Photos:Chesterfield Royal Hospital
During this placement, the majority of out–patient clinics will be within the Physiotherapy Department. You will also accompany your supervisor to the Child and Adolescent Orthopaedic Clinic at the Den in children’s outpatients. Occasionally, you may support children and young people on the orthopaedic ward.
It will be possible to gain experience in the assessment and treatment of children aged 0-18 years referred by GP’s, Orthopaedic Consultants and other members of the multi – disciplinary team, with a wide range of acute and chronic musculoskeletal conditions, some of which are listed below.
Common Conditions
-
Post Fracture rehabilitation
-
Post-operative orthopaedic surgery rehabilitation (including paediatric limb reconstruction, spinal surgery)
-
Soft tissue injuries
-
Back or neck pain including idiopathic scoliosis and Scheurmann's kyphosis
-
Joint pains, sublaxation or dislocation
-
Toe walking gait
-
Overuse injuries such as Osgood Schlatters disease, Sinding Larsen Johansson Syndrome, Severs disease
-
Developmental dysplasia of the hip
-
Perthes disease
-
Symptomatic flat feet
-
Symptomatic or asymmetric lower limb variations (i.e. genu varum, genu valgum, femoral anteversion/retroversion, tibial torsion)
-
Symptomatic joint hypermobility (School aged or older with no associated gross motor delay)
-
Inflammatory conditions such as juvenile dermatomyositis
-
Congenital talipes equino-varus (fixed)
Knowledge and Skills required
Students will be expected to:
​
-
Have a knowledge of the anatomy of the loco motor system and relevant patho-physiology (e.g. Soft tissue/fracture healing) and be able to link this to patient symptoms and presentations.
-
Have an awareness of features of normal musculoskeletal development and gross motor milestones
-
Demonstrate, following assessment, appropriate clinical reasoning to identify diagnosis/problems, treatment goals and outcome measures to support the implementation of suitable treatment plans and progressions.
-
Demonstrate the safe and effective application of appropriate treatment techniques, which may include:
-
exercise therapy
-
manual therapy skills
-
gait re-education
-
patient education
-
pain management
-
-
Timely discharge patients, following laison with other MDT members, as necessary.
-
Execute a subjective and physical examination, demonstrating application of appropriate communication skills, to investigate the causes for functional impairment, using appropriate active/ passive/ manual assessment techniques
Clinics
Experience may be gained in delivering the following clinics:
​
-
Child and adolescent orthopaedic clinic (including Ponseti treatment and hip bracing)
-
Serial casting clinic
Dress Code
Day 1
-
​Polo shirt (CSP white polo shirt or similar)
-
Smart trousers or tracksuit bottoms
-
Footwear suitable for safe moving and handling practice
-
Student identification
Full uniform is worn (polo shirt if preferred) and university ID Badge required to be displayed at all times
Directions: Click here for directions and map of the hospital. The site is accessible via public transport.
Parking: Parking is available on site, a fee is charged for all patients, visitors and members of staff using these facilities. On your first day please use the car parks indicated for patients/visitors and pay accordingly. A parking pass is available to be purchased for future uses. Click here for more information.
​
Please familarise yourself with the key policies before arriving on placement.
Student working hours
Monday: 8:30am-6:00pm​
Tuesday: 8:30am-2:00pm
Wednesday: 8:00am-4:30pm
Thursday: 8:00am-4:30pm
Friday: 8:30am-4:15pm
​
Times may vary according to clinical demand
Suggested pre-placement reading
​Aresti et al 2016 Paediatric orthopaedics in clinical practice, Springer, London.
Campbell, Suzann K., Palisano, Robert J., Orlin, Margo N., 2012 Physical therapy for children, Elsevier, London
Foster HE, Jandial S; pGALS - paediatric Gait Arms Legs and Spine: a simple examination of the musculoskeletal system. Pediatr Rheumatol Online J. 2013 Nov 1211(1):44. doi: 10.1186/1546-0096-11-44.
Sheridan, M.D. (2007) 3rd ed. 3rd edn. From birth to five years: children's developmental progress London: Routledge
Norris CM. Sports Injuries. Diagnosis and Management Chapter 2: Healing (Butterworth Heinman)
Dandy D. Edwards D. Essential Orthopeadics and Trauma. Section on Tissue. Healing of Bone (Churchill Livingstone)
Paediatric Musculoskeletal Matters International, 2021 PMM Online accessed at http://www.pmmonline.org/doctor on 9th March 2021
Rerucha CM, Dickison C, Baird DC. Lower Extremity Abnormalities in Children. Am Fam Physician. 2017 Aug 15;96(4):226-233. PMID: 28925669.
Paediatric Musculoskeletal
Learning Outcomes
On completing this placement, you should be capable of:
​
Justifying and carrying out an accurate and detailed subjective and physical examination for a range of simple and more complex MSK conditions affecting children and adolescents. Thus demonstrating the application of assessment skills to investigate the causes for functional impairment using appropriate active/ passive/ manual assessment techniques. This process should include the interpretation of all available resources.
​
Demonstrating the ability to plan, carry out, modify/ progress and evaluate the therapeutic management of children and young people with an MSK dysfunction.
​
Writing concise and accurate records.
​
Managing your time and caseload effectively, showing appropriate prioritisation skills.
​
Communicating effectively and appropriately, verbally and in writing with children and young people, their families and other professionals involved in their care.
​
Critically evaluating the role, benefits and limitations of physiotherapy with reference to current evidence.
​
​
​