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Neuro-Rehabilitation Techniques

PTA 210

Neuro-Rehabilitation Techniques

PTA 210

Course Description

Prerequisites: Prerequisites: PTA 102, PTA 120, PTA 120L, PTA 121, PTA 123, PTA 123L, PTA 124, PTA 125, PTA 125L, and LWA 206B with a "C" (2.

0) minimum grade. Concurrent enrollment in PTA 205, PTA 205L, PTA 209, PTA 209L, PTA 210L, PTA 213, PTA 213L, PTA 214, PTA 216, PTA 222, and LWA 206C. Studies the advanced theory and treatment of patients with diagnosis of stroke, spinal cord injury, traumatic brain injury, as well as the treatments of sensor motor facilitation and inhibition techniques. Prepares the student to perform physical therapy intervention as part of a physical therapist's plan of care, under the direction and supervision of the physical therapist. (30-0)

Outcomes and Objectives

Demonstrate competency in discussing various topics related to the rehabilitation of patients with spinal cord injuries (SCI).

Objectives:

  • Identify common causes of spinal cord injuries.
  • Describe the ASIA impairment classification system for spinal cord injuries.
  • Discuss the potential clinical manifestations of the following specific spinal cord injuries: central cord, anterior cord, dorsal column, Brown-Sequard, and cauda equina syndromes.
  • Define the terms "neurological level," "level of injury," and "sacral sparing" as they relate to the rehabilitation of the patient with spinal cord injury.
  • Identify complications associated with spinal cord injuries and how they may impact the rehabilitation process in a patient with a SCI.
  • Discuss common acute medical interventions utilized immediately after a SCI has occurred.
  • Describe the progression of function in rehabilitation of the patient with SCI to reach the highest level of independence.
  • Identify various wheelchair seating options and accessories that may be utilized by a person with SCI.
  • Identify realistic functional outcomes for people with SCI based on level of injury.
  • Identify various wheelchair skills needed by a person with a SCI to negotiate throughout the community.
  • Define various mechanisms of injury that can cause SCI.
  • Identify key muscles tested to assist in determining level of injury in a patient with a SCI.
  • Discuss the impact of a SCI on the respiratory system.
  • Discuss the benefits of standing/ambulation to the patient with a SCI.
  • Discuss the differences between therapeutic, household, and community ambulation.
  • Discuss the projected outcomes for gait for a patient at various SCI levels.
  • Discuss various assistive devices a person with SCI would utilize during ambulation based on level of injury.

Demonstrate competency in discussing various topics related to the rehabilitation of a patient with traumatic brain injury (TBI).

Objectives:

  • Discuss various types of head injuries.
  • Describe the Glascow Coma Scale and the role it plays in the rehabilitation process.
  • Define decerebrate and decorticate posturing as a result of TBI.
  • Describe the Ranchos Los Amigos Cognitive Recovery Scale and its role in the rehabilitation process of a person with TBI.
  • Describe the important areas of functioning for each lobe of the brain.
  • Describe potential deficits in the individual with a TBI.
  • Discuss physical therapy goals for patients with TBI in various stages of recovery.
  • Discuss PT interventions to address physical therapy goals for the patient with TBI in various stages of recovery.

Discuss the concept of motor control as it relates to the rehabilitation process of individuals with neurological dysfunction.

Objectives:

  • Define motor control.
  • Name the components of motor control and the role each plays in normal movement.
  • Define motor learning.
  • Compare and contrast the terms "compensation" and "restoration" and the role each plays in the rehabilitation process.
  • Discuss the three phases of motor learning from a rehabilitation perspective.
  • Define the investment principle and its importance in the recovery of normal function.
  • Discuss motor learning strategies to improve motor learning in a patient with a neurological condition including feedback, practice, and learning transfer.
  • Discuss the state of motor control including mobility, stability, controlled mobility, skill, and the role these stages play in the rehabilitation process.

Demonstrate entry level knowledge of the neurodevelopmental treatment approach to neurological rehabilitation.

Objectives:

  • Describe basic facilitory techniques used with NDT.
  • Describe the theoretical basis of NDT.

Demonstrate entry level knowledge of the Proprioceptive Neuromuscular Facilitation approach to neurological rehabilitation.

Objectives:

  • Discuss the theorectical basis for PNF in neurorehabilitation.
  • Define the "overflow principle" and its role in rehabilitation.
  • Identify the UE/LE diagonal movement patterns.

Demonstrate entry-level knowledge of the Brunnstrom Approach to neurorehabilitation.

Objectives:

  • Define the recovery stages for a person with a CVA according to the Brunstrom approach.
  • Identify the components of the UE/LE abnormal synergies patterns names in the Brunstrom approach.

Demonstrate entry-level knowledge of utilization of sensory techniques in neurorehabilitation.

Objectives:

  • Describe the physiological effect on muscle activity each of the following sensory inputs may have:

Discuss relevant legal and ethical issues as well as responses to the issues.

Objectives:

  • Describe an appropriate response to each legal/ethical clinical issue discussed in class.

Demonstrate an introductory understanding of vestibular rehabilitation.

Objectives:

  • Identify the components of the balance system and the specific role of the vestibular system.
  • Identify and discuss the anatomy of the vestibular system.
  • Discuss symptoms of various vestibular dysfunctions.