COURSE GUIDE PHYSIOTHERAPY OF THE NERVOUS SYSTEM UNIVERSIDAD CATÓLICA DE VALENCIA SAN VICENTE MÁRTIR DEGREE IN PHYSIOTHERAPY

Transcription

1 1 COURSE GUIDE PHYSIOTHERAPY OF THE NERVOUS SYSTEM UNIVERSIDAD CATÓLICA DE VALENCIA SAN VICENTE MÁRTIR DEGREE IN PHYSIOTHERAPY Academic year 2017/18

2 2 PCA-27-F-01 Ed.00 COURSE GUIDE PHYSIOTHERAPY OF THE NERVOUS SYSTEM ECTS SUBJECT: PHYSIOTHERAPY OF THE NERVOUS SYSTEM 6 Field: SPECIFIC METHODS OF INTERVENTION IN PHYSIOTHERAPY 30 Module: SPECIFIC 78 Training type 1 : REQUIRED Professors: Dña. Ruth Álvarez Nötling Year: 2º Semester: 2º Departament: Physiotherapy ruth.alvarez@ucv.es MODULE ORGANIZATION SPECIFIC TRAINING 78 ECTS Duration and temporary location within the curriculum: It is developed in both semesters throughout the 4 courses of the degree. It is a module in which the student acquires the knowledge of the bases of physiotherapy, assessment, general procedures in physiotherapy, as well as specific methods of intervention in physiotherapy, in order for the student to have a concept global and specific physiotherapy and skills, so that you can become familiar with the professional fields in which you can perform your role Subjects and Courses Year/ Field ECTS SUBJECT ECTS Semest er PHYSIOTHERAPY FUNDAMENTALS 6 Physiotherapy fundamentals 6 1/1 VALUATION IN PHYSIOTHERAPY 6 Valuation in physiotherapy 6 1/2 GENERAL PROCEDURES OF INTERVENTION IN PHYSIOTHERAPY PHYSIOTHERAPY IN CLINICAL SPECIALTIES SPECIFIC METHODS OF INTERVENTION IN PHYSIOTHERAPY General procedures of intervention in physiotherapy I General procedures of intervention in physiotherapy II Medical-surgical conditions and their treatments 6 2/1 6 2/2 6 2/2 Physiotherapy of the cardiorespiratory system. 6 3/1 Physiotherapy of the locomotor system I 6 2/2 Physiotherapy of the locomotor system II 6 3/1 Physiotherapy of the nervous system 6 2/2 1 Basic Training (ordinary matter), Mandatory, optional, external Practices, Final Project.

3 3 Sports physiotherapy 6 3/1 KINESITHERAPY 6 Kinesitherapy 6 2/1 LEGISLATION, PUBLIC HEALTH AND HEALTH ADMINISTRATION 12 Bioethics and deontology 6 4/1 Community physiotherapy and public health. 6 3/1 TEACHING GUIDE FOR FIELD/SUBJECT: Physiotherapy of the Nervous System Pre-requisites: None established GENERAL GOALS a. To know the main pathological mechanisms of diseases and injuries of the Nervous System. b. Understand the main clinical and biomechanical manifestations of diseases and injuries of the nervous system. c. To know the most frequent complications, of the different apparatuses and systems, for the diseases and injuries of the nervous system. d. Understand and apply the main techniques and procedures of physiotherapy in the pathologies of the nervous system. e. Determine the objectives and plan and execute the plan of activities for each specific case. f. Precisely implement the methods and techniques related to the Physiotherapy discipline. g. Demonstrate that it comprises the experimental and observational tests of scientific theories and their applications in the disciplinary field of Physiotherapy. h. Demonstrate the personal and intellectual autonomy necessary to undertake continuing vocational training. i. Place the new information and the interpretation of the same in its context. j. Communicate consistently the basic knowledge of acquired physiotherapy. k. Demonstrate that it understands the general structure of the discipline Physiotherapy and the connection with its subdisciplines. l. Demonstrate understanding of qualitative research related to the discipline Physiotherapy. BASIC AND GENERAL COMPETENCES 2 Competence measuring scale BASIC COMPETENCES CB1 - Students should have demonstrated knowledge and understanding in a field of study that starts at general secondary education, and are typically at a level which, although supported by advanced textbooks, includes some aspects that imply some knowledge of the forefront of their field of study. CB2 - Students should be able to apply their knowledge to their work or vocation in a professional manner and have competences typically demonstrated through devising and sustaining arguments and solving problems within their field of study. CB3 - Students should have the ability to gather and interpret relevant data (usually within their field of study) to inform judgments that include reflection on relevant social, scientific or ethical issues. CB4 - Students should be able to communicate information, ideas, problems and solutions to both specialist and non-specialist audiences. 2 Enumerar correlativamente todas las competencias. Cada una de ellas debe ser ponderada de 1 a 4 utilizando como criterio el grado de contribución de la asignatura/materia a la adquisición y desarrollo de la competencia.

4 4 PCA-27-F-01 Ed.00 CB5 - Students should have developed those skills needed to undertake further studies with a high degree of autonomy. GENERAL COMPETENCES CG1 - To know the methods, procedures and physiotherapeutic actions, for the free exercise of the profession. CG2 - To design objectives in the physiotherapeutic intervention of the pathologies to treat. CG3 - Correctly apply therapy in re-education and functional recovery. CG4 - Assess the functional status of the patient, considering the physical, psychological and social aspects. CROSS COMPETENCES CT1 Decision making CT2- Trouble shooting CT3 - Capacity for organization and planning CT4 - Capacity for analysis and synthesis CT5 - Oral and written communication in the native language. CT6 - Capacity for information management. CT7 - Computing skills related to the domain of study CT8 - Knowledge of a foreign language CT9 Ethical commitment CT10 Team work CT Interpersonal relationship skills. CT12 - Interdisciplinary team work CT13 - Critical Thinking. CT14 Working in an international context. CT15 - Recognition of diversity and multiculturalism. CT16 - Motivation for quality. 3 Enumerar correlativamente todas las competencias. Cada una de ellas debe ser ponderada de 1 a 4 utilizando como criterio el grado de contribución de la asignatura/materia a la adquisición y desarrollo de la competencia.

5 5 CT17 - Adapting to new situations. CT18 - Creativity. CT19 - Independent learning. CT20 - Initiative and entrepreneurial spirit. CT21 - Leadership CT22 Knowledge of other cultures and customs CT23 - Sensitivity to environmental issues SPECIFIC COMPETENCES CE1 - Human anatomy and physiology, emphasizing the dynamic relationships between structure and function, especially the locomotor system and the nervous and cardio-respiratory systems. CE2 - The physiological and structural changes that can occur as a result of the application of physiotherapy. CE8 - Psychological and social factors influencing the health / illness status of the individual, family and community. CE9 - Theories of communication and interpersonal skills. CE12 - The general aspects of the pathology of endogenous and exogenous aetiology related to the physiotherapy of all the apparatuses and systems with their medical, surgical, physiotherapeutic and orthopedic treatments. CE13 - The structural, physiological, functional and behavioral changes that occur as a result of the intervention of Physical Therapy. CE14 - he theoretical bases of Physiotherapy as science and profession. Models of action in Physiotherapy. The theoretical bases of the evaluations, tests and functional checks: Knowledge of its modalities and techniques as well as the scientific evaluation of its usefulness and effectiveness. The diagnosis of Physiotherapy. Methodology of research applied to Physical Therapy. CE15 - General Physiotherapeutic Procedures: Kinesitherapy, Massage and Masotherapy, Electrotherapy, Magnetotherapy, Ergoterapia, Hydrotherapy, Balneotherapy, Climatotherapy, Thalassotherapy; Therapy, Cryotherapy, Vibrotherapy, Phototherapy, Presotherapy, and the derivatives of other physical agents. CE16 - Physiotherapeutic procedures based on specific methods and techniques of physiotherapeutic actions to be applied in the different pathologies of all devices and systems, and in all specialties of medicine and surgery, as well as in the promotion and conservation of health, and in prevention of the illness. 4 Enumerar correlativamente todas las competencias. Cada una de ellas debe ser ponderada de 1 a 4 utilizando como criterio el grado de contribución de la asignatura/materia a la adquisición y desarrollo de la competencia.

6 6 PCA-27-F-01 Ed.00 CE21 - The criteria and indicators that guarantee the quality of the provision of the physiotherapy service, through the use of guidelines of good clinical practice and professional standards. CE28 -Systematically elaborate and complete the Complete Physiotherapy Clinical History, where all steps taken from the patient / user's reception to the Physiotherapy discharge report are recorded in an adequate and efficient manner. CE29 - Assess the functional status of the patient / user, considering the physical, psychological and social aspects. CE30 - To determine the Diagnosis of Physiotherapy in accordance with internationally recognized standards and with international validation instruments. This competence includes hierarchizing the needs of the patient / user to attend with priority those that most commit to the recovery process. CE31 - Design the Physical Therapy Intervention Plan. Develop a specific Physiotherapy Intervention Plan using problem solving and clinical reasoning skills: in line with available resources; formulating the objectives of intervention with the user and, where appropriate, with the significant people in their environment, collecting their expectations regarding care; selecting the protocols or procedures most appropriate to the planned attention, according to criteria of adequacy, validity and efficiency. CE41 - Keeping up-to-date the fundamentals of knowledge, skills and attitudes of professional skills, through a process of lifelong learning (lifelong learning); to analyze critically the methods, protocols and treatments of the attention in Physiotherapy and to ensure that these are adapted to the evolution of the scientific knowledge. CE47 - Maintain an attitude of learning and improvement. This includes express interest and act in a constant search for information and professional development, pledging to contribute to the professional development in order to improve competition in practice and maintaining the status that corresponds to a profession certificated and regulated. CE51 - Show respect, appreciation and sensitivity to the work of others. CE52 - Develop the ability to organize and lead work teams effectively and efficiently. CE55 - Show their orientation to the patient / user, showing in their performance that the citizen and his needs are the axis around which his decisions revolve.

7 7 LEARNING OUTCOMES 5 R-1 He knows the fundamentals of the different pathologies of the Nervous System, as well as the multidisciplinary work in them. R-2 Distinguishes different hierarchies and priorities in health care for the sick. R-3 Knows and distinguishes the different physical and emotional components of patients, and their relation to the health-disease process. R-4 Knows and applies techniques and procedures of assistance and conservative treatment, in diseases of the nervous system. R-5 Knows and applies techniques and procedures of assessment and physiotherapeutic diagnosis, in diseases of the nervous system. R-6 It seeks bibliographical information from different sources and knows how to analyze it in a critical and constructive spirit. R-7 He argues with rational criteria based on his work. R-8 He is able to write an understandable and organized text, related to physical therapy and to work in group. COMPETENCES CB1, CB2, CB3, CB4, CB5, CT3, CT4, CT6, CT10, CT11, CT12, CT14, CT19, CE1, CE2, CE8, CE12, CE14, CE47, CE51 CB4, CT1, CT6, CT9, CE14, CT22, CT23, CE28, CE31, CE47, CE55 CB1, CT3, CE17, CE1, CE2, CE8, CE12, CE14, CE29, CE47, CE55 CB2, CB3, CB4, CT1, CT2, CT9, CT16, CT18, CE2, CE8, CE9, CE13, CE15, CE16, CE21, CE47, CE55 CB2, CB3, CB4, CT1, CT2, CT9, CT16, CT18, CE2, CE8, CE9, CE13, CE15, CE16, CE21, CE29, CE30, CE47, CE55 CB3, CB5, CT3, CT5, CT6, CT7, CT8, CT13, CT16, CT19, CT20, CE21, CE41, CE47 CB2, CB3, CT3, CT4, CT5, CT13, CT17, CE21, CE28, CE31, CE47, CE52 CB2, CB5, CT2, CT3, CT4, CT5, CT10, CT11, CT12, CT15, CT21, CE9, CE28, CE31, CE47, CE51, CE52 5 Enumerar correlativamente los resultados de aprendizaje siguiendo la nomenclatura propuesta. Nota importante: Las competencias están expresadas en un sentido genérico por lo que es necesario incluir en la guía docente los resultados de aprendizaje. Estos resultados constituyen una concreción de una o varias competencias, haciendo explícito el grado de dominio o desempeño que debe adquirir el alumno y contienen en su formulación el criterio con el que van a ser evaluadas. Los resultados de aprendizaje evidencian aquello que el alumno será capaz de demostrar al finalizar la asignatura o materia y reflejan, asimismo, el grado de adquisición de la competencia o conjunto de competencias.

8 8 PCA-27-F-01 Ed.00 ON-CAMPUS EDUCATIONAL ACTIVITIES ACTIVITY ON-CAMPUS CLASS PRACTICAL CLASSES LABORATORY SEMINARY PFESENTATION OF GROUP WORK TUTORING ASSESSMENT Teaching-Learning Methodology Presentation of contents by professor, analysis of competences; explanation and in-class display of skills, abilities and knowledge. Group work sessions supervised by the professor.case studies, diagnostic tests, problems, field work, computer room, visits, data search, libraries, on-line, Internet, etc. Meaningful construction of knowledge through interaction and student activity. Activities in spaces with special equipment. Supervised monographic sessions with shared participation. Interdisciplinary application of knowledge. Personalized attention in small groups, a period of instruction and / or guidance by the teacher in order to review and discuss the materials and topics presented in lectures, readings; performance of operations, and general development of students in relation to class materials. A period of instruction and / or guidance by the teacher in order to review and discuss the materials and topics presented in lectures, readings, performance of operations, and general development of students in relation to the class materials. Group of oral and/or written tests used during initial, formative or additive assessment periods. Relationship with Learning Outcomes for the subject ECTS 6 R1, R2, R3 1,28 R2, R4, R5, R R6, R7, R8 0,12 R6, R7, R8 0,12 R1, R2, R3, R4, R5, R6, R7, R8 R1, R2, R3, R4, R5, R6, R7, R Total 2,4 4 The subject and/or material is organized in EDUCATIONAL ACTIVITIES WORK and TRAINING ACTIVITIES INDEPENDENTSTUDENT WORK, with an estimated percentage ECTS. Proper distribution is as follows: 35-40% for activities listed Formative Classroom- y 65-60% for Self-Employment. (For a subject of 6ECTS:2.4 and 3.6respectively). The teaching-learning methodology described in this guide in a generic way, shape in the teaching units in which the course is organized and /or subject.

9 9 INDEPENDENT STUDENT WORK ACTIVITY GROUP WORK Teaching-Learning Methodology Group preparation of readings, essays, problem solving, seminars, papers, reports, etc. to be presented or submitted in theoretical lectures, practical and/or small-group tutoring sessions. Work done on the university e- learning platform ( Relationship with Learning Outcomes for the subject ECTS R1, R6, R7, R8 2,48 INDEPENDENT WORK Student study: Group Individual preparation of readings, essays, problem solving, seminars, papers, reports, etc. to be presented or submitted in theoretical lectures, practical and/or small-group tutoring sessions. Work done on the university e-learning platform R1, R2, R3, R4, R5, R6, R7, R8 1,12 ( Total 3,6 SYSTEM FOR ASSESSING THE ACQUISITION OF THE COMPETENCES: GRADING ASSESSMENT TOOLS 7 LEARNING OUTCOMES ASSESSED Allocated Percentage Open questions R1, R2, R4, R5, R6, R7, R8 20% Test type exam R1, R2, R4, R5, R6, R7, R8 30% Practice exam R4, R5, R7 35% Work book (group of students prepares review or research topics) R1, R6, R8 10% Attendance and participation R1, R2, R3, R4, R5, R6, R7 5% 7 Técnicas e instrumentos de evaluación: examen-exposición oral, pruebas escritas (pruebas objetivas, de desarrollo, mapas conceptuales ), trabajos dirigidos, proyectos, estudio de casos, cuadernos de observación, portafolio, etc.

10 10 PCA-27-F-01 Ed.00 MINIMUN REQUIREMENTS: (1) Only those students who have passed the theoretical exam (with a grade of at least 5 out of 10) can take the practical exam. (2) It is necessary to have both exams approved in order to pass the subject. (3) Notes from one call to another will not be saved. To overcome the subject it will be mandatory to exceed all of the proposed items. 1. Theoretical evaluation: 50% It will be held at the end of the semester through a final written test consisting of: 30 multiple-choice (test-type) questions and four response alternatives each. Every three wrong answers will void one correct. With a percentage of 30% of the total qualification. 1 development question (case) with a percentage of 20% of the total qualification. The minimum grade to pass the final theoretical test of both parties as a whole will be 5 out of Individual and/or group work and assistance: 10% Along the course will be individual works: pre-practical records, readings, comments of scientific articles. The group work will be oriented to a pathology of the SNC as well as the corresponding physiotherapeutic treatment. 3. Practical examination The practical evaluation will be carried out at the end of the semester through a practical examination that will consist of the execution of two maneuvers between all the views during the practices. The minimum grade to pass the practical assessment will be 5 out of Assistance It will take into account the attendance to the theoretical classes as well as the participation and attitude in them. Assistance will be provided every day through the platform. The value given in each session on the percentage that corresponds to each session will be as follows: Support 100% Delay up to maximum half an hour: 50% Official Justification: 50% Absence: 0% The value awarded in the subject is 5% of the final grade. CRITERIA FOR MENTION OF DISTINCTION: The mention of Distinction will be awarded to students who have achieved a score equal to or greater than 9.0. The number of Distinctions granted will not exceed 5% of students enrolled in a subject in the corresponding academic year unless enrolment is under 20, in which case only one Distinction may be granted. (Royal Decree 1125/2003).

11 11 DESCRIPTION OF THEORETICAL SESSIONS COMPETENCES CONTENTS UNIT I.- ANATOMO-PHYSIOLOGICAL MEMORY OF THE NERVOUS SYSTEM Sessions 1, 2, 3 1. Organization of the Central Nervous System (CNS) 2. Peripheral Nervous System (PNS) 3. Transmission of information in the Nervous System. UNIT II.- BASES FOR THE TREATMENT OF THE NEUROLOGICAL PATIENT Sessions 4, 5, 6 4. Neurophysiotherapy. 5. Assessment. ICF: International Classification of Functioning, Disability and Health 6. Neuroplasticity. UNIT III.- PATHOLOGY AND TREATMENT OF THE PERIPHERAL NERVOUS SYSTEM Sessions 7, 8, 9, 10, 11, Pathology of the PNS. 8. Radiculopathies. 9. Injuries to the nerve plexuses. 10. Peripheral Neuropathies. 11. Neurodynamics. 12. Polyneuropathies. Guillain-Barré. UNIT IV.- PATHOLOGY OF THE CENTRAL NERVOUS SYSTEM Sessions 13, 14, 15, 16, 17, 18, 19, Major symptoms of the CNS 14. Acquired Brain Injury (ACD) 15. Spinal cord injury 16. Changes in gait 17. Therapeutic methods in Physiotherapy of the Nervous System. CB1, CB3, CT1, CT2, CT3, CT4, CT5, CT6, CT7, CT8, CT9, CT13, CT16, CT17, CT19, CT20, CT21, CE1, CE2, CE12, CE13, CE21, CE41, CE47 CB3, CB4, CB5, CT1, CT2, CT3, CT4, CT5, CT6, CT7, CT8, CT9, CT10, CT11, CT12, CT13, CT14, CT15, CT16, CT17, CT18, CT19, CT20, CT21, CT22, CT23, CE1, CE2, CE8, CE9, CE12, CE13, CE14, CE15, CE21, CE28, CE29, CE30, CE31, CE41, CE47, CE51, CE52 CB2, CB3, CB4, CB5, CT1, CT2, CT3, CT4, CT5, CT6, CT7, CT8, CT9, CT13, CT16, CT17, CT18, CT19, CT20, CT21, CE1, CE2, CE12, CE13, CE14, CE15, CE16, CE21, CE29, CE30, CE31, CE41, CE47, CE55 CB2, CB3, CB4, CB5, CT1, CT2, CT3, CT4, CT5, CT6, CT7, CT8, CT9, CT10, CT11, CT12, CT13, CT16, CT17, CT18, CT19, CT20, CT21, CE1, CE2, CE8, CE9,CE12, CE13, CE14, CE15, CE21, CE28, CE29, CE30, CE31, CE41, CE47, CE51, CE52, CE55 SESSIONS DESCRIPTION OF PRACTICAL CONTENTS COMPETENCES Session 21 Session 22 Session 23 Session 24 Practice I.- Neurodynamics. Practice II.- Assessment. Practice III.- Kabat technique. Practice IV.- Concept Bobath. CB2, CB5, CT1, CT2, CT6, CT9, CT11, CT13, CE1, CE2, CE9, CE13, CE14, CE15, CE16 CB2, CB3, CT1, CT2, CT3, CT4, CT5, CT6, CT9, CT11, CT13, CE1, CE2, CE9, CE13, CE14, CE15, CE16, CE28, CE29, CE30 CB2, CB5, CT1, CT2, CT6, CT9, CT11, CT13, CE1, CE2, CE9, CE13, CE14, CE15 CB2, CB5, CT1, CT2, CT6, CT9, CT11, CT13, CE1, CE2, CE9, CE13, CE14, CE15

12 12 PCA-27-F-01 Ed.00 Session 25, 26 Practice V.- Practical theoretical seminar. CB4, CT9, CT11, CT12, CT13, CT15, CT16, CT17, CE2, CE8, CE9, CE13, CE14, CE15, CE16, CE30, CE51, SCHEDULE FOR LEARNING ACTIVITIES (Students of first registration): BLOCK CONTENT / TEACHING UNIT UNIT I.- ANATOMO-PHYSIOLOGICAL MEMORY OF THE NERVOUS SYSTEM UNIT II.- BASES FOR THE TREATMENT OF THE NEUROLOGICAL PATIENT UNIT III.- PATHOLOGY AND TREATMENT OF THE PERIPHERAL NERVOUS SYSTEM NUMBER OF SESSIONS 4 UNIT IV.- PATHOLOGY OF THE CENTRAL NERVOUS SYSTEM 8 5 UNIT V.- PRACTICAL CONTENTS Total 26 ADDITIONAL INFORMATION: SUBJECT TEACHING IN SECOND AND SUBSEQUENT REGISTRATION: There will be a special group for students who are not of first registration and a teacher assigned to that group. In this group one established by the UCV of monitoring and mentoring sessions (february 6 hours each) in which the work on skills that students need to acquire the group to pass the course will reinforce number is performed. These sessions are included in the attached schedule in this guide and detailed in the description of didactic units of the course. SCHEDULE FOR LEARNING ACTIVITIES (Students of second or subsequent enrollment): BLOCK CONTENT / TEACHING UNIT NUMBER OF SESSIONS 1 UNIT I.- ANATOMO-PHYSIOLOGICAL MEMORY OF THE NERVOUS SYSTEM 0,5 2 UNIT II.- BASES FOR THE TREATMENT OF THE NEUROLOGICAL PATIENT 0,5 3 UNIT III.- PATHOLOGY AND TREATMENT OF THE PERIPHERAL NERVOUS SYSTEM 1 4 UNIT IV.- PATHOLOGY OF THE CENTRAL NERVOUS SYSTEM 2 5 UNIT V.- PRACTICAL CONTENTS 2 Total 6 BIBLIOGRAPHY 1. Adler S, Beckers D, Buck M. La facilitación neuromuscular propioceptiva en la práctica. Madrid: Médica Panamericana; 2012.

13 13 2. Bisbe, M., C. Santoyo, and T. Segarra. Fisioterapia en neurologi a: procedimientos para restablecer la capacidad funcional. Madrid: Editorial Me dica Panamericana, Butler, D. S. Movilización del sistema nervioso. Ed. Paidotribo, Barcelona, Cano R, Collado S. Neurorehabilitación. Madrid: Panamericana; Clasificación internacional del funcionamiento, de la discapacidad y de la salud. Madrid: Instituto de Migraciones y Servicios Sociales; Harvey L. Tratamiento de la lesión medular. London: Elsevier Health Sciences Spain; López C. Neurodinámica en la práctica clínica. Ed. Zérapi, Córdoba, Paeth B. Experiencias en el Concepto Bobath. Panamericana, Schünke, Schulte, Schumaker. Prometheus. Texto y atlas de anatomía. Panamericana, Stokes M, Stack E. Fisioterapia en la rehabilitación neurológica. London: Elsevier Health Sciences Spain; Zamorano Zárate E. Movilización neuromeníngea. Madrid: Panamericana; Otras fuentes: 12. Cualquier base de datos disponible en la plataforma de la UCV: Medline, plataforma EbscoHost, Web of Science, Physiotherapy Evidence Database (PEDro)