Neuroscience for Occupational Therapy

At the end of the course, students should be able to: 1. interpret and identify neurological signs and symptoms, and the clinical stages of disease course applied to a neurological condition and the impact on occupational performance; 2. demonstrate advanced clinical reasoning using OT process and OT models, and neurological and OT frames of reference in the selection and provision of OT assessment and intervention of people with neurological conditions; 3. analyse the impact of acute, chronic and degenerative neurological conditions on individuals and their families; 4. design and implement appropriate performance goals and therapeutic interventions that are based on evidence-based practice and inter-professional approaches for individuals with neurological conditions to restore or adapt occupational performance; and 5. communicate and document neurological assessment and interventions to monitor and evaluate occupational performance across acute, rehabilitation and community settings, and in collaboration with relevant stakeholders.

Basic concepts of Neuroanatomy. Constraint Induced Movement Therapy. Evaluation and assessment of neurological conditions. Principles of Neuroplasticity. Assessment and treatment of clients with neurological deficits. Overview of Stroke. Assessment of the upper extremity function such as functional reach and hand function (in details). Assessment of hemiplegic shoulder. Assessment covering: Positioning and posture, Muscle action and range of motion, Control of movement, Sensation- sharp/dull, light touch, touch localization, temperature, 2-point discrimination, monofilaments, stereognosis, proprioception, kinaesthesia, sensation mapping. Evaluation procedures for performance of skills including: ROM, muscle strength, muscle tone, coordination, control of movement, sensation (cutaneous and cortical), trunk control, cognitive perceptual functions, gait, ADL (activities of daily living). Assessment of functional abilities. Special tests in neurology. Special tests for nerve compression, contractures and deformities. Pain assessment. Outcome measures used in neurological rehabilitation for ADL. Cognitive assessment tests. Visual assessment and test of visual perceptual skills. Overview of the following approaches: Biomechanical, Roods, NDT–Bobath for adults, Movement Therapy, Brunnstrom Approach, Proprioceptive neuromuscular facilitation. Motor relearning theory and problem-oriented approach, Rehabilitative approach and Affolter’s approach. Task oriented approach.