Gateshead Health NHS Foundation Trust Placement Information Pack and Profile of Learning Opportunities Musculoskeletal Out-Patients (QEH/BGH)
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Gateshead Health NHS Foundation Trust
Placement Information Pack and Profile of
Learning Opportunities
Musculoskeletal Out-Patients (QEH/BGH)
Added to Northumbria University Practice Placements Website March 2011
Queen Elizabeth Hospital
Location Queen Elizabeth Hospital
Sheriff Hill
Gateshead
NE9 6SX
Main Switchboard 0191 482 0000
Main Physiotherapy Department 0191 445 2320
On your first day please report to the main physiotherapy department
reception. This can be accessed through entrance C.
Please confirm you start/finish times with your clinical educator.
Dining Facilities Tea and coffee making facilities are available in the
department. There is also a fridge, sandwich maker
and toaster.
There is a staff dining room immediately next door to the
Department which sells hot meals, sandwiches and
snacks.
Banking A cash machine is available on site
Car Parking There are car parking facilities at all of our sites, all of
which can be found by following the on site traffic
directions.
Added to Northumbria University Practice Placements Website March 2011
A temporary permit can be arranged for your placement.Our Car Parking
charges for the Queen Elizabeth & Bensham Hospitals are as follows:
Duration Cost
Up to 2 Hours £2.30
Up to 3 Hours £3.30
4 - 24 Hours £4.80
Lost tickets cost £4.60
Public Transport
Go North East operates numerous bus services which stop at a number of
entrances to the Queen Elizabeth Hospital.
Below are details of the route numbers which provide public transport links to
the Queen Elizabeth Hospital.
Queen Elizabeth Main Entrance
Fellgate - Queen Elizabeth Hospital - Newcastle City
87
Centre
93 Gateshead Loop
Gateshead - Queen Elizabeth Hospital - Team
94
Valley - Gateshead
Added to Northumbria University Practice Placements Website March 2011
Old Durham Road
25 / Langley Park - Queen Elizabeth Hospital -
25A Newcastle
56 Sunderland - Queen Elizabeth Hospital - Newcastle
Fellgate - Queen Elizabeth Hospital - Newcastle City
87
Centre
Sunderland - Queen Elizabeth Hospital - Newcastle
N56
(Night Bus)
X1 Peterlee - Queen Elizabeth Hospital - Newcastle
Chester-le-Street - Queen Elizabeth Hospital -
28
Newcastle
57 / South Shields - Queen Elizabeth Hospital -
57A Newcastle
Windy Nook Road
South Shields Centre - Queen Elizabeth Hospital -
27A
Newcastle Monument
Fellgate - Queen Elizabeth Hospital - Newcastle City
87
Centre
93 Gateshead Loop
69 Wardley - Queen Elizabeth Hospital - Winlaton
For more information regarding Gateshead Foundation Trust
http://www.gatesheadhealth.nhs.uk/patients-visitors/index.php
Added to Northumbria University Practice Placements Website March 2011
Added to Northumbria University Practice Placements Website March 2011
Added to Northumbria University Practice Placements Website March 2011
Bensham Hospital
Location Bensham Hospital
Fontwell Drive
Bensham
Gateshead
NE8 4YL
Main Switchboard 0191 482 0000
Main Physiotherapy Department 0191 445 5156
On your first day please report to the main physiotherapy department
reception. This can be accessed through the main entrance at Bensham
Hospital.
Please confirm you start/finish times with your clinical educator.
Dining Facilities Tea and coffee making facilities are available in the
department. There is also a small fridge.
There is a staff dining room which sells hot meals,
sandwiches and snacks.
Car Parking There are car parking facilities at all of our sites, all of
which can be found by following the on site traffic
directions.
Added to Northumbria University Practice Placements Website March 2011A temporary permit can be arranged for your placement.Our Car Parking charges for the Queen Elizabeth & Bensham Hospitals are as follows: Duration Cost Up to 2 Hours £2.30 Up to 3 Hours £3.30 4 - 24 Hours £4.80 Lost tickets cost £4.60 For more information regarding Gateshead Foundation Trust http://www.gatesheadhealth.nhs.uk/patients-visitors/index.php Added to Northumbria University Practice Placements Website March 2011
Added to Northumbria University Practice Placements Website March 2011
QE Metro Riverside
Location QE Metro Riverside
Unit 6
Delta Bank Road
Metro Riverside Park
Gateshead
NE11 9DJ
Main Switchboard 0191 482 0000
Main Physiotherapy Department 0191 445 2320 / 5156
During your placement it may be necessary for you to attend some clinics at
the QE Metro Riverside. This will be discussed with you at the start of your
placement.
This is an outreach facility in the west of Gateshead that provides a range of
out-patient services, including physiotherapy.
Dining Facilities A tea and coffee machine is on site & costs 30p.
Car Parking There are car parking facilities at the site. Parking is free.
Access by public transport: S2 metro centre operates
every 15 minutes from the metro interchange during clinic
times.
Added to Northumbria University Practice Placements Website March 2011Added to Northumbria University Practice Placements Website March 2011
PLACEMENT PROGRESSION - WEEKLY GUIDE
This format should be used as a guide only and should be used along with the
rest of the placement package information sheets that has been provided
The overall focus of this placement is to develop assessment skills, manual
handling skills, therapeutic skills and clinical reasoning skills as directed by
the clinical educator.
Throughout the progression of the placement all available opportunities to
learn and facilitate learning should be profitable, which will include identified
reading time, one to one discussion and teaching sessions, in-service training
sessions and shadowing.
It is important to remember throughout your placement, that it is your
responsibility to gain as much from your placement as you can by being
responsible in the way in which you approach this prime learning opportunity.
We expect the following skills when you arrive on placement:
Some basic knowledge of bones, muscles, joints & nerves (including
supply of muscles & joints)
To be able to identify surface anatomy
Awareness of muscle actions & functions (including biomechanics)
To be able to perform basic assessments to include observations,
movement, resisted, special tests (awareness expected only), palpation
of joints, myotomes, dermatomes & reflexes
Awareness of theory underpinning actual hands on management of
physiotherapy approaches (Maitland, McKenzie, orthopaedic medicine)
Awareness of basic stretching, muscle strengthening, ROM &
proprioception exercises & electrotherapy
Awareness of assessment layout, including body charts, SOAP notes,
problem lists & goal setting
Added to Northumbria University Practice Placements Website March 2011Day 1
Induction to workplace, colleagues, hospital and local health and safety
policy
Complete induction checklist with clinical educator
If needed register car for parking permit
Introduction to diary system, administration systems and paperwork
Introduction to articles and references related to musculoskeletal
Physio
Set dates for learning objectives, half way assessment and final
assessment.
Teaching session – subjective assessment including special questions
Shadow clinical educator morning
Expected to complete a subjective & objective assessment of at least
one NP
Day 2
Continue to work with own diary assessing NP in hospital setting
Day 3-5
Complete SWOT analysis & set learning objectives & discuss how
these will be achieved
Most of the first week will be spent assessing NP with the support of
your clinician in the department / clinics (an assessment will be
watched by your Clinical educator)
There will be teaching sessions covering general subjective
assessment including specific special questions, basic objective
assessments, SIN factor & clinical reasoning skills (the delivery of the
sessions may vary e.g. informal discussion of patients/practical)
The clinician will be looking at general communication skills, an
understanding of the significance of subjective questions, and a
willingness to show independent learning skills
The student would be expected to use any unscheduled time for self
study and reflection.
Start to organise own diary with support of clinical educator
Added to Northumbria University Practice Placements Website March 2011WEEK 2
2nd year student
Continue to carry out subjective and objective assessment and be able
to discuss each assessment with clinical educator, and with assistance,
formulate a problem list, goals and initial treatment plan
With guidance/assistance, carry out appropriate treatment sessions
using joint mobilisation, soft tissue techniques, electrotherapy,
exercises and taping
Discuss appropriate contraindications, physiological and therapeutic
effects of treatments
Communicate effectively with the MDT as appropriate.
Show awareness of relevant research and current evidence-based
treatment
Show awareness of relevant musculo-skeletal pathologies &
anatomical structures in relation to clinical findings
Demonstrate safe and effective handling skills
At the end of week 2 the mid way assessment will take place
Allocated University Tutor will visit you
3rd year student
Continue to carry out subjective and objective assessment and be able
to discuss each assessment with clinical educator and independently,
formulate a problem list, goals and initial treatment plan.
Carry out appropriate treatment sessions using joint mobilisation, soft
tissue techniques, electrotherapy, exercise, taping with minimal
guidance from clinical educator
Discuss appropriate contraindications, physiological and therapeutic
effects of treatments
Communicate effectively with the MDT as appropriate.
Show good knowledge of relevant research and current evidence-
based treatment
Show good knowledge of musculo-skeletal pathologies, anatomical
landmarks & discuss this in relation to their clinical findings
Demonstrate safe & effective handling skills
Take growing responsibility for arranging your own shadowing as
appropriate
Take some responsibility for your own learning & to ask when you
require help
Allocated University Tutor will visit you
Added to Northumbria University Practice Placements Website March 2011WEEK 3
During this week your clinical educator will watch at least one treatment
technique being performed. This will then be discussed in terms of the
physiological, therapeutic effects, contra-indication, pre-cautions and possible
progression.
2nd year student
Continue subjective & objective assessments with analysis to identify
problem lists following discussion and guidance from clinical educator
Continue to demonstrate appropriate treatment sessions using joint
mobilisation, soft tissue techniques, electrotherapy, exercise, taping
with reducing guidance from clinical educator
Able to explain to patients your findings in a clear understandable
manner, provide appropriate advice to patients and instruct them in
self-management techniques with guidance
Show some awareness of outcome measures used in musculo-skeletal
conditions
To be able to document assessment/intervention within 24 hours in a
clear and concise format, maintaining legal standards
Show awareness of relevant research.
3rd year student
Continue to improve assessment, analysis, treatment and
documentation with minimal assistance from clinical educator
Continue to demonstrate appropriate treatment sessions using joint
mobilisation, soft tissue techniques, electrotherapy, exercise, taping
showing initiative & innovative practice
Able to explain to patients your findings in a clear understandable
manner, provide appropriate advice to patients and instruct them in
self-management techniques with minimal guidance
Show awareness of a range of objective measurements and be able to
choose and discuss measurements for use appropriately
To be able to document assessments/interventions within 24 hours in a
concise and complete format, maintaining legal and professional
standards
Discuss relevant research
At the end of week 2 the mid way assessment will take place
Added to Northumbria University Practice Placements Website March 2011WEEK 4
2nd year student
Continue to develop assessment skills to be able to identify problems,
goals and treatment plans. Should be able to relate objective findings
to anatomical structures, specific pathologies with minimal assistance
from clinical educator
Progress treatments with minimal assistance from clinical educator
Show awareness of a range of objective measurements and begin to
be able to choose and discuss measurements for use appropriately
Discuss relevant research
Reflection on personal objectives, strengths & weakness
end of this week the final assessment will take place, learning
outcomes discussed and placement feedback completed
3rd year student
Following a detailed assessment be able to formulate a problem list,
short and long term goals and a treatment plan through clinical
reasoning skills
Be able to progress treatment and demonstrate how progress can be
measured objectively
Communicate effectively with all members of the MDT
Work independently in assessment, analysis, treatment and
documentation with specific help from clinician only when required
Use relevant research to evidence treatments.
WEEK 5 & 6
3rd year student
Continue to consolidate as per week 4
Work towards increasing independence
Reflection on personal objectives, strengths & weakness
end of week 6 the final assessment will take place, learning outcomes
discussed and placement feedback completed
Added to Northumbria University Practice Placements Website March 2011NEGOTIATION OF LEARNING OUTCOMES
Throughout the placement we expect you to take some responsibility for
discussing & arranging your own shadowing as appropriate and for your own
learning and to ask when help is required
Complete an accurate and relevant assessment of a musculo-skeletal
patient
o written evidence, for example a comparison of the first and last
assessment would show improvement
o Improvements would also take place through discussion with
clinician.
Increase knowledge of commonly encountered musculo-skeletal
pathologies
o Produce written evidence of what was learned from patients, this
may be in the form of a reflective diary
o making notes from a text book / internet and through discussion
with clinician
o Produce a glossary of pathologies seen whilst on placement
Gain experience in the management of commonly treated musculo-
skeletal conditions
o Produce written evidence in the form of a reflective diary
o Through discussions with clinician
o Written evidence in patients notes
o Produce a glossary of common home exercises prescribed to
patients
Manage own diary system during the placement
o written evidence that time is used effectively
Added to Northumbria University Practice Placements Website March 2011MSK Department Structure
Assistant Divisional Manager Clinical Support
Katy Stainsby
Team leader MSK
Jacqui Scott
Lower Limb Upper Limb Fracture/A&E Rheumatology GP Specialist
Specialist Specialist Specialist Specialist Diane Robson BGH
Neil Wilkinson BGH Sarah Shorttle QEH Nicola Emery QEH Nicky Watt BGH Gordon Hamilton BGH
Karen Rowland QEH Sue Chester QEH James Murray BGH Brian Woods BGH
Band 6 (rotational staff)
John Paul Gowland Dave Rusby Sarah kehoe
Elinor Dingley Chris Hainsworth Joan Potts (Women’s Health – non rotational))
Amy Duguid Chris Shepherdson Becky Cuthbertson (GP - non-rotational)
Sharon Jefferson
Band 5 Technical Instructor
Static x2 Chris Parker
Rotational x1 Margaret Donkin
Contact Number - BGH (0191) 445 5156 QEH (0191) 445 2320
Added to Northumbria University Practice Placements Website March 2011Musculo-Skeletal Department Learning Zone
Biomechanics Clinic
Exercise Classes Maternity Wards /
Clinics
GP Practices
Fracture clinic Occupational
Podiatrist Therapist Othotist
Administration
Plaster Technicians Team
Injection Clinic
Radiologist
Midwifes
A&E Clinic
Physiotherapy
Department Pain Clinic Team
Pharmacist
Orthopaedic
Pain Clinic GP’s Staff
A&E Staff
Rheumatolgy Staff
Orthopaedic NP /
Rheumatology Clinic Nursing staff Family / carers Follow-up Clinic
Ankylosing
Spondylitis Group Pharmacy Clinic
Inter-professional Learning
Added to Northumbria University Practice Placements Website March 2011Profile of Learning Opportunities – BGH
There are a wide variety of opportunities to shadow senior members of
staff at the BGH ext 5156.
These can be arranged by contacting the appropriate member of staff.
Clinic Contact
Injection Clinic Nicky Watt /Sue Chester/Karen
Rowland
Research / Evidence Base Practice Jacquie Scott
Bio-mechanics Clinic Neil Wilkinson
Pain Management Clinic Helen Rowell
Knee Joint Replacement Rehab Rotational Band 5
Group
Joint Replacement Pre-op Clinic Alan Andrews
Mechanical Athritis Clinic Nicky Watts / James Murray
Physio/Pharmacy Clinic Nicky Watts / James Murray
Inflammatory Arthritis Clinic James Murray
Rheumatology Groups Rheumatology Senior II
Back Management programme Out-patient Senior II
Various Gym Groups Chris Parker
Added to Northumbria University Practice Placements Website March 2011Profile of Learning Opportunities – QEH
There are a wide variety of opportunities to shadow senior members of
staff at the QEH ext 2320 / 2322.
These can be arranged by contacting the appropriate member of staff.
Clinic Contact
Upper Limb Consultant Clinic Sarah Shorttle/Sue Chester
Hand Consultant Clinic Sarah Shorttle/Sue Chester
Scoring Clinic Upper Limb Team
Post-operative Shoulder Clinic Upper Limb Team
Lower Limb Consultant Clinic Karen Rowland
A&E Triage Clinic Nicola Emery
Fracture Triage Clinic Nicola Emery
Musculoskeletal Community Various
Telephone Advice Line
Rheumatology Assessment Clinics Nicky Watts / James Murray
Physio / Pharmacy Clinic Nicky Watts / James Murray
Pregnant Back Service Joan Potts
Incontinence Service Elinor Dingley
Ante-natal Clinic Joan Potts
Soft tissue / fracture Exercise Group Chris Parker
Wrist Group Sue Chster
Various Exercise Group Chris Parker (TI)
Added to Northumbria University Practice Placements Website March 2011Common Pathologies Lower Limb OA Knee, hip & ankle Bursitis Hip Impingement Hip Patellofemoral Pain Syndrome (PFPS) Ligament Instabilities Menisci injuries Total Knee replacement (TKR) Total Hip replacement (THR) Post arthroscopy (hip & knee) Plantar fascitis Post surgical ankle & foot ACL reconstruction Upper Limb Tendinopathy Instabilities Capsular Sub-acromial decompression (SAD) Dupuytrens post surgical Hemiarthroplasty LRE Fracture & A&E Soft tissue (STI) trauma upper & lower limb Fracture (#) upper & lower limb Dislocations Conservative & surgical management STI & # Chronic Regional Pain Syndrome Rheumatology (inflammatory and non-inflammatory conditions) Ankylosing Spondylitis Rheumatoid Arthritis Psoriatic arthritis Connective tissue disease (lupus, Sjorgren’s syndrome, scleroderma etc) Joint pathologies like OA, spondylosis, pre and post-spinal surgery and gout Soft tissue pathologies like tendonopathies and bursitis GP Simple/mechanical back pain Cervical disorders Nerve root Red & yellow flags All of the above Added to Northumbria University Practice Placements Website March 2011
Fracture & Soft Tissue Placement Reading List Apley AG and Solomon L (1998) Concise System of Orthopaedics and Fractures, Butterworth-Heinemann, Oxford Forrest L (1983) Current Concepts in Soft Tissue Connective Tissue Wound Healing. Br J Surgery 70 : 133-140 Hardy MA (1989) the Biology of Scar Formation. Physical Therapy 69 (12) : 1014-1024 Hunter G (1998) Specific Soft Tissue Mobilisation in the Management of Soft Tissue Dysfunction. Manual Therapy 3 (1) : 2-11 Marsh DR (1998) Concepts of Fracture Union, Delayed Union and NonUnion, Clinical Orthopaedics and Related Research : 355 – 22-30 McRae R (2002) Practical Fracture Treatment, Churchill Livingstone, London Petty NJ and Moore AP (2002) Neuromusculoskeletal Examination and Assessment – A Handbook for therapists, Churchill Livingstone, London Watson T (2006) Soft Tissue Healing www.electrotherapy.org/electro/downloads/healing%20july%2003.pdf Healing Soft Tissue Injuries www.bonnefinchiropractic.com/soft_tissue_healing.htm Injury Recognition and Management http://stj.ecacs16ab.ca/ashtape/html/softt.html Rehabilitation of Soft Tissue Injuries in the 1990’s www.chiroweb.com/archives/09/21/25.html Added to Northumbria University Practice Placements Website March 2011
Womens Health Placement Reading List Colliton J (1996) Pregnant with Back Pain? Suggested Comfort Tactics, The Physician and Sportsmedicine : 24 (7) www.physsportsmed.com/issues/1996/07_96/colliton.htm Colliton J (1996) Back Pain and Pregnancy : Active Management Strategies, The Physician and Sports medicine : 24 (7) www.physsportsmed.com/isues/1996/07_96/coll_pa.htm Pigott T (2006) Junior Rotation Pack – Womens Health, QEH Main Out- Patient Department (Resource File) Added to Northumbria University Practice Placements Website March 2011
Useful Sources of Information Added to Northumbria University Practice Placements Website March 2011
Upper Limb Placement Reading List Basic Text Book Rehabilitation of the Hand and Upper Limb - Paperback (3 Jun 2003) by W. Bruce Conolly and Rosemary Prosser. Impingement Lewis JS et al (2001) The Aetiology of Subacromial Impingement Syndrome. Physiotherapy 87 (9) : 458-469 Bunker T (2002) Rotator Cuff Disease. Current Orthopaedics 16 : 223-233 Tennent TD et al (2003) A Review of the Special tests associated with Shoulder Examination Part 1: The rotator Cuff Tests. The American Journal of Sports Medicine 31 (1) : 154-160 Kahn KM et al (2000) Overuse Tendinosis, Not Tendinitis, Part 1: A New Paradigm for a Difficult Clinical Problem. The Physician and Sports medicine 28 (5) A M Cools, D Cambier, E E Witvrouw. (2008) Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. Br J Sports Med 42:628-635. Hanchard et al (2005) Evidenced based guidelines for the diagnosis, assessment and physiotherapy management of shoulder impingement syndrome. Available from www.csp.org.uk/director/effectivepractice/clinicalguidelines/physiotherapyguid elines Frozen Shoulder Bunker TD, Anthony PP (1995) The Pathology of Frozen Shoulder: A Dupuytrens-Like Disease. J Bone & Joint Surgery – British 77-B (5) : 677-683 Diercks RL, Stevens M (2004) Gentle Thawing of the Frozen Shoulder: A Prospective Study of Supervised Neglect Versus Intensive Physical Therapy in Seventy Seven Patients with Frozen Shoulder Syndrome. J Shoulder Elbow Surgery 13 (5) : 499-502 Bunker T (2009). Time for a new name for frozen shoulder – contracture of the shoulder. Shoulder & Elbow:1; 4-9. Hands C, Clipsham K, Rees RL, & A Carr. (2008) Long-term outcome of frozen shoulder. . J Shoulder Elbow Surgery; 17: 231-236. M J Kelley, P W McClure, B G Leggin (2009) Frozen Shoulder: Evidence and a proposed model guiding rehabilitation. J of O & SPT. 39(2) 135-148. Added to Northumbria University Practice Placements Website March 2011
Fractures Neer CS (2002) Four-segment Classification of Proximal Humeral Fractures: Purpose & Reliable Use. J Shoulder Elbow Surgery 11 (4) : 389-400 Reid JS (2003) Fractures of the Proximal Humerus. Current Opinion in Orthopaedics 14 : 269-280 Instability Tennent TD, Beach WR, Meyers JF. A review of the special tests associated with shoulder examination. Part II: laxity, instability, and superior labral anterior and posterior (SLAP) lesions. Am J Sports Med 2003;31:301-7. Gibson JC. Mini-symposium:shoulder instability (iii) rehabilitation after shoulder instability surgery. Current orthop 2004;18:197-209. www.bess.org.uk (British Elbow & Shoulder Society) www.theupperlimb.com (GOST Guidelines) www.shoulderdoc.co.uk Shoulder surgery information, conditions & interactive anatomy and surgery techniques. Added to Northumbria University Practice Placements Website March 2011
Rheumatology Placement Reading List
1. Books
Rheumatological Physiotherapy by David Carol
ISBN : 0723425949
Texts are also available at the QE library and are a good source for clinical
examination and categorisation of arthritis. However, they do not contain the
most up to date treatment techniques and principles.
2. Journals
Annals of Rheumatic Disease
Arthritis and Rheumatism
Arthritis Care and Research
Clinical Rheumatology
Journal of Rheumatology
Rheumatology
These are the most commonly sourced journals but there are many more.
3. Websites
www.gatesheadhealth.nhs.uk/rheumatology
This website gives comprehensive information for GPs, AHPs and patients on
services offered in Gateshead along with referral criteria, treatment options
and care pathways.
www.prodigy.nhs.uk
Up to date evidence based guidance on many conditions including back pain,
neck pain, rheumatoid arthritis, ankylosing spondylitis and osteoarthritis.
www.arma.uk.net
The Arthritis and Musculoskeletal Alliance have produced standards of care
for back pain, inflammatory arthritis and osteoarthritis pertinent to clinical
practice.
http://www.jointzone.org.uk/
Excellent web site for an overview of rheumatological conditions and their
recognition.
http://nass.co.uk/public/zips/NassBook.pdf
http://www.arc.org.uk/arthinfo/patpubs/6001/6001.asp
http://www.arc.org.uk/arthinfo/patpubs/6033/6033.asp
http://en.wikibooks.org/wiki/Physiotherapy_assessment/subjective
Added to Northumbria University Practice Placements Website March 2011General Out-Patient Placement Reading List Basic Anatomy Drake, R. et al (2009) Grays Anatomy for students Churchill Livingstone. Palastanga, N. et al (2006) Anatomy and Human Movement: Structure and Function, Butterworth-Heinemann; or the smaller Palastanga, N. et al (2008) Anatomy and Human Movement Pocketbook (Vinyl Bound) Butterworth-Heinemann. Jarmey, C. (2008) The Concise Book of Muscles. Lotus publishing Field, D., Owen, J. (2006) Field's Anatomy, Palpation and Surface Markings Butterworth-Heinemann. Kindersley, D (2009) The Concise Human Body Book: An Illustrated Guide to Its Structure, Function and Disorders. Dorling Kindersley. Tortora, G. and Derrickson, B. (2008) Principles of Anatomy and Physiology. John Wiley and Sons. Baxter, R. E. (2003) Pocket guide to musculoskeletal assessment. Saunders. Basic Assessment Petty, N. (2005) Neuromusculoskeletal examination and assessment: A handbook for therapists. Churchill Livingstone. McGee, D. (2008) Orthopaedic Physical Assessment. Saunders. Basic Treatments Maitland, G. et al (2005) Maitland’s vertebral manipulation Butterworth- Heinemann. & Maitland’s peripheral manipulation. Butterworth-Heinemann. Kesson, M. Atkins, E. (2005) Orthopaedic Medicine: a practical approach. Butterworth-Heinemann. McKenzie, R. (2006) Treat your own Back, and Treat your own neck. Spinal Publications New Zealand. Low J and Reed A (1990) Electrotherapy Explained – Principles and Practice, Butterworth-Heinemann, Oxford http://www.electrotherapy.org/downloads.htm The Back Book : London TSO : www.tso.co.uk/bookshop Added to Northumbria University Practice Placements Website March 2011
The whiplash book – How you can deal with a whiplash injury . www.tso.co.uk/bookshop General Reading Kenyon, K. and J. (2009) The Physiotherapists Pocketbook: Essential facts at your fingertips. Churchill Livingstone. Brukner, P. and Khan, K. (2009) Clinical Sports Medicine. McGraw-Hill. Porter, S. (2008) Tidy’s physiotherapy (Physiotherapy Essentials). Churchill Livingstone. Mulligan, B. (2005) Manual Therapy: NAGS, SNAGS, MWMS, etc. OPTP Shacklock, M. (2005) Clinical Neurodynamics: A New System of Neuromusculoskeletal Treatment Added to Northumbria University Practice Placements Website March 2011
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