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PHYSIOTHERAPY IN NEUROSCIENCES
Student will be able to identify disability due to neurological dysfunction, set treatment goals.
Apply skills in exercise therapy, electrotherapy in clinical situation to restore neurological function.
Integrate the knowledge gain by students in clinical situation of dysfunction due to pathology in nervous system.
Etiology, pathophysilogy, classification, clinical signs & symptoms, investigations, differential diagnosis, management of Congenital ataxia, Friedreich’s ataxia, Ataxia talengiectasia, Metabolic ataxia, Hereditary, cerebellar ataxia, Tabes dorsalis and Syphilis
Cerebro-vascular diseases: Define stroke, TIA, RIA, stroke in evolution, multi infarct dementia and Lacunar infarct. Classification of stroke – Ischemic, hemorrhagic, venous infarcts. Risk factors, cause of ischemic stroke, causes of hemorrhagic stroke. Classification of hemorrhagic stroke, classification of stroke based on symptoms, stroke syndrome, investigations, differential diagnosis, medical
and surgical management.
A. Clinical Features & Managements
Briefly outline the clinical features and management of the following Neurological Disorders.
Congenital and childhood disorders.
Hydrocephalus
Spina Bifida
Arnold Chiari malformation, Dandy
Degenerative disorders.
Parkinson’s disease
Dementia
Infections
Pyogenic Meningitis sequelae
Tuberculosis infection of central nervous system
Poliomyelitis
Brain abscess
Infections of brain and spinal cord: Meningitis, Encephalitis, Poliomyelitis and Postpolio syndrome. Complications of systemic infections on nervous system – Septic encephalopathy, AIDS, Rheumatic fever, Brucellosis, Tetanus, and Pertussis.
Polyneuropathy
Cerebrovascular accidents.
General classification, thrombotic, embolic, hemorrhagic and inflammatory stroke
Gross localization and sequelae
Detailed rehabilitative programme.
Trauma – board localization, first aid and management of sequelae of head injury and spinal cord injury.
Diseases of the spinal cord
Craniovertebral junction anomalies.
Syringomyelia
Tumors
Spinal arachnoiditis
Demyelinating diseases (central and peripheral)
Gullian – Barre Syndrome
Acutre disseminated encephalomyelitis
Transverse myelitis
Multiple sclerosis
Diseases of the muscle including myopathies: Classification, signs, symptoms, progression and management.
Peripheral nerve disorder
Epilepsy ; Definition, Classification and management
Myasthenia Gravis : Definition, course and management
Motor neuron disease
Herniation of brain
Clinical assessment of neurological function to be taught through beside or demonstration
clinics spread out over at least 5 session.
Basic history to determine whether the brain, spinal cord or peripheral nerves is involved
Assessment of higher mental function such as orientation, memory, attention, speech and language.
Assessment of cranial nerves.
Assessment of motor power.
Assessment of sensory function tough, pain and position
Assessment of tone – spasticity, rigidity and hypotonic.
Assessment of cerebellar function
Assessment of higher cortical function – apraxia etc.
Assessment of gait abnormalities
Cash’s textbook of neurology for physiotherapists – Dowani – J.P. Brothers.
Adult Hemiplegia – Evaluation & treatment – Bobath – Oxford Butterworth Heinman
Neurological Rehabilitation – Carr & Shepherd – Butterworth Heinman
Tetraplegia and paraplegia – A guide for physiotherapist – Bromley – Churchill Livingstone.
Neurological physiotherapy – A Problem solving approach – Susan Edwards – Churchill Linvigstone.
Neurological Rehabilitation – Umpherd – Mosby.
Geriatric physical therapy – Gucciona – Mosby.
Motor assessment of Developing Infat – Piper & Darrah – W.B. Saunders.
Paediatric physical therapy – Teckling Lippincott.
Treatment of cerebral Palsy and motor Delay – Levitts- Blackwell Scientific Publications, London.
Aging the Health care Challenge – Levis- F.A. Davis.
Physiotherapy in Paediatrics – Shepherd – Butterworth Heinman
