PTA-265: Rehab of Neurological Conditions Lab

School
Health and Human Services
Division
Health Careers
Department
Physical Therapy Assistant
Academic Level
Undergraduate
Course Subject
Physical Therapist Assistant
Course Number
265
Course Title
Rehab of Neurological Conditions Lab
Credit Hours
2.00
Instructor Contact Hours Per Semester
60.00 (for 15-week classes)
Student Contact Hours Per Semester
60.00 (for 15-week classes)
Grading Method
A-E
Pre-requisites
PTA-144, PTA-118, PTA-122, PTA-225
Co-requisites
PTA-262
Catalog Course Description

Applies techniques learned in PTA 262 with an emphasis on the functional approach to patient treatment. Includes the use of Neurodevelopmental Treatment (NDT) and Proprioceptive Neuromuscular Facilitation (PNF) for adults with neurological conditions such as traumatic brain injury (TBI) and cerebrovascular accidents (CVAs). Guided laboratory setting.

Goals, Topics, and Objectives

Core Course Topics
  1. Neuroanatomy
  2. Neurologic Assessment
  3. Sensory Assessment
  4. Coordination Assessment and Treatment
  5. Balance Assessment and Treatment
  6. Functional Assessment Tools
  7. Assessment of Motor Function
  8. Facilitation / Inhibition Techniques
  9. NDT
  10. PNF
  11. CVA Treatment Intervention
  12. Architectural Barriers
  13. Wheelchair Management Training
  14. Home Management Plan
  15. Family Instruction / Education
  16. TBI Treatment Intervention
  17. Spinal Cord Injury (SCI) Treatment Intervention
  18. Pediatric Treatment Interventions
  19. Other Neurological Disorders
Core Course Learning Objectives (Separated)
  1. Describe the clinical significance of injury and/or dysfunction in the major components of the central and peripheral nervous system.
  2. Identify changes in muscle tone and mass.
  3. Recognize a patient’s response to both auditory and visual stimuli as part of a thorough assessment of cranial nerve integrity.
  4. Recognize the speech, language, and cognitive problems, which may occur secondary to various neurological conditions including expressive and receptive abilities/deficits.
  5. Recognize changes in the direction and magnitude of a neurological patient’s state of arousal, attention, mentation, cognition, and level of recall.
  6. Determine a neurological patient’s ability to process commands.
  7. Compare and contrast the physical involvement of patients with paraplegia and quadriplegia.
  8. Administer standard questionnaires and conduct interviews regarding Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs) and environmental/home/ work barriers with patients and others.
  9. Recognize architectural barriers and recommend appropriate adaptive or protective equipment for the neurological patient.
  10. Identify a neurological patient’s performance level with respect to the need for adaptive skills for community/work/leisure activities, environmental and work tasks, and self-care and home management activities with or without use of devices or equipment.
  11. Recognize head, trunk, and limb movement during specific movement tasks and identify stereotypic movements and postural/righting/equilibrium reactions including recognition of gross and fine motor skills, to incorporate into the treatment of the patient.
  12. Assess sensation, balance, and coordination.
  13. Recognize activities, positioning, postures, and assistive and adaptive devices that can produce associated skin trauma or aggravate wounds/scars for the neurological patient.
  14. Identify physiological responses of neurological patients during community, work, and leisure activities, non-routine occurrences, and self-care and home management activities and adapt treatment as needed.
  15. Recognize components of a safe community and work environments for the neurologically impaired patient.
  16. Demonstrate skill in performing basic NDT and PNF techniques.
  17. Perform proper positioning, handling, and transferring of patients with neurological conditions.
  18. Instruct a neurological patient in proper wheelchair management and mobility activities.
  19. Instruct neurological patients in therapeutic exercise (such as neuromuscular re-education, perceptual training, sensory re-training) and functional activities for self-care, home management, community, and work re-integration.
  20. Demonstrate proper documentation of rehabilitation procedures for neurological patients such as, mat activities, pre-gait and gait training activities, and balance and coordination activities.
  21. Recognize the effects of various terrains and differing environments on a neurological patient’s gait, locomotion, and balance and adjust treatment and pt education as needed.
  22. Perform a variety of functional assessments for the neurologically impaired patient.
  23. Write home programs and instruct “patients and families” in the execution of home programs for the neurologically impaired clients.

Assessment and Requirements

Assessment of Academic Achievement

The assessment standards will consist of lab practical exams, lab exams, case studies, presentation, written assignments, and group activities.

General Course Requirements and Recommendations

Students must pass this course with a “C” or better to remain in the PTA Program. Students must demonstrate competence in the lab practical according to the PTA Program Student Handbook, in order to pass this course. Failure to complete these standards will result in required remediation or dismissal from the PTA Program.

Instructors (or their designees) reserve the right to require students to provide picture identification for test taking, graded papers or projects, or other appropriate purposes.

Texts

To be determined by Program Faculty

Effective Term
Fall 2019