PTAS 2110 - Neuromuscular Physical Therapy-Lecture Credit Hours: 2.00 Prerequisites: Admission into the Physical Therapist Assistant Program; PTAS 1140 , PTAS 1150 , PTAS 1160 , PTAS 1170 , and PTAS 1180 all with grade C or better
Corequisites: PTAS 2120
This course is designed to provide a theoretical basis for the utilization of various neuromuscular approaches to therapeutic exercise. Discussion includes advanced management techniques for the neurologically impaired patient.
Billable Contact Hours: 2
When Offered: Fall semester only
Search for Sections Transfer Possibilities Michigan Transfer Network (MiTransfer) - Utilize this website to easily search how your credits transfer to colleges and universities. OUTCOMES AND OBJECTIVES Outcome 1: Upon completion of this course, students will be able to demonstrate basic knowledge of neuroanatomy and neurophysiology as it relates to neuromuscular techniques.
Objectives: The student will be able to:
- Explain the general structure and divisions of the nervous system.
- Describe the structure and function of the brain and spinal cord
- Describe the structures of the peripheral nerve
- Describe a reflex arc.
- Describe the process of nerve innervation related to skeletal movement and sensory perception.
Outcome 2: Upon completion of this course, students will be able to discuss the relationship of developmental concepts to elements/principles of various neuromuscular approaches (PNF, Rood, Brunnstrom, Bobath, and Sensory Integration).
Objectives: The student will be able to:
- Identify normal and abnormal reflexes.
- Identify the stages of developmental sequence.
- Relate stages of motor development to common neurological approaches
- Describe common abnormal movement patterns.
Outcome 3: Upon completion of this course, students will be able to compare and contrast the basic principles of each neuromuscular technique including:
- Proprioceptive Neuromuscular Facilitation (PNF).
- Brunnstrom.
- Neurodevelopmental Techniques (NDT).
- Sensory Integration (SI).
- Rood.
Objectives: The student will be able to:
- Identify the basic principles and theory of NDT childhood.
- Identify the purpose of NDT approach.
- Given a treatment plan, design NDT treatment techniques for selected neurological disorders citing rationale.
- Identify/discuss the basic principles and theory of SI.
- Identify the purpose of the SI approach.
- Given a treatment plan, design SI treatment techniques for selected neurological disorders citing rationale.
- Identify/discuss the basic principles of Rood.
- Identify the goals/purpose of Rood approach.
- Given a treatment plan, design Rood treatment techniques for selected neurological disorders citing rationale.
- Identify/discuss the basic principles of PNF.
- Identify the goals/purpose of PNF approach.
- Given a treatment plan, design PNF treatment techniques for selected neurological disorders citing rationale.
- Identify/discuss the basic principles and theory of Brunnstrom.
- Identify the goals/purpose of Brunnstrom approach.
- Given a treatment plan, design Brunnstrom treatment techniques for selected neurological disorders citing rationale.
Outcome 4: Upon completion of this course, students will be able to given a treatment plan, identify and describe the applications of various neurological techniques for selected neurological disorders citing rationale.
Objectives: The student will be able to:
- Compare and contrast the basic principles of each neurological approach.
- Discuss the advantages and disadvantages of each neurological technique.
Outcome 5: Upon completion of this course, students will be able to describe the etiology, clinical manifestations and treatment of selected neurological conditions.
Objectives: The student will be able to:
- Describe the etiology and clinical manifestations of central nervous system lesions.
- Describe spasticity and pathological reflexes as it relates to neurological conditions.
- Describe emergency and medical management of patients with acute neurological conditions.
- Describe continuing medical and pharmacologcial management of patients with acute and progressive neuromuscular impairments
- Discuss the purpose and value of the neurological examinations as performed by the physical therapist
- Describe levels of arousal, mentation and common cognitive deficits in neurologically impaired patients.
- Describe neurological examinations commonly performed by a physician for neurologically impaired patients.
- Describe the physical therapy management of patients with commonly seen neuromuscular conditions including, but not limited to: CVA, acquired brain injury, spinal cord injury, Parkinson’s disease, multiple sclerosis, polyneuropathy, peripheral nerve injury.
Outcome 6: Upon completion of this course, students will be able to identify the role of the PTA in treating the neurologically impaired patient.
Objectives: The student will:
- Discuss/identify the role of the PTA in treatment of neurologically impaired patients.
- Discuss the role of the PTA in the application of techniques of neurological treatments.
Outcome 7: Upon completion of this course, students will be able to identify the role of the PTA in discharge planning and follow up care for patients with neurological disorders.
Objectives: The student will:
- Discuss/identify the role of the PTA in discharge planning for patients with neurological disorders.
- Discuss/identify the role of the PTA in follow up care for patients with neurological disorders.
Outcome 8: Upon completion of this course, students will be able to discuss the psychosocial aspects of neurological disorders and their impact on physical therapy treatment.
Objectives: The student will:
- Discuss the psychosocial aspects of neurological disorders and their impact on physical therapy treatment.
COMMON DEGREE OUTCOMES (CDO)
- Communication: The graduate can communicate effectively for the intended purpose and audience.
- Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
- Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
- Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
- Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
- Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.
CDO marked YES apply to this course: Critical Thinking: YES Information Literacy: YES COURSE CONTENT OUTLINE
- Introduction to class
- Neuro mind set
- Cerebral Vascular Accidents
- Definition
- Demographics
- Risk Factors of Stroke
- Prevention of Stroke
- Etiology
- Transient Ischemic Attack
- CVA / Medical Intervention
- Recovery from Stroke
- Stroke Syndromes
- Clinical Findings
- Complications of Stroke
- Facilitation / Inhibition Techniques
- Proprioceptive Facilitation
- Exteroceptive Stimulation Techniques
- Vestibular Stimulation Techniques
- Other facilitatory techniques
- Brunnstroms Movement Therapy in Hemiplegia
- Signe Brunnstrom
- Basic tenets of Brunnstrom’s Theory
- Brunnstrom’s stages of recovery
- Treatment principles using Brunnstrom approach
- Motor Development a Motor Control
- Motor Control
- Stages of Motor Control
- Directional concepts of development
- Gross motor milestones
- Fine motor milestones
- Motor development, chronologically speaking
- Motor development necessary for Neuro?
- Review of primitive reflexes
- Review of Righting Reactions
- Review of Equilibrium Reactions
- Motor Control and Motor Learning
- Review of motor control
- Postural control
- Development of postural control
- Righting reactions
- Protective reactions
- Equilibrium reactions
- Postural Control
- Nashner’s Model of Postural Control
- Motor learning
- Open vs. Closed tasks
- Effects of practice
- Neurodevelopmental Treatment (NDT)
- Berta and Karl Bobath
- About NDT
- 4 objectives of NDT for the child with cerebral palsy
- Goal of physical therapy treatment with NDT
- NDT approach
- Key points of control
- Dynamic Trunk
- Principles of Handling
- Reflex inhibiting postures
- Neuro Anatomy
- Overview of nervous system
- Foundation of nervous system
- Structures and functions of the central nervous system
- Deep structures of cerebral cortex
- Cerebellum
- Brain stem
- Spinal Cord
- Components of the spinal cord
- Peripheral nervous system
- Cranial Nerves
- Spinal Nerves
- Muscle spindle
- Golgi Tendon Organ
- Autonomic Nervous System
- Cerebral Circulation
- Reaction to Injury
- Cerebral Palsy
- Definition
- Incidence
- Etiology
- Prenatal causes
- Perinatal causes
- Post natal causes
- Classification
- Diagnosis
- Impairments associated with cerebral palsy
- Treatment of cerebral palsy
- TBI
- Statistics
- Causes
- Classification of brain injuries
- Secondary problems associated with traumatic brain injuries
- Evaluation
- Glasgow Coma Scale
- Patient problem areas
- PT intervention
- Rancho scales of cognitive function
- PT during inpatient rehabilitation
- Treatment strategies
- Discharge strategies
- Proprioceptive Neuromuscular Facilitation (PNF)
- Definition
- PNF in general
- Principles of PNF
- Contraindications to PNF
- Basic procedures for facilitation
- PNF techniques
- PNF techniques used to achieve a particular goal
- Patterns of facilitation
- Multiple Sclerosis
- Definition
- Statistics
- Etiology
- Pathophysiology
- Clinical symptoms of MS
- Patterns of symptoms
- Clinical manifestations
- Types of MS
- Exacerbating factors
- Diagnosis
- Prognosis
- Medical management
- Physical therapy management
- Parkinson’s Disease
- Definition
- Statistics
- Etiology
- Primary Parkinson’s
- Secondary Parkinson’s
- Post infectious Parkinson’s
- Toxic Parkinson’s
- Pharmaceutical Parkinson’s
- Metabolic causes
- Parkinsonian Syndrome
- Pathophysiology
- Clinical manifestations
- Functional manifestations
- Direct impairments
- Diagnosis
- Disease course
- Medical management
- Surgical management
- Rehabilitative management
- Spinal Cord Injury (SCI)
- Statistics
- Causes of SCI
- Life expectancy
- Spinal anatomy review
- Areas of spinal cord most commonly injured
- Naming the level of injury
- Classification of injury
- Neurological level
- Mechanism of injury
- Medical intervention
- Recovery
- Pathological changes following SCI
- Types of lesions
- Signs and symptoms of spinal cord injury
- Complications of SCI
- Functional potential in SCI
- Sensory Integration Therapy (SI)
- Definition
- Application to adults
- Adaptive response
- SI therapy
- Purposes of SI system
- Sensory system and problems associated with them
- Characteristics of SI dysfunction
- Neuroevaluation
- Role of PTA in neuroevaluation: Data collection
- Vital signs
- Sensory
- ROM
- Strength
- Righting reactions
- Balance
- Gait
- Functional skills
- Tips for data collection
Primary Faculty Plisner, Carol Secondary Faculty Mele, Robert Associate Dean Primeau, Paula Dean Mirijanian, Narine
Primary Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088
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