Guías Docentes Electrónicas
1. General information
Course:
PELVIPERINEOLOGY PHYSIOTHERAPY
Code:
17332
Type:
ELECTIVE
ECTS credits:
4.5
Degree:
333 - UNDERGRADUATE DEGREE PROGRAMME IN PHYSIOTHERAPY
Academic year:
2022-23
Center:
109 - FACULTAD DE FISIOTERAPIA Y ENFERMERÍA
Group(s):
42  40 
Year:
4
Duration:
First quarter
Main language:
Spanish
Second language:
Use of additional languages:
English Friendly:
Y
Web site:
https://www.uclm.es/toledo/fafeto/estudios/gradofisioterapia/planfis
Bilingual:
N
Lecturer: ASUNCION FERRI MORALES - Group(s): 40  42 
Building/Office
Department
Phone number
Email
Office hours
Edificio 6 / 1.6
926051409
asuncion.ferri@uclm.es
Flexible. Request an appointment by email.

2. Pre-Requisites
Not established
3. Justification in the curriculum, relation to other subjects and to the profession

Justification: Physiotherapy in pelviperineology addresses the study and treatment of functional disorders of the pelvic floor, which can affect three axes: the urological, with manifestations that can range from dysuria to urinary incontinence. The gynecological axis, with disorders of pelvic statics and / or sexual dysfunctions and the coloproctological axis where we can find from constipation to fecal incontinence. The approach to perineal dysfunctions requires in-depth knowledge of the pelviperineal anatomy and biomechanics, mainly of the conjunctival neuro-muscle unit (pudendal nerve, levator ani and pelvic fascia). The care of these disorders requires an interdisciplinary team but, in any case, the specificity of the treatments makes it essential to train specialists in pelviperineology. The specialist physiotherapist is a key piece in this team. With this subject we intend to introduce the student to this field of action in physiotherapy as an introductory way, the specialized training will be obtained beyond the degree.

Relationship with other subjects: It is mainly related to the subjects of Morphophysiology, Anatomy of the Locomotor System, Biomechanics, Neuroanatomy and Neurophysiology, Kinesitherapy, Assessment, General Procedures I and II, Fundamentals of Physiotherapy, among others.

Relationship with the profession: Physiotherapy training in pelviperineology is essential to work in pelvic floor units. The treatments that are carried out, although they are based on general physiotherapy procedures, present their particularities. Training in this area is essential in order to be a competent professional in perineum-sphincter reeducation.


4. Degree competences achieved in this course
Course competences
Code Description
CB1 Prove that they have acquired and understood knowledge in a subject area that derives from general secondary education and is appropriate to a level based on advanced course books, and includes updated and cutting-edge aspects of their field of knowledge.
CB2 Apply their knowledge to their job or vocation in a professional manner and show that they have the competences to construct and justify arguments and solve problems within their subject area.
CB3 Be able to gather and process relevant information (usually within their subject area) to give opinions, including reflections on relevant social, scientific or ethical issues.
CB4 Transmit information, ideas, problems and solutions for both specialist and non-specialist audiences.
CB5 Have developed the necessary learning abilities to carry on studying autonomously
E01 Students must be capable of systematically identifying and describing anatomic structures in order to apply them in Physiotherapy performance.
E28 Students must be capable of designing an intervention plan in Physiotherapy, taking into account the individuality of the patient and criteria of adequacy, validity, and effectiveness.
E29 Students must be capable of executing, directing, and coordinating an intervention plan in Physiotherapy, using their own therapeutic tools and taking into account the individuality of the patient.
E31 Students must be capable of determining physiotherapeutic diagnoses in a manner that agrees with internationally accepted norms.
E32 Students must be capable of systematically elaborating and completing a physiotherapy clinical record.
E44 Students must understand, select, and apply methods and procedures for specific physiotherapeutic interventions aimed at the recovery and functional reeducation in obstetric and gynecological processes, as well as adapting them to the different life stages.
E54 Students must incorporate ethical and legal principles that apply to their practice of physiotherapy.
E55 Students must know the mechanisms of quality assurance in the practice of Physiotherapy according to the known and validated criteria, indicators, and quality standards for the adequate practice of the profession.
G01 Students must show their ability to make educated decisions and solve problems based on available knowledge and information within their field of study.
G02 Students must prove their organizational, planning, and time management skills for the teaching-learning process.
G03 Students must demonstrate their skills in terms of analyzing, summarizing both verbally and in writing, as well as producing and defending arguments.
G04 Students must show their skills in terms of verbal and written communication in Spanish.
G05 Students must show their ability to manage information properly.
G06 Students must show their capabilities and management of ITCs in their field of study.
G09 Students must know how to think critically.
G16 Students must show sensitivity towards environmental issues.
G23 Students must have acquired knowledge and understanding of Health Sciences, based on advanced textbooks and cutting-edge knowledge in their field of study.
G26 Students must show respect for Human Rights, fulfilling principles of equality between genders, non-discrimination, and universal accessibility for people with disabilities.
5. Objectives or Learning Outcomes
Course learning outcomes
Description
To identify in different anatomic models the structural and visceral components of the abdominal-pelvic-perineal complex.
To know how to make a correct evaluation of the abdominal-pelvic-perineal complex, and to complete the physiotherapeutic record with the obtained findings.
For a specific clinical case, to correctly choose and apply the most appropriate methods and procedures of physiotherapeutic interventions for the rehabilitation of the abdominal-pelvic-perineal complex following good practice guidelines.
To explain, verbally or in writing, the consequences of the dysfunction of the abdominal-pelvic-perineal complex at a urological-gynecological, proctologic, and sexual level.
For a specific clinical case, to be capable of designing the most adequate physiotherapeutic intervention, explaining the stages of abdominal-pelvic-perineal rehabilitation and the reasons for their choice, using logical structure and appropriate language.
To show the capability to properly conduct an anamnesis by interviewing an acting patient attending consultation due to a urinating, proctologic, or sexual dysfunction and, based on the obtained responses, to produce a physiotherapeutic diagnosis and pose the treatment objectives.
Additional outcomes
Not established.
6. Units / Contents
  • Unit 1: Pelviperineal morphophysiology
    • Unit 1.1: Pelvic continent
    • Unit 1.2: Pelvic content
    • Unit 1.3: Neurological control of urination
  • Unit 2: Pathophysiology of the urination continence cycle
  • Unit 3: Alteration of pelvic statics
  • Unit 4: Physiotherapy assessment in pelvic floor dysfunctions
  • Unit 5: Objectives and Stages of the Abdomino-Pelvic-Perineal Reeducation Program
  • Unit 6: Treatment techniques in pelvic floor dysfunctions
    • Unit 6.1: Manual techniques
    • Unit 6.2: Instrumental techniques
    • Unit 6.3: Behavioral techniques
  • Unit 7: Physiotherapy intervention procedure in overactive bladder syndrome
7. Activities, Units/Modules and Methodology
Training Activity Methodology Related Competences ECTS Hours As Com Description
Class Attendance (theory) [ON-SITE] Lectures E01 G01 G02 1.2 30 Y N
Class Attendance (practical) [ON-SITE] Combination of methods E01 E28 E29 E31 E32 E44 E54 E55 G01 G03 G04 G05 G16 G26 0.4 10 Y N
Group tutoring sessions [ON-SITE] Problem solving and exercises E55 G02 G04 G05 G09 G23 0.1 2.5 N N
Final test [ON-SITE] Assessment tests CB1 CB2 CB3 CB4 CB5 E01 E28 E29 E31 E32 E44 E54 E55 G01 G02 G03 G04 G05 G06 G09 G16 G23 G26 0.1 2.5 Y Y
Study and Exam Preparation [OFF-SITE] Self-study E01 E28 E29 E31 E32 E55 G02 G05 G09 2 50 N N
On-line Activities [OFF-SITE] Problem solving and exercises G05 G06 G09 G23 0.7 17.5 Y N
Total: 4.5 112.5
Total credits of in-class work: 1.8 Total class time hours: 45
Total credits of out of class work: 2.7 Total hours of out of class work: 67.5

As: Assessable training activity
Com: Training activity of compulsory overcoming (It will be essential to overcome both continuous and non-continuous assessment).

8. Evaluation criteria and Grading System
Evaluation System Continuous assessment Non-continuous evaluation * Description
Self Evaluation and Co-evaluation 20.00% 20.00% Execution of tasks in virtual campus. They must be presented on the established date.
Final test 70.00% 70.00% Multiple choice test with multiple choice answers to choose one.
Assessment of active participation 10.00% 10.00% Attendance and participation in the theoretical and practical classes will be valued
Total: 100.00% 100.00%  
According to art. 4 of the UCLM Student Evaluation Regulations, it must be provided to students who cannot regularly attend face-to-face training activities the passing of the subject, having the right (art. 12.2) to be globally graded, in 2 annual calls per subject , an ordinary and an extraordinary one (evaluating 100% of the competences).

Evaluation criteria for the final exam:
  • Continuous assessment:
    The multiple choice test will have four options from which the student must choose one. It will be penalized for wrong answer applying the following formula Note = [A- (E / nºopc-1) / total number of questions] x maximum mark. this questionary will compute 70% of the grade.
    40% of the maximum mark must be reached to pass the subject
    The scores obtained in the execution of the tasks programmed in virtual campus throughout the semester and the evaluation obtained by the participation with use in the theoretical and practical classes will be added to the multiple choice test.
  • Non-continuous evaluation:
    It will consist of a multiple-choice test with characteristics similar to that of the continuous assessment that will compute 70% of the grade. At least 4 out of 10 in the multiple choice final test will be required in order to add the rest of the grades.
    The scores obtained in the execution of the tasks programmed in virtual campus throughout the semester will be added to the multiple choice test. With these tasks you can get a 2 out of 10.
    The remaining 10% will be obtained through oral tests that assess the skills related to the training activities.

Specifications for the resit/retake exam:
Of characteristics similar to the ordinary one. The note of the tasks of the ordinary call will be kept for the extraordinary call.
Specifications for the second resit / retake exam:
It will consist of a multiple-choice test with characteristics similar to the ordinary one with which 100% of the grade can be obtained
9. Assignments, course calendar and important dates
Not related to the syllabus/contents
Hours hours
Final test [PRESENCIAL][Assessment tests] 2.5
Study and Exam Preparation [AUTÓNOMA][Self-study] 50
On-line Activities [AUTÓNOMA][Problem solving and exercises] 17.5

Unit 1 (de 7): Pelviperineal morphophysiology
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 8
Class Attendance (practical) [PRESENCIAL][Combination of methods] 2

Unit 2 (de 7): Pathophysiology of the urination continence cycle
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 2

Unit 3 (de 7): Alteration of pelvic statics
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 4

Unit 4 (de 7): Physiotherapy assessment in pelvic floor dysfunctions
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 4
Class Attendance (practical) [PRESENCIAL][Combination of methods] 4
Group tutoring sessions [PRESENCIAL][Problem solving and exercises] 1

Unit 5 (de 7): Objectives and Stages of the Abdomino-Pelvic-Perineal Reeducation Program
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 3

Unit 6 (de 7): Treatment techniques in pelvic floor dysfunctions
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 6
Class Attendance (practical) [PRESENCIAL][Combination of methods] 4
Group tutoring sessions [PRESENCIAL][Problem solving and exercises] 1.5

Unit 7 (de 7): Physiotherapy intervention procedure in overactive bladder syndrome
Activities Hours
Class Attendance (theory) [PRESENCIAL][Lectures] 3

Global activity
Activities hours
10. Bibliography and Sources
Author(s) Title Book/Journal Citv Publishing house ISBN Year Description Link Catálogo biblioteca
 
 
Calais-Germain B., Vives N. Parir en movimiento: La movilidad de la pelvis en el parto Barcelona La liebre de Marzo 9788492470129 2013  
Cardozo L, Staskin D Textbook of Female Urology and Gynecology Libro Taylor & Francis 978-1-4822-5828-8 2017  
Kari Bo; Bary Berghmans; Siv Morkved; Marijke Van Kampen Evidence-Based Physical Therapy For The Pelvic Floor LIBRO Churchill Livingstone 9780702044434 2014 Este libro detalla y resume toda la investigación disponible hasta la fecha en el campo de la función y disfunción del suelo pélvico.  
Laycock J, Haslam J. Tratamiento de la Incontinencia y la Disfunción del suelo pélvico: Enfermedades de los órganos pélvicos. Barcelona Ediciones Mayo 978-84-96122-08-6 2004  
Ramírez I, Blanco L, Kauffmann S. Rehabilitación del suelo pélvico femenino. Práctica clínica basada en la evidencia. Madrid Panamericana 978-84-9835-464-5 2013 Ficha de la biblioteca
VVAA. Coordinadores: Torres Lacomba M., Meldaña Sanchez, A. Fisioterapia del suelo pélvico. Manual para la prevención y el tratamiento en la mujer, en el hombre y en la infancia Libro Madrid Panamericana 9788491104537 2022 La obra está estructurada en cuatro partes: en la primera se contemplan los aspectos comunes a mujeres, hombres e infantes; la segunda acomete la prevención y el tratamiento de las disfunciones de suelo pélvico femeninas poniendo de manifiesto las particularidades y necesidades de la mujer; en la tercera se abordan las indicaciones de la fisioterapia en el hombre y en la cuarta se profundiza en el desarrollo y actualización de los conocimientos relacionados con la fisioterapia del suelo pélvico en niños. https://www.medicapanamericana.com/es/libro/fisioterapia-del-suelo-pelvico  
Walker C. Fisioterapia en obstetricia y uroginecología. Barcelona ELSEVIER-MASSON 978-84-4582-102-2 2013  



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