NEUROREHABILITATION

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B125958
Module Leader Les Wood
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

Normally includes completion of all Level 1 modules on BSc (Hons) Physiotherapy

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 regards to pathophysiology, assessment, therapeutic treatment and general management of people with acute and long-term neurological conditions. It involves the 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 communication, cognitive impairments and psycho-social factors. The module will provide students with an overview of how to triage/prioritise people according to their needs and promote self-management of long-term conditions.

Syllabus

The syllabus will include: The aetiology, pathology, clinical features and prognosis of neurological conditions - Stroke, Acquired Brain Injury, Multiple Sclerosis, Motor Neuron Disease, Guillain-Barre9 syndrome, Parkinson's Disease, Spinal Cord Injury, Cerebral Palsy, Peripheral Nerve Lesions and Peripheral Neuropathies The development of the nervous system, neuroplasticity and the effects of ageing on the brain The development of movement analysis skills of functional tasks The influence of the following associated issues for the prognosis and management of patients: communication problems, cognitive and perceptual deficits and behavioural problems Obtaining informed consent The International Classification of Functioning, Disability & Health (ICF) and an analysis of its relevance to neurorehabilitation. The psychosocial impact of neurological impairments and disabilities on the quality of life of patients and carers The characteristics of organised hospital-based care for acute neurological conditions, early supported discharge, supported self-management and anticipatory care planning The patient-centered management of long-term complex neurological conditions Treatment principles and methods to manage the positive and negative impairments of neurological conditions and to re-educate balance and functional tasks incorporating motor learning theory and Bobath principles The evidence base in relation to different therapeutic interventions Principles of neurological assessment and appraisal of selected outcome measures commonly used in the evaluation of patients with neurological disorders Documentation of assessment, treatments and goal setting or objectives -360

Learning Outcomes

On completion of the module students should be able to:1. Demonstrate an understanding of the aetiology and pathophysiology of a variety of neurological conditions and apply this understanding to the clinical features, course and prognosis for these conditions. 2. Discuss the impact of sensory-motor, cognitive, communication, behavioural problems and psychosocial needs on the functioning and quality of life of patients and their carers as part of the clinical reasoning process and reflect on the implications for physiotherapy management3. Use knowledge and understanding of the features of normal movement, conduct and record a neurological assessment and construct a problem list using the International Classification of Functioning, Disability & Health framework4. Formulate and record short and longer term objectives to justify selection of physiotherapy interventions/management strategies, including onward referral of patients to other appropriate health professionals5. Demonstrate safe and appropriate implementation of therapeutic interventions for people with acute and long-term neurological conditions6. Evaluate the effectiveness of evidence-based interventions by the use of valid, reliable and sensitive outcome measures

Teaching / Learning Strategy

A blended learning approach will be used to encourage active student engagement and self-directed learning using a variety of teaching and learning strategies. The use of online lectures, podcasts, video tutorials and lectures will be used to introduce the pathological condition for study each week. This will be achieved by frontloading underpinning pathophysiology material which will then be applied in group discussion in tutorial and practical classes for which students will be expected to have undertaken independent study in preparation. Practical sessions will allow students to acquire the therapeutic skills required for the rehabilitation of people with neurological conditions. This might be in relation to one-to-one or group interventions or instructions for the person to work on their own. Video clips of people 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 research-informed treatment interventions for case-based scenarios. 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. GCU learn will be used as a repository for teaching material, including video clips of people with a neurological condition and clinical skills, useful websites and on-line training resources. Students will be encouraged to develop their ability to search for appropriate literature through the module. Students will be provided with formative feedback throughout the module, by their peers and staff on a regular basis in tutorial and practical 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.

Indicative Reading

-720 Carr, J.H. & Shepherd,R.B. 2010, Neurological Rehabilitation Optimizing Motor Performance, 2nd edition Churchill Livingstone Elsevier. Carr, J.H. & Shepherd, R. 2003, Stroke Rehabilitation, Butterworth. Crossman, A.R. 2005, Neuranatomy: an illustrated colour text, 3rd edition, Churchill Livingstone. Gjelsvik, B.E.B., 2008, The Bobath Concept in Adult Neurology, Thieme. Jones, K. 2011, Neurological Assessment: A clinicians guide, Churchill Livingstone Elsevier. Kandel E, Schwartz j, Jessell T, Siegelbaum S and Hudspeth AJ (2012). Principles of Neural Science 5th Edition McGraw-Hill, New York. ISBN 0-07-139011-1 Lindsay, K.W., Bone, I. & Fuller, G. 2010, Neurology and Neurosurgery Illustrated, 5th Edition, Churchill Livingstone McBean, D. & van Wijck, F. 2013, Applied Neurosciences for the Allied Health Professions, Churchill Livingstone Elsevier. Poutney, T. 2007, Physiotherapy for Children, Elsevier. Raine, S., Meadows, L. & Lynch-Ellerington, M. 2009, Bobath Concept, Wiley-Blackwell. Shumway-Cook, A. & Woollacott, M.H. 2011, Motor Control: translating research into clinical practice, 4th edition, Wolters Kluwer, Lippencott Williams & Wilkins.

Transferrable Skills

As part of the learning process within the module, students will be able to apply basic physiological knowledge to pathological situations encountered in clinical situations and 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, digital learning and technologies to support care, ICT, presentation skills and note writing.

Module Structure

Activity Total Hours
Practicals (FT) 52.00
Tutorials (FT) 10.00
Assessment (FT) 20.00
Lectures (FT) 10.00
Independent Learning (FT) 108.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 02 0.25 70.00 35% Practical VIVA (25 Minutes) - Learning Outcomes 2-6
Exam (Dept) 01 1.00 30.00 35% MCQ & Short answer questions. Learning Outcome 1