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2022/23 Undergraduate Module Catalogue

MEDI2201 Control and Movement

Module manager: Dr Emma Harland
Email: e.l.harland@leeds.ac.uk

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

Year running 2022/23

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

Movement - this strand will provide you with an understanding of the normal structure and function of the musculoskeletal system, relevant to the practice of clinical medicine. In addition, you will be introduced to growth and development, gait and posture, and common pathologies and trauma of the musculoskeletal system including their treatment and rehabilitation.Control - this strand will provide you 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, you will be introduced to the general principles of neurological diagnosis, including the basic neurological examination, and will consider the presentation, underlying pathology, and management of some common neurological conditions.

Objectives

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 the basic principles of neurological diagnosis and clinical problem solving in relation to the anatomy of the limbs; demonstrate an understanding of the importance of limb examination in the routine examination of the central and peripheral nervous systems.
- Outline the underlying anatomy of normal posture and the gait cycle; demonstrate an understanding of how common pathologies affect gait and posture.
- Demonstrate a basic understanding of aspects of the epidemiology, presentation, diagnosis, treatment and rehabilitation of common pathologies and trauma of the limbs and vertebral column.

Re: Control component
- Describe the normal gross and cross-sectional anatomy of the brain and spinal cord, including the locations of key structures and functional areas.
- Describe the coverings of the brain and spinal cord and their relationships with the skull and vertebral column.
- Describe the arterial blood supply and venous drainage of the brain and their clinical significance in relation to cerebrovascular accidents.
- Describe the anatomy and functioning of the cranial nerves and outline the relevant anatomy of the structures that they innervate.
- Outline the course and distribution of the nerve roots and peripheral nerves that are 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 such sensory information in the CNS.
- 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, their pathology and pharmacology.
- Describe the anatomy of the autonomic nervous system. Compare the parasympathetic and sympathetic divisions and briefly describe the regulation of autonomic functions including heart rate, respiratory volume, urination, defecation, and pupillary reflexes.
- Describe the anatomy of the limbic system and briefly outline its role in learning, memory, and emotion.
- Demonstrate a basic understanding of aspects of the epidemiology, presentation, diagnosis, treatment and rehabilitation of some common neurological disorders.


Learning outcomes
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.
- The anatomy underlying posture and the gait cycle and how these are affected by common pathologies.
- The principles underlying the physical examination of the musculoskeletal system.
- The presentation, diagnosis, treatment and rehabilitation of common pathologies.

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 innervate.
- 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 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.

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


Syllabus

In the Movement component of the course, the structure of the limbs and spine will be studied, including the nerves and blood vessels that supply them, in relation to normal function. The anatomy of the spine and limbs is seen in the context of commonly presenting disorders in clinical practice, such as:

• Frozen shoulder
• Arthritis
• Peripheral nerve lesions
• Fractured neck of femur
• Back pain
• Vascular disease in the lower limb
• External fixation of the lower limb
• Development of the limbs, and common / important developmental abnormalities
• Gait and posture
• Common pathology and trauma of the limbs and spine; assessment,
diagnosis, treatment, rehabilitation, and their impact on normal gait and posture
• Diagnostic assessment of the musculoskeletal system using non-invasive techniques e.g. surface relations, palpation and radiography.

In the Control component of the course, 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 common and important neurological disorders, as follows:

• Head injury
• Stroke and vascular accidents
• Intracranial tumours
• Headache
• Epilepsy
• Dementia
• Multiple Sclerosis
• Somatosensory disorders – will be understood in the context of the anatomy and functioning of the ascending sensory pathways.
• Chronic pain – will be understood in the context of the anatomy and functioning of nociceptive circuitry within the CNS, analgesia, local anaesthesia.
• Visual and auditory defects
• Upper and lower motor neurone disorders
• Peripheral nerve lesions – course and distribution of the most commonly injured/diseased nerve roots and peripheral nerves
• Movement disorders including Parkinson’s disease


Teaching methods

Delivery typeNumberLength hoursStudent hours
Lecture781.0078.00
Practical161.0016.00
Tutorial161.0015.50
Independent online learning hours21.00
Private study hours91.50
Total Contact hours109.50
Total hours (100hr per 10 credits)222.00

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


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: 09/10/2023

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