Outline

Overview

This unit comprises three modules. The neurodegenerative module examines the pathology, impairments, activity limitations and participation restrictions arising from neurodegenerative conditions which require adaptation (such as Parkinson's disease, multiple sclerosis and motor neuron disease). The spinal cord injury module of this unit focuses on the physiotherapy management of spinal cord lesions. The self-management module focuses on increasing physical activity in neurological populations and use of technology in rehabilitation. All modules incorporate evidence-based practice and integrated patient-centred healthcare. Students learn to promote, assess and train or prescribe appropriate aids to enable activity performance, such as rolling over, sitting, walking, transferring, wheelchair mobility and reaching and manipulating objects.

Details

Academic unit
Unit code	PHTY3082
Unit name	PT in Neurological Conditions B
Session, year ?	Semester 1, 2020
Attendance mode	Normal day
Location	Cumberland, Sydney
Credit points	6

Enrolment rules

Prohibitions ?	None
Prerequisites ?	PHTY2061
Corequisites ?	None
Assumed knowledge ?	Biomechanics of normal movement, neuroanatomy.
Available to study abroad and exchange students	No

Teaching staff and contact details

Coordinator	Serene Paul, serene.paul@sydney.edu.au

Type	Description	Weight	Due	Length
Final exam	Written exam Written examination containing multiple choice and short answer questions.	60%	Formal exam period	2 hours
Outcomes assessed:
Skills-based evaluation	Viva exam Demonstration of practical skills and oral response to set questions.	10%	Formal exam period	5 minutes
Outcomes assessed:
Assignment	Exercise design assignment Design and record 2 exercises in a group. Individual peer review of 1 video	25%	Week 07	2 x 4 minute videos
Outcomes assessed:
Participation	Clinical Reasoning assessment In-class participation to develop an assessment and intervention plan	5%	Week 10	2-hour tutorial in Week 10
Outcomes assessed:
= group assignment ?

Exercise design assignment: Work in a group to design and record 2 exercises, and explain their rationale. Individual peer review of an assigned video.
Clinical reasoning participation assessment: Work in a group to develop an assessment and intervention plan for a person with a neurodegenerative condition, and share this plan with your classmates.
Prac/viva exam: Demonstration of practical skills and oral response to set questions.
Written exam: Written exam consisting of multiple-choice and short-answer questions. This exam will cover all material covered in lectures, tutorials, and essential readings.

Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name	Mark range	Description
High distinction	85 - 100
Distinction	75 - 84
Credit	65 - 74
Pass	50 - 64
Fail	0 - 49	When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

Deduction of 5% of the maximum mark for each calendar day after the due date.
After ten calendar days late, a mark of zero will be awarded.

Special consideration

If you experience short-term circumstances beyond your control, such as illness, injury or misadventure or if you have essential commitments which impact your preparation or performance in an assessment, you may be eligible for special consideration or special arrangements.

Academic integrity

The Current Student website provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Weekly schedule

WK	Topic	Learning activity
Week 01	1. Overview: framework for physiotherapy intervention in chronic neurological conditions; 2. Impairment: motor impairments arising from basal ganglia lesions (bradykinesia, tremor, rigidity, dyskinesia)	Lecture (2 hr)
Week 01	Health conditions: mechanisms and management of degenerative conditions which require adaptation over time (PD, multiple sclerosis, motor neuron disease)	Tutorial (2 hr)
Week 02	1. Impairment: motor impairments arising from cerebellar lesions (ataxia, tremor); 2. Evidence based practice: Parkinson's disease	Lecture (2 hr)
Week 02	Impairment and activity: assessment of degenerative conditions which require adaptation over time (PD, multiple sclerosis, motor neuron disease)	Tutorial (2 hr)
Week 03	1. Impairment: overwork weakness – nature of the impairment and clinical implications of research finding; 2. Impairment: fatigue - nature of the impairment and clinical implications of research findings	Lecture (2 hr)
Week 03	Impairment: promotion of optimum physical activity, positive psychosocial adjustment and prevention of secondary impairments and in early the early stages of a neurodegenerative disease	Tutorial (2 hr)
Week 04	1. Evidence based practice: multiple sclerosis; 2. Activity: falls prevention and management in degenerative neurological conditions	Lecture (2 hr)
Week 04	Impairment and activity: reducing bradykinesia, freezing, tremor, and dyskinesia, training turning in bed and walking in middle stage PD	Tutorial (2 hr)
Week 05	1. Impairment, activity, participation: measurement in degenerative conditions which require adaptation over time; 2. Self-management in chronic neurological conditions	Lecture (2 hr)
Week 05	Impairment and activity: overcoming and adapting to cerebellar ataxia	Tutorial (2 hr)
Week 06	1. Activity and biomechanics: community mobility – uneven surfaces, curbs and stairs; 2. Activity and participation: factors influencing community mobility	Lecture (2 hr)
Week 06	Self-management in rehabilitation	Tutorial (2 hr)
Week 08	1. Use of technology in rehabilitation; 2. Participation: living with a neurodegenerative condition, role of self-help organizations	Lecture (2 hr)
Week 08	The use of technology/exergames in rehabilitation	Tutorial (2 hr)
Week 09	1. Physiotherapy management of people with SCI 1-2.	Lecture (2 hr)
Week 09	Activity: maintaining mobility (aids prescription – hoisting, chairs, wheelchairs, falls prevention) in late neurodegenerative conditions	Tutorial (2 hr)
Week 10	1. Physiotherapy management of people with SCI 3-4.	Lecture (2 hr)
Week 10	Impairment, activity, participation: neurodegenerative conditions - case study (MS)	Tutorial (2 hr)
Week 11	1. Physiotherapy management of people with SCI 5-6.	Lecture (2 hr)
Week 11	Impairment and activity: assessment of acute conditions that do not recover and require adaptation (SCI)	Tutorial (2 hr)
Week 12	1. Secondary impairments in SCI; 2. Evidence based practice: spinal cord injury case study A.	Lecture (2 hr)
Week 12	Activity: training supine to long sitting and wheelchair to bed transfers (SCI)	Tutorial (2 hr)
Week 13	1. Living with SCI - guest speaker; 2. Evidence Based Practice: spinal cord injury case study B.	Lecture (2 hr)
Week 13	Activity: training wheelchair transfers and wheelchair mobility (SCI)	Tutorial (2 hr)

Attendance and class requirements

Attendance: Students are expected to attend a minimum of 80% of tutorials for a unit of study, unless granted exemption by the Dean, Head of School, or Professor most concerned. The Dean, Head of School, or Professor most concerned may determine that a student fails a unit of study because of inadequate tutorial attendance. Alternatively, at their discretion, they may set additional assessment items where attendance is lower than 80%. Students are expected to attend all lectures in this unit of study. Lecture recordings will be made available where possible to assist with revision and study, but should not be considered a substitute for physically attending the lecture.

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

Recommended textbooks:

Carr JH and Shepherd RB (2010) Neurological rehabilitation: optimizing motor performance (2nd ed). Edinburgh: Churchill Livingstone.

Harvey L (2008) Management of Spinal Cord Injuries. Edinburgh; New York: Butterworth-Heinemann.

All weekly readings (required and optional) may be found on eReserve, available via Canvas.

Learning outcomes

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University’s graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

LO1. describe the mechanisms and management of neurodegenerative conditions and spinal cord injuries
LO2. identify the motor and non-motor impairments arising from neurodegenerative conditions, and their impact on activity and participation
LO3. demonstrate methods of assessment of motor impairments and activity limitations in neurodegenerative conditions, and explain the rationale of assessment techniques
LO4. demonstrate and explain in lay language how people with motor complete spinal cord lesions move from supine to long sitting and perform transfers
LO5. analyse the contribution of primary and secondary, and motor and non-motor impairments to activity limitations and participation restrictions
LO6. demonstrate methods of reducing specific motor impairments (or adapting to these impairments) and training motor performance to reduce activity limitations
LO7. outline the rationale for physiotherapy interventions designed to maximise activity and minimise secondary disability, and identify the evidence-base for these interventions
LO8. prescribe aids for reducing activity limitations and increasing participation
LO9. devise and evaluate physiotherapy intervention programs for people with neurodegenerative conditions and spinal cord injuries that minimise secondary impairments and maximise quality of life, as well as meet the patient’s goals, taking into account personal factors, motor and non-motor impairments, activity limitations, participation restrictions, environmental context, and contributions of the interprofessional health team
LO10. discuss the role of patient self-management strategies and describe the implementation of these strategies, particularly for increasing physical activity
LO11. prescribe technology-based assessments and interventions

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1	Depth of disciplinary expertise Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.
GQ2	Critical thinking and problem solving Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.
GQ3	Oral and written communication Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.
GQ4	Information and digital literacy Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.
GQ5	Inventiveness Generating novel ideas and solutions.
GQ6	Cultural competence Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.
GQ7	Interdisciplinary effectiveness Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.
GQ8	Integrated professional, ethical, and personal identity An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.
GQ9	Influence Engaging others in a process, idea or vision.

Outcome map

Learning outcomes	Graduate qualities
Learning outcomes

Alignment with Competency standards

Outcomes	Competency standards
	Physiotherapy Practice Threshold Statements - 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	Physiotherapy Practice Threshold Statements - 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	Physiotherapy Practice Threshold Statements - 1.1. plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	Physiotherapy Practice Threshold Statements - 1.1. plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	Physiotherapy Practice Threshold Statements - 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	National Standard of Competency for Architects - 3.1. Design response integrates the objectives of brief, user intent and built purpose.
	Physiotherapy Practice Threshold Statements - 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	Physiotherapy Practice Threshold Statements - 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 2.2. make and act on informed and appropriate decisions about acceptable professional and ethical behaviours 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge 4.5. recognise situations that are outside their scope of expertise or competence and take appropriate and timely action 5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice
	Physiotherapy Practice Threshold Statements - 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 2.2. make and act on informed and appropriate decisions about acceptable professional and ethical behaviours 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge 5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice 5.2. engage in safe, effective and collaborative interprofessional practice 6.1. use education to empower themselves and others 7.1. organise and prioritise their workload and resources to provide safe, effective and efficient physiotherapy autonomously and, where relevant, as a team member
	Physiotherapy Practice Threshold Statements - 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge 4.5. recognise situations that are outside their scope of expertise or competence and take appropriate and timely action 5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice 5.2. engage in safe, effective and collaborative interprofessional practice 6.1. use education to empower themselves and others
	Physiotherapy Practice Threshold Statements - 1.1. plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 2.2. make and act on informed and appropriate decisions about acceptable professional and ethical behaviours 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge

Physiotherapy Practice Threshold Statements -

Competency code	Taught, Practiced or Assessed	Competency standard
1.1		plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment
1.2		involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making
2.1		comply with legal, professional, ethical and other relevant standards, codes and guidelines
2.2		make and act on informed and appropriate decisions about acceptable professional and ethical behaviours
3.1		use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others
3.2		record and effectively communicate physiotherapy assessment findings, outcomes and decisions
3.3		deal effectively with actual and potential conflict in a proactive and constructive manner
4.1		assess their practice against relevant professional benchmarks and take action to continually improve their practice
4.3		efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
5.1		engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice
7.1		organise and prioritise their workload and resources to provide safe, effective and efficient physiotherapy autonomously and, where relevant, as a team member

Closing the loop

Introduced an in-class clinical reasoning tutorial and updating video resources to address more case-based learning. Modified the video assignment format and weighting to accurately reflect student effort.

Additional information

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To help you understand common terms that we use at the University, we offer an online glossary.

Current students

Overview

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Closing the loop

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

PHTY3082: PT in Neurological Conditions B

Overview

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Closing the loop

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect