Phm 201 - Course Outline

The Canadian College of Naturopathic Medicine

Course:

COURSE OUTLINE 2006/2007 Naturopathic Manipulation I

Course Code:

PHM 201

Times:

Wednesday 9:00AM – 10:00AM (LECTURE: Multipurpose Room) Friday 12:30 PM – 2:30 PM (PRACTICUMS: Multipurpose Room and break-out rooms to be announced)

Instructor:

Kenneth R. Dunk, D.C., N.D., F.C.A.H., C.C.H., RS Hom (NA)

E-mail:

[email protected]

Office Hours:

Course instruction times

Evaluation: Attendance 10 Random quizzes (1% ea)

Mid-Term Practical Exam Final Practical Exam

PERCENT 5% 5% 40 % 50 %

TEST DATE / DUE DATE January 10, 2007 to February 14, 2007 February 28, 2007 to April 18, 2007 Friday, February 16, 2007 Friday, April 20, 2007

Required Texts: Custom Courseware Package for Naturopathic Manipulation PHM 201 Recommended Texts: Any Anatomy Text for osseous and myology review Menell, John, M.D., Joint Pain Library Component - Library Resources - RD731 - RD771 - RZ211 - RZ275 - Dry Lab – avail yourselves to dry spine models and anatomy charts - Library Web Page – Digital Collection of Motion Palpation Techniques - TBA Attendance/Participation Refer to page 7 of this outline.

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PHM201 NATUROPATHIC MANIPULATION I Dr. Kenneth R. Dunk, D.C., N.D., F.C.A.H., C.C.H., RS Hom (NA) COURSE DESCRIPTION This course will expose the students to the clinical assessment of subluxations/ fixations in the cervical, including the occiput-atlas-axis articulations, thoracic and lumbar spinal areas, as well as, the sacro-iliac joints, and the upper and lower peripheral articulations of the human body. Clinical assessment of the subluxation/ fixation complexes will primarily involve the use of static and motion palpation of these areas, and basic visual assessment techniques. These assessment techniques will be accomplished by means of a one-hour lecture/demonstration led by the course instructor, and a two-hour practicum with students gaining hand-on experience in small tutorial groups under the guidance of a licensed practitioner, supervised by the course instructor. GOALS The course is designed to: ♦ assist the students with a review of general spinal and pelvic osseous anatomy, and to become proficient with a simplified short-form method of describing spinal and pelvic subluxations/ fixations ♦ provide students with basic knowledge in assessment of spinal and peripheral joint subluxations/fixations by visual, static, and motion palpation techniques ♦ provide students with ample opportunity to practice and develop skills in the various methods of assessment in the spinal and peripheral joints of the human body ♦ help students to understand how spinal and peripheral joint subluxations/fixations may have a significant impact on the autonomic nervous system and the body systems controlled by branches of this system OBJECTIVES Upon completion of this course, students are expected to: ♦ have sufficient knowledge of general spinal, pelvic, and peripheral osseous anatomy ♦ be proficient with a simplified short-form method of describing spinal and pelvic subluxations / fixations ♦ readily assess the presence of common subluxations/fixations in the cervical, upper cervical, thoracic, lumbar, sacro-iliac, and peripheral joints of the human body by means of visual assessment, static and motion palpation techniques PEDAGOGY An adult learning model will be used. This model is based on the presumptions that learning is enhanced when: ♦ the learning climate fosters self-esteem and interdependence; ♦ the students’ experience and knowledge are recognized and added to; ♦ the students have an active role in decision-making and planning, and authority is shared; ♦ a synergistic view of knowledge and learning is held (i.e. learners are encouraged to integrate external knowledge with their own personal meanings; teachers are engaged in a mutual exploration, discovery, learning experience with the learners so that, through responsible interaction, both generate greater knowledge and insights than existed for either prior to the course; ambiguity is tolerated and explored); ♦ students are encouraged to work with the concepts presented and discussed in the course, and to articulate the outcome of that work within the classes and examinations

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EVALUATION It is expected that each student will read the required readings for each section prior to class, and will supplement the required readings with selections from other readings according to his/her interests. As this is a laboratory course, attendance is mandatory, and comprises 10% of the final grade. A mid-term practical examination comprises 40% of the course grade and a final practical examination comprises 50% of the course grade. To successfully complete the course, students are required to achieve: a. 70% on the final exam; and b. 70% cumulative course average ATTENDANCE/PARTICIPATION: Please refer to page 7. INCLUSIVE LANGUAGE Some of the reading materials used in this course lack gender inclusive language. Nevertheless, students are expected to use gender inclusive language in their classwork and examinations. COURSE OUTLINE Week 1 (Classes 1 & 2): January 10 & 12, 2007: Spinal and Pelvic Anatomy Spinal and Pelvic Listings of Subluxations Static Palpation Methods Objectives  understand what topics will be covered in the course and what is expected of the students  understand what is expected with respect to attendance  understand what is expected with respect to the mid-term and final examinations  learn and/or review spinal and pelvic anatomy  learn spinal and pelvic subluxation listings  learn and practice static palpation methods Topics Covered  introduction to course  attendance expectations  mid-term and final examination expectations  spinal and pelvic anatomy  spinal and pelvic subluxation listings (nomenclature)  static palpation methods Week 2 (Classes 3 & 4): January 17 & 19, 2007: Review of Previous Week’s Material Motion Palpation of the Lumbar Spine Objectives • review and practice spinal and pelvic subluxation listings (nomenclature), and static palpation methods • learn and practice motion palpation of the lumbar spine Topics Covered • review of spinal and pelvic subluxation listings (nomenclature), and static palpation methods • motion palpation of the lumbar spine

Week 3 (Classes 5 & 6): January 24 & 26, 2007: Review of Previous Week’s Material Motion Palpation of S/I Joints & Thoracic Spine Objectives  review and practice lumbar motion palpation techniques  learn and practice motion palpation of S/I joints and thoracic spine Topics Covered  review of lumbar motion palpation techniques  motion palpation of S/I joints and thoracic spine

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Week 4 (Classes 7 & 8): January 31 &Feb 2, 2007: Review Previous Week’s Material Motion Palpation of Costo-Sternal and Costo-Vertebral Joint Techniques Motion Palpation of C2 – C7 Techniques Objectives  review and practice motion palpation of S/I joints and thoracic spine  learn and practice motion palpation of costo-sternal and costo-vertebral techniques  learn and practice motion palpation of C2 – C7 Topics Covered  review of motion palpation of S/I joints and thoracic spine  motion palpation of costo-sternal and costo-vertebral techniques  motion palpation of C2 – C7 Week 5 (Classes 9 & 10): February 7 & 9, 2007: Review Previous Week’s Material Motion Palpation of C0 – C1 – C2 Objectives  review motion palpation of C2 – C7  learn and practice motion palpation techniques for C0 – C1 – C2 Topics Covered  review of motion palpation C2 – C7  motion palpation C0 – C1 – C2

Week 6 (Classes 11 & 12): February 14, 2007: Question & Answer Session For Mid-Term Examination February 16, 2007: Mid-Term Examination Objectives  Review and answer specific questions related to spinal motion palpation  Secure a minimum of 70% on mid-term examination Topics Covered  Entire spinal motion palpation assessment techniques February 21 & 23, 2007: Reading Week – No Classes Objectives  N/A Topics Covered  N/A

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Week 8 (Classes 15 & 16): March 7 & 9, 2007: Review Previous Week’s Material Scapula and Elbow Joint Motion Palpation Techniques Objectives  review and practice G/H joint and A/C joint motion palpation techniques  learn and practice scapula and elbow joint motion palpation techniques Topics Covered  review G/H joint and A/C joint motion palpation technique  scapula and elbow joint motion palpation techniques

Week 9 (Classes 17 & 18): March 14 & 16, 2007: Review Previous Week’s Material Wrist, Hand and Finger Motion Palpation Techniques Objectives  review and practice scapula and elbow joint motion palpation techniques  learn and practice wrist, hand and finger motion palpation techniques Topics Covered  review scapula and elbow joint motion palpation techniques  wrist, hand, and finger motion palpation techniques

Week 10 (Classes 19 & 20): March 21 & 23, 2007: Review Previous Week’s Material Hip and Knee Joint Motion Palpation Techniques Objectives  review and practice wrist, hand, and finger motion palpation techniques  learn and practice hip and knee joint motion palpation techniques Topics Covered  review wrist, hand, and finger motion palpation techniques  hip and knee joint motion palpation techniques

Week 7 (Classes 13 & 14): February 28 & March 2, 2007: G/H Joint and A/C Joint Motion Palpation Techniques Review Selected Spinal Motion Palpation Techniques Objectives  learn and practice G/H joint and A/C joint motion palpation techniques  practice selected spinal motion palpation techniques Topics Covered  G/H joint and A/C joint motion palpation techniques  selected spinal motion palpation techniques

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Week 12 (Classes 23 & 24): April 4, 2007: Review of Spinal Motion Palpation April 6, 2007: Good Friday – No Classes Objectives  review and practice motion palpation of the lumbar spine, S/I joints, thoracic spine, costo-sternal and costo-vertebral joints, cervical spine (including C0 – C1 – C2), G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle, foot, and toes Topics Covered  review motion palpation of the lumbar spine, S/I joints, thoracic spine, costo-sternal and costo-vertebral joints, cervical spine (including C0 – C1 – C2), G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle, foot, and toes

Week 13 (Class 25): April 11 & 13, 2007: Review of Peripheral Joint Motion Palpation Objectives  review motion palpation of G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle, foot, and toes Topics Covered  review of motion palpation of G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle, foot, and toes

Week 14 (Classes 26 & 27): April 18, 2007: Question & Answer Session For Full Course Examination April 20, 2007: Full Course Examination Objectives  Review and answer specific questions related to spinal motion palpation  Secure a minimum of 70 % on Full Course Examination

Topics Covered  Entire course work

Week 11 (Classes 21 & 22): March 28 & 30, 2007: Review Previous Week’s Material Ankle, Foot and Toe Motion Palpation Techniques Objectives  review and practice hip and knee joint motion palpation techniques  learn and practice ankle, foot and toe motion palpation techniques Topics Covered  review hip and knee joint motion palpation techniques  ankle, foot and toe motion palpation techniques

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Attendance/Participation: Attendance and participation is MANDATORY in all practical sessions. Students must attend the section in which they are scheduled unless the instructor gives consent prior to the class. The teaching assistants will mark participation (pass or fail) during each practical session. Participation for each class includes: Arrival on time for every class. Actively locating anatomical parts of the body. Actively palpating (static and motion) the structures of the spine and peripheral joints. Attendance for the entire class. Students must provide appropriate documentation for all absences. Only cases of extreme emergency and/or urgent medical situations with appropriate documentation will be considered. All absences must be brought to the attention of both the instructor and the Associate Dean, immediately (within 3 working days), after the event, or prior to the event if it a foreseen absence. An absence will be documented as a participation fail for the practical session missed. The teaching assistant and instructor will discuss any participation failure mark with the student. Any student receiving a failing mark for 2 practical sessions without consent from the academic department will be given a 20% penalty on their final grade for the course, and will be responsible for the missed information at their own expense. Students receiving a failing mark for 3 practical sessions will receive a failure for the course. The instructor and/or the Associate Dean will review each case individually. Students, who have missed I or 2 practical sessions with appropriate documentation or with permission from the academic department must make up the missed material on their own, and at their own expense. Students, who have missed 3 practical sessions with appropriate documentation or with permission from the academic department, will need to repeat the course.

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PHM 201 Winter 2007 – Timetable Class 1

Date Jan. 10

2

Jan. 12

3

Jan. 17

4

Jan. 19

5

Jan. 24

6

Jan. 26

7

Jan. 31

8

Feb. 2

9

Feb. 7

10

Feb. 9

Topic LECTURE: Introduction Attendance & Exam Expectations Spinal & Pelvic Anatomy, Subluxation Listings, Static Palpation Methods PRACTICUM: Spinal & Pelvic Anatomy, Subluxation Listings, Static Palpation Methods LECTURE: Review of Previous Week’s Material Motion Palpation of Lumbar Spine PRACTICUM: Review of Previous Week’s Material Motion Palpation of Lumbar Spine

Lecturer Dr.Kenneth Dunk

Teaching Assistants

Dr.Kenneth Dunk Teaching Assistants

LECTURE: Review of Previous Week’s Material Motion Palpation of S/I Joints & T/S Spine PRACTICUM: Review of Previous Week’s Material Motion Palpation of S/I Joints & T/S Spine

Dr.Kenneth Dunk

LECTURE: Review of Previous Week’s Material Motion Palpation of Costo-Sternal & Costo-Vertebral Joints Motion Palpation of C2 – C7 PRACTICUM: Review of Previous Week’s Material Motion Palpation of Costo-Sternal & Costo-Vertebral Joints Motion Palpation of C2 – C7 LECTURE: Review of Previous Week’s Material Motion Palpation of C0 – C1 – C2 PRACTICUM: Review of Previous Week’s Material Motion Palpation of C0 – C1 – C2

Dr.Kenneth Dunk

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Teaching Assistants

Teaching Assistants

Dr.Kenneth Dunk Teaching Assistants

11

Feb. 14

12

Feb. 16

13

Feb. 21 & 23 Feb. 28

14

Mar. 2

15

Mar. 7

16

Mar. 9

17

Mar. 14

18

Mar. 16

19

Mar. 21

20

Mar. 23

21

Mar. 28

22

Mar. 30

23

Apr. 4

24 25

Apr. 6 Apr. 11 Apr. 13

26

Apr. 18

27

Apr. 20

LECTURE: Question & Answer Session for Mid-Term Examination Mid-Term Examination GOOD LUCK!

Dr.Kenneth Dunk Dr.Kenneth Dunk & Teaching Assistants

Reading Week – No Classes LECTURE: G/H & A/C Joint Motion Palpation Review Selected Spinal Motion Palpation PRACTICUM: G/H & A/C Joint Motion Palpation Practice Spinal Motion Palpation LECTURE: Review of Previous Week’s Material Scapula & Elbow Joint Motion Palpation PRACTICUM: Review of Previous Week’s Material Scapula & Elbow Joint Motion Palpation LECTURE: Review of Previous Week’s Material Wrist, Hand & Finger Motion Palpation PRACTICUM: Review of Previous Week’s Material Wrist, Hand & Finger Motion Palpation LECTURE: Review of Previous Week’s Material Hip & Knee Joint Motion Palpation PRACTICUM: Review of Previous Week’s Material Hip & Knee Joint Motion Palpation LECTURE: Review of Previous Week’s Material Ankle, Foot & Toe Motion Palpation PRACTICUM: Review of Previous Week’s Material Ankle, Foot & Toe Motion Palpation LECTURE: Review of Spinal Motion Palpation Good Friday – No Classes LECTURE: Review of Peripheral Joint Motion Palpation PRACTICUM: Spinal & of Peripheral Joint Motion Palpation LECTURE: Question & Answer Session for Full Course Examination Full Course Examination GOOD LUCK!

Dr.Kenneth Dunk Teaching Assistants Dr.Kenneth Dunk Teaching Assistants Dr.Kenneth Dunk Teaching Assistants Dr.Kenneth Dunk Teaching Assistants Dr.Kenneth Dunk Teaching Assistants Dr.Kenneth Dunk Teaching Assistants Dr.Kenneth Dunk

Dr.Kenneth Dunk Dr.Kenneth Dunk & Teaching Assistants

The Academic Department reserves the right to make any changes in the schedule.

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