Advanced Clinical Reasoning

22B1928

Bachelor

English

5.0

only winter term

1 semester

Students are given an overview of the history of physical therapy and the development of physical therapy theories and models. There is a deepening of hypothesis categories, including pathobiological mechanisms (healing and nociceptive, peripheral neurogenic pain) and "Yellow" and general "Red" flags of the neuromusculoskeletal system. Forms of Clinical Reasoning and the differences between novices and experts will be discussed and casuistry will be used.

• The history of physical therapy, specific model development, and translation to daily practice.
• Hypothesis categories: "yellow" and general "red" flags during the assessment and management of neuromusculoskeletal disorders.
• Pathobiologic mechanisms; classification of pain and relevance to clinical decisions regarding neuromusculoskeletal assessments and management.
• The differences from novice, experienced and expert and clinical reasoning skills/developments to expertise.
• Forms of clinical reasoning and the application to novices and experts. Recognition of clinical neuromusculoskeletal patterns using case studies (videos) and moc-clinics (acted cases).
• Evidence-based practice in physical therapy practice.

The total workload for the module is 150 hours (see also "ECTS credit points and grading").

Using a patient from daily practice, the student makes a reflection using a systematic clinical reasoning form. This is a basis for the project report.

• Project Report, written or
• Oral presentation, with written elaboration or
• Presentation

The selection of graded and ungraded examination types from the given options is the responsibility of the respective teacher. In doing so, he/she will adhere to the respective valid study regulations.

For the types of examinations permitted in the module, the following information on the scope and duration applies in each case. 

• Presentation: approx. 20-25 minutes
• Talk: approx. 20-40 minutes, accompanying paper: approx. 5-10 pages
• Written project report: about 3000-4000 words.

The requirements are specified in the respective event.

Module of the 4th semester: "Fundamentals of Clinical Reasoning".

Students who have successfully completed this module:

• reproduce current knowledge in physical therapy theories and models.
• describe hypothesis categories meta-analytically.
• integrate "specific" contributing factors (yellow flags) and contraindication (red flags) of the neuromusculoskeletal system recognize and act accordingly in a professional manner.
• characterize pain classifications from each individual case in daily physical therapy practice.
• justify the difference regarding Clinical Reasoning skills between novice, experienced and expert practitioners.
• independently research current literature to question and discuss cases in daily practice.  
• base their diagnostic and treatment processes on current evidence.

Students who successfully complete this module will...

• analyze complex cases through neuromusculoskeletal pattern recognition.
• appreciate diversity dimensions (e.g., gender and gender identity, age, social origin, ethnicity and nationality, sexual orientation, religion and belief, physical and mental ability) as a significant influencing factor in case understanding in the therapeutic process.

Students who successfully complete this module will...

• integrate evidence-based practice into the clinical reasoning process of their daily practice.

Students who have successfully completed this module will...

• discuss complex clinical cases in a professional manner, taking into account clinical reasoning strategies.

This module builds on the Fundamentals of Clinical Reasoning module. The content is related to all modules in which clinical reasoning is required.

• Physiotherapy B.Sc. (01.03.2025)

• Tampin, Brigitte

• Unknown person
• Armijo-Olivo, Susan
• Möller, Dirk