PTA 210LW - Neuro-Rehabilitation Techniques Lab

Credits: 1

     A.          Demonstrate competency in developing activities utilizing a functional progression including supine, supine on elbows, prone, prone on
                   elbows, sitting, quadruped, and tall kneel positions for strengthening in a patient with a SCI.

     B.          Utilize various sensory inputs to assist in strengthening functioning muscles including resistance, quick stretch, and joint compression.

     C.          Demonstrate competency in utilizing appropriate transfer techniques with a patient with a SCI including two-person lift, sit pivot, dependent
                   lateral slide board, and assisted lateral slide board.

     D.          Demonstrate competency in utilizing the head-to-hip ratio and discuss the role it plays in enhancing a patient's mobility during transfers.

     E.          Demonstrate entry-level competency in performing standing activities and gait training with a person with a SCI including but not limited to
                   the following:  swing through, quarter turns, 4-point gait pattern, 2-point gait pattern, utilization of loftstrand crutches, and standing with
                   orthoses from a wheelchair.

     F.           Perform MMT testing assessments utilizing the key muscles to determine any changes in a patient’s neurological condition.

     G.          Perform light touch sensation testing assessments utilizing nerve root to determine any changes in a patient’s neurological status.

     H.          Monitor a patient’s response to treatment activities to assess any changes in neurological

     I.            Demonstrate entry-level skills in performing chest wall stretches to improve mobility and overall respiratory function.

     J.           Demonstrate entry-level skills in performing cough assist techniques to assist in clearance of secretions in the airway.

2.    Demonstrate entry-level communication skills during treatment with a patient with a spinal cord injury (SCI).

     A.          Accurately and efficiently educate the patient/caregiver on the signs and sumptoms of autonomic dysreflexia and orthostatic hypotension.

     B.          Accurately and efficiently educate the patient/caregiver on appropriate pressure relief techniques.

     C.          Accurately and efficiently educate the patient/caregiver on appropriate self-ROM techniques for the LE.

     D.          Accurately and efficiently educate the patient/caregiver on appropriate breathing exercises and cough assist techniques to enhance the
                   respiratory function of a patient with a SCI.

3.    Demonstrate entry-level skills in performing neuromuscular reeducation techniques to enhance the recovery process of a patient with a
       neurological dysfunction under the plan of care by the supervising physical therapist.

     A.          Correctly perform PROM/AAROM/AROM utilizing the PNF diagonals for the UE/LE.

     B.          Demonstrate competency in performing the following PNF principles in treatment: rhythmic initiation, alternating isometrics, quick stretch,
                   and repeated contractions.

     C.          Demonstrate competency in utilizing developmental position and sequence to enhance motor recovery.

     D.          Demonstrate competency in utilizing sensory inputs to enhance motor recovery including stretch, pressure, touch, ice, and resistance.

     E.          Demonstrate competency in utilizing basic facilitory techniques and NDT principles to enhance motor recovery and normal movement.

     F.           Demonstrate competency in incorporating the UE during functional activities.

     G.          Demonstrate competency in opening the high toned hand in preparation for weight bearing utilizing faciliatory techniques described in the
                   NDT approach to rehab.

     H.          Discuss and practice strategies to treat Pusher syndrome.

     I.            Identify abnormal movement patterns during functional activities often seen after a neurological insult including sit to stand, ambulation,
                   rolling, sitting, and standing.

     J.           Perform a 30-45 minute treatment session on a mock patient with a neurological insult based on a plan of care by the physical therapist
                   and adjust treatment interventions based on patient response to the treatment and report any changes to the supervising physical             
                   therapist.

     K.          Perform treatment activities to improve the balance of patients with neurological dysfunction based on a plan of care by a physical                   therapist.

     L.          Adjust balance activities and treatment based on patient response to the activities and report any changes to the supervising physical
                  therapist.

4.    Demonstrate an entry-level understanding of the functional independence measure (FIM).

     A.          Give patient scenarios, utilizing the scoring of the FIM to assist in determining discharge needs and patient progress.

     B.          Discuss the advantages and disadvantages of utilizing the FIM in different clinical settings.

     C.          Discuss the role of the FIM in the rehabilitation process.

5.    Discuss relevant legal and ethical issues as well as responses to the  issues.

     A.          Describe an appropriate response to each legal/ethical clinical issue discussed in class.

6.    Interact with other members of the health care team.

7.    Use appropriate action in emergency situations.

     A.          Initiate BCLS procedures during mock emergency situations.

     B.          Participate in mock disaster drills.

8.    Complete thorough documentation of neurological interventions.

9.    Demonstrate an introductory understanding of vestibular rehabilitation.

     A.          Perform basic vestibular exercises based on a plan of care developed by a physical therapist.

     B.          Adjust treatment interventions based on patient response to treatment and report any changes to the supervising physical therapist.

     C.          Discuss how patients with vestibular dysfunction may respond to vestibular exercises and how that response may differ from other
                   neurological dysfunctions.