Universitat Internacional de Catalunya
Specific Methods of Intervention in Neurological Physiotherapy
Other languages of instruction: Catalan
Teaching staff
Make an appointment by e-mail:
Theoretical block:
Rosa Maria Cabanas Valdes, PhD: rosacabanas@uic.es
Practical block
Mrs. Carme Cervera: ccervera@uic.es
Mrs. Camille Julinot
Subject holder: PhD. Rosa Mª Cabanas Valdés rosacabanas@uic.es
Introduction
The course is divided into two blocks, a theoretical one and a practical one.
Theoretical block: Neurological Physiotherapy
Neurology is an increasingly important and necessary field of physiotherapy. The growing number of people who suffer a traffic accident, injuries that occur in the world of work (in construction), sports injuries and others of a medical nature (vascular, tumor and degenerative diseases) that cause severe physical and mental disability, create the need for physiotherapists to help, guide and stimulate the patient towards the recovery of functional abilities that have been altered by the injury.
Practical Block: Neurological Evaluation Seminar
The evaluation of the neurological patient is the first step in the pathway to guide and develop the patient's neurologic physiotherapeutic treatment. It is an interpretation process aimed at highlighting the residual self-organizational capabilities and their possibilities for evolution. It serves to understand what functions have been altered by the injury, how they have been altered, and how they can be recovered.
Through evaluation, therefore, we can establish a prognosis, from which to propose goals and develop patient treatment.
Pre-course requirements
It is necessary to pass this subject Fisiopatologia de les Afeccions Neurològiques and Anatomia del sistema nerviós
Objectives
- Acquire a basic and, at the same time, extensive knowledge of the most important neurological disorders which will allow for a treatment plan within the possibilities of the patient and the structure.
- Getting technical and practical knowledge of the world of Neurology, as well as to distinguish the different neurological diseases, clinical manifestations and possible evaluations.
- Acquire an adequate and rigorous methodological way to analyse disability, to research and to face the therapeutic goals that arise when the student is a professional in the health sector.
- Understanding why and what is the function of the neurological patient assessment.
- Carry out the evaluation methodically, watching the neurological patient in all his/her aspects: engine, sensitive and cognitively.
- Know and correctly evaluate the different functions that can be altered.
- Know and apply treatment protocols based on scientific evidence whenever possible.
- Establish a prognosis and treatment objectives from the completed evaluation and develop a treatment from those objectives.
- Monitor the patients and carry out reassessments to modify the treatment if necessary.
- Understand the importance of anamnesis and medical history as a tool to better understand the disease and to improve treatment planning.
Competences/Learning outcomes of the degree programme
- 01 - The ability to analysis and synthesis.
- 02 - The ability to organise and synthesize
- 17 - The ability to work responsibly and autonomously, so as to handle job-related activities without the need for strict supervision.
- 28.1 - Capacity for oral and written communication in the native language.
- 28.3 - Show respect, appreciation and sensitivity towards the work of others.
- 30.1 - Teamwork skills.
- 43 - Knowledge of physiotherapeutic procedures based on techniques and methods specific to physiotherapy interventions applied to the various disorders of all systems and medical and surgical specialisations, as well as health promotion and disease prevention.
- 48.2 - Ability to assess the patient's/client's needs in order to give priority to the ones that could compromise the rehabilitation process.
- 49 - Ability to design a physiotherapy treatment plan.
- 50 - Ability to execute, direct and coordinate a physiotherapy treatment plan while attending to the client's individual needs and using therapeutic tools specific to the physiotherapy profession.
- 50.1 - Ability to establish and implement physical therapy in treatments provided by all other medical and surgical specialties whenever it is deemed necessary.
- 53 - Capacity to participate within the areas of health promotion and disease prevention.
- 55 - Capacity to incorporate scientific research and an evidence-based practice within the professional culture.
Learning outcomes of the subject
Students:
- Understand physiotherapy procedures based on specific methods and techniques applicable in the pathology related to the specialty of medicine and surgery in Neurology.
- Understand the structural, physiological, functional and behavioral changes that occur as a result of the intervention of physiotherapy.
- Design a specific physiotherapy intervention plan, using problem-solving skills and clinical reasoning, according to criteria of adequacy, validity and efficiency.
- Evaluate the evolution of treatment outcome and reorientates the rehabilitation work "planning".
- Students will know how to examine and properly assess a neurological patient at a motor, cognitive and sensitive level.
Syllabus
Theoretical block: Neurological Physiotherapy
0. Presentation of the subject
1. Autonomic nervous system
2. Upper and lower motoneuron syndrome, its consequences and treatment.
3. Neuroplasticity
4. Motor Control and its theories
5. Motor learning principles
6. Neurological Physiotherapy treatments in general
7 Neurological Physiotherapy Treatments for Spinal Cord Injury, Parkinson's Disease, Guillain Barré and Multiple Sclerosis
8. Concussion
Practical Block: Neurological Evaluation Seminar
1. Evaluation in Neurology. General concepts.
1.1 How to develop a clinical history in neurological physiotherapy
1.2 CIF Concept
2. Assessment of sensitivity
3. Muscle tone assessment
4. Coordination and balance evaluation
5. Assessment of gait
6. Assessment mental functions and cranial nerves
Teaching and learning activities
In person
| TRAINING ACTIVITY | METHODOLOGY | COMPETENCES | ECTS CREDITS |
|---|---|---|---|
| lectures | oral presentation / master class case method | 01 02 28.1 28.3 30.1 43 | 1.2 |
| theoretical and practical workshops | cooperative learning oral presentation / master class problem-solving exercises | 48 48.2 50 50.1 53 | 0.8 |
| self-learning activities | apprenticeship contract | 17 49 | 1 |
Evaluation systems and criteria
In person
Exam first sitting November 15th, It will perform by computer room.
Exam 2nd sitting June 30th 2023 1st theoretical block 12h-13h, practical block 13.30h
Theoretical block: Neurological Physiotherapy (60% of the final grade)
- Theoretical exam (60%). Examination of 60 questions with four answer options with only one being the correct option. Each wrong answer discounts 0’25 points out of a total of 60 points.
-Class activities (20%)
To pass this theoretical block, a minimum of 5 must be taken in the theoretical final exam and a 5 in the continuous evaluation. To pass the theoretical block it is necessary with at least a 5.
Practical block: Neurologic evaluation Seminar (40% of the final grade)
- Continuous assessment (40%)
- Teamwork (30%). Each day of class, at the beginning, a small questionnaire will be made regarding the topics that will be carried out.
- Practical exam (30%) if it is not possible due to confinement by Covid 19, it can be done virtually.
To pass the seminar, it is mandatory to obtain at least a 5 in each of the blocks (continuous assessment, theoretical exam, practical exam). If a student obtains less than a 4 in any block, the average of the 3 blocks will result in the failing mark will remain for the overall mark of the subject. To pass the block it is necessary to approve the practical seminar the grade of approved in a 5 or higher.to be able to average with the practical block.
It is compulsory to attend at least 70% of the classes in the seminar.
The grading system is in accordance with the regulations in force. Currently, according to RD 1.125/2003 of September 5:
0 to 4.9: Fail/F (Suspenso in Spanish)
5.0 to 6.9: Pass/C (Aprobado in Spanish).
7.0 to 8.9: B (Notable in Spanish)
A (Sobresaliente in Spanish) 9.0 to 10
The mention of "Honors" can be granted to students whose grade has been equal or higher than 9.0. Their number may not exceed 5% of students enrolled in a subject in the corresponding academic year, unless the number of students is less than 20, in which case it may be granted only to one student.
Attendance Regulations
The subjects in the Physiotherapy Degree present theoretical and practical content in which the main objective is the acquisition and development of procedures and technical skills that are directly related to the professional practice. These classes are structured in small groups where there is direct and continuous supervision of the teacher. Therefore, attendance at seminars is considered essential and necessary to ensure the acquisition of these skills. Based on what has been presented above, absences will only be excused to those who have missed class due to major causes, and even under these circumstances, if they miss more than 30% of the training work, students will have to retake the subject in the next academic year, without the possibility of a resit.The consequences derived from non-compliance with this regulation can have very negative effects directly related to the registration process (overlapping and / or academic incompatibilities), as well as the corresponding expectations in the completion of the Degree.
Bibliography and resources
Control y aprendizaje motor. Fundamentos,desarrollo y reeducación del movimiento humano. Cano de la Cuerda. Editorial Panamericana. 2017
Exploració clínica pràctica. Moguer, Bancell L, Barcelona A. . Científic-Mèdica 1998.
Neuroanatomía clínica. Aldo Pieroni, Dall’osservazione all’esercizio: la pianificazione del trattamento riabilitativo, Gnocchi.
Fisioteràpia en neurologia, Sistema respiratori i aparell cardiovascular. Serra M.R., Díaz J., De SandeLl. Editorial Masson. 2005.
Netter F.H. Sistema Nerviós. Trastorns neurològics i neuromusculars. Editorial Salvat.2003.
Neurologia. Zarranz J.J. . 4ª edició. Editorial Elsevier 2003.
Neurological Physiotherapy Pocketbook. 2nd edition. Sheila Lennon, Gita Ramdharry, Geert Verheyden
Neurorrehabilitación. Métodos específicos de valoración y tratamiento. Cano de la Cuerda, Collado Vázquez. Editorial Panamericana. 2012.
CASH. Neurología para fisioterapeutas. 4 edición. Downie. Editorial Panamericana.
Motor Control. Translating research into clinical practice, fifth edition. Shumway-Cook, A and Woollacott,M. 2012
Neuromuscular Rehabilitation in Manual and Physical Therapies. Principles to Practice. Eyal Lederman. Churchill Livingston. Elsevier 2010 Pratique de la rééducation neurologique. 2 edition Anne de Morand. 2014 Broken Movement: The Neurobiology of Motor Recovery After Stroke. by John W Krakauer, S. Thomas Carmichael Published June 7th 2022 by MIT Press. Paperback, 288 pages (ISBN13: 9780262545839) Fisiologia del ejercicio José López Chicharro,Almudena Fernández Vaquero Editorial Panamericana ISBN9788491107491
Evaluation period
- E1 15/11/2022 I2 08:00h
- E1 15/11/2022 I1 08:00h
- E1 15/11/2022 I3 08:00h
- E2 30/06/2023 G5 13:00h
- E2 30/06/2023 I3 12:00h