Summary
Complete summary of Rehabilitation of degenerative neurological disorders by prof Nieuwboer and Prof Gilat
- Course
- Institution
with this, I was able to receive a 16/20 on the written exam.
[Show more]
Seller
Follow
tanyarom19
Content preview
Rehabilitation of Neurological disordersCOURSE 2022-2023
Tanya
KULEUVEN | 1E MASTER KINE
,Inhoud
Lesson 1: Introduction............................................................................................................................3
Neurological rehabilitation.................................................................................................................3
Plasticity in Parkinson.........................................................................................................................6
Levodopa medicatie...........................................................................................................................8
Plasticiteit, herstel en leermogelijkheden in context van acute en chronische pathologie...........10
Lesson 2+3: assessment with UPDRS....................................................................................................13
Introduction......................................................................................................................................13
Secundaire problemen van de ziekte................................................................................................24
Cardiovasculair.............................................................................................................................25
Musculoskeletaal..........................................................................................................................26
Lesson 4: Anatomy and function of the Basal Ganglia..........................................................................28
Parkinson Disease pathology............................................................................................................28
Basal Ganglia anatomy......................................................................................................................29
BG parallel loops...............................................................................................................................31
Neurophysiology of the basal ganglia...............................................................................................31
BG pathways.....................................................................................................................................33
Summary BG.................................................................................................................................35
Role of Dopamine.............................................................................................................................35
Key cortical connections of the BG and their roles...........................................................................37
Neural basis of tremor......................................................................................................................39
Neuro lesson 5: Gait and balance related problems in PD....................................................................40
Introduction......................................................................................................................................40
Continuous gait problems.................................................................................................................41
Episodic problems of gait: falls.........................................................................................................42
Episodic problems of gait: freezing + festination..............................................................................43
Neuro lesson 6: Freezing and cueing....................................................................................................45
Freezing and levodopa......................................................................................................................45
Why does freezing occur?.................................................................................................................46
Motor network dysfunction..........................................................................................................46
Limbic network alterations...........................................................................................................47
Cognitive network dysfunction.....................................................................................................48
Lesson 7: Evicende Based Medicine EBM.............................................................................................55
Introduction......................................................................................................................................55
How to deliver exercise?...................................................................................................................56
1
, Which exercise and what is the evidence?.......................................................................................56
Walking as training.......................................................................................................................57
Progressive strenght training........................................................................................................58
Endurance training – aerobic training...........................................................................................59
High challenge balance training....................................................................................................60
Adding cognitive load...................................................................................................................61
Exercise for falling – skill learning how to get up from the floor...................................................62
High amplitude training: PWR! Moves..........................................................................................64
Lesson 8: Parkinsonism.........................................................................................................................65
Introduction......................................................................................................................................65
Muskuloskeletal deformities.............................................................................................................66
Multiple System Atrophy – MSA.......................................................................................................67
Lewy Body Dementia - LBD...............................................................................................................69
Progressive Supranuclear Palsy - PSP................................................................................................69
Pure akinesia with gait freezing (PAGF).........................................................................................73
Cortical basal degeneration/ syndrome – CBD..................................................................................73
Final remarks....................................................................................................................................74
Lesson 9: Hyperkinetic Movement Disorders.......................................................................................75
Hyperkinetic MD’s: not amenable to PT...........................................................................................75
Tics................................................................................................................................................75
Chorea and athetosis....................................................................................................................76
Dystonia – amenable to PT...............................................................................................................76
Therapeutic approach dystonia........................................................................................................79
Huntington’s disease.........................................................................................................................82
Note: Exam will be written and includes open questions. One question will be dedicated to a case report on
paper. Students will be required to adopt clinical reasoning on the basis of a few given clinical details. On the
basis of this they will be asked to discuss a treatment plan in a written format. This last part will be practised
during the course and scoring criteria presented.
Written 3 open questions:
o Neurophysiological insight (25%)
o Making links between motor and cognitive OR X and Y (broader perspective) (50%)
o Practical application – translation to rehabilitation (25%)
2
, Lesson 1: Introduction
Neurological rehabilitation
- Learning implies neuroplasticity
o Learning = a more or less permanent change of behavior or capacity on the basis of
experience.
o Intervention mostly consists of learning, giving movement experience and practice in
a repeated interaction between patient and therapist and/or the environment
o Learning is central word, it is never static. Neither is the brain. It means that there is a
constant proces of change going on in the brain, based on experience. Neuro rehab =
Giving movement experience and practice in repeated interaction between patients
and therapists.
o Learning and neuroplasticity are related.
Learning implies memory, meaning imprinting storage, motor memory.
o Neural plasticity is the biological basis of memory and learning. Learning is the
process and plasticity is the underlying neurobiological mechanism.
- Levels of training
Focus op oefenen van bepaalde skills: consistenter
maken, ook bij verstoring door bv. omgeving
Gestructureerde en herhaalde fysieke activiteit:
lichamelijke fitness
Dagelijkse routine beweging: energie
verbruik stimuleren als T
o Alle verschillende niveaus hebben andere uitkomsten
o Als T focus je niet op 1 niveau, maar denk je aan de gevolgen van veranderingen op 1
niveau op de andere niveaus: grote interactie tussen
o Grotendeels ongeweten hoe gestructureerd oefeningen de fysieke activiteit
beïnvloed en hoe je de verschillende lagen het best aanspreekt tijdens de
verschillende ziektestadia
- Experience-dependent neuroplasticity
- Level 1: hersenniveau
- Level 2: neurale systemen
- Level 3: gedrag
3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller tanyarom19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72349 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now