Exploring Cross-Curriculum Content of Undergraduate Musculoskeletal Therapy Courses Regarding Articular Cartilage; Implications of Surveying UK Healthcare Curriculum Providers
Journal Title: Journal of Musculoskeletal Disorders and Treatment - Year 2016, Vol 2, Issue 1
Abstract
Background:Assessing curriculum across undergraduate healthcare education can be challenging with potential heterogeneity. Focus on a subset of healthcare may indicate variability in curriculum content. Knee articular cartilage and associated injury and repair procedures demand attention; debilitation and development of osteoarthritis severely affect patient quality of life. The level to which musculoskeletal (MSK) therapy education encompasses this area across disciplines is poorly understood. Objectives:To explore if UK MSK courses differ in articular cartilage content based on the final professional qualification. Design:Cross-sectional online questionnaire. Method:Universities and Colleges Admissions Service (UCAS) database was searched to identify providers from: physiotherapy; osteopathy; chiropractic; sports therapy. A questionnaire was developed and invitation to engage sent to course personnel. Details of 16 specific articular cartilage and related course characteristics were captured. Questions were scored based on prevalence reported (0-16). Inter-professional differences between scores were explored using Kruskal-Wallis and Mann-Whitney U test. Results/findings:Seventy-six participants were identified from 107 providers. Eleven (14%) responses were received; physiotherapy (30%), sports therapy (30%), osteopathy (40%). Mean scores were 11.33, 13.67 and 8.5 respectively. No significant difference was found between scores based on profession/entry requirements; surgical repair elements scored significantly lower (p < 0.05). Conclusions:Findings provide indication of consistency of detail on articular cartilage in UK MSK undergraduate curriculum: post-surgery rehabilitation was not consistently represented; generic protocols were well-reported. Considerations for subsequent research are how to ensure student practitioners are provided with contemporary knowledge to provide patient-centred, evidence-based care through programme delivery.
Bone Mineral Density Measured by Quantitative Computed Tomography in Pre-pubertal/Early Pubertal Children with Hypovitaminosis D
Background:Clinically significant vitamin D deficiency is associated with decreased bone mineral density (BMD) and increased fracture risk in adults. A similar association is suggested to be present in children. In this...
Floating First Metacarpal: Fracture Dislocation of the Trapezio-Metacarpal Joint Associated with Fracture of the Base of the Proximal Phalanx: A Case Report
Floating first metacarpal has been scarcely described in the literature. Fracture dislocation of the trapezio-metacarpal joint has been reported more than the isolated form but deemed exceptional. We report a 40-year-old...
Necrotizing Fasciitis without Inflammatory Signs in Patients Receiving Anti-Interleukin-6 Receptor Antibody (Tocilizumab): Two Cases Report
Tocilizumab is a monoclonal antibody directed against the interleukin-6 receptor and used for the treatment of rheumatoid arthritis (RA). However, patients treated with tocilizumab have risk of infection, such as necroti...
Is Bony Evidence of Enthesial Reaction Sufficient for Differential Diagnosis?
Background Enthesial reaction, as a stress or disease marker, has been a generalized perspective, largely untested as to its veracity. Perhaps valid with soft tissue visualization by computerized tomography or magnetic r...
The Chondral Tissue and PRP. Theory to Support the Use
The hyaline cartilage structure is very complex, with few cells, and without blood and lymphatic vessels or nerves. This makes the healing potential very limited. Knee cartilage injuries are very common, and its treatmen...