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The University of Southampton

PSIO2036 Managing Clinical Cases (NMS and SCG)

Module Overview

This module will focus on musculoskeletal and special client groups and builds on the assessment, treatment and clinical reasoning skills taught in Clinical Assessment and Treatment. It will give you the opportunity to rehearse these skills, learn new management strategies, and apply them to case studies with varied and more complex conditions. As far as possible, service users (patients) will contribute to your learning, through demonstration of assessment and treatment techniques, and/or by discussing their lived experiences of their condition. You will acquire skills to support self-management strategies for patients that could be observed across primary (GP practices), secondary (Hospital) and community-based care. This module will enable you to plan and deliver contemporary high quality healthcare in order to meet the challenging and complex needs of individuals and populations. Musculoskeletal: The musculoskeletal component of this module will focus on methods designed to develop your clinical reasoning skills. This will be achieved by using case studies with increasing complexity including patients with long-term conditions and those with chronic pain. Special Client Groups: This component will develop your understanding of the principles of assessment, treatment and clinical reasoning applied to conditions involved in specialist areas of practice. These conditions are those that affect client populations across the life-span e.g. paediatrics and elderly care, and concepts of more complex multi-pathology are introduced.

Aims and Objectives

Learning Outcomes

Knowledge and Understanding

Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:

  • Identify and explain the essential bio-psychosocial factors that need to be taken into consideration when assessing patients with conditions affecting both the musculoskeletal system and those of Special Client groups.
Subject Specific Intellectual and Research Skills

Having successfully completed this module you will be able to:

  • Critically analyse, and evaluate evidence based practice and identify how it contributes to the management of conditions affecting Special Client groups.
  • Demonstrate clinical reasoning skills by gathering appropriate information, and explaining analysis and differentiation of factors to form a clinical impression, enabling rationalisation and communication of the treatment plan.
Disciplinary Specific Learning Outcomes

Having successfully completed this module you will be able to:

  • Identify problems and develop appropriate management plans in partnership with patients presenting with conditions affecting the musculoskeletal system and those of Special Client Groups.
  • Demonstrate the application and modification of clinical management skills appropriate to the presentation and needs of the patient with both musculoskeletal conditions and those affecting the Special Client Groups.
  • Demonstrate effective communication skills to assess, treat and educate the patient, and relay appropriate information to the patient, carer and MDT.


The module will focus on the application of a biopsychosocial model to more complex musculoskeletal and Special Client Group presentations. You will learn the selection and application of advanced assessment techniques and apply these to more complex Musculoskeletal and Special Client Group presentations. You will learn simple data collection and analysis of physical parameters appropriate to patients presenting with Musculoskeletal conditions and with this new knowledge, you will be able to modify both the assessment and management procedures adapting your approach to the presentation of the patient. You will learn how to accurately record both assessment and physiotherapy treatment, and justify the selection of appropriate outcome measures relating to impairment, disability and participation evident in both Musculoskeletal and Special Client Group presentations. In so doing, you will refine your clinical reasoning skills, so that you can select and apply a range of physiotherapeutic, manual therapy, rehabilitation treatments and management strategies based on best evidence.

Learning and Teaching

Teaching and learning methods

This module will incorporate a number of different teaching and learning methods, embedding a number of learning resources in order to facilitate and support student learning. A mixture of key note lectures, taught and facilitated practical skill sessions and group work will be used, supported by a wide range of video resources, simulated case studies and case scenarios. There will be an emphasis on independent but directed study which will require significant student collaboration.

Completion of assessment task25
Wider reading or practice40.5
Preparation for scheduled sessions38
Practical classes and workshops30
Total study time187.5

Resources & Reading list

Sarhrmann S. (2001). Diagnosis and treatment of movement impairment syndromes. 

Sahrmann S., (2010). Movement System Impairment Syndromes of the extremities, cervical and thoracic spines.. 

Higgs J., Jones M., Loftus S., and Christensen N. (2018). Clinical reasoning in the health professions. 

Shephard R (2013). Cerebral palsy in infancy: targeted activity to optimize early growth and development. 

Lord, S.R, Sherrington, C and Menz, H.B. (2007). Falls in Older People: Risk Factors and Strategies for Prevention. 

Hengeveld and Banks (2013). Maitland’s Peripheral Manipulation: management of neuromusculoskeletal disorders – Volume 2.

Shacklock M (2005). Clinical neurodynamics: a new system of neuromusculoskeletal treatment. 

O’Neill M., McEvoy M, Nicholson A., (2014). Diagnosing and treating Common problems in paediatrics: the essential evidence-based study guide.. 

Hengeveld and Banks (2013). Maitland’s Vertebral Manipulation: management of neuromusculoskeletal disorders – Volume 1. 

Petty, N. Moore, A (2013). Neuromusculoskeletal Examination and Assessment. A Handbook for Therapists (4th ed). 


Assessment Strategy

Case study report (SCG) and Objective Structured Clinical Examination (MSk). Both must be successfully completed and each will carry a weighting of 50%. Both exams must be passed at 40% (grade D), and one component cannot compensate for any other. Those components that are retaken will be capped at 40%.


Objective Structured Clinical Examination


MethodPercentage contribution
Case study report  (2000 words) 50%
Objective Structured Clinical Examination  (30 minutes) 50%


MethodPercentage contribution
Case study report  (2000 words) 50%
Objective Structured Clinical Examination 50%

Repeat Information

Repeat type: External


Costs associated with this module

Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.

In addition to this, students registered for this module typically also have to pay for:


There are no additional costs associated with the module.

Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at

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