NEUROREHABILITATION

SHE Level 5
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code MMB125973
Module Leader Michelle Rutherford
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September 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 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 to communication and cognitive impairments and psycho-social factors.

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 The International Classification of Functioning, Disability & Health (ICF) and an analysis of its relevance to neurorehabilitation. The psycho-social 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 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

Learning Outcomes

Upon successful completion of this module students should be able to:1 Critically analyse the inter-relationship of the aetiology, pathophysiology, clinical features, course and prognosis for common neurological conditions2 Critically discuss the impact of sensory-motor, cognitive, communication, behavioural problems and psychosocial needs on the quality of life of patients and their carers as part of the clinical reasoning process and reflect on the implications for physiotherapy management3 Critically apply knowledge and understanding of the features of normal movement, conduct and record a neurological assessment using the International Classification of Functioning, Disability & Health framework4 Formulate and record short and longer term objectives with use available evidence and clinical reasoning to justify selection of physiotherapy management strategies 5 Justify and explain safe and appropriate implementation of therapeutic strategies for people with long-term neurological conditions6 Evaluate the effectiveness of 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 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 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 of 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. Weekly quizzes will be provided on GCU Learn for students to self-assess their learning.

Indicative Reading

BARNES M.P. JOHNSON. R., (2001) Upper Motor Neuron Syndrome and Spasticity: Clinical Management and Neurophysiology. Cambridge University Press Bromley, I. 2006, Tetraplegia and paraplegia : a guide for physiotherapists, 6th edition, Churchill Livingstone Carr, J., Shepherd, R. 2003. Stroke Rehabilitation, Butterworth Carr J.H., & Shepherd R.B., 2nd edition 2010, Neurological Rehabilitation Optimizing Motor Performance, Churchill Livingstone Elsevier. ISBN 978-0-7020-4051-1 Jones K., Neurological Assessment: A clinicians guide (2011), ISBN 978-0-7020-4052-8 Lindsay, K.W., Bone, I. and Fuller, G. 20 10 .Neurology and Neurosurgery Illustrated, 5th Edition, Churchill Livingstone/ Elsevier NICE Guidance CG 162 (2013): Stroke Rehabilitation: Long term rehabilitation after Stroke NICE Guidance CG 8 (2003): Multiple Sclerosis: Management of MS in primary and secondary care NICE Guidance CG 35 (2006): Parkinsons Disease: Diagnosis and management in primary and secondary care Poutney, T. 2007.Physiotherapy for Children, Elsevier Quinby J.M., Abraham A., 2005 Musculoskeletal problems for Cerebral Palsy, Current Paediatrics, 15, p9-14 Raine, S. Meadows L., Lynch-Ellerington M.,2009. Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation, Wiley-Blackwell Shumway-Cook A & Woollacott M.H. 2011 4th edition, Motor Control; translating research into clinical practice, Wolters Kluwer, Lippencott Williams & Wilkins. ISBN 9781451117103 SIGN 118(2011) Management of people with Stroke: Rehabilitation, prevention and management of complications, and discharge planning SIGN 108 (2008) Management of patients with stroke or TIA: assessment, investigation, immediate management and secondary prevention SIGN 130 (2013) Brain Injury rehabilitation in adults Stokes M., Stack E., 2011 3rd edition, Physical Management for Neurological Conditions, Churchill Livingstone, ISBN: 978-0-7234-3560-0 The Long Term Conditions Alliance, Gaun Yersel, the self- management strategy for Long Term Conditions, (2008) <http://www.scotland.gov.uk/Publications/2008/10/GaunYersel> Hengeveld, E. and Banks, K. 2013, Maitland's Vertebral Manipulation. 8th edition, Churchill Livingstone/Elsevier, Edinburgh.

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) 32.00
Seminars (FT) 24.00
Independent Learning (FT) 162.00
Tutorials (FT) 24.00
Lectures (FT) 4.00
Assessment (FT) 54.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 0.00 100.00 50% Coursework - 3000 words