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Neurological Physical Therapy

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NEUROLOGICAL PHYSICAL THERAPY CREDIT 3(2-1)

Course Description:
This course provides an in-depth exploration of the assessment and intervention procedures used
with persons with various neurological pathologies. The focus of this course will be on
neurological problems acquired in adulthood. Theories of motor control and motor learning will
be studied and applied to assessment and treatment. Laboratories will be used to strengthen
evaluation and intervention skills, especially the analysis of movement as well as planning,
practicing, and modifying treatment. The format of this course includes lectures, discussions,
laboratory experiences, problem-based learning activities, community based experiences, and
patient-centred case study learning activities.There will also be contact with persons with
neurological dysfunction as part of this course. Clinical competence in the evaluation and
treatment of persons with neurological impairments is to be developed. Topics will focus on
medical terminology, clinical examination, evaluation, comparing contemporary, traditional
interventions and the impact of evolving technology in this area.

MEDICAL TERMINOLOGY REGARDING NEUROLOGICAL SYSTEM

Anatomy and Physiology of the Nervous System (Brief Revision)


 Brain
 Spinal cord
 CNS Support Structures
 Neurons
 PNS
 Spinal Level Reflexes
Neurological Examination:
 History
 System review
 Test and measures
Interventions:
Introduction to Theories of Neurological Rehabilitation
 Remediation & facilitation approaches
 Bobath-NDT
 Motor relearning program(MRP)
 Kabat, Knott, Voss (PNF)
 Constraint induced movement therapy (CIMT)
 Motor Control / Motor Learning Approach
 Neural plasticity/ adoptability
 Balance
 Role of sensory system
 Skill acquisition
 Postural Control
 Mobility Function
 Task-Related Training Approach
 Compensatory Training Approach
 Normal Reach, Grasp and Manipulation

Neurological Dysfunctions
 CVA (Stroke)
 Traumatic Brain Injury (TBI)
 Spinal Cord Injury (SCI)
 Degenerative Diseases (Progressive CNS disorders)
 Multiple Sclerosis (MS)
 Parkinson’s Disease (PD)
 Post Polio Syndrome (PPS)
 Cerebellar Disorders
 Vestibular Disorders
 Cranial Nerves Disorders
 Poly Neuropathies

Case Histories
PRACTICAL/ CLINICAL TRAINING:
In the laboratory sessions, neurological physiotherapy skills will be
demonstrated and practiced. Various reflective case studies related to the
neurological rehabilitation will be assigned to the students.

Note:
The students are expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place. It is a reflective record of
achievements. The log book shall also contain a record of the procedures which student would
have performed/observed. This log book will be an integral part of the Physiotherapy in Practice
I and Physiotherapy in Practice II.

Recommended text books:


 Neurological Physiotherapy Bases of evidence for practice Treatment and management of
patients described by specialist clinicians by Cecily Partridge
 Neurological Physiotherapy A problem-solving approach By Susan Edwards, second
edition.
 Neurologic examination By Robert j. Schwartzman , first edition

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