PHTY20160 Neurology I

Academic Year 2020/2021

This module is a clinical teaching module that introduces students to physiotherapy clinical practice in neurology and prepares students for clinical placement. This module will develop neurological physiotherapy skills in assessment for people with common neurological conditions (Stroke (CVA), Multiple Sclerosis and Parkinson's disease) including the practical and safety aspects of neurological assessment skills and with recognition of diversity in a global society. Physiotherapy management of the neurological patient and the theories behind how central nervous system (CNS) can recover or adapt following a neurological event are discussed. The International Classification of Functioning, Disability and Health (WHO, 2001) is introduced and its application to neurological rehabilitation is discussed with the use of case scenarios, setting SMART goals and using relevant outcome measures to document achievement of goals. The module will also include an introduction to normal developmental milestones for the assessment of children with paediatric neurological conditions.

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Curricular information is subject to change

Learning Outcomes:

(1) Demonstrate a sound understanding of applied neuroanatomy and what signs and symptoms are caused by damage (lesions) to different regions of the brain and how the CNS can adapt following a lesion to the brain (neuroplasticity)
(2) Demonstrate an understanding of the principles behind a neurological assessment and how to evaluate assessment findings using the International Classification of Functioning (ICF) and clinical reasoning skills
(3) Demonstrate the ability to perform a neurological assessment with safe and effective handling skills
(4) Demonstrate an understanding of common neurological pathologies for Cerebrovascular disease (CVA) aka stroke, Multiple Sclerosis (MS) and Parkinson's disease.
(5) Demonstrate an understanding of the principles behind the physiotherapy management of a neurological patient using the ICF. (6) Develop an understanding of normal body posture and functional movement analysis.
(7) Demonstrate an understanding of the normal developmental milestones of an infant.

Indicative Module Content:

Students will incorporate the neuroanatomy (ANAT III) from Stage 1 to gain an understanding of the problems associated with neurological conditions (applied neuroanatomy).
Neurological assessment
- Muscle tone, range of movement (ROM), sensation, coordination and reflexes
- Analysis of normal movement to enable students to assess abnormal movement patterns/strategies
- Sitting and standing balance assessment
- Gait assessment to identify possible gait abnormalities
- Formulate a problem list and set goals for treatment
International Classification of Functioning (ICF) (WHO, 2001)

Common Outcome Measures in Neurological Rehabilitation
- Modified Ashworth Scale
- Berg Balance Scale
- Timed Up and Go
- Five Times Sit to Stand
- 6 or 10MWT

Hypertonia and Hypotonia
Cerebrovascular Accident (CVA) commonly known as Stroke
Multiple Sclerosis
Parkinson's disease
Case studies using the ICF

Neuroplasticity


Student Effort Hours: 
Student Effort Type Hours
Lectures

22

Small Group

10

Autonomous Student Learning

80

Total

112

Approaches to Teaching and Learning:
A workbook is provided for students with tasks to be completed related neuroanatomy and specific case scenarios.
Lectures include case scenarios and videos.
Small Group work - Students are given worksheets with case scenarios prior to class that involve working together to answer specific questions 
Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
Pre-requisite:
ANAT20010 - Anatomy III, PERS10090 - Science of Human Perfor II, PHTY10100 - Physio Practice I(Clinic Ed I)

Equivalents:
Cardiorespiratory I and Neurol (PHTY20060)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Practical Examination: Practical Examination with case scenario that involves performing neurological examination components
* may be conducted online
1 hour End of Trimester Exam n/a Graded No

45

Continuous Assessment: Formative assessment for practical classes - Quiz to be completed in Brightspace Throughout the Trimester n/a Graded No

10

Examination: Written examination based on case scenarios combining applied neuroanatomy and neurological conditions with neurological assessment 1 hour End of Trimester Exam Yes Graded No

45


Carry forward of passed components
Yes
 
Resit In Terminal Exam
Spring No
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, on an activity or draft prior to summative assessment
• Feedback individually to students, post-assessment
• Online automated feedback

How will my Feedback be Delivered?

During the practical aspects of this module, the facilitator will provide feedback regarding techniques being performed. Students will receive online automated feedback via Brightspace. The feedback can be discussed by email or by arranged meeting if requested

Neurology I

Carr, Janet H; Shepherd, Roberta B, Neurological Rehabilitation: optimizing motor performance, 2010, Churchill Livingstone, New York, Edinburgh 2nd ed.

Edwards Sue Neurological Physiotherapy Churchill Livingstone 2001 2nd Edition

Estomih M, Gruener G, Dockery P Fitzgerald’s Clinical Neuroanatomy and Neuroscience, Elsevier Philadelphia, Pa, 2016, 7th edition.

Guthrie, Lauren Jean. Clinical case studies in physiotherapy: a guide for students and graduates. Churchill Livingstone, 2009, Edinburgh

Herbert, Rob; Jamtvedt, Gro; Hagen, Kåre Birger. Practical evidence-based physiotherapy, Butterworth-Heinemann, 2011, Edinburgh, 2nd ed.

Jones, Karen, Neurological assessment: a clinician's guide, Physiotherapist's toolbox, Churchill Livingstone/Elsevier, 2011, New York, Edinburgh.

Levine D, Richards J, Whittle MH Whittle's Gait Analysis Churshill Livingstone 5th Edition

Lundy-Ekman Laurie Neuroscience Fundamentals for Rehabilitation Elsevier Saunders St Louis Missouri 4th Edition

Shumway-Cook, A & Woollacott, MH Motor Control, Translating Research into Clinical Practice 2016 Walters Kluwer 5th edition

Stokes, Maria (2004) Physical Management in Neurological Rehabilitation. Elsevier Mosby 2nd Edition (for relevant chapters not in 3rd Edition)

Stokes, Maria; Stack, Emma, Physical Management for Neurological Conditions, Churchill Livingstone, Edinburgh, 2012, 3rd ed

Umphred, Darcy Ann, Umphred's Neurological Rehabilitation, Elsevier/Mosby, St. Louis, Mo 2013, 6th ed.
Name Role
Assoc Professor Catherine Doody Lecturer / Co-Lecturer
Assoc Professor Olive Lennon Lecturer / Co-Lecturer