Applied Health Physical Therapy 866
AHPT 866: Neuromuscular Development and Control II
Prerequisite: AHPT 844 or permission of the Department
Credit Hours: (4)
Neuromuscular Development and Control II is the second in a sequence of patient management of adult neurological disorders. The course builds on previous course content from Neuromuscular Development and Control I, Patient Management I & II and the clinical Medicine sequence, by including additional neurological conditions. Clinical implications and applications of treatment approaches will be discussed based on current best practices utilizing the International Classifications of Functioning (ICF) model. The format for this course will be lecture/lab style, including patient demonstration and case studies. This course prepares students to participate in their second and third clinical experiences.
Detailed Description of Course
Methods of Instruction: Lecture, laboratory experiences, group discussions, case analysis and community experiences.
Week 1: Vestibular Evaluation and Treatment
Week 2: Vestibular Evaluation and Treatment
Week 3: Vestibular Evaluation and Treatment
Week 4: Competency 1: Vestibular Examination, Geriatrics Evaluation and Treatment
Week 5: Geriatrics Evaluation and Treatment, Adult Neurological Dysfunction Evaluation and Treatment: ALS, MS, Huntington's Disease, Alzheimer's Disease, Post Polio Syndrome
Week 6: Parkinson's Disease Evaluation and Treamtent. LSVT Big Quiz 1 (Geriatrics)
Week 7: Vestibular Practical
Week 8: Spring Break
Week 9: Bioness, Balance master, Midterm Written exam
Week 10: Pain, Peripheral nervous systerm disorders management, EMG/NCV
Week 11: Spinal Cord Injury Evaluation and Treatment: Acute/Rehab focus, Bed mobility and Transfers. SCI Assignment issued
Week 12: SCI W/C seating and mobility guest lecture
Week 13: SCI Bed mobility, transfers and W/C mobility skills by patients. W/C assessment guest lecture. Quiz 2 (Parkinson's and Pain)
Week 14: SCI Evaluation and Treatment: Chronic/Home health/Outpatient/Community, transfers and gait training. Comptetency II: Spinal Cord Injuries
Week 15: REWALK, Spinal Cord Injury Practical, SCI Assignment Due
Week 16: Final written exam
Detailed Description of Conduct of Course
Methods of instruction: Lecture, laboratory experiences, group discussions, case analysis and community experiences.
Class Attendance and Professionalism: Class attendance is a privilege and an expectation, as long as you remain in good standing. All students will attend all scheduled classes and laboratories. Professional behavior, including class attendance, appropriate dress, no cell phones, no food in class and through preparation for each class session, is an expression of your commitment to this program, to yourself, and to becoming the best therapist you can be. If you anticipate being unable to attend class or scheduled acitvity, for any reason, you need to notify the course manager. A full grade-reduction may result from unexcused absences, consistent tardiness, or unexcused electronic device usage.
Goals and Objectives of this Course
Will require students to:
1) Perform an evaluation and create an appropriate evidence-based plan of care for management of vestibular disorders (CC-5.18; CC-5.30tv; 7A, 7C, 7D11, 7D19d,i,n 7D27g,i);
2) Perform an evaluation and create an appropriate plan of care for management of geriatric population using clinical reasoning based on current evidence (7C, 7D11, 7D17, 7D19a,b,d,i,r,n, 7D27a,d,g,h,i);
3) Perform an evaluation and create an appropriate plan of care for Parkinson's, MS and ALS patients using clinical reasoning based on current evidence (7A, 7C, 7D10, 7D11, 7D19d,i,n,q, 7D27g);
4) Identify and interpret findings from EMG/NCV studies to make clinical decisions about physical therapy management (7D11);
5) Perform an evaluation and create an appropriate evidence-based plan of care for the management of SCI patients using clinical reasoning based on current evidence (CC-5.30i; 7A, 7C, 7D10, 7D11, 7D19c,d,i,f,m,n,r,t,u, 7D27b,c,g,i);
6) Based on current evidence, recommend lower and upper extremity assistive technology, their appropriate use, and appropriate progression following spinal cord injury (CC-5.30o; 7D27b);
7) Evaluate wheelchair needs for individuals with spinal cord injury and make appropriate recommendations to justify medical necessity (CC-5.25; 7D27b);
8) Identify and recommend community resources for patients with neurological disorders based on their impairments, activity limitations and participation restrictions (CC-5.28; 7D12, 7D21);
9) Recognize architectural and environmental considerations for a given patient to achieve their highest functional level of independence at home/community (CC-5.28; CC-5.39; 7D1, 7D23);
10) Develop educational content for health promotion and wellness of individuals with neurological disorders in the community (CC-5.30tv; 7D34);
11) Integrate physical therapy goals with the health beliefs, patient values, and cultural influences of the patient, family, and rehabilitation team (CC-5.36; 7D5, 7D8, 7D10, 7D24);
12) Develop comprehensive physical therapy program for a patient with a neurological disorder and other co-morbidities that include modifying the plan as indicated by patient's response and progress (CC-5.38; 7D20, 7D22, 7D30);
13) Demonstrate ability to recognize and respond appropriately to "red flags" in patients with neurological disorders and make appropriate referrals when indicated (CC-5.44; 7D33;
Assessment Measures
May include but are not limited to: Lecture, laboratory experiences, group discussions, case analysis and community experiences.
Evaluation: Calculated from a total of 100 percent
Quizzes 5%, SCI Support Group Assignment 5%, Competency I 10%, Competency II 10%, Vestibular Practical 15%, Spinal Cord Injury Practical 15%, Mid-Term Written Examination 20%, Final Written Examination 20%
Other Course Information
Required Texts:
Physical Rehabilitation, 5th Edition by O'Sullivan and Fuller. ISBN: 9780803612471
6th Edition ISBN: 978-0803625792
Spinal Cord Injury: Functional Rehabilitation, 3rd Edition by Martha Freeman Somers. ISBN-10: 013159866X
Neurological Interventions for Physical Therapy, 2nd Edition by Martin and Kessler. ISBN: 9780721604275
Vestibular Rehabilitation: Contemporary Perspectives in Rehabilitation, 4th Edition by Susan J. Herdman. ISBN-10: 0803639708
Review and Approval
May 1, 2018
May 9, 2017
February 10, 2014