This document outlines the course contents of an occupational therapy course for adult neurology. The course covers 1) anatomy and physiology of the nervous system, 2) common neurological diseases and conditions, 3) clinical investigations and imaging related to the nervous system, 4) pharmacological treatments and their effects, 5) standardized assessment tools in neurology, 6) occupational therapy treatment approaches, 7) treatment techniques, 8) use of physical agent modalities, 9) assessment and intervention strategies for various impairments, 10) vocational assessment and return to work, 11) home and workplace modifications, 12) sexual function and intimacy, 13) current evidence in neurology, and 14) patient and caregiver education. Suggested reading materials are also
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Occupational Therapy Neurology Course
1. MOT – 106: Occupational Therapy for Adult Neurology
Course Contents
1. Applied anatomy and physiology of nervous system
i. Introduction to nervous system
ii. Cellular and molecular functions of the nervous system
iii. Systematic understanding of sensory and cognitive processes
iv. Sensory system: Somatic, visual, auditory, vestibular, and chemical senses
v. Movement and motor control: Lower and Upper Motor Neurons
vi. Neuroplasticity and rehabilitation
2. The conditions of nervous system
i. Understanding of acquired and inherited neurological diseases
ii. The conditions of central nervous system and peripheral nervous system
3. Common clinical investigations and imaging related to nervous system
i. Laboratory screening tests of blood, urine, or other body fluids
ii. Imaging: X-Ray, Computed tomography scan (CT scan), Magnetic resonance
imaging MRI, Electromyography (EMG), Nerve Conduction Velocity Test
(NCVT), Positron Emission Tomography (PET)
4. Pharmacological effect on neurology: Common drugs and side effects of drug used in treating
nervous system impairment and effect of neurological drugs on performing activities
5. Standardised assessment and outcome measurement tools in neurology
i. Assessment of Motor and Process Skills (AMPS)
ii. Action Research Arm Test
iii. Fugl Myer Assessment
iv. Motor Activity Log
v. Wolf Motor Function Test
vi. Nottingham Sensory Assessment
vii. Cognitive Assessment
viii. Stroke Impact Scale
2. 6. Occupational therapy treatment approaches: Task-oriented approach, Brunnstrom approach,
Bobath approach, Roods approach, mCIMT, PNF, Carr and Shephard, A-ONE, Affolter
approach
7. Occupational therapy treatment techniques: Motor relearning, Virtual Reality-Based
Rehabilitation, SENSe therapy, Mirror therapy, and any other advance practice
8. Use of physical agent modalities: Functional Electric Stimulation, Ultrasound, Hot and cold
pack, Paraffin wax, TENS, Vibrator
9. Assessment and Intervention:
i. Motor impairment and Tonicity
ii. Pain and sub-luxation
iii. Cognition, perception, and vision
iv. Balance and coordination
v. Hand function
vi. Sensory impairment
vii. Psychosocial impairment
viii. Activities of Daily Living (ADL)
ix. Behavioural and Emotional impairment
x. Edema
xi. Swallowing and Dysphagia
xii. Aphasia and functional communication
10. Vocational assessment and return to work
11. Home, workplace modification
12. Sexual function, intimacy and enabling sexuality
13. Review the research-based current evidence on occupational therapy in neurology conditions
14. Education of Patients and Carers
3. Suggested Reading
1. Curtin, M., Egan, M. & Adams, J. (2017) Occupational therapy for People Experiencing
Illness, Injury, or Impairment: Promoting occupation and Participation (7th edn), Elsevier,
Printed in China
2. Radomski, M. V & Latham, C. A. T. (2014) Occupational Therapy for Physical Dysfunction
(7th edn) Williams and Wilkins, Maryland, USA
3. Preissner, K. (2014) Occupational Therapy Practice Guidelines for Adults with
Neurodegenerative Diseases, AOTA Press, USA.
4. Golisz, K. (2009) Occupational Therapy Practice Guidelines for Adults with Traumatic Brain
Injury, AOTA Press, USA
5. Sabari, J. S. (2008) Occupational Therapy Practice Guidelines for Adults with Stroke, AOTA
Press, USA
6. ISCoS textbook on Comprehensive Management of Spinal Cord Injuries (2015), Edited by
Harvinder Singh Chhabra, Wolters Kluwer
7. Andersen, L. T. (2002) Adult Physical Disabilities: Case Studies for Learning, Slack
incorporated, USA
8. Gillen, G. & Burkhardt, A. (2004) Stroke Rehabilitation: A Function-based Approach (2nd
edn), Mosby, Elsevier, USA
9. The Stroke and the Aphasia handbook, Published by Connect – the communication
disability network
10. Screening Adult Neurologic Populations: A Step-by-Step Instruction Manual, 2nd
Edition 2nd Edition by Sharon A. Gutman, PhD, OTR/L, Alison B. Schonfeld