Presentations
- Autonomic dysfunction
- Functional sequelae:
- associated with common acquired neuromuscular conditions
- of weakness associated with congenital neuromuscular conditions
- Impairment associated with congenital musculoskeletal disorders, such as short stature
- Pain
Conditions
- Acquired neuromuscular conditions such as Guillain Barre syndrome
- Congenital musculoskeletal disorders such as skeletal dysplasia
- Congenital neuromuscular conditions such as muscular dystrophy
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Presentations
- Functional decline unrelated to neurological injury or disease (deconditioning)
- Physical impairment associated with acquired musculoskeletal disorders
Conditions
- Acquired medical and surgical conditions impacting on function and independence, such as:
- burns
- chronic fatigue syndrome
- functional neurological disorders
- persistent pain syndromes
- Acquired musculoskeletal disorders such as slipped upper femoral epiphysis
- Complex congenital behavioural, developmental, or other medical disorders and comorbidities that may impact participation and outcomes of rehabilitation programs, such as complex congenital heart disease
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Clinical sciences
- Impact of conditions on:
- activity
- development
- function
- growth
Epidemiology
- Prevalence and probability of common musculoskeletal and neuromuscular conditions
Pathophysiology
- Cellular, molecular, and structural pathology for common musculoskeletal and neuromuscular conditions
- Genetics of hereditary musculoskeletal conditions
- Musculoskeletal anatomy
- Principles of healing, plasticity, and regeneration
Clinical assessment tools
- Common assessments used for surveillance and outcome measurement across International Classification of Functioning, Disability, and Health (ICF) domains for common conditions
Investigations
- Interpretation of investigations to assess sequelae of neuromuscular disease, such as:
- bone densitometry
- polysomnography
- videofluoroscopic swallow study (VFSS)
- Investigations for antenatal and/or early diagnosis of congenital musculoskeletal conditions, such as:
- antenatal ultrasound
- genetic testing
- MRI
- Investigations for screening and diagnosis of congenital neuromuscular conditions, such as:
- creatine kinase (CK)
- genetic testing
- muscle biopsy
- Investigations required for:
- diagnosis of common acquired musculoskeletal conditions, such as:
- surveillance for specific congenital musculoskeletal conditions, such as craniocervical MRI for skeletal dysplasia
Procedures
- Common orthopaedic procedures for musculoskeletal conditions, such as slipped upper femoral epiphysis
- Common procedures required for management of sequelae of above conditions, such as home ventilation
- Common surgical procedures for neuromuscular conditions, such as nerve grafting for brachial plexus injury
- Surveillance, identification, and management of common sequelae of childhood disabilities, including:
- accounting for the effects of developmental age and stage on resulting disability
- the impact of the illness or injury on the child’s physical and cognitive development
- Treatments used for disease modification or symptomatic management of:
- common congenital:
- musculoskeletal conditions
- neuromuscular disorders
- Duchenne muscular dystrophy
- short stature in achondroplasia
- spinal muscular atrophy
Management of congenital musculoskeletal disorders
- Specific handling and surveillance protocols, such as achondroplasia management guidelines
