RECOUP ACCREDITATION EXAMINATION 2009

Advanced Ergonomics Course
(External Faculty: Prof. Arun Garg and Jay Kapellusch)

Articular mobilisation techniques, Nerve mobilisation and Taping
Date:  January 26, 2009 Time: 10 am to 7 pm (8 hours)

Mulligan Concept in Mobilisation
Date: January 25, 2009 Time: 10 am to 7 pm (8 hours)

Ergonomics
Date: January 11, 2009 Time: 10 am to 7 pm (8 hours)

Mulligan Concept in Mobilisation
Date: December 21, 2008 Time: 11 am to 7 pm (8 hours)

Other articular mobilisation techniques, Nerve mobilisation and Taping
Date: December 7, 2008 Time: 11 am to 7 pm (8 hours)

SHARAN'S  Protocol soft tissue techniques practicals
Date: November 16, 2008 Time: 11am to 7pm (8 hours)

Introduction to WRMSD
November 9, 2008 Time: 11am to 7pm (8 hours)

Symposium on Manual Therapy and Taping
Date: July 6, 2008 Time: 11am to 7pm (8 hours) 

Post-SEMLARASS Rehabilitation

Date: July 6, 2008 Timings: 09:30 pm to 17:30 pm

Workshop on Complicated Musculoskeletal Disorders
June 8, 2008

• Multidirectional Instability of Shoulder
  
• CRPS and RSI
  
• Pelvic floor pain and coccydynia
• Chest wall and abdominal pain

• Head, Neck, Upper back, Thorax, Shoulder
• Elbow, Wrist, Hand
  
• Lower Back and Pelvis
• Lower Limb
  

RECOUP's MSD Orientation Courses

Date: March 30, 2008

MODULE 1: MYOFASCIAL PAIN , (Forenoon)

MODULE 2: MODULE 2: HEAD, NECK AND UPPER LIMB (Afternoon)

Date: April 13, 2008

MODULE 3: THORACIC/LUMBAR SPINE AND PELVIS (Forenoon)

MODULE 4: LOWER LIMB (Afternoon)

Date: April 20, 2008  

MODULE 5: DIFFUSE PAIN AND ARTHRITIS  (Forenoon)

MODULE 6: ERGONOMICS AND FITNESS (Afternoon)

Objectives

Upon completion of this course, participants will be able to:

• Discuss the diagnosis and treatment of commonly treated Musculoskeletal Disorders like Myofascial Pain and Dysfunction, Thoracic Outlet Syndrome, Mechanical Low Back Pain, PIVD, PFPS, Fibromyalgia, etc.
• Demonstrate how to diagnostically choose the appropriate musculoskeletal systems to work with.
• Demonstrate how to implement the SHARAN’S Protocol.

MODULE 1: MYOFASCIAL PAIN

Date: March 30, 2008 (Forenoon)

MODULE 2: HEAD, NECK AND UPPER LIMB

Date: March 30, 2008 (Afternoon)

MODULE 3: THORACIC/LUMBAR SPINE AND PELVIS

Date: April 13, 2008 (Forenoon)

MODULE 4: LOWER LIMB

Date: April 13, 2008 (Afternoon)

MODULE 5: DIFFUSE PAIN AND ARTHRITIS

Date: April 20, 2008 (Forenoon)

MODULE 6: ERGONOMICS AND FITNESS

Date: April 20, 2008 (Afternoon)

RECOUP ACCREDITATION EXAMINATION 2009

Objectives:

This examination aims to evaluate and ascertain knowledge and skill levels of the therapist necessary for providing International quality treatment to RECOUP’s patients and identify specific training needs. This will also help in developing incentive structure based on the skill sets.

Syllabus:
1. Introduction to WRMSD, Clinical Features, History Taking, Physical Examination, Special Tests,

     Diagnosis and Assessment Forms 
2. SHARAN’s Protocol and Clinical Reasoning, Common MSD’s: TOS, MPS, Adhesive Capsulitis,

    Supraspinatus Tendinitis, Shoulder Instability, Lat Epicondylitis, Wrist tendinitis, PIVD, PFPS, Heel

    Pain, FMS, CRPS, etc.
3. Treatment Techniques: Soft Tissue Techniques (TrP Therapy, Myofascial Release, MET, PRT, INIT,

    PNF, CST), Articular Techniques, Nerve Mobilisation, Taping.
4. Introduction to SEMLARASS, Assessment, Post-operative Rehabilitation and Prevention of

    Complications.
5. Principles of Ergonomics, Workstation Evaluation and Balanced Computing, E-Fitness Training in

    IT Companies                                                                                              
6. Home exercise prescription, stretching and strengthening exercises and aerobic conditioning

I) THEORY: TOTAL: 50 Marks

Part 1: 50 Multiple Choice questions carrying ½ marks each, Total: 25 marks

Part 2: 25 Questions based on pictures and videos carrying 1 mark each, Total: 25 marks

We will be providing 10 laptops/desktops and the questions will be uploaded on these laptops/desktops and each person should complete the theory examination within 1 hour.

II) PRACTICAL: TOTAL 50 MARKS

There will be 4 different tables:
1. Articular techniques (Biju Nirmal Jacob)
2. Trigger point therapy and MFR (Bieju K Balan)
3. MET, PRT, PNF, CST and INIT (Jerrish A Jose)
4. Neurodynamics, Taping, Exercises, Yoga and Fitness (Ajeesh PS)
Each candidate will spend 15 minutes per table and be expected to demonstrate 7 practical manoeuvres, by a draw of chits.

Scoring:
The correct answer carries 2 marks each. If you don’t attempt the question, you get -2 marks and if you attempt and get wrong, you get -4 marks.

Final Result:
The final result will be calculated on percentile obtained.

Percentile obtained = No. of students out performed/ Total no. of students X 100

ADVANCED ERGONOMICS COURSE
External Faculty: Prof. Arun Garg and Jay Kapellusch


January 12, 2009
Introduction to types of studies
Introduction to biomechanics
Biomechanical models
3-D SSP Biomechanical model
Risk factors for LBP
Maximum acceptable weights and forces
Environmental Ergonomics: an update

January 13, 2009)
Energy expenditure
Localised muscle fatigue
Revised NIOSH Lifting Equation
Implementation of an effective ergonomics programme-A case study

January 14, 2009
Rating scales
Workshop on manual materials handling
Lifting techniques
Office ergonomics
D-SHARAN’s MSD Severity Scale

January 15, 2009
Distal upper extremity risk factors
The Strain Index
Video tape analyses using the Strain Index
Workstation design
Discussion about ongoing Ergonomics research projects at RECOUP

January 16, 2009
Ergonomics in healthcare
Discussion about ongoing Ergonomics research projects at RECOUP

Topics Covered: Other articular mobilisation techniques, Nerve mobilisation and Taping

Table 1: Maitland- Instructors: Bieju K Balan, Muniyandi P

Table 2: Taping- Instructors: Jerrish A Jose, Mohan Babu

Table 3: Kaltenborn- Instructors: Ajeesh P S, Ramesh Kumar

Table 4: Nerve mobilisation- Instructors: Biju Nirmal Jacob, Jaba Prabu

Mulligan Concept in Mobilisation

Chief Instructor: Biju Nirmal Jacob (Certified Mulligan Practitioner)

Table 1:  Instructors: Bieju K Balan, Mohan Babu

Table 2:  Instructors: Jerrish A Jose, Jeena Jose

Table 3:  Instructors: Ajeesh P S, Muniyandi P

Table 4:  Instructors: Jaba Prabu, Ramesh Kumar

Ergonomics

Table 1: OCRA -  Instructors: Biju Nirmal Jacob, Mohan Babu

Table 2: RULA, MAPO and Strain Index- Instructors: Ajeesh P S, Muniyandi P

Table 3: NIOSH lifting equation, Transferring, Lifting & Carrying Techniques- Instructors: Bieju K Balan, Jaba Prabu

Table 4: RECOUP Protocol for EWA/Chair evaluation, Prevention of MSD in Physical Therapists- Instructors: Jerrish A Jose, Ramesh Kumar

Mulligan Concept in Mobilisation

Chief Instructor: Biju Nirmal Jacob

Table 1 Instructors: Bieju K Balan

Table 2 Instructors: Jerrish A Jose

Table 3 Instructors: Ajeesh P S

Table 4 Instructors: Jaba Prabu

Other articular mobilisation techniques, Nerve mobilisation and Taping

Table 1: Maitland Instructors: Bieju K Balan

Table 2: Taping Instructors: Jerrish A Jose

Table 3: Kaltenborn Instructors: Ajeesh P S

Table 4: Nerve Mobilisation Instructors: Biju Nirmal Jacob

SHARAN’S PROTOCOL SOFT TISSUE TECHNIQUES PRACTICALS

Table 1: TrP Therapy & MFR - Instructors: Bieju K Balan

Table 2: MET - Instructors: Jerrish A Jose

Table 3: PRT & INIT - Instructors: Ajeesh P S

Table 4: PNF & Craniosacral Techniques - Instructors: Biju Nirmal Jacob

Introduction to WRMSD

Approx. 4 topics (2hr for each topic) which includes:

• Clinical Features
• History Taking
• Physical Examination
• Special tests
• Diagnosis and Assessment Forms 

Table 1: Head & Neck - Instructors: Biju Nirmal Jacob & Jaba Prabu

Table 2: Upper Limb - Instructors: Ajeesh P S & Shelza Gupta

Table 3: Thorax & Lower Back - Instructors: Jerrish A Jose & Muniyandi P

Table 4: Lower Limb - Instructors: Bieju K Balan & Mohan Babu

Post-SEMLARASS Rehabilitation

• Pre-operative Assessment - Ajeesh PS

• SEMLARASS: Principles and Techniques - Dr. Deepak Sharan

• Post-operative Rehabilitation Protocol - Biju Nirmal Jacob

• Low Energy Fracture and Assessment of Pain - Dr. Deepak Sharan

Practical (13:30-17:30)

Module 1: Soft Tissue Techniques, pain/scar management and sensory desensitization Instructors: Mohan Babu, Jeena

Module 2: Articular Techniques: pelvic obliquity, scoliosis, mobilization of stiff joints   Instructors: Ajeesh, Sasikala

Module 3: Strengthening, balance and gait training Instructors: Karthikeyan, Dhiman

Module 4: Biofeedback, FES, CIMT, Taping Instructors: Biju, Veena

Symposium on Manual Therapy and Taping

Table 1: Spine: Mulligan - Instructors: Biju, Nithin

Table 2 Spine: Maitland, McKenzie and other manual therapies - Instructors: Ajeesh, Sasikala

Table 3: Limbs - Instructors: Bieju, Prabu

Table 4: Taping: Principles, Indications and Techniques - Instructors: Jerrish, Sajin

Workshop on Complicated Musculoskeletal Disorders
Table 1: Multidirectional Instability of Shoulder
Instructors: Jerrish, Sajin
Topics covered:
•    Definition
•    Pathophysiology
•    Criteria for diagnosis, symptoms
•    Relation between MDI, Supraspinatus Tendonitis and Thoracic Outlet Syndrome
•    Differential diagnosis from rotator cuff injuries, supraspinatus tendonitis and adhesive

      capsulitis
•    Special tests
•    Soft tissue techniques
•    Articular techniques
•    Taping
•    Biofeedback
•    Strengthening protocol

Table 2: CRPS and RSI
Instructors: Biju, Nithin
Topics covered:
•    Definition
•    Pathophysiology
•    Risk factors
•    Types
•    Criteria for diagnosis, symptoms
•    RECOUP protocol: focus on stress loading, sensory desensitisation

Table 3: Pelvic floor pain and coccydynia
Instructors: Ajeesh, Sasikala
•    Definition
•    Pathophysiology
•    Criteria for diagnosis, symptoms
•    Soft tissue techniques
•    Articular techniques
•    Taping
•    Biofeedback
•    Exercise prescription

Table 4: Chest wall and abdominal pain
Instructors: Bieju, Prabu
•    Definition
•    Pathophysiology
•    Criteria for diagnosis, symptoms
•    Soft tissue techniques
•    Articular techniques
•    Taping
•    Exercise prescription
 

Table 4: Lower Limb

Instructors: Bieju, Prabu, Deepa

1. A 25 year old male runner complains of pain in the left groin and medial aspect of thigh, because of which he cannot run for the past 2 weeks.
2. A 30 year old female who complains of bilateral anterior knee pain for the past 6 months, cracking sound on the front of the knee, made worse on climbing stairs and standing up from a sitting position.
3. A 10 year old male who complains of generalised pain and fatigue, especially in knees, legs and heels. The pain has increased after he started jogging 1 month ago. He also has multiple clicky joints. 
4. A 45 year old overweight female with bilateral heel pain for the past 3 months, especially when she starts walking in the morning. She also has a burning and tingling sensation around the ankles and feet.

Table 3: Lower Back and Pelvis

Instructors: Ajeesh, Sajin, Sasikala

1. A 34 year old male IT Professional gets low back pain and stiffness only when he sits for longer than 20 minutes. He has had 5 severe episodes of pain lasting 2-3 days over the past 1 year and is unable to move when the pain is severe.
2. A 38 year old female receptionist underwent left L4L5 fenestration-discectomy 6 months ago for a low back pain radiating to left thigh that had been troubling her for over 3 years. However, immediately after the operation her pain increased dramatically and she now has constant pain, numbness and burning sensation over upper, mid and lower back and both lower limbs. She has not been able to return to work and barely gets a few minutes of sleep daily.
3. A 20 year old male student developed acute low back pain 2 weeks ago while lifting weight in the gymnasium, shooting down the right leg, associated with tingling. The pain appears only when he stands, walks or sits for long.
4. A 50 year old male diabetic, complains of low back pain and stiffness of 2 month duration, radiating down both lower limbs. The pain is present even on lying down but increases on walking up a slope.

Table 2: Elbow, Wrist, Hand

Instructors: Biju, Shelza, Mohan Babu

1. A 24 year old male salesman, who drives the motorbike for over 4 hours a day, complains of pain around right elbow, and inability to lift heavy objects or perform twisting movements with the forearm for the past 2 weeks.
2. A 60 year old hypothyroid female with pain, numbness, pins and needles, and weakness of the both hands for last 1 year, especially at night.
3. A 40 year old male guitarist with pain inner aspects of right elbow, and numbness and tingling inner aspect of right forearm and medial 2 digits, and clumsiness of hand for the past 3 months.
4. A 26 year old housewife, nursing a 2 month old child, with complaints of pain, burning sensation, mottled discolouration and swelling of wrists, made worse when lifting her baby or washing clothes, for the past 4 months.

Table 1: Head, Neck, Upper back, Thorax, Shoulder

Instructors: Jerrish, Muniyandi, Nithin (Chief Instructor’s name in bold)

1. A 32 year old female teacher, with numbness and tingling on her right little and ring fingers for the past 3 months, pain on neck movements, giddiness and difficulty in opening doors or bottles
2. A 27 year old male IT consultant, laptop user, with recurrent headaches and pain in the neck, upper back, and rib cage for the past 1 year.
3. An 18 year old female student complains of neck pain, right shoulder pain, jaw pain on chewing, disturbed sleep and fatigue for the last 6 years. She had dislocated her right shoulder with minimal trauma on 7-8 occasions in the past 10 years.
4. A 45 year old manager, diabetic, with pain and stiffness right shoulder only while playing badminton for the past 3 weeks.

RECOUP Symposium Schedule

Overall course coordinator: Ajeesh PS

Duration: 2 hours per table

• History taking
• Physical Examination including special tests
• Differential diagnosis
• Filling assessment forms and progress records
• Communication with patient
• Red flags and yellow flags
• RECOUP Protocol
• Soft tissue techniques
• Articular techniques
• Taping
• Exercise prescription