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PTA 204 - PT Interventions - Neurological Dysfunctions |
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Associated Term:
Fall 2017
Learning Objectives: Upon successful completion of this course, the student should be able to: 1. Recognize the interaction among multiple systems in performance of motor behaviors. 2. Examine the impact of health and fitness sustained over the lifespan on motor skill performance. 3. Discuss the difference between new motor learning, as seen in a child and relearning of movement patterns, as seen in a patient with CNS dysfunction. 4. Discuss the role of the PTA in the examination of patients and clients with neurological impairments referred to physical therapy. 5. Identify and discuss when and which neuromuscular examination procedures may be performed by the PTA. 6. Differentiate the categories of intervention into practice only, functional training and retraining, impairment training, and hands-on guidance in order to train motor patterns and functional activities. 7. Differentiate between typical and atypical motor development. 8. Describe stages and areas of motor development including motor milestones. 9. Recognize standardized functional assessment tools and their use in assessment of patient progress and outcome. 10. Describe pediatric diagnoses that may be encountered in physical therapy 11. Describe how cerebral palsy influences typical development and motor control 12. Recognize the importance of positioning and normal postural alignment in optimizing neuromuscular tone and motor learning. 13. Describe lower extremity orthoses that may be used to help normalize tone during functional activities. 14. Describe and document outcome of physical therapy interventions for a pediatric clients with neurological impairments according to physical therapy plan of care during a case simulation activity. 15. Identify signs and examples of developmental delay 16. Demonstrate understanding of developmental disabilities including but not limited to cerebral palsy, Down syndrome, muscular dystrophy and myelodysplasia. 17. Describe and perform an intervention for a developmental skill in the pediatric population. 18. Describe the most common types of spinal cord injury and their primary sequelae. 19. Define autonomic dysreflexia and discuss why it is a medical emergency and what the PTA should do when it occurs. 20. Identify complications that may occur with spinal cord injury. 21. Differentiate between complete and incomplete spinal cord injury 22. Define the motor levels and sensory neurologic levels of injury. 23. Identify and discuss the purposes of physical therapy for people with spinal cord injury. 24. Recognize the impact of spinal cord injury on physical, emotional, social, and psychological health. 25. Clarify and execute the plan of care (select interventions), for an individual with a spinal cord injury during a case simulation. 26. Demonstrate gait training, wheelchair mobility training, and wheelchair management skill training with patients with spinal cord injury or other neurologic disorders during a case simulation activity. 27. Describe the major causes of TBI. 28. Discuss the theoretical principles underlying neurodevelopmental treatment, proprioceptive neuromuscular facilitation, and task-oriented approaches to rehabilitation intervention. 29. Demonstrate basic understanding of wheelchair fitting, pressure relieving cushions, adaptive devices and helmets. 30. Correlate functions of the brain to clinical findings that occur due to injury to specific portions of the brain including spasticity, rigidity, dystonia, chorea, bradykinesia and athetosis. 31. Describe the types of CVAs. 32. Identify the data collection techniques that a PTA may employ to determine a patient’s progress within the PT’s plan of care. 33. Describe the types of lower and upper extremity orthotics, slings and support that may be used by clients with neurological conditions. 34. Apply knowledge of patient/client management for the individual who has sustained a stroke or traumatic brain injury to case studies and simulations. 35. Demonstrate knowledge of underlying pathology of various adult onset neurologic conditions including multiple sclerosis, Parkinson’s disease, Guillan Barre, post-Polio syndrome and cerebellar disorders and implement appropriate treatment program after consultation with the primary physical therapist. 36. Distinguish between normal and abnormal righting and equilibrium reactions in the pediatric and adult populations. 37. Integrate functional activities and ADLs into an established plan of care for a patient with neurological dysfunction. 38. Demonstrate understanding of basic treatment concepts for the vestibular system 39. Implement appropriate changes in patient treatment plan after consultation with the primary physical therapist 40. Recognize the cognitive, emotional, psychological and cultural components of any given illness or disability and discuss how these factor impact patient outcome 41. Demonstrate effective written, oral and non-verbal communication in classroom assignments and practical examinations 42. Demonstrate appropriate and effective treatment progression, modification, patient and family education and communication with the supervising PT during case study presentations. 43. With neurological conditions, identify techniques to assess patient arousal, attention, and cognition and communicate changes to the supervising PT during a case-simulation. 44. Describe signs and symptoms of psychiatric conditions that require further assessment from the supervising PT and the health care team. 45. Define common psychiatric conditions (depression, dementia, conversion disorder, borderline personality disorder, bi-polar disorder) and techniques for boundary setting during treatment sessions. 46. Compare and contrast societal impacts of physical/somatic and mental illness in the health care system. Required Materials: Technical Requirements: |
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