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Physiotherapy in Neurology Course Paper
Study Course Description
Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:27.06.2023 08:43:55
| Study Course Information | |||||||||
| Course Code: | REK_212 | LQF level: | Level 6 | ||||||
| Credit Points: | 6.00 | ECTS: | 9.00 | ||||||
| Branch of Science: | Clinical Medicine; Sports Medicine and Rehabilitation | Target Audience: | Rehabilitation | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Dace Driba | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Rehabilitation | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 26a Anninmuizas boulevard, rk rsu[pnkts]lv, +371 20271291 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 3 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 6 | ||||
| Classes (count) | 18 | Class Length (academic hours) | 5 | Total Contact Hours of Classes | 90 | ||||
| Total Contact Hours | 96 | ||||||||
| Part-Time - Semester No.1 | |||||||||
| Lectures (count) | 3 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 6 | ||||
| Classes (count) | 18 | Class Length (academic hours) | 5 | Total Contact Hours of Classes | 90 | ||||
| Total Contact Hours | 96 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Anatomy of the nervous system, physiology and pathological physiology, practical skills in human kinesiology and biomechanics. Basic principles of motor control. | ||||||||
| Objective: | To acquire the knowledge and skills for performing functional assessment and neurological examination in patients with central nervous system (CNS) and peripheral nervous system (PNS) damage. To learn about pain, movement, posture, pose, coordination and balance disorders caused by neurological diseases, changes in muscle tone and how to correct them. To acquire knowledge of physiotherapy techniques and methods, to analyse, apply and justify the choice of therapeutic measures in patients with functional impairments caused by neurological CNS and PNS diseases. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Examination of hemiplegic patients. Using a motor control model to assess stroke patients. | Classes | 1.00 | auditorium | |||||
| 2 | Cerebral infarction, physiotherapy. | Lectures | 1.00 | auditorium | |||||
| 3 | Neurological patient examination, physiotherapy | Lectures | 1.00 | auditorium | |||||
| 4 | Basic principles of physiotherapy in hemiplegic patients in acute, subacute and resocial stages, positioning. Improving body control in hemiplegic patients. Promotion of limb movement patterns, improvement of gait quality, use and adaptation of assistive devices for hemiplegic patients. | Classes | 3.00 | auditorium | |||||
| 5 | Spasticity. Options for evaluating and mitigating spasticity. Orthoses, types thereof and rationale for use. | Classes | 2.00 | clinical base | |||||
| 6 | Physiotherapy for spinal patients, spasticity. | Lectures | 1.00 | auditorium | |||||
| 7 | Functional Independence Measurement (FIM), options for use. Adaptation of hemiplegic patients to daily activities. | Classes | 1.00 | clinical base | |||||
| 8 | Basic principles of physiotherapy in patients with transverse spinal cord lesion, characteristics in acute, subacute and resocial stages. | Classes | 2.00 | clinical base | |||||
| 9 | Symptoms of tetraplegia (cervical, upper thoracic lesions). Symptoms of spastic paraparesis. Paraplegia. Symptoms of lower thoracic lesions. Basic principles of physiotherapy. | Classes | 1.00 | clinical base | |||||
| 10 | Options for dealing with self-care problems in spinal patients. Specifics of wheelchair selection. Verticalisation. | Classes | 2.00 | clinical base | |||||
| 11 | Motor neuron diseases, multiple sclerosis, Parkinson’s disease, principles of physiotherapy in patients at different stages of the disease. | Classes | 2.00 | auditorium | |||||
| 12 | Neurological patient examination, assessment of the cervical, thoracic, lumbar and sacrum areas, special diagnostic tests – nerve and root impingement tests, a. vertebralis test, the most common diseases. Physiotherapy methods for patients with acute and chronic back pain. | Classes | 2.00 | auditorium | |||||
| 13 | Peripheral nervous system diseases, nerve injuries, polyneuropathies – physiotherapy options at different periods of the disease. | Classes | 1.00 | auditorium | |||||
| 14 | Defence of the course paper. | Classes | 1.00 | auditorium | |||||
| Topic Layout (Part-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Examination of hemiplegic patients. Using a motor control model to assess stroke patients. | Classes | 1.00 | auditorium | |||||
| 2 | Cerebral infarction, physiotherapy. | Lectures | 1.00 | auditorium | |||||
| 3 | Neurological patient examination, physiotherapy | Lectures | 1.00 | auditorium | |||||
| 4 | Basic principles of physiotherapy in hemiplegic patients in acute, subacute and resocial stages, positioning. Improving body control in hemiplegic patients. Promotion of limb movement patterns, improvement of gait quality, use and adaptation of assistive devices for hemiplegic patients. | Classes | 3.00 | auditorium | |||||
| 5 | Spasticity. Options for evaluating and mitigating spasticity. Orthoses, types thereof and rationale for use. | Classes | 2.00 | clinical base | |||||
| 6 | Physiotherapy for spinal patients, spasticity. | Lectures | 1.00 | auditorium | |||||
| 7 | Functional Independence Measurement (FIM), options for use. Adaptation of hemiplegic patients to daily activities. | Classes | 1.00 | clinical base | |||||
| 8 | Basic principles of physiotherapy in patients with transverse spinal cord lesion, characteristics in acute, subacute and resocial stages. | Classes | 2.00 | clinical base | |||||
| 9 | Symptoms of tetraplegia (cervical, upper thoracic lesions). Symptoms of spastic paraparesis. Paraplegia. Symptoms of lower thoracic lesions. Basic principles of physiotherapy. | Classes | 1.00 | clinical base | |||||
| 10 | Options for dealing with self-care problems in spinal patients. Specifics of wheelchair selection. Verticalisation. | Classes | 2.00 | clinical base | |||||
| 11 | Motor neuron diseases, multiple sclerosis, Parkinson’s disease, principles of physiotherapy in patients at different stages of the disease. | Classes | 2.00 | auditorium | |||||
| 12 | Neurological patient examination, assessment of the cervical, thoracic, lumbar and sacrum areas, special diagnostic tests – nerve and root impingement tests, a. vertebralis test, the most common diseases. Physiotherapy methods for patients with acute and chronic back pain. | Classes | 2.00 | auditorium | |||||
| 13 | Peripheral nervous system diseases, nerve injuries, polyneuropathies – physiotherapy options at different periods of the disease. | Classes | 1.00 | auditorium | |||||
| 14 | Defence of the course paper. | Classes | 1.00 | auditorium | |||||
| Assessment | |||||||||
| Unaided Work: | Writing the course paper and independently preparing a presentation on neurological diseases and rehabilitation options. Development and presentation of a physiotherapy patient history. | ||||||||
| Assessment Criteria: | During practical classes, analysis of situational tasks and clinical cases in student groups and individually, practical skills tests involving the application of physiotherapy techniques and extended analysis of clinical cases (including theory synthesis) after covering each topic. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | Exam | ||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of the studies, the student will be able to describe the concepts of functional, postural, coordination, muscular strength, tone, sensation, gait disorders caused by neurological diseases. The student will be able to describe and know the aetiology, pathogenesis, clinical manifestations and basic principles of treatment of the most common diseases of the PNS and CNS. Will be able to analyse and explain the aetiology, pathogenesis, clinical manifestations of and basic principles of physiotherapy in case of acute and chronic radiculopathy, myofascial pain. Will be able to describe the aetiology, pathogenesis, classification and treatment of stroke and transverse spinal cord lesion. Will be able to explain the principles of selection of therapeutic measures, effects, indications in patients with functional disorders caused by damage to the nervous system. | ||||||||
| Skills: | As a result of the studies, the student will be able to apply special tests in the diagnosis of neurological disorders, perform functional assessment of patients with functional disorders caused by damage to the central nervous system (CNS) and peripheral nervous system (PNS), develop an optimal physiotherapeutic treatment plan, will know how to select and apply appropriate physiotherapy methods and techniques in the treatment of neurological patients, appropriate therapeutic measures to improve muscle strength, restore muscle length, correct muscle imbalances, reduce spasticity, improve coordinated and sequential muscle activity, posture and gait. The student will be able to demonstrate palpation of myofascial pain points and soft tissue techniques, massage elements to relieve myofascial pain. Will be able to use PNF, PIR, McKenzie elements, spasticity reduction techniques and positioning. Will know how to apply an appropriate physical medicine procedure. The student will be able to demonstrate the use of basic facilitation techniques to stimulate motor development. | ||||||||
| Competencies: | As a result of the studies, the student will be able to assess the functional status of a neurological patient using functional muscle tests, posture and gait analysis, and will be able to interpret special neurological tests. Will be able to analyse the different causes of limitations in movement and postural control. Will be able to make conclusions on possible reasons for changes in posture and gait. Will be able to justify the choice of tests and evaluate contraindications for performing the tests. Based on the results of functional tests and neurological examinations and interpretation thereof, the student will be able to set realistic functional goals, develop a physiotherapy programme including therapeutic exercises, soft tissue techniques and elements of PNF, PIR, McKenzie concepts. Will be able to adjust daily activities to the prevention of movement disorders. Will be able to justify and demonstrate the use of basic facilitation techniques to stimulate motor development. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Martin, Suzanne. Neurologic Interventions for Physical Therapy / Suzanne "Tink" Martin, Mary Kessler. 2nd ed. St. Louis, Mo. Saunders Elsevier, 2020. xv, 494 lpp. | ||||||||
| 2 | Umphred's Neurological Rehabilitation / ed. by D.A. Umphred; sect. ed. G.U. Burton, R.T. Lazaro, M.L. Roller. 5th ed. St. Louis: Mosby-Elsevier, 2020. 1257 lpp. | ||||||||
| 3 | Bradley and Daroff's Neurology in Clinical Practice. 5th revised ed./ Joseph Jankovic, Walter G.Bradley 2022. | ||||||||
| Additional Reading | |||||||||
| 1 | Neurological Disorders: Public Health Challenges / World Health Organization [etc.]; [writing group, Johan A. Aarli [et al.]]. [Geneva]: World Health Organization, c2006. xi, 218 lpp. | ||||||||
| 2 | DeMyer, William E. Technique of the Neurologic Examination: a Programmed Text / William E. DeMyer. 5th ed. New York a.o.: Mcgraw-Hill Medical Publishing Division, 2004. xxix, 774 lpp. | ||||||||
| 3 | Neurological Rehabilitation of Stroke /edited by Nick Losseff. London; New York: Taylor & Francis, 2010. viii, 100 lpp.: tab. = The Queen Square Rehabilitation Series / ed. Alan J. Thompson. | ||||||||
| Other Information Sources | |||||||||
| 1 | Physical Agents in Rehabilitation: From Research to Practice, 5th ed. by Michell H. Cameron MD PT OCS, 2018 | ||||||||
