DPTH.6190.801/802/803: Neurological Physical Therapy I Lab - Moriarty-Baron & Houle

Neurological Physical Therapy I Lab

Neurological Physical Therapy I Lab must be taken concurrently with Neurological Physical Therapy I, 34.617. Emphasis is on the development of problem solving and psychomotor skills necessary for successful management of the patient/client with neurological dysfunction. Videotapes and patient demonstrations are used to develop skills in examination, evaluation, and clinical decision making. Peer practice is used to promote the development of psychomotor skills in advanced therapeutic exercise and functional training. Problem solving in the application of interventions for different levels of impairments, functional limitations, and disabilities is stressed.

Upon completion of this course, students will be able to:

1. Safely and effectively perform physical therapy examination procedures,
2. Evaluate videotaped performance and written clinical case data to determine physical therapy diagnoses and an appropriate plan of care.
3. Safely and effectively perform physical therapy interventions.
   1. Prepare the patient and treatment area properly.
   2. Provide appropriate instruction and assistance.
   3. Practice in a safe manner that minimizes risk to self and others.
   4. Evaluate the responses to interventions and modify accordingly.
   5. Demonstrate effective and safe uses of equipment and adaptive devices.
   6. Interventions include:
      1. Functional Training Activities
      2. Proprioceptive Neuromuscular Facilitation (PNF) patterns and techniques
      3. Neurodevelopment Treatment (NDT)
      4. Motor Learning Strategies
4. Administer and interpret appropriate evidence-based test and measures for portural control and balance including:
   1. Function in sitting test
   2. 5x sit to stand test
   3. 30 second chair and stand test
   4. Timed up and go (TUG)
   5. Tinneti Performance --Oriented Mobility Assessment (POMA)
   6. Berg Balance Scale (BSS)
   7. Modified Clinical Test for Sensory Interaction in Balance (mCTSIB)
   8. Activities-specific Balance Confidence Scale (ABC)
   9. BESS Test
   10. Postural Assessment Scale for Stroke Patients (PASS)
   11. Trunk Impairment Scale
   12. MiniBEST test
5. Administer and interpret appropriate evidence-based test and measures for gait and locomotion including:
   1. Dynamic Gait Index (DGI)
   2. Functional Gait Index (FGA)
   3. 10 Meter walk test
   4. Community Mobility and Balance Scale
   5. walk and Talk test
   6. High Level Mobility Assessment Tool (HiMAT)
6. Administer and interpret the 6 Minute Walk Test for aerobic capacity and endurance Minute Walk test
7. Effectively perform task analysis of movement including assessment of; the nature of the task, constraints of the environment, initial conditions and preparation of movement, and the initiation, execution, termination and outcomes of movement.
8. Demonstrate effective teaching strategies for patients/families/caregivers.
9. Evaluate and critique the performance of peers, simulating the supervisor-student relationship in the clinical education setting.
10. Communicate effectively in ways that are congruent with situational needs including appropriate body language, written communication, active listening skills, and questioning.
11. Exhibit appropriate professional behaviors as outlined in The Department of Physical Therapy Graduate Student Manual Appendix C; Professional Behaviors for the 21st Century.