23104 - ADVANCED REHABILITATION NEURO METHODS

Subject type: Optional

Coordinator: Esther Wall Gimeno

Trimester: Third term

Credits: 4

Advanced Neurorehabilitation Methods (4 ECTS) aims to be a subject that allows students to discover different concepts, methodologies, techniques or strategies in the field of neurological patient treatment.

Neurological diseases have a major impact on our society. According to the SEN (Spanish Society of Neurology), 9 of the 15 most common diseases among people with a recognized disability in Spain are neurological.  

The main objective of the course is to acquire the basic knowledge of the different concepts and methods of approach that are currently available to the physiotherapist dedicated to the neurological patient. It aims for the student to be able to identify his / her role within an interdisciplinary team that deals with all the affected areas of the person. In this sense, we want to delve into certain pathologies that present a significant number of people and that, perhaps due to their complexity, were not worked in depth during the race. These and other people affected by neurological disorders will be candidates to be treated through the approaches that are the subject of study in this subject. Finally, learning to do good clinical reasoning will be essential to be able to elaborate the goals of physiotherapy and allow you to choose the most appropriate treatment tools in each case.  

The theoretical and practical content of the subject, aims to give a vision based on clinical evidence and based on published scientific evidence.

This subject has methodological and digital resources to make possible its continuity in non-contact mode in the event that it is necessary for reasons related to Covid 19. This will facilitate the achievement of the knowledge and skills specified in this teaching plan. However, in relation to those practical contents of the subject that are essential for the acquisition of procedural and attitudinal skills by students, it can be considered, if the health situation requires it, the partial and temporary suspension of this with the consequent postponement in its continuity until the health situation allows it.

- LO24: Interact with other health and physical activity professionals to base an intervention plan based on the specific clinical diagnoses of each of the professions.    

- LO27: Interact with medical professionals to gain therapeutic efficacy. Set joint intervention goals. 

LO20: Identify the main physical agents used in physiotherapy interventions and classify them according to their effect and importance and establish an order of priorities in their therapeutic application. 

- LO21: Analyze the patient's expectations regarding their evolution, demand and needs. 

LO22: Establish the intervention protocol based on the joint negotiation between therapist and patient.  

- LO33: Carry out the specific physiotherapeutic diagnosis for each of the clinical specialties in order to determine the dysfunctions and disabilities that will require a specific physiotherapy intervention. 

- LO 36: Identify the main respiratory, cardiac and neurological pathologies. Learn medical-surgical interventions, effects and results. Contribution of physiotherapy in the treatment and improvement of medical and / or surgical interventions. 

1. NEUROCOGNITIVE REHABILITATION IN PERIPHERAL FACIAL PARALYSIS:

Theoretical part: 

• Introduction to Peripheral Facial Paralysis

Practical part: 

• Evaluation and treatment from neurocognitive rehabilitation

2. MIRROR THERAPY AND RESTRICTIVE THERAPY

Theoretical part.

• Origin of restrictive therapy, mirror therapy and imaginary motor
• Evidence of the effectiveness of restrictive therapy, mirror therapy and motor imagery
• Applicability of restrictive therapy, mirror therapy and motor imagery 

Practical part.

• Practical application of restrictive therapy, mirror therapy and imaginary motor 
• Self-check of restrictive therapy, mirror therapy and imaginary motor

3. RESPIRATORY PHYSIOTHERAPY IN NEUROLOGICAL AND NEUROMUSCULAR PATIENTS

Theoretical part: 

• Introduction to respiratory physiotherapy in the neurological and neuromuscular patient
• Respiratory pathophysiology and symptomatology in the neurological patient

Practical part: 

• Advanced manual and instrumental respiratory physiotherapy techniques in the management of the neurological patient
• Assessment and treatment of respiratory muscles

4. BASAL STIMULATION. KINAESTHETICS. MULTISENSORY STIMULATION. NON-INVASIVE BRAIN STIMULATION AND OTHER TECHNOLOGICAL TOOLS IN NEUROREHABILITATION. BOBATH AND CLINICAL REASONING

BASAL STIMULATION

Theoretical part:

• The different models of therapeutic equipment in neurorehabilitation.
• Description of the basic principles of the Basale Stimulation concept.
• Neurological pathologies. What does multi-disability mean. 

Practical part:

• Application of the Basale Stimulation concept within the neurorehabilitation center.
• Experiential activities.

KINAESTHETICS

Theoretical part:

• Definition of the key concepts of the Kinaesthetics concept.

Practical part:

• Practical application taking into account the concepts: Interaction, functional anatomy, human movement, effort, human function and environment.
• Analysis of possible applications in people affected by different disabilities.
• Movement facilitation.

MULTISENSORY STIMULATION

Theoretical part:

• Basic concepts and generalities of sensory stimulation and the Snoezelen concept.
• Main objectives, users, type of room, materials and treatment. 

Practical part: 

• Clinical cases

NON-INVASIVE BRAIN STIMULATION

Theoretical part:

• Basic concepts and generalities.
• Mechanisms of action, application, contraindications, safety.
• Basic protocols.

TECHNOLOGY APPLIED TO NEUROREHABILITATION

Theoretical part:

• Know the main technological tools available in neurorehabilitation.

BOBATH AND CLINICAL REASONING

Theoretical-practical part

• Reminder of the Bobath concept and how it fits in with the different concepts and methods.
• Know the steps to follow to arrive at a correct clinical reasoning.

MD1: Expository method or master class: To transmit knowledge and to activate the cognitive processes of the student by means of a unidirectional learning. 

MD2: Case study: Acquire learning through the analysis of real or simulated cases.

MD3: Solving exercises and problems: Exercising, rehearsing and putting into practice previous knowledge. 

MD4: Problem-Based Learning (PBL): Develop active knowledge through problem solving. 

MD6: Cooperative learning: Encourage active and meaningful knowledge in a cooperative way.

The subject of Advanced Neurorehabilitation Methods consists of different sections for the evaluation of acquired knowledge. The percentages for each section are as follows: 

                    Evaluation system Percentage Final grade

• SE3. 40% exam 
• SE4. Self-assessment work 20%
• SE2. Oral presentation 40%                                                                  

                                                                                                               Total:                              100%

The final grade of the subject is the result of the sum of percentages of all the grades obtained during the course of the subject. If this sum of percentages is not approved, the subject will be suspended and a resit exam will have to be taken for the suspended assessments. 

It will be mandatory for the student to obtain a minimum grade of 5 in all assessment sections. In the event that it is not obtained, a resit examination of the suspended sections should be carried out.  

It is mandatory to attend 80% of the classes, allowing 20% ​​of non-attendance as long as it is justified.

The grades passed (with a minimum value of 5) obtained in the continuous assessment will be kept as part of the final grade of the subject, maintaining the same weighting as in the ordinary call. The different practical parts and continuous assessment will make a weighted average for the final percentage of the corresponding mark. 

In accordance with current regulations, you can only opt for recovery if the subject has been suspended. 

The total or partial copy in any of the learning activities will mean a "not presented" in the subject, therefore a suspended and without option to appear in the test of recovery and without prejudice of opening of a record for this reason.  

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