Teaching period

7th semester

 

Learning outcomes

  • Educating the students on clinical physiotherapeutic assessment as well as selection and application of the rehabilitation on patients with neurological diseases,
  • Educating the students to choose the appropriate physiotherapeutic intervention for every age,
  • Active participation of the students in scientific groups as those of a hospital.

 

Teaching method

  • Theoretical presentations,
  • Student project presentations,
  • Discussions with student groups assigned with an issue briefing,
  • Daily rounds to the hospital’s wards with discussions and practical exercise of the students on neurological patients (always supervised).

 

Week by week schedule

The lab part of Clinical Practice III is summarised in 180 teaching hours, organised in 45 4-hour sessions, (3 sessions per week). Student attendance is mandatory for all sessions.

 

Week Unit

1

Medical History and Assessment of the Neurological Patient

2

Central Nervous System Anatomy Elements, Peripheral Nervous System Anatomy Elements, Parencephalis and its Part, Pyramidal and Extrapyramidal System

3

Reflexes, Sensation (Superficial, Deep)

4

Motility Assessment, Shift and Mobilize Hemiplegic Patient

5

Standing and Gait of Hemiplegic Patient

6

Gait Disorders and Pathological Types of Gait

7

Ischemic and Hemorrhagic Cerebrovascular Accident (CVA/Stroke) - Physiotherapeutic Approach

8

Traumatic Brain Injury - Physiotherapeutic Approach

9

Parkinson - Physiotherapeutic Approach

10

Multiple Sclerosis (MS) - Physiotherapeutic Approach

11

Injuries of the Spinal Cord (Hemiplegia, Paraplegia, Tetraplegia) - Physiotherapeutic Approach

12

Cerebral Paralysis - Physiotherapeutic Approach

13

Disorders of the Peripheral Nervous System (Myopathies, Myasthenias) - Physiotherapeutic Approach

14

Injuries of the Peripheral Nerves and Polyneuropathies - Physiotherapeutic Approach

15

Neoplasia of the Central Nervous System - Physiotherapeutic Approach

 

Clinical education model

The majority of the clinical sessions are conducted at the University Hospital of Rio and specifically for Clinical Practice III in the Neurological and Neurosurgery Clinics of the hospital. During the sessions, the students are given the opportunity to gain their knowledge and perform their practice on real patients of every age, gender, nationality and even with mental health problems. The students are divided in groups of 5 persons, which are supervised by a professor of the university and the chief of each clinic of the hospital at all times. Furthermore, some of the sessions are materialized at the local nursing home. In every case, the students are taught to educate the patients to perform some of the exercises themselves in order to maintain the effects of physiotherapy even after the end of the treatment, or in situations where the patient cannot exercise on his/her own, their family is taught to do so.

 

Textbooks/reference material

In English

  1. Butler A.J., WolfS.L. (2007). Putting the Brain on the Map: Use of Transcranial Magnetic Stimulation to Assess and Induce Cortical Plasticity of Upper-Extremity Movement. Physical Therapy,719 (87): 6
  2. Canning C.G., Alison J.A., Allen N.E., Groeller H. (1997). Parkinson’s disease; an investigation of excerceise capacity respiratory function and gait.Archieves Physical Μedicine Rehabilitation, 78: 233-241
  3. Cakit D.B., Saracoglou M., Genc H., Erdem R.H., Ιnan L. (2007). The effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson’s disease. Clinical Rehabilitation, 21: 698-705
  4. Cudo E., Leurgans S., Goetz G.C. (2004). Short-term and prsctice effects of metronome pacing in Parkinson’s disease patients with gait freezing while in the “on” state: randomized single blind evaluation. Parkinsonisim and Related  Disorders, 10: 504-510
  5. Del Olmo F.M., Arias P., Furio C.M.,  Pozo M.A. ,Cudeiro J. (2006). Evaluation of the effect of training using auditory stimulation on rhythmic movement in Parkinsonian patients—a combined motor and [18F]-FDG PET study.Parkinsonism and Related Disorders,12: 155–164
  6. Draganski B., MayA. (2008). Training-inducedstructuralchangesintheadulthumanbrainBehaviouralBrainResearch 192: 137–142
  7. Kandel E.R. (2000). Principles of Neural Science. Publisher: Appleton & Lange
  8. Lennon S., Stokes M. (2008).Pocket book of neurological physiotherapy. Churchill Livingston
  9. Madhu K. (2008). Brain development: anatomy, connectivity, adaptive plasticity, and toxicity. Metabolism Clinical and Experimental 57 (Suppl 2): S2–S5
  10. Purves D., Brannon E., Cabeza R., Huettel A.S., Labar K., Platt M., Woldorf M. (2008)
  11. Cognitive neuroscience. Publisher Sinauer Associates Inc,US
  12. Strokes M. (2004). Neurological Physiotherapy. Mosby

 

In Greek

  1. Carr J., ShepherdR. (2004) Νευρολογική Αποκατάσταση. (Μετάφραση Αγγλικής Έκδοσης), Επιστημονικές Εκδόσεις Παρισιάνου, Αθήνα (NeurologicalRehabilitation)

                                                    

Assessment:

Clinical Practice III lab assessment takes place on a daily basis with three more formal exam-type assessments which comprise of practical demonstration of techniques and methods from students. Except from the daily evaluation of students and the intermediate evaluation, a final examination takes place at the end of the semester. This examination is conducted by the teaching professors personally with the students divided in pairs, in order to recreate the skills they have obtained during the semester on each other. The final grade of the subject derives from the average of the theoretical and laboratory part and has to be 5 out of 10 or higher. Nevertheless, the students need to achieve 5 out of 10 for each of the parts to consider the subject passed. The examination’s duration is 15-30 minutes. After passing the theoretical and laboratory part, the students are awarded with 10 ECTS credits.            



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