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Module 1 – Common Clinical Syndromes

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Mastering neuro-respiratory physiotherapy  |  Spinal cord injury  |  Module 1

  1. Common clinical syndromes
  2. Neurological assessment
  3. Respiratory innervation and breathing patterns
  4. Unpacking respiratory complications (Part 1)
  5. Unpacking respiratory complications (Part 2)
  6. Assessing respiratory function in the non ventilated patient

BONUS:
Assessing respiratory function in the ventilated patient, including extubation readiness

  1. Treatment principles
  2. Treatment techniques
    MI/E, Nippy and manual assist cough
  3. Treatment techniques
    NIV, IMT, breathing and sleep
  4. Case study
  5. Holistic goals, MDT, community and NDIS

  1. Treatment principles
  2. Treatment techniques
    MHI and VHI
  3. Treatment techniques
    MI/E, Nippy and manual assist cough
  4. Treatment techniques
    NIV, IMT, breathing and sleep
  5. Case study
Mastering neuro-respiratory physiotherapy  |  Common clinical syndromes  |  Module 1

               

Ascending tracts
DCML
Spinothalamic
Descending tracts
Motor


Traumatic central cord
Anterior cord
Brown sequard
Cauda equina

UMNL
Incomplete
ULs more affected
Bladder and bowel dysfunction

       

UMNL
Damage to anterior
2/3 of cord
Motor paresis
Pain and temperature loss

UMNL
Penetrative trauma
Ipsilateral motor, light touch and proprioceptive deficits
Contralateral pain and temperature deficits

LMNL
Sensorimotor deficits
L1-S4
Wide variance in presentation
Better prognosis

Harvey L. Management of Spinal Cord Injuries – A Guide for Physiotherapists. USA: Butterworth, Heinemann and Elsevier; 2008.

Emos MC, Agarwal S. Neuroanatomy, Upper Motor Neuron Lesion [Internet]. USA: StatPearls Publishing LLC; 2021 [updated 26/08/2021, cited Dec 21]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537305/

Emos MC, Agarwal S. Neuroanatomy, Lower Motor Neuron Lesion [Internet]. USA: StatPearls Publishing LLC; 2021 [updated 26/08/2021, cited Dec 21]. Available from: https://pubmed.ncbi.nlm.nih.gov/30969636/

1. Harrison J, O’Brien D, Pointer S. Spinal Cord Injury, Australia 2017-2018. Canberra ACT: Australian Institute of Health and Welfare; 2021. 56 p. Report No.: 2.

2.New PW, Baxter D, Farry A, Noonan VK. Estimating the Incidence and Prevalence of Traumatic Spinal Cord Injury in Australia. Archives of Physical Medicine and Rehabilitation. 2015 Jan; 96(1): 76-83.

3.Australian Bureau of Statistics. Twenty Years Population Change [Internet]. Canberra ACT: Australian Bureau of Statistics; 2020 [updated 17/12/2020, cited Dec 21]. Available from: https://www.abs.gov.au/articles/twenty-years-population-change

4.Vaccaro AR, Fehlings MG, Dvorak MF. Spine and Spinal Cord Trauma. USA: Thieme Medical Publishers Inc; 2011.

5.Splittgerber R. Snell’s Clinical Neuroanatomy. 8th ed. USA: Lippincott Williams and Wilkins; 2018.

6.Reznik J, Simmons J. Rehabilitation in Spinal Cord Injuries. Queensland: Elsevier; 2021.

7.Harvey L. Management of Spinal Cord Injuries – A Guide for Physiotherapists. USA: Butterworth, Heinemann and Elsevier; 2008.

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