Subject

Specific Methods of Intervention in Neurological Physiotherapy

  • code 08575
  • course 3
  • term Semester 1
  • type OB
  • credits 5

Module: Specific methods of intervention in Physiotherapy

Matter: Specific methods of intervention in Neurological Physiotherapy

Main language of instruction: Spanish

Other languages of instruction: Catalan

Timetable
 Sem.1  TU 08:00 15:00 
 Sem.1  WE 08:00 10:00 
 Sem.1  TH 08:00 15:00 
 Sem.1  FR 12:00 15:00 

Teaching staff

Head instructor

Dra. Rosa María CABANAS - rosacabanas@uic.es

Office hours

Make an appointment by e-mail:

 

Theoretical block:

Rosa Maria Cabanas Valdes, PhD: rosacabanas@ui.es

 

Practical block

Mrs. Almudena Medina Rincón amedina@uic.es

Mrs. Carme Cervera: ccervera@uic.es

 

Introduction

The course is divided into two blocks, a theoretical one and a practical one.

Theoretical block: Neurological Physiotherapy

Neurology is a field of action of physiotherapy that is becoming increasingly important. The growing number of people suffering from car accidents, injuries that occur in the workplace (in construction), sports injuries and other medical types (vascular, tumor, degenerative diseases) that produce great physical and mental disabilities create the need for physical therapists to help, guide and encourage the patient to recovery of functional capabilities that have been altered by the injury.

 

Practical Block: Neurological Evaluation Seminar

Patient neurological assessment is the first step of the journey to design and develop the physicalt treatment treatment of patient. It is a process of interpretation intended to show the residual self-organizing abilities and possibilities of evolution. It serves to understand what functions have been affected by the injury, how they have been altered and how they can be recovered. Thanks to this patient's assessment, we can establish a prognosis, from which we can propose objectives and develop the patient's treatment.

Pre-course requirements

Not specified

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 protocols when necessary.
  •                                 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 rehabilitation 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.
  • 50.1 - Ability to establish and implement physical therapy in treatments provided by all other medical and surgical specialties whenever it is deemed necessary.
  • 53.1 - Ability to design and set up activities related to health promotion and disease prevention.

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

1. Presentation of the subject and neurophysiological bases of motor control

2. Neuroplasticity

2.1. Brain hemispheres

3. Impairments of the motor system

4. Impairments of the sensory system

5. Mechanisms of recovery

6. Upper and lower motoneuron syndrome

7. Cerebellum syndromes and degenerative ataxia

8. Ictus, hemispheric specialization

9. Brain injury

10. Multiple sclerosis

11. Amyotrophic lateral sclerosis

12. Guillain Barré Syndrome

13. Spinal cord injury

14. Spina bifida

15. Parkinson's disease

16. Huntington Korea


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 

 

Teaching and learning activities

In person

TRAINING ACTIVITYMETHODOLOGYCOMPETENCESECTS 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

 

Theoretical block: Neurological Physiotherapy (60% of the final grade)

- Theoretical exam (90%)

-Grupal work (10%),It will always score if the theoretical exam is approved with a 4.

To pass the block it is necessary  with at least a 5

Practical block: Neurologic evaluation Seminar (40% of the final grade)

- Continuous assessment (40%)

- Team work (30%)

- Practical exam (30%)

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 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.

It is compulsory to attend at least 80% of the classes of the seminar.

 

The grading system is in accordance with the regualtions 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 that 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 structed in small groups where there is direct and continuous supervision of the teacher. Therefore, attendance to 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 20% 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.

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.

Netter F.H. Sistema Nerviós. Trastorns neurològics i neuromusculars. Editorial Salvat.

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.

CASH. Neurolgía para fisioterapeutas. 4 edición. Downie. Editorial Panamericana.

Motor Control. Translating research into clinical practice, fifth edition. Anne Shumway-Cook and Marjorie Woollacott

Pratique de la rééducation neurologique Anne de Morand  Elsevier-Masson 2010

 

Evaluation period

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

  • E1 09/11/2018 12:00h
  • E2 04/07/2019 12:30h G6
  • E2 04/07/2019 11:00h I2
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