FUNCTIONAL REHABILITATION IN NEUROLOGY
OR
(HOW TO CHOOSE WHAT TO USE)
Practical Course
Instructor: Jacqueline Reznik, B. Appl. Sci (Physiotherapy), M.A.P.A., M.C.S.P., Dip T.P,
M.Sc. (Neurology), Israel
Course Description
Five (5) sessions of 6.5 hours each of "hands-on" theoretical/practical sessions. This course
aims to give participants an overview of the clinical application of a variety of recognized
concepts and techniques used in neurological rehabilitation such as movement analysis and
therapy, and neuromuscular facilitation. Participants will have the opportunity to practice the
techniques demonstrated and to discuss their relevance and usefulness within their own areas
of practice.
The neurophysiological principles and available research evidence underlying neurological
techniques will be discussed, together with the theories of improving cognitive function by
the relearning of motor tasks. Evidence-based treatment effectiveness will be presented and
discussed. Techniques will be practiced in pairs (on each other) and demonstrated on clients
with motor dysfunction when possible.
Skills/Knowledge to be gained
 Advanced clinical reasoning/clinical skills in a variety of theoretical/clinical models
of treatment.
 Advanced practical skills in performance of techniques.
Background Knowledge Required
Qualified physiotherapists with some experience in neurology.
Overall Objective
The aims of the course are to review the physiological basis and clinical effectiveness of
manual treatment approaches used for neurological rehabilitation and to develop practical
skills of application of the techniques.
Specific Learning Objectives
On completion of this course, participants will be able to
1. understand the neurophysiological principles underlying techniques developed for
neurological rehabilitation including neurofacilitation, Bobath therapy and PNF.
2. demonstrate safe and effective application of these techniques used to increase voluntary
control of movement in patients who have had neurological insults.
Functional Rehabilitation in Neurology
Instructor: Jacqueline Reznik, PT, MSc
Location: Hosmer House Annex, McGill University
3630 Promenade Sir William Osler
Montreal, Quebec. H3G 1Y5
April 25, 26, May 1, 2, 3, 2009
COURSE OUTLINE
5 Sessions (32.5 hours total, not including lunch and health breaks)
Saturday, April 25, 2009: Session #1
Time
09:00-10:30
10:30-10:45
10:45-12:00
12:00-13:00
13:00-15:00
15:00-15:15
15:15-16:30
16:30-17:00
Topic
Introduction: Neurological Physiotherapy
Health Break
Facilitation of normal movement
Lunch Break
Movements of the trunk
Health Break
Facilitation of trunk movement
Wrap-up and Discussion
Activity
Theory
Practical
Practical
Patient demonstration
Sunday, April 26, 2009: Session #2
Time
09:00-10:30
10:30-10:45
10:45-12:00
12:00-13:00
13:00-15:00
15:00-15:15
15:15-16:30
16:30-17:00
Topic
Analysis of Normal Movement
Rolling, lie↔ sit↔ stand
Health Break
Theory of balance reactions
Objective measures of balance
Facilitation of balance reactions
Lunch Break
Gait analysis & reeducation
Stairs
Health Break
Gait analysis & reeducation
Wrap-up and Discussion
Activity
Theory & Practical
Practical
Practical
Patient demonstration
Friday, May 1, 2009: Session #3
Time
09:00-10:30
10:30-10:45
10:45-12:00
Topic
Neurofacilitation Approaches I – Bobath
and Task-oriented techniques
Health Break
Principles of treatment I – trunk
Activity
Theory
12:00-13:00
13:00-15:00
Lunch Break
Principles of treatment II – upper limb
Practical
15:00-15:15
15:15-16:30
Health Break
Principles of treatment III – lower limb
Patient demonstration
16:30-17:00
Wrap up and Discussion
Practical
Saturday, May 2, 2009: Session #4
Time
09:00-10:30
10:30-10:45
10:45-12:00
Topic
Neurofacilitation Approaches II – PNF
Health Break
Principles of treatment I – trunk
Activity
Theory
12:00-13:00
13:00-15:00
Lunch Break
Principles of treatment II – upper limb
Practical
15:00-15:15
15:15-16:30
Health Break
Principles of treatment III – lower limb
Patient demonstration
16:30-17:00
Wrap up and Discussion
Practical
Sunday, May 3, 2009: Session #5
Time
09:00-10:30
10:30-10:45
10:45-12:00
12:00-13:00
13:00-15:00
15:00-15:15
15:15-16:30
16:30-17:00
Topic
Neurofacilitation Approaches III –
Principles of treatment I - use of the ball
and/or roll
Health Break
Principles of treatment I cont. -use of the
ball and/or roll
Lunch Break
Use of the ball and/or roll in treatment
Health Break
Principles of treatment II – other facilitation
techniques – ice, wrapping, taping,
vibration, tapping etc
Wrap up and Discussion
Activity
Practical
Practical
Patient demonstration
Theory & Practical