Universitat Internacional de Catalunya - Barcelona

Physiopathology of Nurological Affectations

• code 08246
• course 2
• term Semester 2
• type OB
• credits 4

Module: Basic training

Matter: Physiopathology II

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Head instructor

Dra. Mercè BOADA - mboada@uic.es

Office hours

Titular professor: Dra Mercè Boada Rovira, mboada@uic.es

Pathophysiology of disorders in the Nervous System is the set of basic scientific and practical knowledge necessary to recognize the developmental mechanisms of disease processes and allows students to acquire the methods and techniques of diagnosing the diseases in this system.

This course implies that students acquire theoretical knowledge, skills and the attitudes necessary for learning the neurological pathology throughout the rest of curricular academic degree in Physiotherapy.

The student must have basic knowledge of the structure and function of the human body in order to understand the different pathological situations that occur in the body

The overall objective of this subject is to get to know the patients as well as the diseases and therefore, the students gain knowledge of the pathophysiological mechanisms of disease through a comprehensive and systematic viewpoint from the patient and neurological disease.

The specific objectives are:

• To acquire an integrated overall view of the mechanisms that alter the normal functions of the various structures and connections that make up the nervous system.
• Understand the importance of the clinical history.
• Identify and interpret the main clinical manifestations indicative of disease.
• Differentiates between the signs of normal and abnormal organ function.
• Know the principles of the additional tests used in order to study and differentiate normal and pathological functions as well as their precise indications in Neurology.

• 01 - The ability to analysis and synthesis.
• 02 - The ability to organise and synthesize
• 05 - The ability to manage information.
• 06 - To have comprehensive problem-solving skills.
• 07 - Demonstrate decision-making skills.
• 09 - Demonstrate critical thinking skills.
• 10 - Develop autonomous learning skills.
• 11 - The ability to adapt to new situations.
• 20 - Knowledge of human anatomy and physiology, emphasising the dynamic interrelationship between structure and function, in particular of the musculoskeletal, the nervous and the cardiorespiratory systems.
• 28.3 - Show respect, appreciation and sensitivity towards the work of others.
• 29.1 - Demonstrate a committment to ongoing learning and self-improvement.
• 37.5 - Knowledge of the profession's deontological ethics codes
• 39 - Knowledge of general aspects of exogenous and endogenous diseases related to physiotherapy for all the biological systems and the corresponding medical, surgical, orthopedic and physiotherapy treatments.
• 40 - Knowledge about, physiological, functional and behavioral changes that occur after physiotherapeutic intervention.
• 47 - Ability to assess the patient's/client's functional status, taking into account his/her physical, psychological and social aspects.
• 53 - Capacity to participate within the areas of health promotion and disease prevention.
• 53.1 - Ability to design and set up activities related to health promotion and disease prevention.

• Be able to argue the importance of the case history and examination before the assigned cases.
• Be able to argue and write the justification of additional diagnostic tests.
• Interpret and recognize the pathophysiological mechanisms of clinical manifestations in common pathological processes affecting the central nervous system and neuromuscular system 
• Be able to group symptoms and signs which appear in patients with the intention of recognizing common syndromes that affect the central nervous system and neuromuscular system.

UNIT 1: Overview of the human nervous system

UNIT 2: Clinical examination of the CNS (SNC in Spanish) Semiology and motor control

UNIT 3: Additional study techniques

UNIT 4: Anatomy and Physiology of the spinal cord.                   
UNIT 5: Spinal Trauma. Spinal shock: Neurological examination of the spinal cord and spinal pathology.
UNIT 6: Meningeal syndrome                                                            
UNIT 7: Infectious Pathology

UNIT 8: Intracranial hypertension                                                
UNIT 9: Tumors that affect the central and peripheral nervous systems (CNS and PNS: SNC and SNP in Spanish)

UNIT 10: Cerebrovascular pathology

UNIT 11: Multiple Sclerosis                                                  
UNIT 12: Motor Neurone Disease                           
UNIT 13: Extrapyramidal Pathology

UNIT 14: Cerebellum and Spino-cerebellum Duct Pathology

UNIT 15: Exploring the higher brain functions

UNIT 16: Dementia: Types of Degenerative Dementia in Alzheimers and other types not related to Alzheimers

UNIT 17: Illnesses caused by prions. Transmissible dementias. Spongiform  dementias.            
UNIT 18: Head injury

UNIT 19: Epilepsy

UNIT 20: Deficiency and / or toxic illnesses

UNIT 21: SNP: Basic Concepts and pathology

UNIT 22: Muscularskeletal System: Basic Concepts and Pathology.

The instruments that will be used to assess the acquisition of skills are as follows:

Midterm Exam (20%): Written multiple-choice test.

Final exam (80%): Written multiple-choice test; it is essential to pass this exam with a mark equal to or greater than a 5 so that the midterm exam and the final exam average to make a passing mark.

The 1st resit will include a written multiple-choice test where it is essential to pass with a mark equal to or greater than 5.

In all tests and exams, 0.25 points will be deducted for each incorrect answer

Zarranz, JJ. NEUROLOGIA. 04 ed. Elsevier 2007. ISBN: 978-84-8086-228-8

· Donaghy, M. BRAIN'S DISEASES OF THE NERVOUS SYSTEM. Edición: 12/2009 .ISBN: 9780198569381

· Ropper, A. ADAMS & VICTOR'S PRINCIPLES OF NEUROLOGY. Edición: 9/2009 . ISBN: 9780071499927

· Cruz-Sánchez F. NEUROPATHOLOGIA. Diagnóstico y clínica. Edimsa 2000. ISBN: 84-7714-164-9

· Love S, Louis DN, Ellison DW. GREENFIELD'S NEUROPATHOLOGY. 8th Edition (2 Volume Set & CD-ROM).

· O'brien, J. CEREBROVASCULAR DISEASE, COGNITIVE IMPAIRMENT. Edición: 2/2004. ISBN: 9781841842660.

. Blummenfeld, Hal. “Neuroanatomy through clinical cases”. Sinauer 2002. ISBN-10: 0-87893-060-4.

. Brazis, PW, Masdeau JC, Biller J. LOCALIZATION IN CLINICAL NEUROLOGY. Sixth edition. ISBN-13:978-1-60913-281-1.

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 28/05/2020 10:00h
• E2 03/07/2020 10:00h