PSIO13001 - Neurological Physiotherapy
Term 1 - 2017


All details in this unit profile for PSIO13001 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

In this unit, you will develop knowledge and skills in comprehensive management of clients with neurological conditions. You will use the International Classification of Functioning, Disability and Health (ICF) framework, you will apply principles of evidence based practice and will combine various clinical reasoning strategies. You will relate the role of the physiotherapist working in a variety of health care settings to that of the interprofessional team, family members and carers of clients with neurological conditions.

Details

Career Level Undergraduate
Unit Level Level 3
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Prerequisites:

PSIO12004 Neurosciences Across the Lifespan

MPAT12001 Medical Pathophysiology

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Bundaberg
  • Rockhampton

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Online Quiz(zes) 35%
2. Group Work 15%
3. On-campus Activity Pass/Fail
4. Practical Assessment 50%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
Inconsistencies in marking between lecturers Have Your Say; Personal communication with students; Self reflection It is recommended that extensive moderation processes need to be put in place involving lecturers from the two campuses. It is recommended that the process starts well before the actual dates for the practical assessment. If casual or part-time lecturers are involved with marking, they need to be provided the time to complete these processes.
Detailed assessment rubric for Group Work Have Your Say; Personal communication with students; Self reflection It is recommended that a detailed assessment rubric for the Group Work assessment task is developed and communicated to students in the start of term.
Contact with remote campus students Have Your Say; Personal communication with students; Self reflection It is recommended that the lecturers swap campuses for a few sessions so that they interact with the remote campus students.
On successful completion of this unit, you will be able to:
  1. Discuss the pathological processes, symptomatology, clinical course, medical and pharmacological management, and prognoses for clients with neurological conditions.
  2. Design, demonstrate and discuss a comprehensive and relevant assessment for clients with neurological conditions.
  3. Identify and discuss how environmental and personal factors affect activity and participation level of clients with neurological conditions.
  4. Develop, implement and evaluate therapeutic interventions for clients with neurological conditions.
  5. Critically appraise contemporary evidence from the literature to inform interventions for clients with neurological conditions.
  6. Relate the role of the physiotherapist to that of the interprofessional team, family members and carers of clients with neurological conditions.

The Learning Outcomes and Assessment tasks have been mapped against and aligned with the Physiotherapy Practice thresholds in Australia and Aotearoa New Zealand.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5 6
1 - Online Quiz(zes)  
2 - Group Work        
3 - On-campus Activity            
4 - Practical Assessment  

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4 5 6
1. Communication
2. Problem Solving
3. Critical Thinking
4. Information Literacy
5. Team Work  
6. Information Technology Competence        
7. Cross Cultural Competence    
8. Ethical practice

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Online Quiz(zes)          
2 - Group Work  
3 - On-campus Activity          
4 - Practical Assessment    

Prescribed Textbooks

Neurological rehabilitation: optimizing motor performance
Author/s: Carr, J. H., & Shepherd, R. B. Year: 2011
Edition: 2nd Publisher: Churchill Livingstone
City: Edinburgh
Country: UK
Neurological Assessment: A Clinician's Guide
Author/s: Karen Jones Year: 2014
Edition: Publisher: CHURCHILL LIVINGSTONE
Country: UK
View textbooks at the CQUniversity Bookshop
Note:

IT Resources

You will need access to the following IT resources:
  • Internet
  • CQUniversity Student Email
  • Unit Website (Moodle)
All submissions for this unit must use the American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorSasha Job (s.job@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Introduction to PSIO13001 - Neurological Physiotherapy

Approaches to Neurorehabilitation

Neurological Physiotherapy Assessment

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.

Week 2 13-03-2017

Introduction to Acquired Brain Injury

Cerebrovascular Accident (Stroke)

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.


Week 3 20-03-2017

Cerebrovascular Accident (Stroke)

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.

Hurdle: stroke foundation e-learning modules (InformMe)

Group Assessment Task: groups and topics to be finalised

Week 4 27-03-2017

Traumatic Brain Injury

Acute Physiotherapy Management of Acquired Brain Injuries

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.


Week 5 03-04-2017

Retraining Functional Movement

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.

Summative Assessment: Online Quiz 1
Vacation Week 10-04-2017
Week 6 17-04-2017 Retraining Sensory, Perceptual and Behavioural Deficits

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.


Week 7 24-04-2017

Spinal Cord Injury (SCI)

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.


Week 8 01-05-2017

Multiple Sclerosis (MS)

Guillain-Barre Syndrome (GBS)

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.


Week 9 08-05-2017

Parkinson's Disease (PD)

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.

Summative Assessment: Group Work Assessment
Week 10 15-05-2017

Balance and Vestibular Function

Falls Prevention

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.


Week 11 22-05-2017

Exercise Prescription

Walking Aid and Wheelchair Prescription

Carr, J.H., & Shepherd, R.B. (2011). Neurological rehabilitation: optimizing motor performance (2nd ed.). Edinburgh: Churchill Livingstone.

Jones, K. (2014). Neurological assessment: a clinician's guide. Edinburgh: Churchill Livingstone.

Refer to Moodle page for prescribed textbook chapters and additional resources.

Hurdle: critical appraisal of journal article
Week 12 29-05-2017 Revision

Refer to Moodle page for any additional resources.

Summative Assessment: Online Quiz 2
Review/Exam Week 05-06-2017

Summative Assessment: Practical Assessment (OSCE) may be scheduled within week 1 or week 2 of the CQUniversity Examination Period.

Have Your Say - Course Evaluation

Exam Week 12-06-2017

Summative Assessment: Practical Assessment (OSCE) may be scheduled within week 1 or week 2 of the CQUniversity Examination Period.

Have Your Say - Course Evaluation

1 Online Quiz(zes)

Assessment Title Online Quizzes (Quiz 1 and Quiz 2)
Task Description

There will be two online quizzes:

  • Quiz 1 (10%) will occur in week 5. It will assess content from weeks 1-4
  • Quiz 2 (25%) will occur in week 12. It will assess content from weeks 1-11

Quiz 1 will consist of up to 20 questions and will have a time limit of 40 minutes. Quiz 2 will consist of up to 45 questions and will have a time limit of 90 minutes. Questions may be randomly generated from a question bank so that the quizzes may appear differently for each student. Quiz 1 and Quiz 2 are closed book assessments. Access to all resources other than the quiz itself is prohibited. Quiz 1 and Quiz 2 may be scheduled outside regular timetabled sessions.

Quiz 1 and Quiz 2 will consist of some or all of the following categories:

  • Multiple choice questions
  • Short answer questions
  • Fill in the missing word(s) questions
  • Questions relating to multimedia material (e.g. images, videos)

Policies and Procedures:

  1. The CQUniversity Assessment of Coursework Procedures policy (for centrally timetabled examinations) applies to all assessment items in this unit.
  2. As per the CQUniversity Assessment of Coursework Procedures policy, students will be notified regarding final unit grades, including the provision of Supplementary Assessments, prior to the official Certification of Grade date for Term 1. All Supplementary Assessments will be granted in accordance with the Grades and Results Procedures policy. Supplementary Assessments will be required to be completed within the two weeks following Certification of Grades.
Number of Quizzes 2
Frequency of Quizzes Other
Assessment Due Date Weeks 5 and 12
Return Date to Students Results will be accessible on Moodle within two weeks of the submission date
Weighting 35%
Assessment Criteria

All questions will be marked numerically and an overall percentage mark awarded.

Conditions Minimum mark or grade - In order to pass the unit, students must achieve a minimum of 50% for all assessment items (composite score for Quiz 1 and Quiz 2)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Discuss the pathological processes, symptomatology, clinical course, medical and pharmacological management, and prognoses for clients with neurological conditions.

2. Design, demonstrate and discuss a comprehensive and relevant assessment for clients with neurological conditions.

3. Identify and discuss how environmental and personal factors affect activity and participation level of clients with neurological conditions.

4. Develop, implement and evaluate therapeutic interventions for clients with neurological conditions.

6. Relate the role of the physiotherapist to that of the interprofessional team, family members and carers of clients with neurological conditions.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking



2 Group Work

Assessment Title Group Work Assessment
Task Description

The Group Work Assessment task is comprised of both a formal presentation and written component on the physiotherapy management of a neurological condition.

Students will work in small groups (group size to be confirmed once enrollments are finalised) for this assignment, and can nominate their group and topic on a sign on sheet that will be made available during tutorials within the first two weeks of term. Each group will develop a formal PowerPoint presentation that is supported by a written best practice guideline that is to be handed out as a clinician resource for your peers as part of your presentation.

Your presentation and resource must include the following information:

  • An overview of the neurological condition presented using the ICF
  • Overall healthcare management for the neurological condition
  • Physiotherapy for individual's with the neurological condition (core areas/ goals of physiotherapy; patient centredness and self management support; physiotherapy assessment - subjective and objective with specific reference to best practice outcome measures; and physiotherapy interventions - recommendations and rationale/ clinical reasoning)

Formal Presentation: PowerPoint Presentation

As a group, you will present your topic in a 12 minute Microsoft PowerPoint presentation slide show. Presentations must be no longer than the maximum 12 minutes. In addition to your presentation, you are required to formulate a question slide to assess your peers on their knowledge of your topic. The questions should be designed to encourage your audience to engage with your presentation. Specifically, your question slide must include two multiple choice questions (with options A - D) where only one answer is correct, and one short answer question.

Written Component: Best Practice Guideline

The aim of the written component of this group work assessment is to provide you and your peers with a reference document that can be utilised during clinical practice. The written component may be up to a maximum of 1500 words in length; 1.5 line space; left justified; Times New Roman font 12; bulleted lists may be used when required; headings, page numbers and a title page are mandatory.

Topics

  • Alzheimer's Disease
  • Bell's Palsy
  • Brain Stem Lesions
  • Cerebellar Ataxia
  • Duchenne Muscular Dystrophy
  • Functional Neurological Disorder
  • Guillain Barre
  • Huntington's Disease
  • Labyrinthitis
  • Motor Neuron Disease
  • Multiple Sclerosis
  • Myaesthenia Gravis
  • Parkinson's Plus Syndromes
  • Peripheral Neuropathy
  • Subarachnoid Haemorrhage

Policies and Procedures:

  1. The CQUniversity Assessment of Coursework Procedures policy (for centrally timetabled examinations) applies to all assessment items in this unit.
  2. As per the CQUniversity Assessment of Coursework Procedures policy, students will be notified regarding final unit grades, including the provision of Supplementary Assessments, prior to the official Certification of Grade date for Term 1. All Supplementary Assessments will be granted in accordance with the Grades and Results Procedures policy. Supplementary Assessments will be required to be completed within the two weeks following Certification of Grades.
Assessment Due Date Week 9
Return Date to Students Results will be accessible on Moodle within two weeks of the submission date
Weighting 15%
Assessment Criteria

Assessment of the Group Work Assessment Task will include both educator assessment and peer assessment by other groups.

The assessment rubric for this task is based on the Australian Standards for Physiotherapy, the Accreditation Standard set by the Australian Physiotherapy Council and The Assessment of Physiotherapy Practice Instrument. These quality frameworks are mapped against the CQUniversity Graduate Attributes and are intended to give a holistic understanding of standards expected for the assessment task.

Refer to Moodle for the assessment rubric.

Conditions Minimum mark or grade - In order to pass the unit, students must achieve a minimum of 50% for all assessment items
Referencing Style American Psychological Association (APA)
Submission Hard copy
Group submission

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

5. Critically appraise contemporary evidence from the literature to inform interventions for clients with neurological conditions.

6. Relate the role of the physiotherapist to that of the interprofessional team, family members and carers of clients with neurological conditions.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

5. Team Work

6. Information Technology Competence

8. Ethical practice



3 On-campus Activity

Assessment Title Hurdle Assessment
Task Description

Attendance Hurdle

At least 85% attendance of tutorial sessions is required for a PASS grade. This minimum attendance requirement of 85% is recommended by the Australian Physiotherapy Council for all tutorials and practical sessions. If there is a genuine reason for being absent, students must inform the Unit Coordinator as soon as possible.

Hurdle Tasks

  • Completion of stroke foundation e-learning modules via InformMe platform (week 2)
  • Completion of International Spinal Cord Society e-learning modules via eLearnSCI platform (week 6)
  • Critical appraisal of a journal article on the topic of exercise prescription for neurological conditions (week 11)

Refer to Moodle for specific requirements of Hurdle Tasks.

Policies and Procedures:

  1. The CQUniversity Assessment of Coursework Procedures policy (for centrally timetabled examinations) applies to all assessment items in this unit.
  2. As per the CQUniversity Assessment of Coursework Procedures policy, students will be notified regarding final unit grades, including the provision of Supplementary Assessments, prior to the official Certification of Grade date for Term 1. All Supplementary Assessments will be granted in accordance with the Grades and Results Procedures policy. Supplementary Assessments will be required to be completed within the two weeks following Certification of Grades.
Assessment Due Date End of Term 1
Return Date to Students End of Term 1
Weighting Pass/Fail
Assessment Criteria

The On-campus Activity Assessment is a PASS/FAIL formative assessment task

Conditions Minimum mark or grade - A PASS grade is required in order to pass this unit
Referencing Style American Psychological Association (APA)
Submission Hard copy

Students must complete this item to be eligible to pass the unit

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

5. Team Work

8. Ethical practice



4 Practical Assessment

Assessment Title Practical Assessment (OSCE)
Task Description

The Practical Assessment will be in the form of an Objective Structured Clinical Examination (OSCE) and is intended to assess student performance of practical and clinical reasoning skills. The purpose of the practical assessment is to assess the student's ability to:

  • Perform neurological assessment and treatment techniques
  • Demonstrate understanding of neurological conditions
  • Design a treatment plan and justify clinical reasoning for the chosen intervention(s)
  • Communicate effectively with the patient and plan overall management from a holistic perspective
  • Documentation of physiotherapy care

Each student will be provided with the clinical notes of two patients who will require neurological/ gerontological physiotherapy assessment and intervention. The clinical notes will be provided to the student 30 minutes prior to the practical examination. The practical examination will have a time limit of up to 45 minutes. For each clinical scenario, you may be requested to:

  • Demonstrate knowledge of the presenting condition including aetiology, pathophysiology and typical presentation
  • Demonstrate specific assessment techniques (e.g. subjective examination, coordination, spasticity, balance)
  • Demonstrate specific practical intervention techniques (e.g. retraining sit-to-stand)
  • Interpret the clinical notes and design a treatment plan including short and long term treatment goals
  • Discuss relevant evidence for a particular intervention
  • Document physiotherapy intervention (e.g. assessment, treatment, plan)

Students must come appropriately attired for the Practical Assessment. Students being examined should be attired in their full clinical uniform. Students who are 'patients' should be suitably attired for practical examination.

A timetable for the Practical Assessment will be published on Moodle at the end of Term 1.

Policies and Procedures:

  1. The CQUniversity Assessment of Coursework Procedures policy (for centrally timetabled examinations) applies to all assessment items in this unit.
  2. As per the CQUniversity Assessment of Coursework Procedures policy, students will be notified regarding final unit grades, including the provision of Supplementary Assessments, prior to the official Certification of Grade date for Term 1. All Supplementary Assessments will be granted in accordance with the Grades and Results Procedures policy. Supplementary Assessments will be required to be completed within the two weeks following Certification of Grades.

Assessment Due Date Examination Period
Return Date to Students Within 2 weeks after assessment
Weighting 50%
Assessment Criteria

The assessment rubric for this task is based on the Australian Standards for Physiotherapy, the Accreditation Standard set by the Australian Physiotherapy Council and The Assessment of Physiotherapy Practice Instrument. These quality frameworks are mapped against the CQUniversity Graduate Attributes and are intended to give a holistic understanding of standards expected for the assessment task.

Refer to Moodle for the assessment rubric.

Conditions Minimum mark or grade - In order to pass the course, students need to attempt all practical assessments, and achieve a minimum of 50% in Neuro Part 2 and Cardiorepiratory Practical Assessment. Students also need to pass both Quizzes (Neuro and CR) and all Hurdles.
Referencing Style American Psychological Association (APA)
Submission Hard copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Discuss the pathological processes, symptomatology, clinical course, medical and pharmacological management, and prognoses for clients with neurological conditions.

2. Design, demonstrate and discuss a comprehensive and relevant assessment for clients with neurological conditions.

3. Identify and discuss how environmental and personal factors affect activity and participation level of clients with neurological conditions.

4. Develop, implement and evaluate therapeutic interventions for clients with neurological conditions.

6. Relate the role of the physiotherapist to that of the interprofessional team, family members and carers of clients with neurological conditions.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

5. Team Work

7. Cross Cultural Competence

8. Ethical practice




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