Module Description
s
Title
Code
Level
Credit rating
Pre-requisites
Type of module
Aims
Learning outcomes/objectives
Content
Teaching and learning strategies
Neuroscience 2
PT315
6
10
progression to year 2 of BSc (Hons) Physiotherapy
Extensive over six weeks
 To enable the student to critically evaluate treatment
approaches for patients with neurological dysfunction
 to prepare the students for problem solving, long term
management and measuring outcomes and keep records
in neuro - rehabilitation
By the end of the module the students should be able to:
• Plan a neurological assessment and keep effective and
legally acceptable records.
• Design, utilise and evaluate outcome measurements for
neurological physiotherapy.
• Participate in the long term management of individuals with
disabilities due to damage to the nervous system
• Use problem solving skills and clinical reasoning approaches
to select appropriate treatments in Neuro – Rehabilitation
• Critically evaluate physiotherapy approaches in neurorehabilitation
• Apply motor (re) learning theories to neuro - rehabilitation
Management of posture and muscle tone
Muscles, strength and fitness in Neuro – rehabilitation
Concepts of neurological physiotherapy and settings of
rehabilitation
Long term management and problem solving in neurorehabilitation
Outcome measurements and record keeping
Lead lectures followed by directed small group tutorials
Learning support
Module handbook, video presentations of patients, www sites
and indicative reading:
Recommended Reading:
Behrmann, AL. And Harkema, SJ. (2000) locomotor training
after human spinal cord injury: a series of case studies.
Physical Therapy 80:7: 688-700
Bridgewater, K.J. and M.H. Sharpe. 1996. Aerobic Exercise
and Early Parkinson’s Disease. Journal of Neurologic
Rehabilitation,. 10: 233-241.
Burbaud, P. et al. 1996. A randomised, double blind, placebo
controlled trial of botulinum toxin in the treatment of spastic
foot in hemi paretic patients, Journal of Neurology,
Neurosurgery and Psychiatry, 61: 265-269.
*Carr, JH and Shepherd, R.B. 2003. Stroke Rehabilitationguidelines for exercise and training to optimise motor skill.
Edinburgh: Butterworth Heinemann.
Cohen, H. (ed) 1999. Neuroscience for Rehabilitation. 2nd ed.
Philadelphia, Lippincott.
Duncan, P. Richards, L et al. 1998. A randomised controlled
pilot study of a home based exercise program for individuals
with mild and moderate stroke. Stroke 29: 2055-2060
*Edwards, S. 1996. Neurological Physiotherapy, New York:
Churchill Livingstone.
*Edwards, S. 2001. Neurological Physiotherapy. (2nd ed).
New York: Churchill Livingstone.
Esmond, T. McGinley, J. Wittwer, J. Goldie, P and Martin, C.
1997. Stroke rehabilitation: patient activity during non-therapy
time. Australian Physiotherapy 43:1: 43-51
Hesse, S., C. Bertelt, M. Jahnke et al. 1995b. Treadmill
training with partial body weight support compared with
physiotherapy in nonambulatory hemiparetic patients. Stroke.
26: 976-981.
Langhorne, P., R. Wagenaar and C. Partridge. 1996.
Physiotherapy after stroke: more is better? Physiotherapy
Research International, 1 ;2: 75-88.
Manning, CD and Pomeroy, VM. 2003. Effectiveness of
Treadmill retraining on gait of hemi paretic stroke patients.
Systemic review of current evidence. Physiotherapy 89:6:
337-349
Miyai, I., Y. Fujimoto, Y. Ueda et al. 2000. Treadmill training
with body weight support: Its effect on Parkinson's Disease.
Arch Phys Med Rehabil. 81: 849-852.
Nymark, J. DeForge, D., Barbeau, H., Badour, M. ,
Bercovitch, S., Tomas, J. Goudreau, L., and MacDonald, J.
(1998) Body weight support treadmill gait training in the
subacute recovery phase of incomplete spinal cord injury.
Journal of Neurological Rehabilitation 12: 119-138
Petajan, JH, Gappmaier, E, White, AT, Spencer, MK, Mino, L
and Hicks, RW 1996. Impact of aerobic training on fitness
and quality of life in Multiple Sclerosis. Annals of Neurology.
39:4: 432-441
Potempa. K and Lopez, M et al 1995. Physiological outcomes
of aerobic exercise training in hemiparetic stroke patients.
Stroke. 26: 101-105
Schindl, M.R., C. Forstner, H. Kern et al. 2000. Treadmill
training with partial body weight support in nonambulatory
patients with Cerebral Palsy. Archives of Physical Medicine
and Rehabilitation. 81 (3): 301-306.
Sharp, S.A. and B.J. Brouwer 1997. Isokinetic Strength
training of the hemiparetic knee: effects on function and
spasticity. Archives of Physical Medicine and Rehabilitation .
78: 1231-1236.
Smith, G.V., R.F. Macko, K.H.C. Silver et al. 1998. Treadmill
aerobic exercise improves quadriceps strength in patients
with chronic hemiparesis following stroke: a preliminary
report. Journal of Neurologic Rehabilitation. 12 (3): 111-117.
*Shumway-Cook, A. and M. Woollacott 1995. Motor Control,
Baltimore: Williams and Wilkins.
*Stokes, M. 1998.
Neurological Physiotherapy. London:
Mosby.
*Stokes, M. 2004. Physical Management in Neurological
Rehabilitation. Mosby publisher.
*Tortora, G.J. and Grabowski, S.R. 2003. Principles of
Anatomy and Physiology (10th ed) New York: John Wiley &
Sons, Inc.
Wolman, RL Cornall, C et al 1994. Aerobic training in brain
injured adults. Clinical Rehabilitation 8: 253-257
N.B. All texts on desk reference in Library*
Further Reading:
Association of Chartered Physiotherapists Interested in
Neurology (ACPIN) (1998) Clinical Practice Guidelines on
Splinting Adults with Neurological Dysfunction. ACPIN.
Craik, R.L. 1992. Clinical correlates of neural plasticity,
Physical Therapy, 62 (10): 1452-1461.
Langhorne, P., R. Wagenaar and C. Partridge 1996.
Physiotherapy after stroke: more is better ? Physiotherapy
Research International, 1 (2): 75-88.
*Nieuwenhuis, R. 1993. Teamwork in neurology. (Therapy in
practice series ; 40). London: Chapman & Hall.
Nudo, R.J. 1999. Recovery after damage to motor cortical
areas. Current opinion in Neurobiology. 9: 740-747
Stephenson, R. 1993. A review of Neuroplasticity: some
implications for Physiotherapy in the treatment of lesions of
the brain. Physiotherapy 79 (10): 699-704
*Wade, D.T.
1992.
Measurement in Neurological
Rehabilitation. New York: Oxford University Press.
Wade, D.T. 2000. Editorial.
Evidence relating to the goal
planning in rehabilitation. Clinical Rehabilitation 12: 273275
Useful web links
www.who.int/classification/icf/intros/ICF-Eng-Intro.pdf
NICE Multiple Sclerosis guidelines @
http://www.nice.org.uk/cat.asp?c=89907
Treadmill training cochrane review @
http://www.nelh.nhs.uk/cochrane.asp
Evidence based stroke @
http://www.ebrsr.com/index_modules_sub1.html
National Service Framework for long term conditions @:
www.doh.gov.uk/nsf
Royal college of Physicians Stroke guidelines@
http://www.rcplondon.ac.uk/pubs/books/stroke/
Assessment tasks
Brief description of module
content and/or aims (maximum
80 words)
Group poster and individual viva
This module expands the knowledge and understanding
gained in Neuroscience 1 to enable the students to take a
critical look at current physiotherapy methods used in neurorehabilitation. This will enable them to become a valuable
member of the multidisciplinary team where they will be able
to participate in the long tem management of their patients,
measure treatment outcome and keep appropriate records
Area examination board to which Physiotherapy
module relates
Module team/authors/
Kishore Garikipati (Module leader), Kitty Wingate and Daniel
coordinator
Yates
Semester offered, where
Year 2 Semester 2
appropriate
Site where delivered
Eastbourne
Date of first approval
27.11.1997
Date of last revision
N/A
Date of approval of this version
May 2002
Version number
2
Replacement for previous
N/A
module
Field for which module is
acceptable and status in that
field
Course(s) for which module is
Compulsory for BSc (Hons) Physiotherapy
acceptable and status in course
School home
Health Professions
External examiner
Richard Stephenson (01.10.02) and Margaret Grant
(01.10.2004)