CCMAS Course Search

Students shall be exposed to history taking, physical examination, measurement of degree of disability, clinical judgments and management of children with cerebral palsy, infantile brachial plexus injuries, spina bifida, acute flaccid paralysis, post immobilisation stiffness, progressive muscular dystrophy, Down’s syndrome and many others. Students will be taught appropriate ways of communicating treatment goals, treatment plans, exercise home assignments and advice to parents/caregivers.

Theories of ageing. Physiological and anatomical effects of ageing. Methods of evaluation and management of disorders common in the elderly – Diabetes mellitus, hypertension & hypertensive heart disease, musculoskeletal disorders and debilitating conditions. The ageing world population – challenges for physiotherapists. Challenges of care of elderly/aged in Nigeria - the breaking down of traditional family support. Home care versus institutional care. Multidisciplinary approach in geriatric care.

Applied Microbiology. Epidemiological concepts in infectious disease prevention. Risk assessment in (acute/long-term) care and community settings. Using current literature to formulate or adapt. Infection prevention and control strategies to protect therapists, promote quality and safe patient care. Infection control standard precautions and requirements for an infection control plan in a healthcare setting. The concepts of a clean, disinfect, and sterilize environment in a healthcare setting. Procedures of hand washing and disinfections in Physiotherapy clinical practice.Infection prevention and control in Physiotherapy: Implications for first contact practice and direct patient management.

Anatomy and physiology of the skin. integumentary conditions including herpes, dermatitis, and cellulitis. burns and complications on burns injuries. wounds, thermal injuries, dermatologic diseases and disorders. impaired circulation and anthropometric dimensions associated with lymphatic system disorders. interventions for wounds, burns, scars, Peripheral Vascular and Lymphatic Conditions. Specific skin conditions – acne vulgaris, boils, whitlows, carbuncles, psoriasis, alopecia areata totalis, vitiligo, eczema, leprosy, burn and post burns contractures. wounds and scars, wound infections in open wounds, complication of infected wounds (such as tetanus). surgical intervention in skin complications including contractures, skin grafts, varicose ulcers, Buruli ulcers and pressure sores. integument clinical tests, and procedures and prognostic tests. Physiotherapy in dermatological conditions.

Terminal illnesses (cancer and staging, full blown AIDS). Common health problems in terminally ill patients - Pain syndromes, Gastrointestinal, respiratory, neurological and urinary symptoms. Psycho-social issues. Specific health problems to specific conditions - Post mastectomy oedema in breast cancer, paraplegia in prostate cancer, swallowing problems in submandibular cancer and many others. Philosophy of palliative care. Ethical issues in palliative care. Pain control in terminally ill patients. Pharmacologic management of cancer pain. Roles of radiotherapy, chemotherapy and surgery in palliation. Role of Physiotherapy in the care of terminally ill patients. Communication skills Death and dying, Spiritual support, Bereavement. Palliative care organisations in Nigeria and elsewhere.

Pain as a fifth vital signs. ramifications of pain including physical, pathological, emotional, social, psychological, financial, spiritual and many others. Philosophy of pain, current understanding of mechanisms of pain. mechanism of pain sensation and theories on pain modulation including gate control theory, endogenous opiates theory. Pain assessment and tools including unidirectional and multi-dimensional scales. Principle of pain management in physiotherapy. Types of treatment- pharmacologic and non-pharmacologic. The role of the physiotherapist in the holistic assessment and management of pain.

Review of relevant anatomy and physiology of pregnancy: Menstruation, pregnancy and foetal development, Complications of pregnancy: ectopic, pre-eclamptic toxaemia, eclampsia, ante partum haemorrhage, placenta praevia, diabetes mellitus. Physical and physiological changes of labour Complications of labour: failure to progress, maternal and foetal distress, mal-presentation, cephalopelvic disproportion. Puerperium and complications including postpartum haemorrhage, fistulas; common antenatal conditions and management including urinary retention, urinary incontinence, deep vein thrombosis, pulmonary embolism, pregnancy-related pathologies including diastasis recti abdominis, stress incontinence, low back pain and pelvic pain, sacroiliac joint dysfunction and ligamentous laxity, varicose vein, preeclampsia, Caesarean child birth. Including pelvic inflammatory disease, cystocele, urethrocele, enterocele, uterine prolapse, dysmenorrhoea, female athlete triad. Physiotherapy interventions in pregnancy related pathologies.

Definition of plaster of Paris. Historical development of plaster of Paris and plaster casting. Relevance of orthopaedic plaster in the management of bone fractures. Roles of plaster expert in the management of orthopaedic and trauma conditions. Chemical composition of plaster of Paris; physical characteristics of plaster of paris; uses of plaster of Paris. Building facility structure, ventilation, illumination, entry and exit routes of a typical plaster room; human resources needed in the plaster casting room; materials needed in the plaster room such as furniture, equipment instrument and many others; financial resources and budgeting for an ideal plaster room; system of management of the plaster room; equipment and instrument needed in the plaster room such as Plaster cutter/shears, Plaster bender, Plaster scissors. Use of each equipment/instrument listed in above. Different types of plaster cast application such as colles’ cast, scaphoid cast and many others. Methods of plaster cast making. Complications associated with use of plaster such as swelling compression, damage to blood vessels, damage to nerves; process for dealing with the complications of plaster; care of patient in plaster cast. Procedure of removal of plaster cast; instruments for plaster cast removal. Reasons for removal of plaster cast; possible complications associated with the removal of plaster cast; possible hazards that may arise in the plaster room such as electrical wiring, slippery floor; protective wears for plaster room work. Safety precaution to hazards. Other materials that can be used for casting; different types of synthetic casts; advantages and disadvantages of synthetic casts over plaster of Paris; chemical composition of synthetic cast and moulding of synthetic casts. Different types of lifts for lifting and handling of patient in plaster. Mechanism of muscle contraction; terms – posture gravity and balance. Difference between lifting and dragging. Different methods of lifting and their techniques; different positions used in lifting; lift and handling patients in plaster cast. Different parts of upper extremities of human being slab plaster casts used for the management of bone fractures of upper extremities of human. Materials used in making slab of casts; making the following slab casts: below elbow back, above elbow back slab, cock up splint, anterior slab; different parts of the lower extremities; different slab plaster casts used for the management of bone fractures of the lower extremities. plaster bandages and padding materials used in plaster casting. process of making removable and non – removable below knee slab plaster cast. make removable and non removable slab casts. Counseling patient after applying slab cast.

Different parts that make up the upper extremities of human being. Plaster casts used for the management of bone fractures of upper extremities such as Colle’s plaster cast, Scaphoid plaster cast, Bennet plaster cast, below elbow cast, Hanging cast U’ cast. Different parts of the lower extremities of the human being. Plaster casts used for the management of bone fractures of the lower extremities of human. Materials used to make the plaster casts of the lower extremities. making of the following plaster cads of the lower extremities of the human being; Boot plaster cast, below knee cast, Above Knee cast, High above Knee cast cylinder cast, Counsel patients after plaster cast application. Wedging and need for wedging a dry cast; materials used for wedging of a cast. Supportive devices in plaster casting; materials used in making the supportive devices such as heel raising wooden, block for weight bearing leg plaster cast, walking stick, pairs of crutches, collar & cuff bandage; function/ uses of the supportive device; maintain supportive devices; identify complications that may arise from the use of supportive devices listed in above. Technique of wedging of plaster casts; wedge plaster casts; define synthetic plaster bandage. identify the synthetic plaster. identify the tools used in synthetic plaster cast; chemical components of synthetic plaster bandage. Difference between plaster of paris and synthetic plaster bandage. Application of synthetic bandage to make a plaster cast; moulding a synthetic plaster on a limb. Cast bracing; purposes of cast bracing. Different metal braces used in cast bracing. Making of braces: femoral cast bracing, tibial cast bracing. Spica; different types of spica such as: Shoulder spica, Single (unilateral) hip spica, Double (bilateral) hip spica, One and a half hip spica; different types of spica. Apply plaster spica to patients; counseling patient in plaster spica. Different parts of human body trunk. Body jacket cast; different types of body jackets such as: Modified Minerva body jacket, Full minerva body jacket, Halo-pelvic body jacket; uses of body jackets; making different body jackets. Counseling patients in body jackets. Sarmiento plaster cast; uses of sarmiento cast; materials used in making sarmiento cast; procedure of making a sarmiento cast. counsel patients and clients on sarmiento cast. describe frog cast. Indications for frog cast; materials required for making frog cast. Parts of human hand. Volar Slab Cock-up splint and their uses; difference between Volar Slab and Cock-up Slab (Splint); materials used for: Volar slab, Cock up splint, Make – Volar slab and Cock up splint. Materials required in making traction embedded in plaster cast; process of making traction embedded in plaster cast; application of traction embedded in plaster cast. Plaster bed. Indications for plaster. Materials required for making plaster bed.

Laws and ethics guiding the practice relates with other medical practices. Federal acts. National policy on traditional medicine, poisons and pharmacy act. Counterfeit and Fake drugs (Miscellaneous provisions Act.) Pharmacist Ethics, Codes of Conduct for Complementary and Alternative Medicine practitioners, the National Agency for Food Drugs Administration (NAFDAC) Decree, National Drug Law Enforcement Agency (NDLEA) decree. Indian Hemp decree, State Board Laws in Complementary and Alternative Medicine practice. Medical and Pharmacy laws and professional ethic. General comportment, malpractices and excesses of HMPs as well as any other mandatory legal requirements and restrictions on the following: claims faking quackery, sales, advertisement, control of manufacture, distribution, marketing labelling, registration, importation and exportation of Complementary and Alternative Medicine products, animal medicinal products and mineral medicinal products. Miscellaneous regulations and other directives of the proposed Traditional Medicine Council of Nigeria (TMCN) which may be formulated and promulgated from time to time. Discussions of ethical issues confronting professional responsibilities and their patient in the practice of Complementary and Alternative Medicine. Rights of the practitioner, patients and the general public consumers.