Course Outline. Code: SPX412 Title: Exercise in Neurological Rehabilitation

Transcription

1 Course Outline Code: SPX412 Title: Exercise in Neurological Rehabilitation Faculty of Science, Health, Education and Engineering School of: Health & Sport Science Teaching Session: Session 5 Year: 2017 Course Coordinator: A/Prof Suzanne Broadbent Course Moderator: Michelle Small 1. What is this course about? 1.1 Course description This course is required for 4th year Bachelor of Clinical Exercise Science students to become accredited as Exercise Physiologists with ESSA. You will add to your knowledge of chronic conditions and will further develop skills in evidence-based practice for neurological and neuromuscular conditions. You will focus on neurological/muscular, clinical assessments, exercise management and multidisciplinary care for neurological clients in primary, secondary and tertiary care settings. 1.2 Course content 1. Neurological conditions and medical and allied health management, including: stroke, spinal cord injuries, traumatic and acquired brain injuries, cerebral palsy, multiple sclerosis, Parkinson s Disease and Parkinsonism, central and peripheral neuropathies, chronic pain syndromes and dementias. 2. Physical, sensory and movement analysis for neurological conditions; identifying signs and symptoms prior to exercise. 3. Medications used for neurological conditions; effects and interactions. 4. Selecting and applying exercise for neurological conditions. Evidence-based practice. 5. Identification of signs and symptoms during exercise and recovery. 6. Modifying exercises in response to neurological pathologies, physical function and task demands. 7. Monitoring exercise progression with neurological clients. 8. Safety and contraindications with neurological clients. 2. Unit value 12 units Session Recfind File Number: F19266

2 Page 2 3. How does this course contribute to my learning? Specific Learning Outcomes On successful completion of this course you should be able to: Explain the roles, skills and scope of practice of an exercise physiologist in neurological rehabilitation, multidisciplinary care, referral and discharge within the Australian health care system. Apply knowledge of pathophysiologies, medical, surgical and allied health management of neurological conditions within the scope of practice of an exercise physiologist. Apply clinical decision making to undertake physical s, clinical assessments and exercise management appropriate for neurological rehabilitation. Demonstrate recognition of signs and symptoms of neurological conditions before, during and after exercise. Identify contraindications to exercise for neurological rehabilitation and apply knowledge by taking appropriate action. Apply scientific research and current clinical guidelines to clinical decisionmaking in neurological exercise physiology practice. Assessment Tasks You will be assessed on the learning outcome in task/s: 1 Case study consultation plan 3 Written 1 Case study consultation plan 3 Written 1 Case study consultation plan 3 Written 1 Case study consultation plan Qualities Completing these tasks successfully will contribute to you becoming: Empowered. Ethical. Empowered. Creative and critical thinkers. Empowered. Empowered. Creative and critical thinkers. 4. Am I eligible to enrol in this course? Refer to the Coursework Programs and Awards - Academic Policy for definitions of pre-requisites, co-requisites and anti-requisites 4.1 Enrolment restrictions This course is available to students enrolled in SC346 Bachelor of Clinical Exercise Science only. This course is specifically for the clinical development of trainee exercise physiologists. 4.2 Pre-requisites SPX231 and SPX300 and SPX Co-requisites Nil

3 Page Anti-requisites Nil 4.5 Specific assumed prior knowledge and skills (optional) It is assumed that you will build upon your knowledge of neuroscience and neural control gained in SPX231 Motor Control and Learning, your skills in musculoskeletal assessment gained in SPX411 Exercise in Musculoskeletal Rehabilitation, and your skills in clinical history taking, record keeping, physical, clinical assessment and evidence-based clinical decision-making gained in SPX300 Introduction to Clinical Placement. 5. How am I going to be assessed? 5.1 Grading scale Limited Pass (PU), Fail (UF) 5.2 Assessment tasks Task Assessment Tasks No. 1 Case study consultation plan Individual or Group Weigh ting % What is the duration / length? Individual minutes, approximately 1000 words When should I submit? Friday of first 2 Case study practical Group minutes Friday of first 3 Written Individual minutes Friday of second 100% Where should I submit it? Blackboard, SafeAssign In class In class WIL or PC No No No Assessment Task 1: Case Study Consultation Plan Goal: To demonstrate understanding of the clinical history, physical, referral an diagnostic testing required for clinical decision-making in an initial consultation with a neurological client. Product: Using the provided case description, you will write a plan of an initial clinical consultation which should include a brief summary of the prioritised presenting features of the case, a list of the questions you would ask the client, the physical s you would undertake, possible referrals or diagnostic tests you might seek, in order to gather sufficient information to commence clinical decision-making. Format: Individual written response to a single neurological case study description. Criteria 1) Application of discipline knowledge for clinical decision-making and care planning. 2) Recognised skills and procedures are organised in the plan. 3) Demonstrated clinical reasoning skills and use of scientific evidence in the plan. 4) Plan embeds understanding of the role, skills and scope of practice of an exercise physiologist in neurological rehabilitation. You will receive a numerical mark out of 20 against a grading rubric. Feedback will be provided to each student. Generic skill assessed Skill assessment level Problem solving Organisation

4 Page 4 Assessment Task 2: Case Study Practical Examination Goal: Product: Format: Criteria To demonstrate selected skills in case study analysis, physical, neurological assessments, signs and symptom identification, exercise prescription and clinical reasoning, based on evidence collected from scientific literature. You will form a group (3-4 students) who have been given the same case study as in the Task 1 consult plan. The group will research the pathophysiology of the neurological condition, considering the presenting features of the case, and will also research the appropriate management strategies (medical, surgical, allied health) and exercise rehabilitation guidelines. The group will present a discussion to the examiner, outlining a 6- management plan for the client, and justifying their choice of exercise assessments and rehabilitation exercises, based on exercise physiology scope of practice. The group will be expected to answer question from the examiner including medication effects, possible referral pathways, exercise progression, discharge criteria, and may also be required to demonstrate particular exercises that are part of the group program. The group is expected to divide the task between students, to allow equal contribution from all students. You may choose to have students role play the exercise physiologist and client to demonstrate physical assessments, exercises and stretches. You may also use some equipment provided by the examiner to demonstrate your exercise program. You may bring written summary notes from Task 1 and Task 2 into the room, to refer to during the exam. 1) Apply clinical reasoning and critical thinking to a case study scenario. 2) Demonstrate understanding of the role and scope of practice of an exercise physiologist in neurological rehabilitation. 3) Demonstrate skills and competencies in physical, neurological assessment, identification of signs/symptoms/contraindications to exercise. 4) Apply knowledge of the condition to review and gather evidence and information from scientific literature, including peer-reviewed research and current clinical guidelines or position stands, as part of the clinical decision-making process. You will be provided with group feedback, with the same mark allocated to all students in the group. A shared statement of contribution will be required from the group to allow this allocation. If your peers wish to be allotted an alternate proportion of marks, this must be justified and negotiated with the examiner and Course Coordinator. You will receive a numerical mark out of 30 against a grading rubric. Generic skill assessed Skill assessment level Communication Information literacy Applying technologies (skills)

5 Page 5 Assessment Task 3: Written Examination Goal: Product: Format: Criteria To demonstrate critical knowledge of neurological pathophysiologies, signs, symptoms, medication effects and interactions and contraindications to exercise. You will complete a written comprising multiple choice and short answer questions. Individual written. Correct answers to the questions will demonstrate: 1) Knowledge of the aetiology, characteristics, and physiological and biochemical mechanisms contributing to neurological conditions. 2) Knowledge of the medical, surgical, pharmacological and allied health treatments of a range of neurological diseases and conditions. 3) Knowledge of signs, symptoms and contraindications of neurological conditions before, during and after exercise, and the selection of appropriate actions during neurological rehabilitation. 4) Application of knowledge of the specific mechanisms of action of differing modalities of rehabilitation exercises. You will receive a numerical mark out of 50 for this. Generic skill assessed Skill assessment level Problem solving 5.3 Additional assessment requirements Plagiarism In order to minimise incidents of plagiarism and collusion, this course may require that some of its assessment tasks, when submitted to Blackboard, are electronically checked through SafeAssign. This software allows for text comparisons to be made between your submitted assessment item and all other work that SafeAssign has access to. Limited Graded Course: This course will be graded as Pass in a Limited Grade Course (PU) or Fail in a Limited Grade Course (UF) as per clause and of the Grades and Grade Point Average (GPA) - Institutional Operating Policy of the University of the Sunshine Coast. In a course using Limited Grades, all assessment tasks relating to a Work Integrated Learning (WIL) activity or a professional competency (PC) task are required to be passed for a student to successfully complete the course. Supplementary assessment is not available in courses using Limited Grades. 5.4 Submission penalties You must contact your Course Coordinator if you require an extension or alternate assessment. Penalties may apply for a late submission of an assessment task.

6 Page 6 6. How is the course offered? 6.1 Directed study hours This course is delivered as an intensive over 2 s full-time. Each comprises workshops and practical/simulated sessions, as well as written and practical assessments. First Week (Session 5 Week 1): Monday Thursday mornings 4 x 3 hr workshops; Monday Thursday afternoons, 4 x 3.5 hr practical/simulation; Friday scheduled for written and practical assessments. Second Week (Session 5 Week 2): Monday Thursday mornings 4 x 3hr workshops; Monday Thursday afternoons, 4 x 3.5 hr practical/simulation; Friday scheduled for written assessments. 6.2 Teaching semester/session(s) offered This course will be offered in Session 5 each year. 6.3 Course activities Teaching What key concepts/content will I learn? Week / Module Monday of first Review of neuroanatomy, nervous system, cortical function. Physical palpation, reflexes, dermatomes, myotomes, neurological assessments. What activities will I engage in to learn the concepts/content? Directed Study Independent Study Activities Activities Review anatomy of the head and neck; central and peripheral nervous system. Tuesday of first Wednesday of first Thursday of first Case study PBL: Review of manual muscle testing, balance assessment and exercise prescription for falls prevention/balance training. Gait. Epidemiology of neurological disease; Stroke: ischaemic and haemorrhagic: management, exercise assessments and prescription. Simulation room: transfers, wheelchairs and ambulatory aids. Chair and bed-based exercises in acute, chronic and home care. Spinal cord injuries: paraplegia and tetraplegia. Traumatic and acquired brain injuries. Aetiology, characteristics, medications, management; exercise testing and prescription. Practical: Specific training for stroke and other neurological rehabilitation. Parkinson s Disease and Parkinsonism. Aetiology, characteristics, medications, management; exercise testing and prescription. Laboratory Laboratory E1.12 Nursing simulation room Laboratory sports stadium. Review anatomy of the brain. Blackboard resources, stroke guidelines. Review anatomy of the cranial and spinal nerves, spinal cord. Blackboard resources. Review anatomy of the brain, motor and sensory pathways. PD Warrior and high velocity/high amplitude rehabilitation for PD. Falls prevention for PD. Laboratory: Sports stadium Blackboard readings.

7 Page 7 Friday of first Monday of the second Tuesday of the second Wednesday of the second Assessment task 1: Case study consult plan (am). Assessment task 2: Case study practical (pm). Alzheimer s Disease and other dementias. Cognitive impairments, depression and anxiety. Aetiology, characteristics, medications, management. Exercise programming. Prac: Hydrotherapy class: case studies, studentled classes. Multiple Sclerosis and other degenerative SC diseases. Aetiology, characteristics, medications, management. Exercise programming. Prac: Site visit Cerebral Palsy. Aetiology, characteristics, medications, management. Exercise assessments and programming. Chronic pain and regional syndromes. Measuring pain in neurological care; pharmacological pain management. room HG.18 1pm onwards Hydro pool. Cotton Point Riding for the Disabled. Assessment 1 due by 12 noon. SafeAssign Review anatomy of the brain. Blackboard readings and resources Review central and peripheral nervous system. Review musculature and motor control of the lower limb joints and pelvis. Thursday of the second Friday of the second Prac: Nintendo Wii WiiHab for neurological clients. Neurological condition resource development. Prac: class presentations of resources. Study period (am) Assessment task 3: written exam (1 3 pm) Please note that the course activities may be subject to variation. Laboratory Laboratory Laboratory Internet and other research, studentdiected. 7. What resources do I need to undertake this course? 7.1 Prescribed text(s) Please note that you need to have regular access to the resource(s) listed below: Author Year Title Publisher ACSM 2016 ACSM s Exercise Management for Persons with Chronic Diseases and Disabilities. Moore, Durstine and Painter 4 th edition Human Kinetics

8 Page Required and recommended readings Lists of required and recommended readings may be found for this course on its Blackboard site. These materials/readings will assist you in preparing for tutorials and assignments, and will provide further information regarding particular aspects of your course. 7.3 Specific requirements Goniometers, small and medium 7.4 Risk management Health and safety risks have been assessed as low. It is your responsibility to research and understand risks of specific courses and to review the USC s health and safety principles by viewing the online induction training for students. 8. How can I obtain help with my studies? In the first instance you should contact your tutor, then the Course Coordinator. Additional assistance is provided to all students through Peer Advisors and Academic Skills Advisors. You can drop in or book an appointment. To book: Tel: or student central@usc.edu.au 9. Links to relevant University policies and procedures For more information on Academic Learning & Teaching categories including: Assessment: Courses and Coursework Programs Review of Assessment and Final Grades Supplementary Assessment Administration of Central Examinations Deferred Examinations Student Academic Misconduct Students with a Disability General Enquiries In person: Sippy Downs - Student Central, Ground Floor, Building C USC SouthBank - Student Central, Building B, Ground floor (level 1) USC Gympie - Student Central, 71 Cartwright Road, Gympie USC Fraser Coast - Student Central, Building A Tel: studentcentral@usc.edu.au