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2020/21 Undergraduate Module Catalogue

MEDI2201 Control and Movement

Module manager: Ellen Ashton
Email: e.ashton@leeds.ac.uk

Taught: Semesters 1 & 2 (Sep to Jun) View Timetable

Year running 2020/21

Pre-requisite qualifications

Compulsory strand of MBChB programme- all students study Control and Movement on entry to year 2 of the programme

Pre-requisites

MEDI1203Nutrition and Energy
MEDI1204Individuals and Populations
MEDI1213Research, Evaluation and Special Studies 1
MEDI1214Innovation, Development, Enterprise, Leadership and Safety 1
MEDI1215Campus to Clinic 1
MEDI1216Introduction to Medical Sciences
MEDI1217Core Body Systems

Co-requisites

MEDI2202Individuals and Populations 2
MEDI2217Research, Evaluation and Special Studies 2
MEDI2218Innovation, Development, Enterprise, Leadership and Safety 2
MEDI2219Campus to Clinic 2
MEDI2220RESS 2 Special Studies Project
MEDI2221Essential Medical Science
MEDI2222Clinical Pathology

This module is not approved as a discovery module

Module summary

Control - this component will provide students with a basic understanding of the normal structure and function of the central and peripheral nervous systems, relevant to the practice of clinical medicine. In addition, the course introduces students to elements of neurological examination and considers the nature, features and management of some common neurological conditions.Movement - this component will provide students with an understanding of the normal structure and function of the musculoskeletal/locomotor system, relevant to the practice of clinical medicine. In addition, the students are introduced to the basic clinical examination of the limbs, to gait and posture and to common pathologies and trauma of the musculoskeletal system, their treatment and rehabilitation.

Objectives

Re: Control component
- Describe the normal gross and cross-sectional anatomy of the brain and spinal cord, including the locations of key structures/functional areas.
- Describe the coverings of the brain and spinal cord and their relationships with the skull and vertebral column.
- Describe the anatomy and functioning of the cranial nerves, and outline the relevant anatomy of the structures that they supply.
- Outline the course and distribution of the nerve roots and peripheral nerves most commonly affected by disease or injury and indicate the functional consequences of such injury/disease.
- Outline the structure and mechanisms of operation of the major sense organs and describe the pathways taken by this information in the CNS. Outline the pharmacology of analgesics and local and general anaesthetics.
- Describe the anatomy and functioning of spinal reflexes and the major motor pathways. Outline the general organisation and functioning of brainstem, basal ganglia, cerebellum and cortical motor areas, the effects of damage and the pharmacology of movement disorders.
- Describe the anatomy and functioning of the pathways subserving bowel and bladder control.
- Demonstrate an understanding of the principles underlying routine examination of the central and peripheral nervous systems.
- Demonstrate an understanding of aspects of the presentation, diagnosis, treatment and rehabilitation of some common neurological disorders

Re: Movement component
- Outline the gross anatomy of the limbs and vertebral column, including the surface relations of the major vessels and nerves and the functioning of the major joints.
- Describe the normal development of the upper and lower limbs and outline the principal developmental abnormalities.
- Outline how common pathologies affect gait and posture and how these are assessed and diagnosed.
- Demonstrate an understanding of the principles underlying the physical examination of the musculoskeletal system and (to a limited extent) put these principles into practice.
- Demonstrate an understanding of aspects of the presentation, diagnosis, treatment and rehabilitation of common pathologies and trauma of the limbs and vertebral column.

Learning outcomes
By the end of the unit students will know:

Re: Control
- The gross and cross-sectional anatomy of brain and spinal cord.
- The nature and function of the coverings of the brain and spinal cord and their relationship with the skull and vertebral column.
- The anatomy and functioning of the cranial nerves, and the relevant anatomy of the structures that they supply.
- The course and distribution of the nerve roots and peripheral nerves most commonly affected by disease or injury, and the functional consequences of such injury/disease.
- The structure and mechanisms of operation of the major sense organs and the nerve pathways in the CNS.
- The pharmacology of analgesics and local and general anaesthetics.
- The anatomy and functioning of spinal reflexes and the major motor pathways.
- The general organisation and functioning of brainstem, basal ganglia, cerebellum and cortical motor areas, the effects of damage and the pharmacology of movement disorders.
- The anatomy of the limbic system and its role in learning, memory and emotion.
- The anatomy of the autonomic nervous system.
- The principles underlying routine examination of the central and peripheral nervous systems.
- The presentation, diagnosis, treatment and rehabilitation of some common neurological disorders.

Re: Movement
- The gross anatomy of the limbs and vertebral column including the surface relations of the major vessels and nerves and the functioning of the major joints.
- The normal development of the upper and lower limbs and the principal developmental abnormalities.
- How common pathologies affect gait and posture and how these are assessed and diagnosed.
- The principles underlying the physical examination of the musculoskeletal system.
- The presentation, diagnosis, treatment and rehabilitation of common pathologies and trauma of the limbs and vertebral column.

Skills outcomes
- Application of scientific principles to medical practice as appropriate
- Application of pharmacological principles to treatment of common musculoskeletal and neurological conditions


Syllabus

The Control component of the course is organised, as far as possible, around a number of common neurological disorders. Students study the normal structure and functioning of the central and peripheral nervous systems alongside aspects of the epidemiology, presentation, diagnosis, pathology and treatment (including pharmacology and rehabilitation) of these disorders, as follows:
- Head injury - basic anatomy of the brain, anatomy of the meninges and cranial cavity, the skull, the ventricles and cerebrospinal fluid, distribution and function of the cranial nerves.
- Brain death.
- Stroke and vascular accidents - blood supply to the brain, imaging the brain and its vasculature, functioning of the cerebral cortex.
- Intracranial tumours - general anaesthesia.
- Headache.
- Epilepsy.
- Dementia.
- Multiple Sclerosis - anatomy of the spinal cord and spinal nerves.
- Somatosensory disorders - anatomy and functioning of the ascending sensory pathways.
- Chronic pain - anatomy and functioning of nociceptive circuitry within the CNS, analgesia, local anaesthesia.
- Visual defects - anatomy of the orbit, anatomy and functioning of the eye and visual pathways, anatomy and functioning of the ear and auditory pathway.
- Upper and lower motor neurone disorders - spinal reflexes, descending motor pathways, cerebellum, posture and balance, movement control.
- Peripheral nerve lesions - course and distribution of most commonly injured/diseased nerve roots and peripheral nerves.
- Parkinson's disease - anatomy of basal ganglia and pharmacology of movement disorders.

In the Movement component of the course, the anatomy and function of the spine and limbs are seen in the context of commonly presenting disorders in clinical practice; aspects of assessment, treatment and rehabilitation are considered. These disorders are:
- Congenital deformities - early development of the limbs.
- Frozen shoulder- basic anatomy of the upper limb.
- Nerve lesions in the upper limb - physical examination of the upper limb.
- Backpain- anatomy of the vertebral column and spinal cord.
- Fractured neck of femur - basic anatomy of the lower limb.
- Vascular disease in the lower limb - assessment using radiography and computer-aided imaging.
- Abnormal gait and posture - normal gait and posture; impact of common injuries and pathologies; physical examination of the lower limb.

Teaching methods

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information

Delivery typeNumberLength hoursStudent hours
Class tests, exams and assessment92.0018.00
Group learning13.003.00
Lecture721.0072.00
Practical162.0032.00
Seminar51.005.00
Tutorial51.507.50
Independent online learning hours8.00
Private study hours36.00
Total Contact hours137.50
Total hours (100hr per 10 credits)181.50

Opportunities for Formative Feedback

Monitoring of progress in this strand will follow the student support model with local monitoring and feedback through regular meetings with tutors to look at progress periodically within the Control and Movement ICU. A review of student progression overall will take place via examination boards and the Student Progress Committee, incorporating academic and personal tutoring mechanisms.

Methods of assessment

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information


Coursework
Assessment typeNotes% of formal assessment
In-course Assessment9 Assessments throughout the year. Must be passed to a satisfactory standard to pass the ICU.0.00
Total percentage (Assessment Coursework)0.00

Normally resits will be assessed by the same methodology as the first attempt, unless otherwise stated


Exams
Exam typeExam duration% of formal assessment
Online MCQ3 hr 00 mins50.00
Online MCQ3 hr 00 mins50.00
Total percentage (Assessment Exams)100.00

- Optional MCQs available in Minerva - For progression graded pass in the Year 2 written examinations and satisfactory completion of the Assessment for Learning tests is required.

Reading list

The reading list is available from the Library website

Last updated: 22/10/2020 10:12:31

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