NEUROREHABILITATION

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B123877
Module Leader Michelle Rutherford
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September start)-B (January start)

Summary of Content

The Neurorehabilitation module will provide students with the knowledge, understanding, and practical skills which are required to enable them to function as effective practitioners with regard to the assessment, therapeutic treatment and general management of people who have had either an acute or long-term neurological disorder. It involves study of the pathology, clinical features, assessment and physiotherapy management of common conditions of the central and peripheral nervous systems. The module will develop students' ability to deliver personalised care across the lifespan in a variety of practice settings taking into consideration culture, gender and socio-economic factors. It will develop students' abilities to adapt their communication skills with people with communication difficulties. It will enable students to work effectively and professionally with a multi-disciplinary team.

Syllabus

The syllabus will include: -360b7 The International Classification of Functioning, Disability & Health (ICF) and an analysis of its relevance to neurorehabilitation. b7 The aetiology, pathology, clinical features and prognosis of neurological conditions - Stroke, Traumatic Brain Injury, Multiple Sclerosis, Parkinson's Disease, Spinal Cord Injury, Cerebral Palsy, Peripheral Nerve Lesions and Peripheral Neuropathies b7 The influence of the following associated issues for the prognosis and management of patients: Communication problems, cognitive and perceptual deficits and behavioural problems b7 The psycho-social impact of neurological impairments and disabilities on the quality of life of patients and carers b7 The characteristics of organized hospital-based care for acute neurological conditions and early supported discharge b7 The management of long term complex neurological conditions b7 Treatment principles and methods to manage the positive and negative impairments of neurological conditions and to reeducate balance and functional tasks b7 The evidence base in relation to different therapeutic interventions b7 Principles of neurological assessment and appraisal of selected outcome measures commonly used in the evaluation of patients with neurological disorders b7 Documentation of assessment, treatment s and goal setting

Learning Outcomes

On completion of the module students should be able to:1. Explain the inter-relationship of the aetiology, pathophysiology, clinical features, course and prognosis for common neurological conditions2. Discuss the impact of sensory-motor, cognitive, communication and behavioural problems on the quality of life of patients and their carers and reflect on the implications for physiotherapy management3. Incorporate an understanding of the issues associated with different patients' psychosocial needs and cultural backgrounds as part of the clinical reasoning process4. Identify the roles of members of the interdisciplinary team and the key features of effective team work5. Conduct a neurological assessment to identify activity limitations and their underlying impairments6. Use knowledge and understanding of the biomechanical features of normal movement to identify and analyse problems in performance of functional tasks7. Formulate and record treatment aims and devise short and longer term objectives for patients with acute and chronic neurological conditions8. Use available evidence and clinical reasoning to justify selection of physiotherapy strategies to meet specific objectives9. Demonstrate safe and appropriate implementation of therapeutic strategies in simulated conditions10. Evaluate effectiveness of intervention by the use of valid, reliable and sensitive outcome measures11. Demonstrate the application of ethical and legal issues relevant to physio practice

Teaching / Learning Strategy

A variety of teaching and learning strategies will be used to encourage active student engagement and self-directed learning. The use of inter-active podcasts and lectures will be used to introduce the pathological condition for study each week. These will be supported by follow up tutorial and seminar sessions for which students will be expected to have undertaken independent study in preparation for group discussion, class presentation of material and class debate. Clinical visits will enable students to interact with patients in order to enhance their understanding of neurological impairments and their impact on activity limitations and participation restrictions. Practical sessions will allow students to acquire the therapeutic skills required for the rehabilitation of neurological patients in both the acute and long term stage. Video clips of patients with a neurological condition will be used to enable students to develop their observational and analytical skills by identifying the motor problems and contributing impairments of functional activities. Problem-based group work will be used to propose and discuss treatment interventions for case-based scenarios. GCU learn will be used as a repository for teaching material, including video clips of people with a neurological condition and of clinical skills, useful websites and on-line training resources. Students will be provided with formative feedback throughout the module, by their peers and staff on a regular basis in tutorial classes There will be a formative assessment for each of the assessment components. Weekly learning objectives will be provided in the module handbook and students will be encouraged to use these in order to reflect on their learning and attainment of the module outcomes. Weekly quizzes will be provided on GCU Learn for students to self-assess their learning.

Indicative Reading

Bromley, I. 2006, Tetraplegia and Paraplegia: A guide for physiotherapists, 6 th edition, Churchill Livingstone. Carr, J.H. & Shepherd,R.B. 2010, Neurological Rehabilitation Optimizing Motor Performance, 2 nd edition Churchill Livingstone Elsevier. Carr, J.H. & Shepherd, R. 2003, Stroke Rehabilitation, Butterworth. Crossman, A.R. 2005, Neuranatomy: an illustrated colour text, 3 rd edition, Churchill Livingstone. Gjelsvik, B.E.B., 2008, The Bobath Concept in Adult Neurology, Thieme. Guthrie, L.J. 2009, Clinical case studies in physiotherapy : a guide for students and graduates, Churchill Livingstone/Elsevier. Jones, K. 2011, Neurological Assessment: A clinicians guide, Churchill Livingstone Elsevier. Lennon, S. & Stokes, M. 2009, Pocketbook of Neurological Physiotherapy, Churchill Livingstone Elsevier. Lindsay, K.W., Bone, I. & Fuller, G. 2010, Neurology and Neurosurgery Illustrated, 5 th Edition, Churchill Livingstone McBean, D. & van Wijck, F. 2013, Applied Neurosciences for the Allied Health Professions, Churchill Livingstone Elsevier. NICE Guidance CG 162: Stroke Rehabilitation: Long term rehabilitation after Stroke Poutney, T. 2007, Physiotherapy for Children, Elsevier. Raine, S., Meadows, L. & Lynch-Ellerington, M. 2009,Bobath Concept, Wiley-Blackwell. Refshauge, K., Ada, L. & Ellis, E. 2005, Science-based Rehabilitation: Theories into Practice, Elsevier. Shumway-Cook, A. & Woollacott, M.H. 2011, Motor Control: translating research into clinical practice, 4 th edition, Wolters Kluwer, Lippencott Williams & Wilkins. SIGN 118: Management of people with Stroke: Rehabilitation, prevention and management of complications, and discharge planning SIGN 108- Management of patients with stroke or TIA: assessment, investigation, immediate management and secondary prevention

Transferrable Skills

As part of the learning process within the module, students will develop skills in relation to : communication, team working, time management, literature searching and interpretation, analytical movement observation, problem solving, clinical reasoning, reflective practice, manual handling skills, presentation skills and note writing

Module Structure

Activity Total Hours
Lectures (FT) 8.00
Independent Learning (FT) 108.00
Practicals (FT) 38.00
Assessment (FT) 20.00
Tutorials (FT) 26.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 0.50 60.00 35% Practical Viva - 30mins
Coursework 1 n/a 40.00 35% Coursework 1500 words