cases (
incomplete data or unusual findings)
B8- Plan the appropriate investigations for each patient to reach the diagnosis of common orthopedic problems relevant to the practice of physical medicine. B9- Select the most appropriate imaging technique to diagnose orthopedic problems. B10- Recommend sensitive imaging techniques to detect subtle or early changes in orthopedic problems. B11- Appraise the role of electrodiagnosis in pre and post operative evaluation of patients subjected to reconstructive orthopedic surgery etc. b12-Solve some complex problems (relating to rehabilitation of orthopedic conditions)not conforming to classic cases ( incomplete data or unusual findings) b13- Detect causes of prosthetic ( arthroplasty) loosening or failure based on clinical data and results of investigations. B14- Specify the cause of limb length discrepancy based on clinical data and results of investigations.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system .
c2- Manage common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c1- Perform full clinical orthopedic examination.
c2- Recommend the most appropriate investigations to diagnose orthopedic problems c3- Select the most convenient surgical intervention based on the patient condition and the life style. C4- Appraise the role of pre-operative rehabilitation in certain orthopedic problems as elective amputation, reconstructive surgery, arthroplasty etc. C5- Appraise the role of post operative rehabilitation to improve the functional outcome of surgery.
D. General
Skills
d1- Retrieve information from all
sources (printed, electronic,
communications etc…).
D1- Identify websites that deal with orthopedic disorders and traumatology. D2- Read specialized journals in orthopedic disorders and traumatology. D3- Discuss the goals of surgery and expected
d3-Present scientific information to
individuals and groups of different
educational and social levels
d5- Use information technology to
improve his professional practice and
improve his learning abilities.
outcomes with the patient and/or caregivers. D4- Specify to the patient and/or caregivers in a clear way the post operative instructions especially for arthroplasty and reconstructive surgery. D5- Use The new versions of prosthetic joints to provide more stability and functional improvement. D6- Utilize the most evidence-based advances in orthopedic management (diagnosis and surgery).
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Clinical orthopedic examination
✓
2. Post-fracture complications & Compartmental syndrome
✓ ✓
3. Foot deformities ✓ ✓
4. Congenital hip dislocation (CDH) & slipped epiphysis
✓ ✓
5. Common ligament injuries of the
knee & ankle
✓ ✓
6. Meniscal injuries of the knee ✓ ✓
7. Common tendon injuries at upper
& lower limbs (including
reconstructive surgery following
tendon injuries of the hand)
✓
8. Avascular necrosis,
osteochondromatosis &
apophysitis
✓
9. Shoulder dislocation. ✓ ✓
10. Reconstructive surgery for residual
disability following brachial plexus
& peripheral nerve injuries
(principles of surgery).
✓
11. Reconstructive surgery in cerebral
palsy (CP) (principles of surgery).
✓
12. Limb lengthening, ✓
13. Care following arthroplasty ✓
14. Common spinal injuries ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam %
Others 30%
List of Textbooks and References
Lecture Notes
Course Text Books
1. Adams’s outline of orthopedics. By:
Hamblen DL & Simpson H. Churchill
Livingstone 2010.
2. Adams outlines of fracture
Suggested Extra Reading
Electronic book:
HSS Manual of Rheumatology and Outpatient
Orthopedic Disorders. By: Fields TR et al.
(2006)
✓
✓
✓
Journals and Periodicals, others
Course Instructor
Name: Pro. Dr. Hasan El Husseini Signature:
Program Coordinator
Name: Ass Prof.Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof.Dr. Dia Mohaseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 052808300 Course Name: Pathology for Physical Medicine,
Rheumatology & Rehabilitation
1. Program in which the Course is Given: Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours: one Theoretical Clinical/Practical
Course Aims:
• Provide the basic relevant knowledge to the master candidates in the field of pathology
• Establish a pathological work up for common rheumatologic diseases.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a5 Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
a1. Recognize pathogenesis of the
different musculoskeletal disorders.
a2. Describe the relevant pathological
findings in common musculoskeletal
disorders.
a3. Define diagnostic pathologic
approaches of the different musculoskeletal disorders.
a4. Identify the role of different
pathological techniques (such as special
stains & immunohistochemistry) in
diagnosis of some musculoskeletal disorders.
- 1
a6 Describe up-to-date management
procedures of neuro-musculoskeletal
disorders.
a5. Identify the impact of the
pathological diagnosis on prognosis
and lines of management of patient
with musculoskeletal disorders
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
b3- Plan the appropriate
investigations for each patient to
help reaching the diagnosis
b4 Solve common and some uncommon problems not conforming to classic cases
b1. Apply the principles of clinico-
pathologic correlation to diagnose
different musculoskeletal problems
b2. Interpret the key pathological features in
relation with the clinical data to reach or
confirm a diagnosis.
b3. Integrate relevant clinical findings
together with pathological findings
to pose a differential diagnosis in
various musculoskeletal problems
b4. Create proper management algorithms
by integrating clinical history, laboratory
findings, pathologic findings and
imaging results.
b5. Determine if the patient’s study is
sufficient to reach the proper
diagnosis.
b6. Recommend the further pathological
work up most useful to reach the
definite diagnosis
b7. Formulate evidence based search
questions to answer any clinical
problem.
C.Professional
and Practical
Skills
D. General
Skills
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical
/
Clinical
Small
group
discussion
Other
s
Pathology of connective tissue &
joint diseases:
* Classification of arthritis
- Osteoarthritis
- Ankylosing spondylitis
- Rheumatoid arthritis
- Septic arthritis
- Tuberculous arthritis
- Gouty arthritis.
- Haemophilic arthropathy
- Ochronosis
* Systemic lupus erythematosus
* Systemic sclerosis
* Mixed connective tissue disease
*Behcet disease:
* Vasculitis:
- Classification of vasculits
- Temporal arteritis:
- Takayasu arteritis
- Polyarteritis nodosa:
- Kawasaki syndrome:
- Microscopic polyangitis
- Wegener granulomatosis
- Burger disease:
- Raynaud disease & Raynaud
phenomenon
✓ ✓(assign)
Pathology of bone diseases:
* Metabolic bone diseases
- Osteoporosis
- Paget's disease of bone
- Osteomalacia and Rickets
- Ostitis fibrosa cystica
-Osteogenesis imperfecta
* Perthes disease
✓
Pathology of neuropathies:
- Classification .
- Guillian Barre syndrome
- Infectious neuropathies (leprosy,
diphtheria, varicella zoster)
- Hereditary neuropathies
- Metabolic neuropathies (diabetic,
nutritional)
- Neuropathies associated with
malignancies
- Peripheral nerve injuries
-Toxic neuropathies.
✓
Pathology of myopathies:
- Classification
- Ion channel myopathies
- Congenital myopathies
- Inflammatory myopathies: infectious
&noninfectious(polymyositis,
✓
dermatomyositis, inclusion body
myositis)
- Myopathies associated with systemic
inflammatory diseases
- Toxic myopathies.
-Myasthenia gravis
-Lambert-Eaton myasthenic syndrome
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 90 %
Practical/Clinical Exam - %
Others 10 % (assignment)
List of Textbooks and References
Lecture Notes
-
Course Text Books
-Vinay Kumar, Nelso Faustor, Abul Abbas.
Robbins & Cotran Pathologic Basis of
Disease: Seventh Edition
Suggested Extra Reading
- Rosai J. Rosai and Ackerman’s Surgical
Pathology. Ninth Edition
Journals and Periodicals, others
Available journals of pathology on the internet
✓
✓
Course Instructor
Name: Prof. Dr. Nevin El Deeb. Signature:
Program Coordinator
Name: Ass Prof Dr Enas Shahine Signature:
Program Director (Head of Department)
Name: Pr Dr Dia Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation
Course Information
Course Code: 05300801 Course Name: Applied Physics for Physical Medicine,
Rheumatology & Rehabilitation
Program in which the Course is Given: Master Physical Medicine, Rheumatology and
Rehabilitation.
Number of Credit Hours :1 Theoretical Clinical/Practical
Course Aims
To describe the applied physics related to Physical Medicine that a postgraduate of Master degree in physical medicine, Rheumatology and Rehabilitation department should know
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system.
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders.
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation
a1-To recognize body mechanics.
a2. State the physical laws that govern the
function of musculoskeletal system.
a3-Identify the role of body mechanics in
understanding some musculoskeletal
problems.
a4. Explain tissue injury based on the
physical properties of musculoskeletal
system.
a5. Describe the role of physical modalities
in treatment of neuromusculoskeletal
affections.
- 1
of neuromusculoskeletal
affections.
a8 Recognize the quality standards
of practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to
diagnosis.
a6. Recognize the quality standards of the
use of different physical modalities in
treatment of neuromusculoskeletal diseases.
B. Intellectual
skills
b5 Evaluate risks imposed to patient
or managing team during professional
practice related to the field of the
specialty
b1-Recognize the risks of the different
physical modalities used to the patient by the
therapists
b2-Apply knowledge of body mechanics on
exercise therapy to minimize the effort done
by the patient.
C.Professional
and Practical
Skills
c8 Prescribe the appropriate
physical agent modalities and
exercises for neuromusculoskeletal
disorder.
c1. Use the different mechanical and
electrical apparatuses without any risk.
D. General
Skills
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small group
discussion
Others
Physics of heat ✓
Short wave and microwave ✓
Sound and ultrasound waves ✓
Physics of sinusoidal, direct & pulsed
currents used for muscle & nerve
stimulation or pain relief (including
diadynamic currents & amplitude
modulating currents)
✓
Treatment with water and Buonucy ✓
Body mechanics ✓
Introduction of different AC and DC
currents
✓
-Fundamental Principles and structure ✓
of matter- laws of motion
-Visible light- Light dispersion -
Electromagnetic radiation- Infrared-
Ultraviolet
✓ ✓
-Heat capacity- specific heat – latent
heat- transmission of heat – heat
balance of human body
✓
-Sources of electricity- types of
electricity- direct and alternating
current- magnetic and electric field-
connection of resistance-
✓
-Types of electrostatic – induction-
transformers- condensers- rectifiers-
tuning circuit- resonance frequency-
high frequency.
✓
Ultrasound therapy (basic physics). ✓
-Fundamental Principles and structure
of matter- laws of motion
✓
-Visible light- Light dispersion –
Spectrum. Electromagnetic radiation-
Infrared-Ultraviolet
✓ ✓
-Heat capacity- specific heat – latent
heat- transmission of heat – heat
balance of human body
✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case
Assignment OSCE/OSPE
Logbook fulfillment
Others
Schedule of Assessment Mid-term %
----- ✓
-----
✓ -----
End of term (✓) 100 %
Distribution of Marks
Written Exam 80 %
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
✓
Course Text Books
-Clayton’s electrotherapy-theory and practice -Physics and electronics in physical medicine by A.NIGHTINGALE
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mohamad Emam. Signature:
Program Coordinator
Name: Ass Prof. Dr . Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof Dr. Diaa Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 05300802 Course Name:
Physical Medicine I (Physical Agent
Modalities & Electrotherapy)
Program in which the Course is Given:
Master degree in Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours: 2 Theoretical Clinical/Practical
Course Aim:
To provide a training program in the clinical application of physical agent modalities &
electrotherapy.
This includes the indications, precautions, contraindications, techniques of applications of: 1. Heat
therapy (infrared, hot packs, wax bath, contrast baths, SWD, USD, MWD, hydrotherapy, contrast
baths and spa therapy). 2. Cold therapy. 3. Electric stimulation of innervated and denervated
muscles. 4. Functional electrical stimulation 5. Electrical stimulation for pain relief (Diadynamic
currents, interferential therapy, TENS, …). 6. Electrical stimulation for spasticity management. 7.
Laser therapy. 8. UVL. 9. Magnetic field therapy. 10. Extracorporeal shock wave therapy. 11.
Compression chamber & garments. 12. Biofeedback 13. Hyperbaric oxygen 14. Acupuncture
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections.
a1-Describe the different heat modalities
used in physical medicine & rehabilitation,
besides their method of application.
a2-Describe the different methods of cold
applications.
a3-Describe the application of the different
electrical currents used for pain relief.
a4-Describe the applications of different
electrical currents used for muscle
stimulation.
a5-Recognize the physical & physiological
effects of each physical modality and
1 1
a6 Describe up-to-date
management procedures of
neuromusculoskeletal disorders.
a9 Recognize the quality standards
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
a10 Review basics and ethics of
scientific research in general.
a11 Specify basics and ethics
specifically relevant to disabled
and handicapped.
alternate medicine modality used in physical
medicine.
a6-Recognize the physical & physiological
effects of each electrical current used in
physical medicine & rehabilitation.
a7-Recognize the application of
magnetotherapy, laser therapy, shock wave
therapy, ultraviolet light & compression
chambers in physical medicine &
rehabilitation.
a8-Select the appropriate physical modality
for each patient.
a9-Recognize recent advances in using heat
& cold therapy.
a10-Recognize recent advances in using
electrotherapy.
a11- Recognize uses of the more recent
physical modalities such as magnetotherapy,
laser therapy, shock wave therapy
a12-Recognize the indications &
contraindications of heat/cold therapy (that
is used in physical medicine &
rehabilitation).
a13-Recognize the indications &
contraindications of electrotherapy.
a14-Recognize the indications &
contraindications of magnetotherapy, laser
therapy & shock wave therapy.
a15-Identify ethics relevant to the use of the
different physical modalities in research.
a16-Identify ethics relevant to the use of the
different physical modalities in disabled
persons.
B. Intellectual
skills
B5- Evaluate risks imposed to
patient or managing team during
professional practice related to the
b1-Revise the risk of using short waves,
microwaves & ultrasound therapy on the
patient, on the managing team &/or on
field of the specialty.
b6- Recognize the essential
principals of scientific medical
research.
b7- Plan for professional
improvement in Physical
Medicine, Rheumatology &
Rehabilitation
b8- Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
the nearby persons.
b2-Assess the risk of using laser therapy
on the patient & operator.
b3-Estimate the risk for using
electrotherapy in each patient before
using it.
b4-Recognize principals of using
common physical agent modalities in
research.
b5-Recognize principals of using more
recent modalities such as laser,
magnetotherapy & shock waves in
research.
b6- Manage for improving the use of
physical agent modalities in rheumatic
diseases
b7-Plan for improving the use of
electrotherapy for muscle strengthening
and pain relief
b8- Review the literature concerning
electrotherapy and laser therapy
b9- Revise advances in using shock
waves in musculoskeletal disorders from
the literature
b10- Revise advances in using physical
agent modalities in musculoskeletal
disorders from the literature.
C.Professional
and Practical
Skills
c6- Perform different pain control
techniques.
c7- Perform techniques for control
of spasticity.
c1-Perform TENS for pain relief.
c2-Perform laser therapy by different
techniques for pain relief.
c3-Use magnets/magnetic field to relieve
pain.
c4-Apply head & cold to reduce
spasticity.
c5-Perform electrotherapy to reduce
spasticity.
c8- Prescribe the appropriate
physical agent modalities and
exercises for neuromusculoskeletal
disorder.
c10- Supervise the physical
rehabilitation plan.
c13- Recognize basics of medical
reporting
c14- Report patient status in a
comprehensive professional way.
c6-Select the appropriate physical agent
modality for each patient with
musculoskeletal disorders.
c7-Prescribe the appropriate
electrotherapy for each patient with
regional pain, paralysis, weakness or
arthritis.
c8-Supervise the patient while receiving
physical rehabilitation.
c9-Recognize basis of medical reporting
for patients receiving physical
modalities.
c10-Report patient status during & after
receiving physical agent modalities.
c11-Report patient status during & after
receiving electrotherapy.
D. General
Skills
d1- Retrieve information from all
sources ( printed, electronic,
communications etc…).
d2-Verify the accuracy of
scientific material on basis of best
evidence in Medicine and in
practice
d3-Present scientific information
to individuals and groups of
different educational and social
levels.
d4 Communicate effectively with
different members of rehabilitation
d1-Retrieve recent information on the
use of physical modalities from all
sources.
d2-Cites recent information on the use of
electrotherapy
d3-Apply evidence based medicine in
using physical modalities &
electrotherapy
d4-Organize scientific meetings relevant
to the use of physical modalities for
individuals and groups of different
educational and social levels.
d5-Communicate effectively with
physiotherapists & nurses in the
team
d5 Use information technology to
improve his professional practice
and improve his learning abilities.
d7 - Contribute efficiently in a
multidisciplinary team.
rehabilitation team.
d6-Use information technology to
improve his practice and improve his
knowledge.
d7-Contribute efficiently in the
managing team by criticizing
indications/contraindications & methods
of application of the different physical
modalities.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Superficial heat therapy ✓ ✓
2. Short wave & microwave
therapy
✓ ✓
3. Ultrasound therapy ✓ ✓
4. Cold therapy ✓ ✓
5. Low intensity laser therapy ✓ ✓
6. Magnetotherapy ✓ ✓
7. Transcutaneous electrical nerve
stimulation (TENS)
✓ ✓
8. Microcurrent ✓ ✓
9. Principles of extracorporial
shock wave therapy
✓ ✓
10. Electrical stimulation of muscles
(for denervated muscles - to
prevent disuse & to strengthen
innervated muscle).
✓ ✓
11. Interferential therapy &
amplitude modulating currents
✓ ✓
12. Diadynamic currents ✓ ✓
13. Compression chamber &
garments
✓ ✓
14. Ultraviolet rays ✓ ✓
15. Iontophoresis ✓ ✓
16. Biofeedback Training ✓ ✓
17. Acupuncture ✓ ✓
18. Hyperbaric oxygen therapy ✓ ✓
19. Herbal therapy ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70%
Practical/Clinical Exam 30%
Others
List of Textbooks and References
Lecture Notes
✓
Course Text Books
1) Krusen’s Handbook of physical medicine
& rehabilitation. Editor: Braddom RL.
Philadelphia: Saunders; 2004
2) Physical medicine & rehabilitation:
principles & practice. Editor: DeLisa et al.
✓
✓
✓
Lippincott Williams & Wilkins 2009.
3) Practical manual of physical medicine and
rehabilitation. Editor: Tan JC. 2nd edition;
2006
4) Clayton’s electrotherapy: by: Kitchen S.
Publisher: Churchill Livingstone (2002)
Suggested Extra Reading
Physical medicine and rehabilitation secrets.
Edited by: O’Young BJ et al. 3rd ed. Philadelphia:
Mosby; 2008.
Journals and Periodicals, others
Course Instructor:
Name: Ass. Prof. Marwa Hasan Signature:
Program Coordinator
Name: Ass Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof.Dr. Dia Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation
Course Information
Course Code: 05300803 Course Name: Physical Medicine II (Exercises,
Hydrotherapy, Manipulation, Traction and Massage)
Program in which the Course is Given Master of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims To provide the students with knowledge about: The physiological effects, purpose, techniques, indications and contraindication of the different forms of exercise therapy and massage are given. The benefits, hazards, precautions, indications, contraindications, techniques and uses of hydrotherapy, spinal traction and manipulation are given.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a6 -Describe up-to-date
management procedures of
neuromusculoskeletal disorders.
a9- Recognize the quality standards
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
a1. Describe range of motion exercises,
strengthening, endurance and aerobic
exercises in musculoskeletal affection.
a2. Describe hydrotherapeutic modalities.
a3. Describe traction and massage in
musculoskeletal disorders.
a4. Define recent hydrotherapeutic
modalities.
a5. Describe the up-to-date exercise
protocols in different musculoskeletal
disorders.
a6. Define the guidelines for applying
different types of exercises.
a7. Define international standards in
applying hydrotherapy in patients with
musculoskeletal disorders.
1/2 1/2
a8. Define guidelines for spinal traction.
musculoskeletal disorders.
B. Intellectual
skills
b5 Evaluate risks imposed to patient
or managing team during
professional practice related to the
field of the specialty
b7 Plan for professional improvement
in Physical Medicine, Rheumatology
& Rehabilitation
b8 Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
b1. Judge the age of the patient during
traction.
b2. Detect health problems especially the
cardiovascular state prior to exercise
therapy.
b3. Integrate the appropriate physical
modalities in the rehabilitation program.
B4. Integrate the appropriate therapeutic
exercises in the rehabilitation program.
b5. Employ the most evidence-based
physical modalities in rehabilitation.
b6. Describe the current literature regarding
some physical modalities when used in
certain diseases.
b7- Appraise the debate regarding the
efficacy of some physical modalities and
therapeutic exercises in certain diseases.
C.Professional
and Practical
Skills
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c8. Prescribe physical modalities and
exercises in neuromusculoskeletal
disorders.
c14 Report patient status in a comprehensive professional way.
c1. Use the appropriate imaging techniques
to diagnose osteoporosis prior to traction.
c2. Assess the aerobic capacity of cardiac
patients prior to aerobic exercises.
c3. Determine the contraindications of
exercises, traction and physical modalities
prior to their utilization.
c4. Apply traction, massage, and
hydrotherapy in different musculoskeletal
disorders.
c5. Prescribe range of motion exercises,
strengthening and aerobic exercises in
neuromusculoskeletal disorders.
c6. Prescribe the appropriate physical
modalities in neuromusculoskeletal
disorders.
c7. Report about the specifications of
therapeutic exercises, traction and physical
modalities used in each specific
rehabilitation program and the response of
the patient to theses remedies.
D. General
Skills
d4 communicate effectively with
different members of rehabilitation
team
d5 Use information technology to
improve his professional practice and
improve his learning abilities.
d6- Lead the rehabilitation team.
d8 plan rehabilitation programs in
reference to available resources
(place, equipment, team and time).
d9 Evaluate the sufficiency and efficiency of available medical resources in view of the work load.
d1. Adjust rehabilitation plan with all the
members of rehabilitation team.
d2. Plan of rehabilitation programs in
musculoskeletal disorders using recent
technology.
d3. Lead the rehabilitation team in neurorehabilitation.
d4. Plan rehabilitation for traction to neck.
d5. Plan rehabilitation program for
hydrotherapy in RA patients.
d6. Evaluate competency of the
rehabilitation team.
d7. Revise present apparatus available for
therapy.
E. Attitudes
and ethical
behavior
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Exercise therapy ✓ ✓ ✓
Massage ✓ ✓ ✓
Spinal traction ✓ ✓ ✓
Hydrotherapy ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
✓
✓
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 80 %
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
✓
Course Text Books
Krusen’s Textbook of Physical Medicine and
Rehabilitation
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Ass. Prof. Dr. Marwa Hasan Signature:
Program Coordinator
Name: Ass Prof Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof Dr Diaa Mohasseb Signature:
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 05300804 Course Name: Rheumatology I
Program in which the Course is Given:
Master degree in Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours: 2 Theoretical Clinical/Practical
Course Aims
1. To provide a training program in aspirating synovial fluid from joints & in intra-articular
injection.
2. To provide information regarding synovial fluid analysis.
3. To introduce the student to the main inflammatory and degenerative joint disorders
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system
a2- Identify the effect of different
factors involved in the
pathogenesis of musculoskeletal
disorders
A1-Identify the structure of joints and
related structures
A2- Describe the function of joints and
related structures
A3-Describe the different genetic and
acquired factors involved in the
pathogenesis of rheumatic disorders
A4- Explain efficiently the etiology and
1
1
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation
of neuromusculoskeletal
affections.
a5 Recognize the recent advances
in the diagnosis of musculoskeletal
diseases.
a6 Describe up-to-date
management procedures of neuro-
musculoskeletal disorders.
pathogenesis of the different rheumatic
disorders in terms of changes in structure
and function and underlying mechanisms,
including those in the synovial fluid
A5- Describe the clinical presentation of the
different rheumatic disorders in a
professional way
A6- Classify the main protocols adopted in
management of rheumatic affections,
including intraarticular and local injection.
A7-Explain the different pharmacologic
approaches utilized in management of
rheumatic affections.
A8-Explain the different non-pharmacologic
approaches utilized in management of
rheumatic affections
A9- Explain the role of joint aspiration in
the diagnosis of rheumatic diseases.
A10- Define the role of polarized
microscopy in the diagnosis of
rheumatological diseases.
A11- Define the most recent advances in the
pharmacologic management of
rheumatologic disorders.
A12- Define the most recent advances in the
non- pharmacologic management of
rheumatologic disorders.
a8 Recognize the quality standards
of practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to
diagnosis.
a9 Recognize the quality standards
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management
a10 Review basics and ethics of
scientific research in general.
A13- Identify the quality standards related to
the methods of laboratory investigation of
rheumatologic patients
A14- Identify the quality standards related to
imaging of rheumatologic patients
A15- Extrapolate the quality standards to the
methods of assessment of rheumatological
patients
A16- Identify the quality standards to the
methods of drug treatment of rheumatologic
patients
A17- Describe the quality standards to the
methods of rehabilitation of rheumatologic
patients
A18- Recognize the ethical guidelines in
conducting scientific research on
rheumatological patients
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
b2- Use the structural & functional
characteristics of the
musculoskeletal system to explain
B1- Analyze the clinical signs and
symptoms of rheumatologic problems to
reach a diagnosis
B2- Contrast the possible differential
diagnoses for a rheumatological problem
B3- Explain the different pathological
problems using the structural characteristics
the different pathological problems
b3- Plan the appropriate
investigations for each patient to
help reaching the diagnosis
b4 Solve common and some
uncommon problems not
conforming to classic cases.
b5 Evaluate risks imposed to the
patient or the managing team
during professional practice
related to the field of the specialty
b6 Recognize the essential
principals of scientific medical
research.
of joints and related structures
B4- Analyze the different pathological
problems referring to the functional
characteristics of joints and related
structures
b5- Determine the appropriate laboratory
investigations to help reaching the diagnosis
for each rheumatologic patient
b6- Determine the appropriate imaging
investigations to help reaching the diagnosis
for each rheumatologic patient
b7- Analyze common problems in
rheumatology conforming to classic cases
b8- Analyze some uncommon problems in
rheumatology not conforming to classic
cases ( incomplete data or unusual findings)
b9- Appraise the role of different tools to
solve encountered problems
b10 Evaluate risks imposed to the patient
due to pharmacological agents used
b11 Evaluate risks imposed to the patient
during non pharmacological management
b12 Evaluate risks imposed to the managing
team during rehabilitation of a rheumatic
patient
b13 Recognize the essential principals of
scientific medical research in
b7 Plan for professional
improvement in physical
medicine, rheumatology and
rehabilitation.
b8 Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
Rheumatology.
b14- Imply creativity and innovation for
achieving professional improvement in
Rheumatology
b15-Analyze current literature in the field of
rheumatology depending on acquired
knowledge and skills
b16. Criticize current literature about recent
advances in drug management in rheumatic
diseases
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards
of time and competency.
c3- Evaluate patients functionally.
c1- Perform full examination of the joints
and related structures
c2- Perform examination of the different
other body organs as indicated in a
particular patient with rheumatic problem
c3- Use different tools to define rheumatic
disease activity and severity
c4- Diagnose common rheumatic problems
according to internationally accepted
criteria
c5- Manage common rheumatic problems
according to internationally accepted
standards
c6- Assess rheumatic patients functionally
using standard objective methods for
assessment of pain
c7- Assess rheumatic patients functionally
c13 Recognize basics of medical
reporting
c14 Report patient status in a
comprehensive professional way.
using standard objective methods for
assessment of ADL
c8- Identify the elements of a comprehensive
report for a patient with rheumatic problem
c9- Report in a comprehensive professional
way about rheumatological patient status.
D. General
Skills
d1- Retrieve information from all
sources (printed, electronic,
communications etc…).
d2-Verify the accuracy of
scientific material on basis of best
evidence in medicine and in
practice
d3-Present scientific information
to individuals and groups of
different educational and social
levels
d5 Use information technology to
improve his professional practice
and improve his learning abilities.
d7 Contribute efficiently in a
multidisciplinary team.
D1- Collect information from all sources
( printed, electronic, communications etc…)
in field of rheumatology
D2-Criticize the accuracy of scientific
literature in rheumatology depending on
evidence-based criteria
D3- Construct a scientific talk related to
rheumatology to rheumatologists
D4- Organize a scientific presentation
related to rheumatology to physicians in
other specialties
D5- Present suitable information to the
patient (and his family) about the nature of
his disease
D6- use information technology to improve
his knowledge about rheumatic diseases
D7- Use information technology to solve
problems in the diagnosis and management
of a particular patient
D8- communicate efficiently with collegues
from other specialties for efficient
d9 Evaluate the sufficiency and
efficiency of available medical
resources in view of the work load
management of a patient with rheumatic
disease
D9 Contribute efficiently a multidisciplinary
team for rehabilitation of a rheumatological
patient
D10 Evaluate the sufficiency of resources
for pharmacological treatment of a patient
with rheumatic disease
D11analyze the efficiency of available
resources for properly rehabilitating a
patient with rheumatological problem.
Attitudes and
ethical
behavior
e1-Follow national code of ethics
& respect patients rights
e2-Council patients & parents
with appreciation and
understanding
e3-Respect rights of disabled &
handicapped
e4-Deal with different team
members in a professional and
cooperative manner
e1- Define the national code of ethics for
rheumatological patients rights
e2- Apply ethics in patient management
regarding privacy and his right to know
about his condition
e3- Apply ethics in patient management
regarding his right to share in decisions
about his management
e4- Appraise rheumatological patients and
caregivers in an understanding manner.
E5-Reflect in his practice the rights of
rheumatological patients in a fruitful
enjoyable life
E6- Cooperate professionally with different
team members to achieve the goals of
management for each particular patient
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
General characteristics & composition
of the synovial fluid in healthy subjects
& in the different arthritic conditions
✓
Indications, precautions &
contraindications for joint fluid
aspiration.
✓
Intra-articular therapy & Local soft
tissue injection (indication – the used
medications – precautions-
contraindications- techniques)
✓
Knee joint aspiration & intra-articular
injection
✓
Shoulder joint aspiration & intra-
articular injection
✓
Wrist joint aspiration & intra-articular
injection
✓
Elbow joint aspiration & intra-articular
injection
✓
Ankle joint aspiration & intra-articular
injection
✓
Acromioclavicular joint injection ✓
Local injection in some bursae
(anserine, olecranon, retrocalcaneal,
subacromial, trochanteric, …)
✓
Local injection in tenoperiosteal
inflammation (Tennis elbow & Golfer’s
elbow)
✓
Local injection of tendons sheeth
(bicipital tendinitis, DeQuervan’s
✓
tenosynovitis, tenosynovitis around the
ankle & wrist, paratendinitis of tendo-
Achiles, tenosynovitis stenosum,...)
Local injection in plantar fasciitis (or
calcaneal spur) .
✓
Local injection in trigger points of
myofascial pain syndrome
✓
Osteoarthritis ✓ ✓ ✓
Cercical spondylosis ✓ ✓ ✓
Lumbar spondylosis ✓ ✓ ✓
Crystal arthropathies ✓ ✓ ✓
Rheumatoid arthritis ✓ ✓ ✓
Ankylosing spondylitis ✓ ✓ ✓
Other spondyloarthropathies ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 20 %
Others 10 %
✓
✓ ✓
✓
✓
List of Textbooks and References
Lecture Notes
Course Text Books
Kelley’s textbook of rheumatology.
Editors: Harris ED, et al. 7th edition:
Chapters 46 & 47.
Primer in rheumatic diseases
Suggested Extra Reading
Electronic book
HSS Manual Ch. 8 - Arthrocentesis,
Intraarticular therapy
From: HSS Manual of Rheumatology
and Outpatient Orthopedic Disorders.
By: Fields TR et al. (2006)
Journals and Periodicals, others
Annals of Rheumatic Diseases
Arthritis & Rheumatism
Course Instructor
Name: Prof Dr. Abd El Moneim Helal. Signature:
Program Coordinator
Name: Ass Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof.Dr. Dia Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 05300805 Course Name: Rheumatology II
Program in which the Course is Given
Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 3 Theoretical Clinical/Practical
Course Aims
The course aims at introducing the student to different joint diseases, including their diagnosis,
differential diagnosis, investigations and treatment. As well as giving him the concepts of soft
tissue rheumatism,j oint diseases associated with blood disorders, Intermittant arthritic syndromes
& periodic rheumatic diseases.and systemic CT diseases
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system
a2- Identify the effect of different
factors involved in the
pathogenesis of musculoskeletal
disorders
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
A1-Identify the structure of joints and
related structures
A2- Describe the function of joints and
related structures
A3-Describe the different genetic and
acquired factors involved in the
pathogenesis of rheumatic disorders
A4- Explain efficiently the etiology and
pathogenesis of the different rheumatic
disorders in terms of changes in structure
and function and underlying mechanisms
A5- Describe the clinical presentation of the
different rheumatic disorders in a
professional way
1 2
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation
of neuromusculoskeletal
affections.
a5 Recognize the recent advances
in the diagnosis of musculoskeletal
diseases.
a6 Describe up-to-date
management procedures of neuro-
musculoskeletal disorders.
a8 Recognize the quality standards
of practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to
diagnosis.
A6- Classify the main protocols adopted in
management of rheumatic affections.
A7-Explain the different pharmacologic
approaches utilized in management of
rheumatic affections.
A8-Explain the different non-pharmacologic
approaches utilized in management of
rheumatic affections
A9- Explain the role of joint aspiration in
the diagnosis of rheumatic diseases.
A10- Define the role of polarized
microscopy in the diagnosis of
rheumatological diseases.
A11- Define the most recent advances in the
pharmacologic management of
rheumatologic disorders.
A12- Define the most recent advances in the
non- pharmacologic management of
rheumatologic disorders.
A13- Identify the quality standards related to
the methods of laboratory investigation of
rheumatologic patients
A14- Identify the quality standards related to
imaging of rheumatologic patients
a9 Recognize the quality standards
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management
a10 Review basics and ethics of
scientific research in general.
A15- Extrapolate the quality standards to the
methods of assessment of rheumatological
patients
A16- Identify the quality standards to the
methods of drug treatment of rheumatologic
patients
A17- Describe the quality standards to the
methods of rehabilitation of rheumatologic
patients
A18- Recognize the ethical guidelines in
conducting scientific research on
rheumatological patients
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
b2- Use the structural & functional
characteristics of the
musculoskeletal system to explain
the different pathological problems
b3- Plan the appropriate
investigations for each patient to
help reaching the diagnosis
B1- Analyze the clinical signs and
symptoms of rheumatologic problems to
reach a diagnosis
B2- Contrast the possible differential
diagnoses for a rheumatological problem
B3- Explain the different pathological
problems using the structural characteristics
of joints and related structures
B4- Analyze the different pathological
problems referring to the functional
characteristics of joints and related
structures
b5- Determine the appropriate laboratory
investigations to help reaching the diagnosis
for each rheumatologic patient
b4 Solve common and some
uncommon problems not
conforming to classic cases.
b5 Evaluate risks imposed to the
patient or the managing team
during professional practice
related to the field of the specialty
b6 Recognize the essential
principals of scientific medical
research.
b7 Plan for professional
improvement in physical
medicine, rheumatology and
rehabilitation.
b8 Critically appraise current
literature on physical medicine,
b6- Determine the appropriate imaging
investigations to help reaching the diagnosis
for each rheumatologic patient
b7- Analyze common problems in
rheumatology conforming to classic cases
b8- Analyze some uncommon problems in
rheumatology not conforming to classic
cases ( incomplete data or unusual findings)
b9- Appraise the role of different tools to
solve encountered problems
b10 Evaluate risks imposed to the patient
due to pharmacological agents used
b11 Evaluate risks imposed to the patient
during non pharmacological management
b12 Evaluate risks imposed to the managing
team during rehabilitation of a rheumatic
patient
b13 Recognize the essential principals of
scientific medical research in
Rheumatology.
b14- Imply creativity and innovation for
achieving professional improvement in
Rheumatology
b15-Analyze current literature in the field of
rheumatology depending on acquired
rheumatology & Rehabilitation
knowledge and skills
b16. Criticize current literature about recent
advances in drug management in rheumatic
diseases
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards
of time and competency.
c3- Evaluate patients functionally.
c13 Recognize basics of medical
reporting
c14 Report patient status in a
comprehensive professional way.
c1- Perform full examination of the joints
and related structures
c2- Perform examination of the different
other body organs as indicated in a
particular patient with rheumatic problem
c3- Use different tools to define rheumatic
disease activity and severity
c4- Diagnose common rheumatic problems
according to internationally accepted
criteria
c5- Manage common rheumatic problems
according to internationally accepted
standards
c6- Assess rheumatic patients functionally
using standard objective methods for
assessment of pain
c7- Assess rheumatic patients functionally
using standard objective methods for
assessment of ADL
c8- Identify the elements of a comprehensive
report for a patient with rheumatic problem
c9- Report in a comprehensive professional
way about rheumatological patient status.
D. General
Skills
d1- Retrieve information from all D1- Collect information from all sources
sources (printed, electronic,
communications etc…).
d2-Verify the accuracy of
scientific material on basis of best
evidence in medicine and in
practice
d3-Present scientific information
to individuals and groups of
different educational and social
levels
d5 Use information technology to
improve his professional practice
and improve his learning abilities.
d7 Contribute efficiently in a
multidisciplinary team.
d9 Evaluate the sufficiency and
efficiency of available medical
( printed, electronic, communications etc…)
in field of rheumatology
D2-Criticize the accuracy of scientific
literature in rheumatology depending on
evidence-based criteria
D3- Construct a scientific talk related to
rheumatology to rheumatologists
D4- Organize a scientific presentation
related to rheumatology to physicians in
other specialties
D5- Present suitable information to the
patient (and his family) about the nature of
his disease
D6- use information technology to improve
his knowledge about rheumatic diseases
D7- Use information technology to solve
problems in the diagnosis and management
of a particular patient
D8- communicate efficiently with collegues
from other specialties for efficient
management of a patient with rheumatic
disease
D9 Contribute efficiently a multidisciplinary
team for rehabilitation of a rheumatological
patient
D10 Evaluate the sufficiency of resources
for pharmacological treatment of a patient
resources in view of the work load
with rheumatic disease
D11analyze the efficiency of available
resources for properly rehabilitating a
patient with rheumatological problem.
Attitudes and
ethical
behavior
e1-Follow national code of ethics
& respect patients rights
e2-Council patients & parents
with appreciation and
understanding
e3-Respect rights of disabled &
handicapped
e4-Deal with different team
members in a professional and
cooperative manner
e1- Define the national code of ethics for
rheumatological patients rights
e2- Apply ethics in patient management
regarding privacy and his right to know
about his condition
e3- Apply ethics in patient management
regarding his right to share in decisions
about his management
e4- Appraise rheumatological patients and
caregivers in an understanding manner.
E5-Reflect in his practice the rights of
rheumatological patients in a fruitful
enjoyable life
E6- Cooperate professionally with different
team members to achieve the goals of
management for each particular patient
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
SLE and antiphospholipid syndrome ✓ ✓ ✓
Scleroderma and calcinosis ✓ ✓ ✓
Polymyositis and dermatomyositis ✓ ✓ ✓
Mixed CT diseases and overlap
syndrome
✓ ✓ ✓
Osteoporosis ✓ ✓ ✓
Metabolic bone disease ✓ ✓ ✓
Vasculitis ✓ ✓ ✓
Juvenile idiopathic arthritis ✓ ✓ ✓
Rheumatic fever ✓ ✓ ✓
Intermittent syndromes ✓ ✓ ✓
Metabolic and endocrinal arthropathies ✓ ✓ ✓
Arthritis associated with
haermatological disorders
✓ ✓ ✓
Fibromyalgia ✓ ✓ ✓
Traumatic and infectious joint diseases ✓ ✓ ✓
Arthitis associated with malignancy ✓ ✓ ✓
Soft tissue rheumatism ✓ ✓ ✓
Joint manifestations in systemic
affections
✓ ✓ ✓
Non-steroidal anti-inflammatory drugs ✓ ✓ ✓
Disease Modifying Drugs ✓ ✓ ✓
Corticosteroids ✓ ✓ ✓
Biological Agents ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 20 %
Others 10 %
List of Textbooks and References
Lecture Notes
NA
Course Text Books
Primer in rheumatic diseases
Suggested Extra Reading
Textbook of Rheumatology
Journals and Periodicals, others
Annals of Rheumatic Diseases
Arthritis & Rheumatism
Course Instructor
Name: Dr Dia Mohasseb Signature:
Program Coordinator
Name: Ass Prof Dr Enas Shahine Signature:
Program Director (Head of Department)
Name: Dr Dia Mohasseb Signature:
✓
✓ ✓
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation
Course Information
Course Code: 05300806 Course Name: Regional Pain
Program in which the Course is Given:
Master degree in Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims:
1. To recognize the different causes of regional pain syndromes (whether rheumatological,
orthopedic , neurological, referred or psychogenic).
2. To train and teach doctors the different skills for the diagnosis, differential diagnosis and
treatment of back, neck, shoulder, elbow, wrist, hand, hip, knee, ankle and foot pains.
Intended Learning Outcomes (ILOs)
Program ILO
(refer to program matrix) Course ILOs
A. Knowledge
and
Understanding
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
A1.Identify the causes of back & neck
pain.
A2. Recognize the causes of shoulder &
scapular pain.
A3. List the causes of elbow pain.
A4. Define the causes of wrist & hand
pain.
A5. Recognize the causes of hip pain.
A6. Describe the causes of knee pain.
A7. Recognize the causes of ankle and
foot pain.
A8. Discuss the clinical presentation of
the different causes of regional pain
1/2 1/2
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a8- Recognize the quality
standards of practice in the field of
Physical Medicine, Rheumatology
and Rehabilitation in relation to
diagnosis.
a9-Recognize the quality standards
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
a10- Review basics and ethics of
scientific research in general.
A9. Recognize the investigations
required in regional pain management.
A10. Describe the treatment options
adopted in managing regional pain
syndromes.
A11. Review the diagnostic
signs/symptoms for the different causes of
regional pain.
A12. Review the recent advances in the
diagnosis/investigation of regional pain
A13. Recognize the quality standards in
selecting the appropriate investigation in
regional pain management.
.
A14. Recognize the available therapeutic
options in regional pain management.
A15. Describe the appropriate
therapeutic option for each cause of
regional pain.
A16. Recognize patients’ rights &
ethical standard during performing a
scientific research on regional pain
management.
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis.
B1. Analyze the clinical signs and
symptoms in patients with back or neck
pain to identify the cause of pain.
B2. Analyze the clinical signs and
symptoms in patients with knee, hip or
foot pain to identify the cause of pain.
B3. Analyze the clinical signs and
symptoms in patients with upper limb
pain to identify the cause of pain.
b3- Plan the appropriate
investigations for each patient to
help reaching the diagnosis.
b5- Evaluate risks imposed to
patient or managing team during
professional practice related to the
field of the specialty.
b7- Plan for professional
improvement in Physical
Medicine, Rheumatology &
Rehabilitation.
b8- Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
B4. Select the appropriate laboratory
investigation needed in each patient to
diagnose the cause of regional pain.
B5. Select the appropriate imaging
technique needed in each patient to
diagnose the cause of regional pain.
B6. Assess the psychological disturbance
that commonly occurs in patients with
chronic pain.
B7. Judge the benefit of the suggested
therapeutic option versus the possible
side effects in each patient.
B8. Revise precautions &
contraindications of the used therapeutic
option.
B9. Use the appropriate diagnostic
tool/investigation for each patient with
regional pain.
B10. Use the appropriate therapeutic
option for each patient with regional
pain.
B11. Recognize precautions &
contraindications of the used therapeutic
option during regional pain management.
B12. Review the literature for the
available laboratory & imaging
techniques used in regional pain
management.
B13. Cite the available therapeutic
options used in regional pain
management from the literature.
C. Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system .
C1. Perform the needed rheumatological,
neurological and/or orthopedic
examination to diagnose the cause of
pain.
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards
of time and competency.
c3- Evaluate patients functionally.
c6- Perform different pain control
techniques.
c8 Prescribe the appropriate
physical agent modalities and
exercises for neuromusculoskeletal
disorder.
c9 Prescribe the appropriate
orthosis or prosthesis for
locomotory disorders.
c11 Perform intrarticular and soft
C2. Detect the relevant signs &
symptoms that help reaching the
diagnosis.
C3. Diagnose the cause of regional pain
in each patient.
C4. Select the appropriate therapeutic
options specific for managing the cause
of regional pain syndromes.
C5. Evaluate the range of motion &
muscle power in patients with chronic
pain.
C6. Assess the psychological state of
patients with chronic pain.
C7. Perform soft tissue and/or intra-
articular injection whenever necessary in
chronic pain management.
C8. Apply TENS in chronic pain
management.
C9. Apply magnetic pellets for pain
management in myofascial pain,
fibromyalgia & joint pain.
C10. Prescribe the appropriate heat or
cold modality for regional pain
management.
C11. Prescribe interferential therapy &
other electrotherapeutic modalities for
regional pain management.
C12. Prescribe the appropriate orthosis
needed in pain management.
C13. Prescribe the appropriate bypass
prosthesis for controlling pain of the
weight bearing joints.
C14. Perform soft tissue and/or intra-
articular injection for regional pain
management.
tissue injection.
c14 Report patient status in a
comprehensive professional way.
C15. Report pain patients’ status in a
professional way.
D. General
Skills
By the end of the program the
PG students will be able to:
d1- Retrieve information from all
sources ( printed, electronic,
communications etc…).
d2-Verify the accuracy of
scientific material on basis of best
evidence in medicine and in
practice.
d3-Present scientific information
to individuals and groups of
different educational and social
levels.
d6- Lead the rehabilitation team.
d8 - Plan rehabilitation programs
in reference to available resources
(place, equipment, team and time).
D1. Retrieve information concerning
chronic pain management from all available
sources (printed, electronic, communications
etc…).
D2. Verify the accuracy of scientific
information depending on evidence
based medicine
D3. Organize meeting for discussing
chronic pain management.
D4. Present information about
therapeutic options in chronic pain
management in news papers &
conferences.
D5. Lead a multidisciplinary
rehabilitation team for chronic pain.
D6. Plan a rehabilitation program for
chronic pain.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Evaluation in chronic pain
management (Pain measurement- ROM,
Assessment of functional status-
Psychological evaluation)
✓ ✓
Investigations & diagnostic tests
commonly used in chronic pain
management
✓
Treatment options in chronic pain
management (medication – physical
modalities– biofeedback – local
injection & interventions – others)
✓ ✓ ✓
Back pain (causes & management) ✓ ✓
Neck pain (causes & management) ✓ ✓
Shoulder pain (causes & management) ✓ ✓
Elbow pain (causes & management) ✓ ✓
Wrist & hand pain (causes &
management)
✓ ✓
Hip pain (causes & management) ✓ ✓
Knee pain (causes & management) ✓ ✓
Ankle and foot pain (causes &
management)
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others
List of Textbooks and References
Lecture Notes
✓
Course Text Books
1. Kelley’s textbook of rheumatology.
Editors: Harris ED, et al. 7th edition:
Chapters 36-43 & 47.
2. Adams’s outline of orthopedics. By:
Hamblen DL & Simpson H. Churchill
Livingstone 2010.
3. Krusen’s Handbook of physical
medicine & rehabilitation. Editor:
Braddom RL. Philadelphia: Saunders;
2004.
Suggested Extra Reading
Physical medicine and rehabilitation
secrets. Edited by: O’Young BJ et al.
3rd ed. Philadelphia: Mosby; 2008.
Journals and Periodicals, others
1. Archives of physical medicine &
rehabilitation
2. Pain
Course Instructor
Name: Prof. Dr. Tarek Shafshak Signature:
Program Coordinator
Name: Ass Prof. Dr.Enas Shahine Signature:
✓
✓ ✓
✓ ✓
Program Director (Head of Department)
Name: Prof.Dr. Diaa Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 05300807 Course Name: Electrodiagnosis
Program in which the Course is Given: Master of Physical Medicine, Rheumatology and
Rehabilitation.
Number of Credit Hours: (3) Theoretical Clinical/Practical
Course Aims: This course aims at providing the students with information about electrodiagnostic approaches to different
clinical problems and practical training for different electrodiagnostic techniques . It includes: motor nerve
conduction, sensory nerve conduction, reflex studies (Blink reflex, H-reflex), F-wave studies,
electromyography, somatosensory evoked potential and motor evoked potential. The course includes also:
techniques, rational and interpretation of results.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the program the PG
students will be able to:
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system
a2- Identify the effect of different
factors involved in the pathogenesis
By the end of the program the PG students will
be able to:
a1- Describe the structure and function of
different components of neuromuscular system
to be able to understand the electrodiagnosis
approach in different neuromuscular disorders.
a2- Identify the structure of motor unit.
a3- Identify the structure of neuro-muscular
junction.
a4- Identify blink reflex pathway
a5- Identify the pathway of somatosensory
evoked potentials.
a6- Describe the pathway of motor evoked
potentials
a7- Discuss the different factors involved in the
pathogenesis of neuromuscular disorders.
a8- Discuss the different factors contributing to
2 1
of musculoskeletal disorders
a3- Discuss the etiology, pathogenesis
and clinical presentation of the
different musculoskeletal disorders
a5- Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
a6- Describe up-to-date management
procedures of neuro-musculoskeletal
disorders.
a8- Recognize the quality standards of
practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to diagnosis.
a9- Recognize the quality standards in
practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
abnormal motor conduction
a9- Discuss the different factors contributing to
abnormal motor unit action potentials
a10- Discuss the different factors contributing to
abnormal blink reflex.
a11- Discuss etiology, pathogenesis and clinical
presentation of different neuromuscular disorder.
a12- Discuss the relation between the
pathogenesis and the electrodiagnostic
approaches
a13- Describe recent advances in the
electrodiagnosis of neuromuscular diseases.
a14- Recognize recent advances of
electrodiagnostic techniques.
a15- Recognize different techniques used in
electrodiagnosis
a16- Recognize the normal and abnormal results
of every electrodiagnostic techniques.
a17- Recognize up to date approaches for
electrodiagnosis of neuromuscular disorders
a18- Recognize up to date techniques for
electrodiagnosis of neuromuscular disorders
a19- Identify the quality standards of practice in
the field of electrodiagnosis.
a20- Identify the quality standards of practice
using electromyography.
a21- Identify the quality standards of practice
using evoked potentials.
a22- Recognize the quality standards of practice
using electromyography.
a23- Recognize the quality standards of practice
using evoked potentials.
a24- Recognize the quality standards of practice
using motor conduction study.
a25- Recognize the quality standards of practice
using sensory conduction study.
B. Intellectual
skills
By the end of the program the PG
students will be able to:
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
pathological problems
b3- Plan the appropriate
investigations for each patient to help
reaching the diagnosis
b4 Solve common and some complex
problems not conforming to classic
cases.
b5 Evaluate risks imposed to patient
By the end of the program the PG students will
be able to:
b1- Use the structure and functional
characteristics of different components of
neuromuscular system to be able to understand
the electrodiagnosis approach in different
neuromuscular disorders.
b2- Use structure and function of motor unit to
explain changes in myopathies and neuropathies.
b3- Use the structure of neuro-muscular junction
to explain electrodiagnosis of myoneural
junction disorders.
b4- Use blink reflex pathway to explain its use in
electrodiagnosis.
b5- Use the pathway of somatosensory evoked
potentials to explain its role in assessment of
central disorders .
b6- Use the pathway of motor evoked potentials
to explain its role in electrodiagnosis
b7- Plan the appropriate electrodiagnostic
approaches for every patient with specific neuro-
muscular problem.
b8- Recognize techniques used in
electrodiagnosis.
b9- discuss the role of every technique in
diagnosis of different neuro-muscular disorder.
b10- Describe lab investigations used for
diagnosis of patients with neuromuscular
disorders.
b11- Solve common and complex problems in
applying different techniques for patients during
electrodiagnosis.
b12- Evaluate risks imposed to patients during
electrodiagnosis.
or managing team during professional
practice related to the field of the
specialty
b6 Recognize the essential principals
of scientific medical research.
b7 Plan for professional improvement
in Physical Medicine, Rheumatology
& Rehabilitation.
b8 Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
b13- Identify the essential principals of scientific
medical research in the field of electrodiagnosis.
b14- Plan for professional improvement in
electrodiagnosis
b15- Critically appraise current literature on
electrodiagnosis
C.Professional
and Practical
Skills
By the end of the program the PG
students will be able to:
c1- Perform full examination of
different components of the
musculoskeletal system
c2- Mange the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c3- Evaluate patients functionally.
c4- Perform basic electrodiagnostic
procedures.
By the end of the program the PG students will
be able to:
c1- Perform full examination of different
components of the neuro-musculo-skeletal
system
c2- Diagnose different types of neuro-muscular
disorders by electrodiagnosis.
c3- Evaluate patients with neuromuscular
disorders functionally
c4- Perform appropriate electrodiagnostic
approaches for specific neuro-muscular clinical
problem.
c5- Practice techniques used in electrodiagnosis.
c6. Recognize normal and abnormal result of
every technique.
c7- Recognize difficulties and errors related to
every technique.
c14 Report patient status in a
comprehensive professional way.
c8. Recognize features of every wave results
from each technique.
c9- Practice electrodiagnostic reporting for
specific problems
c10- Recognize the salient electrodiagnostic
features of every neuro-muscular disorder.
c11- Practice electrodiagnostic reporting.
D. General
Skills
By the end of the program the PG
students will be able to:
d4- Communicate effectively with
different members of the
rehabilitation team
d9 Evaluate the sufficiency and
efficiency of available medical
resources in view of the work load.
By the end of the program the PG students will
be able to:
d1. Communicate with different specialties
whose patients can be managed and
diagnosed using electrodiagnosis.
d2.Evaluate the sufficiency and efficiency of
available medical resources in view of the
work load in the field of electrodiagnosis
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Sensory Conduction ✓ ✓
Motor Conduction ✓ ✓
Electromyography ✓ ✓
Reflex studies ✓ ✓
F waves and Late waves ✓ ✓
Somatosensory evoked potentials ✓ ✓
Motor evoked potentials ✓ ✓
Repetitive nerve stimulation ✓ ✓
Electrodiagnosis in neuromuscular
disorders.
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term 20 %
End of term 80 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
Pactical Electromyography
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mowaffak Mostafa. Signature:
Program Coordinator
Name: Ass Prof. Dr.Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof Dr. Diaa Mohasseb Signature:
✓
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation
Course Information
Course Code: 05300808 Course Name: Neurorehabilitation
Program in which the Course is Given Master of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims To provide the student with sufficient knowledge about the evaluation, determining the aim, methods of rehabilitation & physical modalities that should be used in all neurological and locomotory problem e.g. stroke, paraplegia, quadriplegia, spinal cord injuries, traumatic brain injury, facial palsy, polyneuropathy, mononeuropathy, entrapment neuropathy, peripheral nerve injuries, ataxias, myopathies, muscle dystrophies and parkinsonism.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a5 Recognize the recent advances in
the diagnosis
a6 Describe up-to-date
management procedures of
neuromusculoskeletal disorders.
a1. Describe functional evaluation in
neuromuscular disorders (NMD).
a2. Describe recent physical modalities in
neuromuscular disorders.
a3. Describe range of motion exercises and
strengthening training in neuromuscular
disorders.
a4. Recognize the role of MRI in NMD.
a5. Recognize the role of electrodiagnosis in
NMD.
a6. Identify the role of biofeedback in NMD.
a7. Describe treadmill training with partial
body weight support in managing NMD.
a8. Identify the role of functional electrical
stimulation in managing NMD.
1 1
a8 Recognize the quality standards of
practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to
diagnosis.
a9 Recognize the quality standards in
practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
a10 Review basics and ethics of
scientific research in general.
a9. Identify the diagnostic criteria for
diagnosing different NMD
a10. Recognize the quality standards in
assessing the severity of NMD.
a11. Identify the international classification
of functional disability and health.
a12. Describe the methods used to assess
functional activities as Fugel-Mayer motor
assessment scales etc.
a13. Define the methods used to assess
muscle strength as MRC etc.
a14. Describe the quality standards in
rehabilitation of NMD.
a15. Define a comprehensive objective for
the research.
a16. Recognize the ethical guidelines in
scientific research including signing a
consent by the patient.
B. Intellectual
skills
b5 Evaluate risks imposed to patient
or managing team during
professional practice related to the
field of the specialty
b6 Recognize the essential principals
of scientific medical research.
b7 Plan for professional improvement
in Physical Medicine, Rheumatology
& Rehabilitation.
b8 Critically appraise current
literature on physical medicine,
b1. Evaluate cardiovascular risk during
therapeutic exercises in neuromuscular
diseases.
b2. Evaluate areas of skin hyposthesia in
NMD during electrotherapy and heat therapy
in neuromuscular diseases.
b3. Estimate the degree of osteoporosis in
elderly with NMD.
b4. Assess validity, reliability and sensitivity
in medical research in the field of
neurorehabilitation.
b5. Apply controlled study in medical
research in the field of neurorehabilitation.
b6. Plan for workshops and training courses
in electrodiagnosis.
b7. Plan for workshops and training courses
in updates of rehabilitation practice.
rheumatology & Rehabilitation.
b8. Appraise recent literature in the field of
neurorehabilitation.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c3- Evaluate patients functionally.
c7 Perform techniques for control
of spasticity.
c8 Prescribe the appropriate physical
agent modalities and exercises for
neuromusculoskeletal disorder.
c13 Report patient status in a
comprehensive professional way.
c1. Examine all systems of the body
including neuromuscular system.
c2. Use suitable apparatus for evaluation of
muscle strength in addition to MRC.
c3. Apply guidelines for prescription of
strengthening and aerobic exercises.
c4. Specify the goals of rehabilitation
program based on the clinical and functional
evaluation as well as the patient’s needs.
c5. Design a rehabilitation program to fit
with the predetermined goals.
c6. Apply scales for functional evaluation
e.g. Fugel-Mayer score and Barthel index.
c7. Apply antispastic measures like
injection of botulinium toxin in spastic
muscles.
c8- Prescribe different physical agents used
for neuromuscular disorders.
c9. Prepare a specific neurorehabilitation
sheet.
c10. Practice medical reporting for patients
needing neurorehabilitation.
D. General
Skills
d4 communicate effectively with
different members of rehabilitation
team
d5 Use information technology to
improve his professional practice and
improve his learning abilities.
d1. Explain rehabilitation plan to the
different members of the rehabilitation team.
d2. Use recent techniques (E-learning) in
mediating information.
d3. Apply new concepts in
neurorehabilitation practice.
d6- Lead the rehabilitation team.
d7 Contribute efficiently in a
multidisciplinary team.
d8 plan rehabilitation programs in
reference to available resources
(place, equipment, team and time).
d9 Evaluate the sufficiency and efficiency of available medical resources in view of the work load.
d4. Identify short-term and long-term goals
of rehabilitation program.
d5. Plan rehabilitation program with the
rehabilitation team.
d6. Specify the role of different team
members cooperating in the program.
d7. Contribute efficiently in a rehabilitation
team for NMD.
d8. Plan different components of the
rehabilitation program in view of the
available resources
d9. Evaluate competence of the
rehabilitation team.
d10. Evaluate the apparatuses used in the
rehabilitation program.
E. Attitudes
and ethical
behavior
e1-Follow national code of ethics &
respect patients rights
e2-Council patients & parents with
appreciation and understanding
e3-Respect rights of disabled &
handicapped
e4-Deal with different team members
in a professional and cooperative
manner.
e1. Respect patient feelings and needs.
e2. Involve patient in short and long-term
goals.
e3. Involve patient and family in goal
setting.
e4. Respect the patient preferences.
e5. Plan with the patient for functional
independence.
e6. Integrate handicapped or disabled in the
community.
e7. Discuss the outcome of the rehabilitation
programs with the rehabilitation team.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
stroke. ✓ ✓ ✓ Paraplegia ✓ ✓ ✓
Quadriplegia ✓ ✓ ✓
spinal cord injuries ✓ ✓ ✓
TBI ✓ ✓ ✓
facial palsy ✓ ✓ ✓
, polyneuropathy ✓ ✓ ✓
Mononeuropathy ✓ ✓ ✓
entrapment neuropathy ✓ ✓ ✓
peripheral nerve injuries ✓ ✓ ✓
Ataxias ✓ ✓ ✓
Myopathies ✓ ✓ ✓
muscle dystrophies ✓ ✓ ✓
Parkinsonism ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks Written Exam 80 %
✓
✓
✓
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
✓
Course Text Books
Krusen’s Textbook of Physical Medicine and
Rehabilitation
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Mona el Bardaweel Signature:
Program Coordinator
Name: Ass Prof Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof Dr Dia Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 05300809 Course Name: Rehabilitation in Pediatrics
Program in which the Course is Given: Master of Physical Medicine, Rheumatology and
Rehabilitation.
Number of Credit Hours: (1) Theoretical Clinical/Practical
Course Aims: This course aims at providing the students with information about the examination & evaluation of all
pediatric locomotory problems, the physical modalities & the rehabilitation methods that can be used in the
management of the common pediatric problems that necessitates rehabilitation. It includes:: cerebral palsy,
brachial plexus birth injuries, floppy infant syndrome, neuropathy and myopathies in children, joint
deformities, spinal deformities and joint diseases.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
By the end of the program the PG
students will be able to:
a3- Discuss the etiology, pathogenesis
and clinical presentation of the
different musculoskeletal disorders
By the end of the program the PG students will
be able to:
a1- Discuss etiology, pathogenesis and clinical
presentation of children with cerebral palsy.
a2- Discuss etiology, pathogenesis and clinical
presentation of children with brachial plexus
injury.
a3- Discuss etiology, pathogenesis and clinical
presentation for children with floppy infant
syndrome.
a4- Discuss etiology, pathogenesis and clinical
presentation of children with neuropathies.
a5- Discuss etiology, pathogenesis and clinical
presentation of children with myopathies.
a6- Discuss etiology, pathogenesis and clinical
presentation of children with joint disease.
a7- Discuss etiology, pathogenesis and clinical
presentation of children with spinal deformities.
a8- Recognize different musculoskeletal
1/2 1/2
a4- Describe the management
protocols &/or procedures adopted in
management and rehabilitation of
neuromusculoskeletal affections.
a5- Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
a6- Descibe up-to-date management
procedures of neuro-musculoskeletal
disorders.
disorders in children that need rehabilitation.
a9- Identify management protocol of children
with cerebral palsy.
a10- Identify management protocol of children
with brachial plexus injury.
a11- Identify management protocol for children
with floppy infant syndrome.
a12- Identify management protocol of children
with neuropathies.
a13- Identify management protocol of children
with myopathies.
a14- Identify management protocol of children
with joint disease.
a15- Identify management protocol of children
with spinal deformities.
a16- Recognize principles of rehabilitation of
children with musculoskeletal disorder
a17- Describe the most recent advances in the
diagnosis of myopathies in children.
a18- Describe the most recent advances in the
diagnosis of neuropathies in children.
a19- Identify the most recent advances in the
diagnosis of arthritis in children.
a 20- Describe the role of electrodiagnosis for
assessment of children with neuropathies.
a 21- Describe the role of electrodiagnosis for
assessment of children with myopathies.
a 22- Describe the role of electrodiagnosis for
differential diagnosis of floppy infant syndrome
a 23- Describe the role of electrodiagnosis for
differential diagnosis of children with hypotonic
cerebral palsy.
a 24- Describe the role of evoked potentials for
assessment of children with spinal deformities.
a25- Describe the most recent advances in the
management (physical and surgical) of brachial
plexus injury in children.
a26- Describe the up-to-date management of
a8- Recognize the quality standards of
practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to diagnosis.
a9- Apply the quality standards in
practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
a10- Review basics and ethics of
scientific research in general.
a11- Recognize basics and ethics
specifically relevant to disabled and
children with cerebral palsy.
a27- Describe the up-to-date management of
children with myopathies.
a28- Describe the up-to-date management of
children with neuropathies.
a29- Describe the up-to-date management of
children with arthritis.
a30- Describe the up-to-date management of
children with spinal deformities.
a31- Discuss recent advances of different
physical modalities, orthotics, prosthetics used in
pediatric rehabilitation.
a32- Recognize the quality standards of practice
in assessment of children with cerebral palsy.
a33- Recognize the quality standards of practice
in assessment of children with arthritis.
a 34- Recognize the quality standards of practice
in assessment of children with spinal
deformities.
a35- Recognize the quality standards of practice
in assessment of children with cerebral palsy.
a36- Recognize the quality standards of practice
in assessment of children with arthritis.
a 37- Recognize the quality standards of practice
in assessment of children with spinal
deformities.
a38- Identify basics and ethics of scientific
research in the field of pediatric rehabilitation.
a39- Identify basics and ethics relevant to the
disabled children
handicapped.
a 40- Describe multi-disciplinary goal-oriented
approaches used for rehabilitation of children
with cerebral palsy.
B. Intellectual
skills
By the end of the program the PG
students will be able to:
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
pathological problems
By the end of the program the PG students will
be able to:
b1- Describe the clinical signs and symptoms of
musculoskeletal problems in children with
cerebral palsy.
b 2- Analyze the clinical signs and symptoms of
musculoskeletal problems in children with
arthritis.
b3- Describe the clinical signs and symptoms of
musculoskeletal problems in children with
myopathies.
b4- Describe the clinical signs and symptoms of
musculoskeletal problems in children with
neuropathies.
b5- Recognize the clinical signs and symptoms
of musculoskeletal problems in children with
spinal deformities.
b6- Recognize the manifestations and
complications of floppy infants. b7- Plan appropriate investigations for
differential diagnosis of floppy infant syndrome.
b8- Plan appropriate investigations for
differential diagnosis of children with arthritis.
b9- Use the structural & functional
characteristics of the musculoskeletal system to
explain the different neuro-musculo-skeletal
problems in children with cerebral palsy
b10- Use the structural & functional
characteristics of the musculoskeletal system to
explain the different neuro-musculo-skeletal
problems in children with myopathies
b11- Use the structural & functional
characteristics of the musculoskeletal system to
explain the different neuro-musculo-skeletal
problems in children with neuropathies
b12- Use the structural & functional
characteristics of the musculoskeletal system to
b3- Plan the appropriate
investigations for each patient to help
reaching the diagnosis
b4 Solve common and some complex
problems not conforming to classic
cases.
b5 Evaluate risks imposed to patient
or managing team during professional
practice related to the field of the
specialty.
explain the different neuro-musculo-skeletal
problems in children with spinal deformities
b13- Describe the lab investigations for
diagnosis of floppy infant syndrome.
b14- Describe the lab investigations for
diagnosis of children with cerebral palsy.
b 15- Describe the role of electrodiagnosis for
assessment of children with neuropathies.
b 16- Describe the role of electrodiagnosis for
assessment of children with myopathies.
b17- Describe the role of electrodiagnosis for
differential diagnosis of floppy infant syndrome
b 18- Describe the role of evoked potentials for
assessment of children with spinal deformities.
b 19- Discus the role of lab investigations for
assessment of children with arthritis.
b 20 Describe the role of imaging study for
assessment of children with joint deformities.
b 21 Describe the role of imaging study for
assessment of children with spinal deformities.
b 22 Describe the role of imaging study for
assessment of children with arthritis.
b23- Identify obstacles (familial, social,..)
imposed to children with cerebral palsy during
rehabilitation.
b24- Identify obstacles (familial, social,..)
imposed to children with arthritis during
rehabilitation.
b25- Specify appropriate solutions to
overcome such obstacles. b26- Solve common and some complex
problems in children with multiple handicaps.
b27- Assess risks imposed to children with
multiple handicaps.
b28- Recognize the essential principals of
b6 Recognize the essential principals
of scientific medical research.
scientific medical research in pediatric
rehabilitation.
C.Professional
and Practical
Skills
By the end of the program the PG
students will be able to:
c1- Perform full examination of
different components of the
musculoskeletal system.
c2- Mange the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c3- Evaluate patients functionally.
c7- Perform techniques for control of
spasticity.
By the end of the program the PG students will
be able to:
c1- Examine a child with musculoskeletal
problem
c2- Examine a child with arthritis.
c3- Examine a child with cerebral palsy.
musculoskeletal problem
c4- Examine a child with neuro-muscular
disorder.
c5- Examine a child with spinal deformity.
c6- Identify an approach for the diagnosis of
floppy infant syndrome.
c7- Identify an approach for the diagnosis of
children with arthritis.
c8- Identify an approach for the diagnosis of
children with spinal deformities.
c9- Perform assessment and functional
evaluation of a child with musculoskeletal
disorder.
c10- Perform functional evaluation of a child
with cerebral palsy.
c11- Perform functional evaluation of a child
with arthritis.
c12- Perform functional evaluation of a child
with spinal deformity.
c13- Recognize communication problems in
children with musculoskeletal problem.
c14- Recognize learning problems in
children with musculoskeletal problem
c15- Practice physical modalities for control of
spasticity.
c16- Perform Local injection techniques for
control of spasticity.
c17- Identify orthopedic management of
c8- Prescribe the appropriate physical
agent modalities and exercises for
neuromusculoskeletal disorder.
c9- Prescribe the appropriate orthosis
or prosthesis for locomotory
disorders.
c10- Supervise the physical
rehabilitation plan.
spasticity
c18- Identify medical management of spasticity.
c19- Recognize the applications of different
physical modality in pediatric rehabilitation..
c20- Practice the technique of application of
each modality for specific patient.
c21- Recognize indications and
contraindications of each modality for pediatric
age group.
c22- Prescribe the appropriate orthosis for
children with cerebral palsy.
c23- Prescribe the appropriate orthosis for
children with spinal deformities.
c24- Prescribe the appropriate orthosis for
children with arthritis.
C25- Lead and supervise the multi-professional
physical rehabilitation plan for children with
musculoskeletal disorder.
D. General
Skills
By the end of the program the PG
students will be able to:
d4 communicate effectively with
different members of rehabilitation
team
By the end of the program the PG students will
be able to:
d1- Communicate with different members of
rehabilitation team for children with cerebral
palsy.
d2- Communicate with different members of
rehabilitation team for children with arthritis.
d3- Communicate with different members of
rehabilitation team for children with spinal
deformities.
d4- Communicate with different members of
rehabilitation team for children with brachial
plexus birth injuries.
d5 Use information technology to
improve his professional practice and
improve his learning abilities.
d6- Lead the rehabilitation team.
d7 Contribute efficiently in a
multidisciplinary team.
d8 Plan rehabilitation programs in
reference to available resources
(place, equipment, team and time).
d9 Evaluate the sufficiency and
efficiency of available medical
resources in view of the work load
d5- Use information technology to improve the
professional practice in the field of pediatric
rehabilitation.
d6- Lead rehabilitation team in pediatric
rehabilitation.
d7- Describe the role of the family for
rehabilitation in each child.
d8- Modulate the rehabilitation program in
children according to the social resources.
d9- Communicate efficiently with different
members of rehabilitation team to furnish
optimum management for children with
diabilites.
d10- Describe the role of the family for
rehabilitation in each child.
d11- Modulate the rehabilitation program in
children according to the resources.
d12- Analyze the sufficiency and efficiency of
available medical resources in view of the work
load in pediatric rehabilitation
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures Self
learning
Practical/
Clinical
Small
group
discussion
Others
Cerebral Palsy ✓ ✓
Floppy infant syndrome ✓ ✓
Brachial plexus injury ✓ ✓
Arthritis in children ✓ ✓
Neuropathies ✓ ✓
Myopathies ✓ ✓
Spinal deformities ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 80 %
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
Course Text Books
- Physical disabilities in childhood
- Rehabilitation Medicine : Principles
and Practice.
- Krusen’s Physical Medicine and
Rehabilitation
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Gihan Abd el Latif. Signature:
Program Coordinator
Name: Ass Prof Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Diaa Mohasseb Signature:
✓
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 05300810
Course Name: Rehabilitation in Orthopedic and Surgical Disorders
Program in which the Course is Given Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims It includes: plan, modalities and techniques of physical therapy; and rehabilitation procedures (including the use of orthoses, assistive devices or walking aids) of orthopedic and surgical problems that need physical therapy and/or rehabilitation such as: post-burn contracture, post-skin graft, following tendon repair, post-menisectomy, post-spinal surgery, following repair of ligament injury, post-plaster fixation, post-joint replacement, following joint injuries or surgery, muscle wasting, muscle weakness, joint stiffness, post abdominal or limb surgery & rehabilitation of amputee.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a1. Recognize musculoskeletal problems
that result following surgical procedures in
order to avoid their occurrence by
appropriate pre and post surgical
rehabilitation program.
a2. Recognize musculoskeletal problems
that result from specific orthopedic
problems.
a3. Identify the appropriate procedure(s)
which facilitate diagnosis of musculoskeletal
problems that result from specific orthopedic
problems and /or surgical procedures.
a4. Recognize the immediate and remote
goals of rehabilitation of patients with
specific orthopedic problems and /or
following surgical procedures.
0.5 0.5
a9 Recognize the quality standards
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
a10 Review basics and ethics of
scientific research in general.
a5. Define indications of rehabilitation for
patients with specific orthopedic problems
and /or following surgical procedures.
a6. Recognize methods of assessment of
post- surgery and /or orthopedic disease
patient fitness for rehabilitation program.
a7. Recognize the quality standards of
assessment of patients with post- surgery
and /or orthopedic disease.
a8. Recognize the quality standards of
rehabilitation of patients with post- surgery
and /or orthopedic disease.
a9. Apply the quality standards of
assessment of patients with post- surgery
and /or orthopedic disease.
a10. Apply the quality standards of
rehabilitation of patients with post- surgery
and /or orthopedic disease.
a11. Review basics and ethics of scientific
research in post- surgery and /or orthopedic
disease patient.
B. Intellectual
skills
b5 Evaluate risks imposed to
patient or managing team during
professional practice related to the
field of the specialty.
b6 Recognize the essential
principals of scientific medical
research.
b1. Recognize risks of rehabilitation
program of patients with specific orthopedic
problems and /or following surgical
procedures.
b2. Recognize contraindications of
rehabilitation program of patients with
specific orthopedic problems and /or
following surgical procedures.
b3. Recognize the essential principals of
scientific medical research in the
improvement of rehabilitation programs for
specific orthopedic problems and /or
following surgical procedures.
b7 Plan for professional
improvement in Physical
Medicine, Rheumatology &
Rehabilitation.
b8 Critically appraise current
literature on Physical Medicine,
Rheumatology & Rehabilitation.
b4. Locate recent and advanced methods of
diagnosis and management of specific
orthopedic problems.
b5. Integrates recent and advanced methods
in rehabilitation program of patients with
specific orthopedic problems and /or
following surgical procedures.
b6. Critically appraise current literature on
post- surgery and /or orthopedic disease
rehabilitation.
b7. Employ current literature for tailoring a
rehabilitation program for patients with post-
surgery and /or orthopedic disease.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system.
c2- Mange the common types of
musculoskeletal disorders within
internationally accepted standards
of time and competency.
c3- Evaluate patients functionally.
c8 Prescribe the appropriate
physical agent modalities and
exercises for neuromusculoskeletal
c1. Examine patients with specific
orthopedic problems and /or following
surgical procedures.
c2. Examine different upper and lower limb
muscles and determine their grading.
c3. Specify medical problems of patients
with post- surgery and /or orthopedic
disease.
c4. Order appropriate investigations that
help in diagnosis and follow up of patients
with post- surgery and /or orthopedic
disease.
c5. Design a treatment plan for patients with
post- surgery and /or orthopedic disease.
c6. Assess patients with specific orthopedic
problems and /or following surgical
procedures functionally using appropriate
functional scoring system.
c7. Determine varieties of physical agents
applicable for treatment of patients with
post- surgery and /or orthopedic disease.
disorder.
c9 Prescribe the appropriate
orthosis or prosthesis for
locomotory disorders.
c13 Recognize basics of medical
reporting.
c14 Report patient status in a
comprehensive professional way.
c8. Prescribe the appropriate physical agent
modalities for patients with specific
orthopedic problems and /or following
surgical procedures.
c9. Determine the appropriate orthosis or
prosthesis for patients with specific
orthopedic problems and /or following
surgical procedures.
c10. Prescribe the appropriate orthosis or
prosthesis for patients with specific
orthopedic problems and /or following
surgical procedures.
c11. Design an initial, follow up and final
assessment charts for patients.
c12. Employ an initial, follow up and final
assessment charts for patients.
c13 Report post surgical and orthopedic
diseased patient status in a comprehensive
professional way.
D. General
Skills
d4 communicate effectively with
different members of rehabilitation
team.
d5 Use information technology to
improve his professional practice
and improve his learning abilities.
d6- Lead the rehabilitation team.
d1. Identify the rehabilitation team members
d2. Determine the role of each of the
rehabilitation team members.
d3. Communicate and deal with
rehabilitation team members; each according
to his role.
d4. Use information technology to improve
his professional practice and improve his
learning abilities in post surgical and
orthopedic diseased patient status in a
comprehensive professional way.
d5. Lead the rehabilitation team to achieve
the maximum benefits for patients with
specific orthopedic problems and /or
following surgical procedures.
d7 Contribute efficiently in a
multidisciplinary team.
d8 Plan rehabilitation programs in
reference to available resources
(place, equipment, team and time).
d9 Evaluate the sufficiency and
efficiency of available medical
resources in view of the work load.
d6. Contribute effectively among the
rehabilitation team to achieve the maximum
benefits for patients with specific orthopedic
problems and /or following surgical
procedures.
d7. Plan a rehabilitation program tailored for
each patient according to available resources
(place, equipment, team and time) and
according to his/her needs and abilities.
d8. Evaluate and analyze the sufficiency and
efficiency of available medical resources in
view of the work load for patients with
specific orthopedic problems and /or
following surgical procedures.
E- Attitudes
and ethical
behavior
e1-Follow national code of ethics
& respect patients rights
e2-Council patients & parents
with appreciation and
understanding
e3-Respect rights of disabled &
handicapped
e1. Deal ethically with patient and his/ her
family members or his/ her care givers.
e2. Educate patient and his/ her family
members or his/ her care givers to achieve
maximum benefits.
e3. Respect rights of disabled &
handicapped.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Post burn rehabilitation. (✓) (✓)
Rehabilitation after tendon repair. (✓) (✓)
Rehabilitation after surgery for
peripheral nerve injury.
(✓) (✓)
Post fracture rehabilitation (✓) (✓)
Rehabilitation following hip joint
replacement.
(✓) (✓)
Rehabilitation following arthroscopic
meniscectomy.
(✓) (✓)
Rehabilitation following knee joint
replacement.
(✓) (✓)
Rehabilitation following limb
amputation.
(✓) (✓)
Rehabilitation of bed ridden patient. (✓) (✓)
Rehabilitation of spinal cord surgery. (✓) (✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam
Others 30 %
List of Textbooks and References
Lecture Notes
Lecture notes for each lecture and data show
with illustrations.
Course Text Books
Krusen’s Textbook of Physical Medicine and
Rehabilitation
Suggested Extra Reading
Journals and Periodicals, others
(✓)
(✓)
✓
Course Instructor
Name: Prof. Dr. Mohamad Emam Signature:
Program Coordinator
Name: Ass. Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Dia Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 05300811 Course Name: Rehabilitation in Rheumatological
Conditions
Program in which the Course is Given: Master of Physical Medicine, Rheumatology and
Rehabilitation.
Number of Credit Hours : 1 hour Theoretical Clinical/Practical
Course Aims: By the end of this course the student has to know: 1. Evaluation in rheumatic diseases (clinical, laboratory and functional) 2. The physical therapy that is used in rheumatology (modalities, techniques, indications, contraindications, precautions, plan of treatment & procedures). 3. Rehabilitation methods. 4. The common surgical procedures that can be applied in the management & rehabilitation of the different rheumatological conditions.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a5 Recognize the recent advances in
the diagnosis.
a1- Identify the level of functional
disturbance related to the locomotor system.
a2- Recognize the impact of pathology of
each rheumatic disease on the patient’s
management.
a3- Define the components of rehabilitation
program of rheumatic diseases.
a4- Describe the traditional scheme of rehab.
Program in rheumatic diseases.
a5- Recognize the International
Classification of Functioning, disability and
health (ICF).
a6- Describe the components of ICF.
a7-Identify the most updated concepts of
0.5 0.5
A9 Recognize the quality standards of
practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to
management
a11 Recognize basics and ethics
specifically relevant to disabled and
handicapped.
rehab. Of patients with rheumatic diseases.
a8- Recognize the most updated devices and
equipments that improve the quality of life
of patients with rheumatic diseases.
a9- Identify the objective methods for
assessing pain, joints range of motion
(ROM) and muscle strength.
a10- Recognize the objective methods used
in the assessment of activity of daily living
(ADL)in patients with rheumatic diseases.
a11- Identify the different types and role of
exercises fitting with the different stages of
arthritis and/or myositis as well as the
patient’s condition.
a12- Identify the appropriate orthosis
according to the stage of a given rheumatic
disease.
a13- Identify the proper physical modality
based on the disease manifestations and the
patient’s condition.
a14- Recognize the role of vocational rehab.
In achieving independence and improving
patient’s psychological status.
a15- Identify indications of surgical
intervention in rheumatic diseases.
a16- Define the role of rehabilitation in
achieving independence for patients with
rheumatic diseases.
a17- Recognize the importance of vocational
and recreational rehab in keeping self
confidence and improving the quality of life
of handicaps
B. Intellectual
skills
b5 Evaluate risks imposed to patient
or managing team during
professional practice related to the
field of the specialty
b1- Select the appropriate physical modality
for managing patients with rheumatic
diseases considering its indications and
contraindications in respect to the rheumatic
disease stage and the patient’s general
condition.
b2- Determine the exercise therapy suitable
for a particular patient with rheumatic
disease based on the disease stage and
general condition.
b3- Recommend the proper orthosis for a
b6 Recognize the essential principals
of scientific medical research.
b7 Plan for professional improvement
in Physical Medicine, Rheumatology
& Rehabilitation
b8 Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
patient with a rheumatic disease in the
different disease stages.
b4- Appraise the benefits and risks of rest
versus exercise in patients with rheumatic
diseases under different disease conditions.
b5- Select the proper assessment tools for
evaluation of patients with rheumatic
diseases.
b6- Design a proper rehab. Program for a
given rheumatic disease to fit with the point
of research.
b7- Recognize the recent updates in
rehabilitation of rheumatic diseases.
b8- Construct upgraded rehab. Programs
including both updates and the suitable
traditional rehab. Measures.
b9. Critically appraise current literature on
physical medicine, rheumatology &
Rehabilitation
b10- Select the proper components of
rehabilitation program that fit with each
individual patient with respect to the features
of his rheumatic disease and his own general
condition.
b11- Analyze the conflicts related to some
concepts in rehabilitation of rheumatic
diseases especially in the field of exercise
therapy and physical modalities.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system.
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c1- Examine the different musculoskeletal
components by the traditional clinical
methods.
c2- Use certain tools for examination of
musculoskeletal components as
dynamometer, goniometer etc.
c3- Revise diagnostic criteria for the
different rheumatic diseases.
c4- Formulate a problem list based on
patient evaluation.
c5- Design a proper individualized
rehabilitation program based on the problem
list and the actual needs of the patient with a
rheumatic disease.
c3- Evaluate patients functionally.
c8 Prescribe the appropriate physical
agent modalities and exercises for
neuromusculoskeletal disorder.
c9 Prescribe the appropriate orthosis
or prosthesis for locomotory
disorders.
c13 Recognize basics of medical
reporting
c14 Report patient status in a
comprehensive professional way.
c6- Apply the different functional
assessment tools used in rheumatic diseases.
c7- Analyze the clinical data of the
rheumatic disease to determine their impact
on the functional performance of the patient.
c8- Determine the physical modality for a
patient with rheumatic disease according to
the manifestations which are based mainly
on the disease activity (acute or chronic
arthritis), presence of pain and/or joint
stiffness etc.
c9. Prescribe exercise program for patients
with rheumatic diseases.
c10- Analyze the patient’s condition to
determine the indication of orthosis e.g to
decrease joint pain or provide stability etc.
c11- Determine clearly the specifications of
the orthosis needed to produce optimal
effect.
C12- Analyze the components of the
medical report of a patient with a rheumatic
disease.
c13- Specify the patient’s problems
according to priorities determined by the
stage of the disease and the patient’s needs.
c134- Formulate a medical report for a
patient with a rheumatic disease with
emphasis on disease stage and activity,
medical treatment and rehab measures given
to the patient and the current problem (s).
c15- Determine the aim of referral e.g.
surgery or medical consultation by a relevant
specialty according to the aim of the report.
D. General
Skills
d4 Communicate effectively with
different members of the
rehabilitation team
d1- Appraise the role of each member of the
rehab team.
d2- Accurately and simply specify the task
imposed of each member.
d3- Prescribe the appropriate orthosis in an
accurate simple way easy to understand by
the technician.
d5 Use information technology to
improve his professional practice and
improve his learning abilities.
d6- Lead the rehabilitation team.
d7 Contribute efficiently in a
multidisciplinary team.
d8 Plan rehabilitation programs in
reference to available resources
(place, equipment, team and time).
d4- Recommend in a clear and precise way
the essential environmental modifications to
be carried out by the occupational therapist.
d5- Present cases with different
rheumatological diseases for updated rehab.
d6- Use known links to explore web sites
specialized in rehab of rheumatic diseases.
d7- Evaluate the performance of each
member of the rehab team based on the
follow up evaluation of the patient’s
condition.
d8- Recommend corrective actions for
improper performance.
d9- Design an action plan for each member
of the team serving rehab for patients with
rheumatic diseases.
d10- Solve the technical problems
encountered in daily practice by finding
alternatives as shortage of some resources,
fully occupied devices etc.
d11- Appraise the concept of team work in
rehab practice in general and in rheumatic
diseases in particular as most of the
rheumatic diseases are actually systemic
diseases showing preference
to joint involvement.
d12- Recommend referral to certain
specialties for certain intervention for
optimal rehab.
d13- Determine priorities for treatment for
each patient according his clinical condition
e.g start with the most painful or stiff joint
etc.
d14- Construct a precise rehab program
according to the predetermined priorities.
d15- Evaluate the patient periodically at
predetermined intervals to modify or
terminate the treatment according to
progression of his condition.
d9 Evaluate the sufficiency and efficiency of available medical
resources in view of the work load.
d16- Select the highly indicated
rheumatological conditions for admission in
rehab sessions e.g patients with ankylosing
spondylitis, subacute or chronic RA, painful
OA or skin tightness in SS etc.
d17- Prescribe home program for patients
with some rheumatic manifestations as
acutely inflamed joints (resting splints) or
improving OA or ankylosing spondylitis
with emphasis on follow up for reevaluation.
# Ethics were fulfilled in the domain of knowledge and understanding and transferable skills.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Rehabilitation of rheumatic diseases ✓
Rehabilitation of rheumatoid arthritis ✓ ✓
Rehabilitation of ankylosing spondylitis ✓ ✓
Rehabilitation of psoriatic arthritis ✓ ✓
Rehabilitation of osteoarthritis ✓ ✓
Rehabilitation of systemic sclerosis ✓ ✓
Rehabilitation of systemic lupus
erythematosus
✓ ✓
Rehabilitation of polymyositis/
dermatomyositis
✓ ✓
Surgery in rheumatic diseases. ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100% %
Distribution of Marks
Written Exam 90%
Practical/Clinical Exam %
Others 10 %
✓
✓
✓
List of Textbooks and References
Lecture Notes
✓
Course Text Books
Krusen ‘s physical medicine and rehabilitation.
Kelley’s textbook of rheumatology.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Noha Abd El Halim El Sawy. Signature:
Program Coordinator
Name: Ass Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr Dia Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 05300812
Course Name: Chest and Cardiac Rehabilitation
Program in which the Course is Given Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims
The course aims at introducing the student to subjects related to rehabilitation of patients with
cardiac &/or pulmonary problems: Evaluation of cardiac patient. Principles of exercise testing for
cardiac patients. Components of rehabilitation programs for cardiac patients. Principles of exercise
prescription for cardiac patients. Evaluation of patients with pulmonary disorders. Principles of
exercise testing for patients with pulmonary disorders. Components of rehabilitation programs for
pulmonary patients. Principles of exercise prescription for patients with pulmonary disorders.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a7- Describe management and
rehabilitation of cardiovascular
and pulmonary disorders.
a1- Identify the concepts of cardiac
rehabilitation/secondary prevention
(definition, patients eligible,
contraindications, goals).
a2- Identify the components of cardiac
rehabilitation program.
a3- Specify the cardiopulmonary
rehabilitation team members and the role of
each member of cardiopulmonary
rehabilitation team.
a4- Recognize standards of functional
assessment of patients with cardiovascular
diseases.
a5- Identify benefits of exercise training for
cardiac patients.
a6- Identify principles of exercise
prescription for cardiac patients.
a7- Recognize risks of exercise training for
cardiac patients.
1/2 1/2
a8- Identify outcome measures of cardiac
rehabilitation.
a9- Identify the concepts of pulmonary
rehabilitation (definition, indications,
contraindications, goals).
a10- Recognize standards of functional
assessment of patients with chest diseases.
a11- Identify benefits of exercise training for
patients with chest disease.
a12- Identify principles of exercise
prescription for patients with chest diseases.
a13- Identify outcome measures of
pulmonary rehabilitation.
B. Intellectual
skills
b7 Plan for professional
improvement in Physical
Medicine, Rheumatology &
Rehabilitation.
b8 Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
b1- Select the most practical and evidence
based methods of assessment of patients
with cardiac/pulmonary diseases prior to
enrollment in rehabilitation program.
b2.Formulate (design) a rehabilitation
program for patients with cardiovascular
disease based on baseline evaluation.
b3.Formulate (design) a rehabilitation
program for patients with chest disease
based on baseline evaluation.
b4. Integrate current literature in the
rehabilitation program of cardiac and
pulmonary diseased patient.
C.
Professional
and Practical
Skills
c3- Evaluate patients functionally
c14- Report patient status in a
comprehensive professional way.
c1-Assess cardiac patients functionally by
activity of daily living scores and exercise
stress tests.
c2-Assess pulmonary patients functionally
by activity of daily living scores, 6-minute
walk test and exercise stress test.
c3- Report cardiopulmonary patients’ status
in a comprehensive professional way.
D. General
Skills
d4- Communicate effectively with
different members of rehabilitation
team
d1- Communicate with cardiopulmonary
rehabilitation team members; each according
to his/her role.
d2-Lead the rehabilitation team to achieve
the maximum benefits for cardiopulmonary
patient.
d3- Integrate rehabilitation team members in
.
the continuous medical and functional
assessment of cardiopulmonary patients.
d4-Contribute effectively among the
rehabilitation team to achieve the maximum
benefits for cardiopulmonary patient.
E- Attitudes
and ethical
behavior
e1-Follow national code of ethics
& respect patients rights
e2-Council patients & parents with
appreciation and understanding
e3-Respect rights of disabled &
handicapped
e1-Deal ethically with cardiopulmonary
patient.
e2-Deal ethically with cardiopulmonary
patient‘s family members and his/ her
care givers.
e3- Council cardiopulmonary patients &
family with appreciation and
understanding.
e4- Respect rights of disabled &
handicapped in cardiopulmonary
rehabilitation..
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Concepts of cardiac rehabilitation
(definition, patients eligible,
contraindications, goals, components of
cardiac rehab program, cardiac rehab
team)
(✓)
Phases of cardiac rehabilitation (✓)
Functional assessment of patients with
cardiovascular diseases.
(✓) (✓)
Exercise training for cardiac patients (I). (✓) (✓)
Exercise training for cardiac patients
(II).
(✓)
Concepts of pulmonary rehabilitation
(definition, indications,
contraindications, goals).
(✓)
Functional assessment of patients with
pulmonary disorders
(✓) (✓)
Exercise training for patients with
pulmonary diseases
(✓) (✓)
Breathing exercises (✓) (✓)
Postural drainage (✓) (✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 90 %
Practical/Clinical Exam
Others 10 %
List of Textbooks and References
Lecture Notes
lecture note on pulmonary rehabilitation
lecture note on cardiac rehabilitation
Course Text Books
Exercise prescription text book
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Ass.Prof. Dr. Naglaa Abd El Mohsen. Signature:
Prof. Dr. Gihan Abd El Latif Signature:
Program Coordinator
Name: Ass. Prof. Dr. Enas Mohamed Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Dia Mohasseb Signature:
(✓)
(✓) (✓)
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology & Rehabilitation.
Course Information
Course Code: 05300813 Course Name: Geriatric Rehabilitation and
Rehabilitation of Special Conditions.
Program in which the Course is Given : Master degree of Physical Medicine, Rheumatology &
Rehabilitation.
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims
To provide the students with knowledge about: The common problems in elderly , rehabilitation
of elderly, diabetic foot ulcer, patients with malignancy & post-organ transplant.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a1- Recognize structural changes in elderly
which predispose to medical disorders.
a2- Identify the role of organ changes in
elderly on producing common health
problems.
a3-Identify the factors involved in the
pathogenesis of common health problems in
the elderly.
a4- Identify the factors responsible for the
development of diabetic foot ulcers.
a5- Realize the impact of malignancy on the
general health of the patient and different
systems including the musculoskeletal
system.
a6- Identify the impact of organ transplant
on the general health of the patient and the
1/2 1/2
a3- Discuss the etiology,
pathogenesis and clinical
presentation of the different
musculoskeletal disorders
a4- Describe the management
protocols &/or procedures adopted
in management and rehabilitation of
neuromusculoskeletal affections.
a8 Recognize the quality standards of
practice in the field of Physical
Medicine, Rheumatology and
Rehabilitation in relation to
diagnosis.
a9 Recognize the quality standards in
practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management
musculoskeletal system.
a7- Discuss the functional problems and
manifestations of organ defects in elderly.
a8- Discuss the pathogenesis and clinical
presentation of diabetic foot ulcer.
a9- Discuss the functional problems in
patients with malignancy.
a10- Describe the functional problems in
patients with organ transplant.
a11- Describe the rehabilitation program for
elderly to improve their quality of life.
a12- Identify the rehabilitation program for
patients with diabetic foot ulcer.
a13- Identify the rehabilitation program for
patients with organ transplant.
a14- Define the quality standards in the
diagnosis of common health problems
encountered in elderly.
a15- Define the quality standards in the
diagnosis of a patient with diabetic foot
ulcer.
a16- Define the quality standards in the
diagnosis of a patient with malignancy.
a17- Define the quality standards in the
diagnosis of a patient with organ transplant.
a18- Define the quality standards of
functional evaluation of elderly.
a19- Define the quality standards of
rehabilitation of a patient with diabetic foot
ulcer.
a20- Define the quality standards of
rehabilitation of a patient with malignancy.
a21- Define the quality standards of
rehabilitation of a patient with organ
transplant.
B. Intellectual
skills
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
b1- Analyze the clinical presentation and/or
functional deficits of elderly, patients with
malignancy, organ transplant or diabetic foot
pathological problems
b4 Solve common and some
uncommon problems not conforming
to classic cases.
b5 Evaluate risks imposed to the
patient or the managing team during
professional practice related to the
field of the specialty
b7 Plan for professional improvement
in physical medicine, rheumatology
and rehabilitation.
b8 Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation.
ulcers.
b2- Relate the clinical presentation and/or
functional deficits of such patients to the
possible underlying pathogenic mechanism
(s).
b3- Detect the clinical or functional deficits
which are not conforming with classic
diseases.
b4- Specify the most appropriate
investigations to establish the diagnosis and
explain such findings.
b5- Select the appropriate physical
modalities for elderly, patients with
malignancy, organ transplant and diabetic
foot ulcer based on the patient status and
stage of the disease.
b6- Determine the appropriate therapeutic
exercise according to the patient condition.
b7- Select the proper orthosis or assistive
device for each patient to avoid possible
adverse effects.
b8- Evaluate risks of the different tools used
in rehabilitation of such patients according
to the patient medical and functional status.
b9- Construct upgraded rehab. Programs for
elderly, patients with malignancy, organ
transplant and diabetic foot ulcer.
b10- Appraise the recent updates in
rehabilitation of elderly, patients with
malignancy, organ transplant and diabetic
foot ulcer.
b11- Appraise current literature in geriatric
rehabilitation and in the rehabilitation of
special conditions.
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c1- Apply standard clinical examination of
the musculoskeletal system for elderly,
patients with malignancy, organ transplant
and diabetic foot ulcer.
c2- Utilize certain tools for examination of
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c3- Evaluate patients functionally.
c8 Prescribe the appropriate physical
agent modalities and exercises for
neuromusculoskeletal disorder.
c9 Prescribe the appropriate orthosis
or prosthesis for locomotory
disorders.
c10 Supervise the physical
rehabilitation plan.
musculoskeletal components as
dynamometer, goniometer etc
c3- Recommend the relevant investigations
to detect complications related to
malignancy, diabetes and organ transplant.
c4- Recommend the relevant investigations
to determine the cause of functional deficits
in elderly.
c5- Plan an appropriate individualized
rehabilitation program for elderly, patients
with malignancy, organ transplant and
diabetic foot ulcer according to the problem
list of the patient as well as his / her needs.
c6- Assess functional performance of the
patients using standard methods of
measuring joints range of motion, muscle
strength etc.
c7- Assess the quality of life and disability
level using relevant questionnaires.
c8- Evaluate the patient at regular intervals
to continue or modify the program
accordingly.
c9- Determine the physical modality suitable
for elderly, patients with malignancy, organ
transplant and diabetic foot ulcer according
to the patient condition.
c10- Evaluate the patient properly to identify
the type of orthosis/assistive device needed.
c11- Determine clearly the specifications of
the assistive device to fit properly with the
patient.
c12- Specify clearly the components of the
rehab program for the therapist.
.
D. General d1- Retrieve information from all d1- Identify the sources ( textbooks,
Skills
sources (printed, electronic,
communications etc…).
d2-Verify the accuracy of scientific
material on basis of best evidence in
medicine and in practice
websites etc.) that deal with diseases in
elderly, patients with malignancy, organ
transplant and diabetic foot ulcer.
d2- Utilize these sources to get information
about these diseases.
d3- Recognize the trustable approved
sources of information dealing with these
diseases.
d4- Appraise the evidence-based
information dealing with these diseases.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Common medical problems in elderly
and their management.
✓ ✓ ✓
Principals of rehabilitation of aged
patients.
✓
Rehabilitation of the effect of
hospitalization of geriatric patients.
✓
Principals of exercising geriatric
patients.
✓ ✓
Physical therapy & rehabilitation of
aged and cancer patients.
✓ ✓
Gait disorders in geriatric patients. ✓
Rehabilitation of geriatric patients with
balance disorders.
✓ ✓
Rehabilitation of patients with organ
transplant.
✓
The use of assistive devices, crutches,
canes, walkers and wheelchairs.
✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 80 %
Practical/Clinical Exam 20 %
Others %
List of Textbooks and References
Lecture Notes
✓
Course Text Books
Krusen Textbook of Physical Medicine &
Rehabilitation.
Suggested Extra Reading
Journals and Periodicals, others
✓
Course Instructor
Name: Ass. Prof. Dr. Naglaa Abe El Mohasen Signature:
Program Coordinator
Name: Ass Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof. Dr. Dia Mohasseb. Signature:
✓
✓
✓
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation
Course Information
Course Code: 05300814 Course Name: Orthotics, Prosthetics & Assistive Devices
Program in which the Course is Given Master Degree of Physical Medicine, Rheumatology & Rehabilitation
Number of Credit Hours : 1 Theoretical Clinical/Practical
Course Aims : To provide the students with knowledge about: 1. The different upper limb orthoses, lower
limb orthoses, upper limb prostheses, lower limb prostheses, spinal orthoses. Functional and static varieties are included. Special
emphasis is made on principles of orthotic and prosthetic prescription and the various forms of orthoses and prostheses.2. The
different methods for assessment in the practice of rehabilitation medicine (evaluation of muscle power, joint ROM, ADL activities,
assessment of spinal deformities and movement, principles of posturography & balance assessment, …). 3. Walking aids: crutches,
walkers, canes, …. 4. Assistive devices used for eating, dressing, washing, working …. 5. Shoe modifications: for painful feet, foot
deformity, paralysis.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a4- Describe the management
protocols &/or procedures adopted
in management of musculoskeletal
affections
a6- Describe up-to-date
management procedures of neuro-
musculoskeletal disorders.
a9- Recognize the quality standards
A1- Describe different types of orthotic
devices, prosthetic devices for different
anatomical body parts.
A2- Describe the different varieties of
walking aids.
A3- Recognize the biomechanical function
of the orthotic and prosthetic device.
A4- Recognize the biomechanical function
of the walking aids
A5- Identify the biomechanical function of
the devices to their intended clinical
indication.
0.5 0.5
in practice of Physical Medicine,
Rheumatology & Rehabilitation in
relation to management.
A6- Recognize the quality standards in
prescription of well fitting orthosis,
prosthesis, walking aids and assistive
devices.
B. Intellectual
skills
b2- Use the structural and functional
characterisitics of the
musculoskeletal system to explain
the different pathological problems.
b7- Plan for professional
improvement in Physical Medicine,
Rheumatology & Rehabilitation
b8- Critically appraise current
literature on physical medicine,
rheumatology & Rehabilitation
B1- Analyze structural and functional
characteristics of musculoskeletal system in
patients in need for orthosis, prosthesis,
walking aid or assistive device.
B2- Identify structural and functional factors
indicating or contraindicating the use of
orthosis, prosthesis, walking aid or assistive
device.
B3- Determine the negative impact of the
use of the orthosis, prosthesis, walking aid
or assistive device on musculoskeletal
system
B4- Determine insufficiency in managing
orthosis and prosthesis fitting issues
B5 Plan for improving the process of
orthosis and prosthesis fitting.
B6- Review recent literature in the field.
B7- Recognize recent advances of orthotics
and prosthetics.
B8- Compare research outcome for different
devices.
C.
Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c2- Manage the common types of
musculoskeletal disorders within
internationally accepted standards of
time and competency.
c3- Evaluate patients functionally.
C1- Evaluate clinically the patient in need of
an orthosis, prosthesis, walking aid or
assistive device.
C2- Interpret the clinical findings of patients
in need for orthosis, prosthesis, walking aid
or assistive device.
C3- Determine clinical problems of orthosis,
prosthesis, walking aid or assistive device.
C4- Manage functional impairments by
orthotics and prosthetics.
C5- Prescribe orthosis, prosthesis, walking
aid or assistive device.
C6- Determine functional goals of patients
c6- Perform different pain control
techniques.
c7- Perform techniques for control of
spasticity.
c14- Report patient status in a comprehensive professional way.
in need of orthosis, prosthesis, walking aid
or assistive device.
C7- Evaluate the functional performance of
the patient after fitting the device.
C8- Evaluate pain problems of patients in
need for orthosis, prosthesis, walking aid or
assistive device.
C9- Evaluate spasticity problems of patients
in need for orthosis, prosthesis, walking aid
or assistive device.
C10- Prescribe assistive devices or orthosis
that can reduce pain.
C11- Utilize devices that help to reduce
spasticity.
C12- Record important aspects of the patient
using of orthosis, prosthesis, walking aid or
assistive device.
C13- Report on state of efficient or deficient
performance with fitted devices.
D. General
Skills
d6- Lead the rehabilitation team.
d9- Evaluate the sufficiency and efficiency of available medical resources in view of the work load.
D1- Communicate with professions
associated with orthosis, prosthesis, walking
aid or assistive device manufacturing.
D2- Determine logistics associated with
patient`s fitting to an orthosis, prosthesis,
walking aid or assistive device.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Upper limb orthosis ✓ ✓ ✓
Lower limb orthosis-1 ✓ ✓ ✓
Lower limb orthosis-2 ✓ ✓ ✓
Spinal orthosis ✓ ✓ ✓
Shoe modifications ✓ ✓ ✓
Upper limb prosthesis ✓ ✓ ✓
Lower limb prosthesis ✓ ✓ ✓
Walking aids ✓ ✓ ✓
Assistive devices ✓ ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 20 %
Others 10 %
✓ ✓
✓
✓ ✓
List of Textbooks and References
Lecture Notes
Lectures on CDs
Course Text Books
Atlas of Orthoses
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr. Gihan Abd El Latif. Signature:
Program Coordinator:
Name: Ass Professor Dr Enas Shahine Signature:
Program Director (Head of Department)
Name: Professor Diaa Mohasseb Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Physical Medicine, Rheumatology and Rehabilitation.
Course Information
Course Code: 05300815 Course Name: Biomechanics and Kinesiology
Program in which the Course is Given: Master of Physical Medicine, Rheumatology and
Rehabilitation.
Number of Credit Hours: (1) Theoretical Clinical/Practical
Course Aims It includes 1.The principles of normal biomechanics 2. The main pathological biomechanics 3. Basics of
kinesiologic assessment 4. Principles of muscle testing 5. Principles of goniometry.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
a1- Describe the characteristics of
structure, and function of different
components of musculoskeletal
system
a2- Identify the effect of different
factors involved in the pathogenesis
of musculoskeletal disorders
a5 Recognize the recent advances in
the diagnosis of musculoskeletal
diseases.
a1. Recognize knowledge of the functional
anatomy of locomotor apparatus as it relates
to human function/ movement.
a2. Identify in details the anatomical
structures involved in motion performance.
a3. Identify in details the physiology of
structures involved in maintenance of human
posture and balance.
a4. Describe the mechanisms involved in
maintaining human dynamic and static
posture.
a5. Describe the details of normal gait cycle.
a6. Describe abnormal gait patterns.
a7. Identify the most recent methods used in
gait analysis.
a8. Define gait laboratory and its
components ( equipments)
1/2 1/2
B. Intellectual
skills
b1- Analyze the clinical signs and
symptoms of musculoskeletal
problems to reach a diagnosis
/differential diagnosis
b2- Use the structural & functional
characteristics of the musculoskeletal
system to explain the different
pathological problems
b4 Solve common and some
uncommon problems not conforming
to classic cases.
b1. Select the most evidence-based methods
to assess human kinetics and kinematics.
b2. Appraise the most practical objective
clinical methods to assess the locomotor
system.
b3. Explain the changes occurring in
particular diseases in terms of biomechanical
alteration
b4. Plan for interference with morbid
biomechanical changes occurring in some
common problems
C.Professional
and Practical
Skills
c1- Perform full examination of
different components of the
musculoskeletal system
c3- Evaluate patients functionally.
c1. Perform muscle testing in a skillful
manner
c2. Perform goniometric assessment in a
skillful manner.
c3. Employ the different clinical methods to
test balance.
c4. Assess gait pattern using different gait
parameters.
c5. Apply standard questionnaires to detect
the impact of the locomotor disturbance on
the patient’s quality of life.
D. General
Skills
d4 Communicate effectively with
different members of the
rehabilitation team
d1.Explain to the rehabilitation team the
biomechanical changes observed in a
particular patient and the measures needed to
cope with these changes
.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Functional anatomy of locomotion. ✓ ✓ ✓
Posture and balance. ✓ ✓ ✓
Gait laboratory. ✓
Human kinetics. ✓ ✓ ✓
Gait analysis. ✓ ✓ ✓
Vertebral column motion & stability ✓ ✓
Stresses acting on the lower limbs joints
during standing and walking
✓ ✓
Muscle testing ✓ ✓
Goniometric assessment ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Practical/Clinical Exam 30 %
Others %
✓
✓
✓
List of Textbooks and References
Lecture Notes
- Lectures
Course Text Books
- Locomotor System: Functional Anatomy.
- The Illustrated Guide to Functional
Anatomy of the Musculoskeletal System.
- KRUSEN'S HANDBOOK OF PHYSICAL
MEDICINE AND REHABILITATION.
Suggested Extra Reading
- Internet web sites
Journals and Periodicals, others
- Archives of Physical Medicine and
Rehabilitation.
- American Journal of Physical Medicine and
Rehabilitation.
- Gait and posture
Course Instructor
Name: Ass. Prof. Dr. Sherin El Sherif. Signature:
Program Coordinator
Name: Ass Prof. Dr. Enas Shahine Signature:
Program Director (Head of Department)
Name: Prof Dr. Diaa Mohasseb Signature: