2020/2021
Physiotherapeutic Evaluation and Diagnosis in Neurology
Code: 102997
ECTS Credits: 6
Degree |
Type |
Year |
Semester |
2500892 Physiotherapy |
OT |
4 |
0 |
The proposed teaching and assessment methodology that appear in the guide may be subject to changes as a result of the restrictions to face-to-face class attendance imposed by the health authorities.
Use of Languages
- Principal working language:
- catalan (cat)
- Some groups entirely in English:
- No
- Some groups entirely in Catalan:
- No
- Some groups entirely in Spanish:
- No
Teachers
- Inés García Bouyssou
Prerequisites
It is recommended having acquired the skills and aims given on the subjects: Physiotherapy in Neurology I and II.
Objectives and Contextualisation
Deepen in the knowledge and training of the daily clinical and research skills related to the assessment and physiotherapeutic diagnosis in neurology, being able to:
- Make a medical history that allows:
- Plan an individualized treatment for the neurological patient according to their evolutionary phase
- Set short and long term goals
- Assess the evolution
- Perform clinical reasoning appropriate to the patient's context.
- Perform a correct neurological examination.
- Understand the different mechanisms that allow motor control and the plasticity of the nervous system.
- Assess the main sensory and motor deficiencies, limitations in activity and restrictions on the participation of patients with neurological health conditions.
- Apply the most widely used standardized scales in neurology and gain the knowledge necessary to be able to build a scale in the field of neurorehabilitation.
- Get acquainted with the assessments made by other specialists within the Neurorehabilitation team.
- Use the necessary tools to conduct research in neurorehabilitation.
Competences
- Develop critical thinking and reasoning and communicate ideas effectively, both in the mother tongue and in other languages.
- Develop independent learning strategies
- Display critical reasoning skills.
- Evaluate the functional state of the patient, considering the physical, psychological and social aspects.
- Integrate, through clinical experience, the ethical and professional values, knowledge, skills and attitudes of physiotherapy, in order to resolve specific clinical cases in the hospital and non-hospital environments, and primary and community care.
- Make a physiotherapy diagnosis applying internationally recognised norms and validation instruments.
- Solve problems.
- Work in teams.
Learning Outcomes
- Describe and apply advanced evaluation procedures in physiotherapy in order to determine the degree of damage to the nervous system and possible functional repercussions.
- Develop critical thinking and reasoning and communicate ideas effectively, both in the mother tongue and in other languages.
- Develop independent learning strategies
- Display critical reasoning skills.
- Establish a diagnostic physiotherapy hypothesis based on complex clinical cases in neurological pathologies.
- Solve complex clinical cases in the field of neurology.
- Solve problems.
- Work in teams.
Content
- CIF model and clinical history in neurological physiotherapy.
- Exploration: general and health conditions.
- Motor learning and neuroplasticity.
- Assessment in physiotherapy of the adult neurological patient.
- Standardized Scales.
- Interdisciplinary assessment in neurorehabilitation.
- Article Review.
Methodology
The teaching is based on theoretical and practical classes.
Assessment
The evaluation system will be:
- Written evaluation through objective tests of selection of multiple-choice items:
- 2 exams one hour each.
- 30 questions test with four possible answers, only one will be correct.
- Each correct answer add 1 point and each wrong subtracts 0.25 points
- 40% of the overall mark
- no questions will be answered during the exam
- the examination review date will be published on the vitrual campus
- Practical evaluation through objective structured assessment:
- Practical application and reasoning of different rating scales.
- Duration: 15 minutes.
- 35% of the overall mark.
- Oral evaluation through structured tests:
- Oral presentation with audiovisual material of an neurological article using assessment scales applied in a clinical trial.
- Reasoning of the scales used and proposed other scales that could be used.
- Duration: 15 minutes
- 15% of the overall mark.
- Delivery reports / written work:
- Drafting of a clinical record and planning treatment goals by observing a real clinical case.
To pass the course must meet the following conditions:
- Pass every single part of the contents with a score ≥5.
- Students who have not passed the subject/module through continuous assessment may take a recovery exam.
- Failure to comply with the instructions for preparing the work and the delivery deadlines entails a penalty in the note.
- It is compulsory to attend the practical classes. You may miss 30% of the classes though proof ofreason for absence will be required.
- The following rules are considered in the guidelines to obtain a "not evaluable" qualification:
- Not attending any of the assessment tests
- Missing more than 30% of practical classes
The same evaluation criteria are applied for exchange students.
Assessment Activities
Title |
Weighting |
Hours |
ECTS |
Learning Outcomes |
Narrative records/written works |
10% |
1.5
|
0.06 |
6, 3, 5, 4, 7
|
Oral assessment- structured tests |
15% |
0.25
|
0.01 |
1, 2, 8
|
Practical evaluation through objective structured assessment |
35% |
0.25
|
0.01 |
1, 2, 4, 7
|
Written evaluation through objective tests of selection of multiple-choice items |
40% |
2
|
0.08 |
6, 5, 4, 7
|
Bibliography
- Clasificación internacional del funcionamiento, de la discapacidad y de la salud: CIF. Organización Mundial de la Salud, 2001.
- Cano, R; Collado, S. Neurorrehabilitación: Métodos específicos de valoración y tratamiento. Madrid: Panamericana, 2012.
- Cooper N y Frain J. ABC of ClinicalReasoning. BMJ Books: 2017.
- Damasio A. La sensación de lo que ocurre. Cuerpo y emoción en la construcción de la conciencia. Barcelona: Planeta, 2018.
- Fuller G. Exploración neurológica fácil. Elsevier 5ª ed. 2014.
- M tui E, Gruener G, Dockery P. Neuroanatomía clínica y neurociencia. Elsevier 7ª Ed. 2017.
- Swartz MH. Tratado de semiología. Anamnesis y exploración física. 7ªEd. Barcelona: Elsevier; 2014.
- García-Alix, Alfredo. Evaluación neurológica del recién nacido. Madrid: Díaz de Santos, 2010.
- Redondo García A, Conejero Casares JA. Rehabilitación Infantil. 1ªEd. Madrid: Editorial Médica Panamericana, 2012.
- Purves D. Neurociencia. 3ºEd. Madrid: Panamericana; 2008.
- Seco. Sistema Nervioso. Métodos, fisioterapia clínica y afecciones para fisioterapeutas. Madrid: Panamericana, 2020.
- Fisioterapia en Neurología. Procedimientos para restablecer la capacidad funcional. Bisbe, Santoyo, Segarra. Editorial Panamericana, 2012.
- Helm-Estabrooks, Albert. Manual de la afasia y de terapia de la afasia. Madrid: médica Panamericana, 2005.
- Paeth, B. Experiencias con el Concepto Bobath: fundamentos, tratamientos y casos. 2ª ed. Madrid: Panamericana, 2006.
- Sheila Lennon, Maria Stokes. Pocketbook of Neurological Physiotherapy, 2009.
More literature in class.