Logo UAB
2020/2021

Physiotherapeutic Treatment in Neurology

Code: 102998 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.

Contact

Name:
Carina Salgueiro Francisco Salgueiro
Email:
Carina.Francisco@uab.cat

Use of Languages

Principal working language:
spanish (spa)
Some groups entirely in English:
Yes
Some groups entirely in Catalan:
Yes
Some groups entirely in Spanish:
Yes

External teachers

Juan Simón Cardona

Prerequisites

The students must have knowledge of the anatomy and phisiology of the nervous system in order to be able to detect illnesses and the corresponding therapeutical measures. 

It's recommended having passed the physiotherapy assignment in neurology I and II.

Objectives and Contextualisation

This subject aims to establish the basis of the physiotherapeutic treatment in advanced neurology as well as to deepen the complementary techniques applied in neurorehabilitation.
Knowing and properly applying the different techniques of advanced neurological physiotherapy in real patients is essential to prepare the student adequately to cope with the later development of his professional career in the field of neurological pathologies.

Competences

  • Design the physiotherapy intervention plan in accordance with the criteria of appropriateness, validity and efficiency.
  • 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.
  • Display knowledge of the morphology, physiology, pathology and conduct of both healthy and sick people, in the natural and social environment.
  • Display knowledge of the physiotherapy methods, procedures and interventions in clinical therapeutics.
  • 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

  1. Apply advanced physiotherapy methods and techniques to neurological pathologies..
  2. Define the general and specific objectives of advanced physiotherapy treatment in neurological pathologies.
  3. Describe and apply advanced evaluation procedures in physiotherapy in order to determine the degree of damage to the nervous system and possible functional repercussions.
  4. Describe the circumstances that condition priorities in advanced physiotherapy treatment for neurological pathologies.
  5. Develop critical thinking and reasoning and communicate ideas effectively, both in the mother tongue and in other languages.
  6. Develop independent learning strategies
  7. Display critical reasoning skills.
  8. Enumerate the different types of material and equipment used in advanced physiotherapy treatment for neurological pathologies.
  9. Enumerate the medico-surgical treatments, mainly in the area of physiotherapy and orthopaedics, that are used in neurological diseases.
  10. Establish a diagnostic physiotherapy hypothesis based on complex clinical cases in neurological pathologies.
  11. Explain in detail the physiopathology of neurological diseases and identify the symptoms that appear during the process.
  12. Solve complex clinical cases in the field of neurology.
  13. Solve problems.
  14. Work in teams.

Content

THEORETICAL-PRACTICAL CONTENT:

All the contents will be taught by Carina Salgueiro and the assistant professor.

  • Scientific bases of motor control and learning.
  • Early intervention and critical neurological patient and major affected.
  • Review of the most useful manual techniques in neurorehabilitation.
  • Stability (core stability) and mobility in neurological patients.
  • Treatment of postural control and balance. Correction of gait patterns.
  • Treatment and functional approach of the upper extremity.
  • Treatment of sensory disorders and neuropathic pain.
  • Other therapies: Virtual reality and mirror therapy; Constraint-induced movement therapy (CIMT); Whole body vibration (WBV) in neurological patients; treadmill and robotics

Methodology

 There are theoretical and practical classes.

Activities

Title Hours ECTS Learning Outcomes
Type: Directed      
PRACTICAL LABORATORY WORK 30 1.2 12, 1, 7, 13, 14
THEORY 10 0.4 12, 1, 2, 3, 6, 5, 11, 7, 13, 14
Type: Supervised      
WORK PRESENTATIONS 2 0.08 12, 1, 2, 3, 4, 8, 9, 10, 11, 7, 14
Type: Autonomous      
SELF STUDY 78 3.12 12, 1, 2, 4, 6, 5, 8, 7
elaboration of works and reports as well as research of information to share in classes 26 1.04 12, 1, 2, 3, 4, 6, 5, 8, 9, 10, 11, 7, 14

Assessment

Description of the evaluation system

Written work
Delivery of and presentation of written work done in a group
Job Note [NT] (10% of the final grade)

Exam I - Practical
Objective structured evaluation: the manual skill in the application of the different techniques will be assessed, as well as the adequacy of the chosen technique / maneuver to the situation posed.
Practical test score [NEP] 50% of the final grade

Exam II - Theoretical
Written evaluation by means of objective tests of selection of multiple choice items (20 questions with 4 possible answers, only one will be correct, the correct answers are worth 0.35 points), open answer questions (2 questions of development in which each correct answer is worth 1 value) and short answer questions (3 questions whose correct answer is worth 0.5 points)
Note of the theoretical final exam [NET] 40% of the final grade

All evaluable tests must be done in order to pass the subject. ([NET] · 0.40) + ([NP] · 0.50) + ([NT] · 0.10) = FINAL NOTE
The subject will be approved with a final grade equal to or greater than 5.

When the student can not provide sufficient evidence of evaluation, ie, by not presenting and presenting the work and / or not to take the final exam of the subject, the record will be recorded as not assessable.
The students of exchange programs will be evaluated following the same criteria as the students of the UAB.

The recovery exam will be constituted by a theoretical part (8 questions type test, 2 open questions of short answer, 1 open question of answer of development and 1 open question related to one of the thematic proposals in the classes of self-learning) with the weight of 50% of the total assessment and a practical part (2 simulation exercises of the therapeutic approach) with the weight of 50% of the final classification.

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Narrative records/porfolios 10% 1 0.04 2, 3, 4, 6, 5, 8, 9, 11, 7, 13, 14
Practical evaluation 50% 1 0.04 12, 1, 2, 3, 4, 5, 8, 10, 13
Written evaluation : multiple choice and essay test 40% 2 0.08 12, 1, 2, 4, 5, 8, 9, 11, 7, 13

Bibliography

  • Maeshima S, Okamoto S, Okazaki H, Mizuno S, Asano N, Maeda H, et al. Potential factors, including activities of daily living, influencing home discharge for patients with putaminal haemorrhage. BMC Neurol [Internet]. 2016;16(16):4–9.
  • Nijboer TCW, Winters C, Kollen BJ, Kwakkel G. Impact of clinical severity of stroke on the severity and recovery of visuospatial neglect. PLoS One. 2018;13(7):1–11.
  • Siegel J, Pizzi MA, Brent Peel J, Alejos D, Mbabuike N, Brown BL, et al. Update on Neurocritical Care of Stroke. Curr Cardiol Rep. 2017;19(67):1–11.
  • Furie KL, Jayaraman M V. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke. Stroke. 2018;49:509–10.
  • Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke a guideline for healthcare professionals from the American Heart Association/American Stroke A. Vol. 50, Stroke. 2019. 344–418
  • Fearon P, Langhorne P, Blomstrand C, Cabral N, Cavallini A, Dey P, et al. Organised inpatient (stroke unit) care for stroke (Review). Cochrane Database Syst Rev. 2017;(9):1–81.
  • Imura T, Nagasawa Y, Fukuyama H, Imada N, Oki S, Araki O. Effect of early and intensive rehabilitation in acute stroke patients: retrospective pre-/post-comparison in Japanese hospital. Disabil Rehabil [Internet]. 2018;40(12):1452–5.
  • Dąbrowski J, Czajka A, Zielińska-Turek J, Jaroszyński J, Furtak-Niczyporuk M, Mela A, et al. Brain Functional Reserve in the Context ofNeuroplasticity after Stroke. Neural Plast. 2019;1–10.
  • Sasmita AO, Kuruvilla J, Ling APK. Harnessing neuroplasticity: modern approaches and clinical future. Int J Neurosci. 2018;128(11):1061–77.
  • Carey L, Walsh A, Adikari A, Goodin P, Alahakoon D, De Silva D, et al. Finding the Intersection of Neuroplasticity, Stroke Recovery, and Learning: Scope and Contributions to Stroke Rehabilitation. Neural Plast. 2019;1–15.
  • Pin-Barre C, Laurin J. Physical Exercise as a Diagnostic, Rehabilitation, and Preventive Tool: Influence on Neuroplasticity and Motor Recovery after Stroke. Neural Plast. 2015;1–12.
  • Carvalho R, Azevedo E, Marques P, Dias N, Cerqueira JJ. Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series. J Eval Clin Pract. 2018;24:552–60.
  • Livingston-Thomas J, Nelson P, Karthikeyan S, Antonescu S, Jeffers MS, Marzolini S, et al. Exercise and Environmental Enrichment as Enablers of Task-Specific Neuroplasticity and Stroke Recovery. Neurotherapeutics. 2016;13:395–402.
  • Crozier J, Roig M, Eng JJ, MacKay-Lyons M, Fung J, Ploughman M, et al. High-intensity interval training after stroke: An opportunity to promote functional recovery, cardiovascular health, and neuroplasticity. Neurorehabil Neural Repair. 2018;32(6–7):543–56.
  •  
  • Cano de la Cuerda. Nuevas Tecnologías en Neurorehabilitación. plicacione diagnósticas y terapéuticas. Madrid: Panamericana, 2018.
  • Purves D. Neurociencia . 5ª ed. Madrid : Editorial Médica Panamericana; 2016
  • Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice.5th ed. Philadelphia: Lippincott Williams & Wilkins; 2016
  • Krakauer J, Carmichael S. Broken Movement: the neurobiology of motor recovery after stroke. 2017