Learning Outcomes:
On completion of the module, students should be able to:
1. Explain the theory underpinning neurological physiotherapy practice based on knowledge of neuroanatomy and physiology, and distinguish between central and peripheral pathology.
2. Understand the pathology and clinical presentation of common neurological conditions, and normal infant development.
3. Interpret basic investigations and demonstrate competency in the physiotherapy assessment of a patient with a neurological condition.
4. Analyse functional movements, body posture, and balance to develop skills to facilitate optimal movement strategies
5. Understand and interpret relevant assessment findings and outcome measures (e.g., Timed up and go test; Berg Balance test) and apply clinical reasoning using the International Classification of Functioning (ICF) framework to guide management.
6. Understand safety considerations, and the role of balance rehabilitation, exercise, positioning, and aids/appliances (e.g., orthotics, splints) in the physiotherapy management of neurological disease.
7. Recognise the role of the multidisciplinary team in the collaborative care of a patient with a neurological disorder across acute and community care settings.
Indicative Module Content:
Topics covered include:
• Fundamentals in Neuroanatomy
Neurone types, glial tissue, grey & white matter of brain & spinal cord; Meninges; Cerebrospinal Fluid & associated Ventricular system; Cerebral lobes; Localisation of cerebral function in the various lobes; Sensory receptors motor areas & sensory cortex; Motor & Sensory homunculus; Basal Ganglia; Internal capsule; Limbic system; Cerebellum; Brainstem – Pons, Medulla; Circulation of brain & spinal cord and blood supply cerebellum & cerebral hemispheres; Spinal Cord (motor & sensory tracts); Cranial nerves
• Neuromuscular physiology
Muscle Spindles; Motor units; Nerve conduction; Peripheral nerves (motor, sensory, autonomic and mixed)
• Introduction to vestibular System
• Presentations in neurological cases
• Hypertonia & Hypotonia
• Aspects of Upper motor lesions (UMN) & Lower motor lesions (LMN)
• Classification in Neurology using the ICF
• Neurological investigations
CT, MRI, Carotid and cerebral angiography
• Neurological assessment
Range of movement, tone, strength, sensation, co-ordination and reflexes; Assessment normal and abnormal movement strategies; Assessment of functional movement; Assessment of balance; Gait assessment
• Common Outcome Measures in Neurology
Modified Ashworth Scale; Berg Balance scale; Functional reach; Timed up and go; 5 times sit to stand; 10MWT; box and block tests; 9 hole peg test
• Neurological Pathologies
Cerebrovascular Accident (CVA); Parkinson’s disease (PD); Multiple Sclerosis