Iberian Course Diploma 2019

Session 1: LOW BACK PAIN (LBP)

CASE DISCUSSION: LOW BACK PAIN

• Use clinical information to formulate a diagnosis and treatment plan
• Recognising Serious Spine Disorders: Rule out red flags

CLINICAL EXAMINATION

• Select appropriate clinical tests for a clinical situation
• Perform a safe and effective clinical examination
• Select appropriate communication skills with patients and their families

RADIOLOGY (LECTURE)

• Explain risks of exposure to radiation and minimize risks for patients
• Select the most appropriate investigations in spinal disorders
• Discuss role, costs, advantages and limits of imaging in LBP
• Select appropriate image guided infiltration tests and discuss clinical significance

NEW PERSPECTIVES IN LBP

• Discuss differential diagnosis in patients with LBP
• Recognise non-surgical systemic causes of LBP
• Provide basic knowledge on spondyloarthritis
• Nociception in non-specific LBP
• Central sensitization in non-specific LBP

REHABILITATION AND MANUAL THERAPY

• Outline principles of physical therapy
• Discuss the possibilities of rehabilitation programs for patients with LBP
• Select appropriate patients and explain principles of manual therapy

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Session 2: FUNDAMENTAL RESEARCH

BIOMECHANIC IN VITRO MODELS

• Outine loading in different positions of the spine
• Explain how loading changes with age and pathology
• Describe the basic principles of an in vitro experiment
• Discuss the interpretation and limitation for evaluation of biomaterials

FINITE ELEMENT MODELS

• Discuss applications for FE models
• Explain setup, boundary conditions and validation of FE models
• Interpretation and value of FE studies

BIOlOGY OF THE LUMBAR INTERVERTEBRAL DISC

• Outline principles of celluar and molecular biology of the nucleus
• Explain the role of nutrition and changes with age
• Discuss the role of genetics in disc degeneration
• Mechanical alteration of microstructures in the annulus

CELULAR AND MOLECULAR RESEARCH

• Describe pre-clinical models for the intervertebral disc
• Outline principles of stem cell therapy for disc regeneration
• Explain the role of molecular for disc regeneration

Session 3: EPIDEMIOLOGY AND CLINICAL RESEARCH

EPIDEMIOLOGY & ECONOMICS

• Quantify the problem of back in the society
• Propose a strategy to reduce the problem
• Explain research definitions, quality of life, economic utility values (QUALY)

EVIDENCE BASED MEDICINE

• Rank levels of evidence
• Define the needs of individual patients in the context of EBM
• Explain the risk of bias and justify the role of EBM and guidelines

CLINICAL RESEARCH

• How to design an appropriate clinical study and select classification criteria
• Discuss the use of study results for own clinical practice
• Define the role of registries

OUTCOME MEASURES

• Explain the content of common scores used for LBP
• Discuss the selection of appropriate questionnaires in a study or registry
• Impement outcome measures in own clinical applications

Session 4: RED FLAGS: CASE DISCUSSION

TRAUMATIC SPINAL CORD INJURY

• Recognise, plan transport, investigation and treatment of a patient with SCI
• Anticipate potential complications and how to avoid them

SPONDYLODISCITIS

• Discuss diagnostic pathways, potential complications, treatment options

PRIMARY TUMOR OF THE SPINE

• Interpret clinical information and imaging studies
• Formulate a diagnosis and treatment plan

INFLAMMATORY DISEASES OF THE SPINE

• Discuss diferential diagnosis, clinical, biologic, imaging studies and treatment