Movement Therapy II

Base Knowledge

Knowledge of anatomy, physiology, biophysics, physiotherapy equipment and technology, human movement studies, neuroscience, and pathophysiology.

Teaching Methodologies

The teaching methods and strategies adopted include: lectures/presentations; demonstration/illustration of techniques through simulated practice among students; and problem-solving.

Student support and supervision mechanisms include in-person or remote sessions for clarification of questions and problem-solving.

Learning Results

  • Acquire knowledge and demonstrate understanding in the areas of Proprioceptive Neuromuscular Facilitation (PNF) and the Bobath Concept;
  • Apply the acquired knowledge and understanding to therapeutic intervention through movement;
  • Demonstrate the ability to plan, organise and carry out therapeutic interventions through movement in the areas of Proprioceptive Neuromuscular Facilitation and the Bobath Concept;
  • Demonstrate the ability to correctly perform basic procedures and specific therapeutic intervention techniques through movement in the areas of Proprioceptive Neuromuscular Facilitation and the Bobath Concept, in adults and paediatric populations;
  • Develop competencies to communicate information, ideas, problems and solutions arising from therapeutic intervention through movement in the areas of Proprioceptive Neuromuscular Facilitation and the Bobath Concept;
  • Develop learning skills in the areas of Proprioceptive Neuromuscular Facilitation and the Bobath Concept;
  • Identify typical movement components of different postural sets and basic movement sequences;
  • Develop physiotherapy assessment and intervention competencies in adults with neurological impairments, based on neurophysiology and movement components;
  • Explain the importance of knowledge of neurophysiology and typical human movement in physiotherapy intervention for individuals with neurological impairments;
  • Recognise the role of somatosensory, visual and vestibular afferent information in motor control;
  • Explain the interrelationship between postural control and movement.

Program

1. Proprioceptive Neuromuscular Facilitation (PNF) (20 hours)

  • Introduction to Proprioceptive Neuromuscular Facilitation;
  • Principles and procedures;
  • Specific techniques;
  • Patient treatment;
  • Unilateral facilitation patterns;
  • Bilateral facilitation patterns.

2. Bobath Concept – Adults (20 hours)

  • Introduction to the contemporary Bobath Concept for adults;
  • Typical movement components of different postural sets (sitting and standing), postural transitions (sit-to-stand, stand-to-sit, sitting to supine, supine to sitting), and basic movement sequences, such as gait, reaching and object manipulation;
  • Application of appropriate sensorimotor facilitation principles to different movement sequences;
  • Development of clinical reasoning based on movement analysis and the specific characteristics of different neurological conditions;
  • Development of a physiotherapy intervention plan for individuals with neurological conditions.

3. Bobath Concept – Paediatrics (20 hours)

  • Introduction to the Bobath Concept in paediatrics;
  • Basic principles;
  • Postural control in child development;
  • Facilitation – facilitation techniques;
  • Facilitation sequences in different postural sets;
  • Practice of different techniques and handling in the various postural sets in children;
  • Strategies to enhance facilitation of the child’s abilities, with reference to the underlying clinical condition.

Curricular Unit Teachers

Cristina Maria de Oliveira e Silva Patrício

Grading Methods

Continuous Assessment:
A - Assessment of Proprioceptive Neuromuscular Facilitation = 30% +
B - Assessment of the Bobath Concept in Adults = 30% +
C - Assessment of the Bobath Concept in Paediatrics = 30% +
D - In-person attendance and active participation in classes = 10%.

The grade for each of assessments A, B and C must not be below 9.0. Each of these assessments consists of a written test (20%) and a theoretical-practical assessment (80%).

Attendance below 80% of classes results in a grade of zero for assessment component D.

Successful completion of the course unit requires a grade of 9.5 or above.

Assessment may also be carried out through an examination during the examination periods designated for this purpose.

Final Examination: The assessment format is identical to that of the continuous assessment, with the following weighting:

A - Assessment of Proprioceptive Neuromuscular Facilitation = 34%
B - Assessment of the Bobath Concept in Adults = 33%
C - Assessment of the Bobath Concept in Paediatrics = 33%


    Internship(s)

    NAO

    Bibliography

    Primary Bibliography:

    – – Adler, S.S.; Beckers, D. & Buck, M. (2008). PNF in Practice – an illustrated guide, 3rd ed. Berlin, Germany:
    Springer.
    – Adler, S.S.; Beckers, D. & Buck, M. (1999). PNF Método Kabat – Facilitação Neuromuscular Proprioceptiva.
    São Paulo: Manole.
    – Knott, M. & Voss, D.E. (1980). Facilitacion Neuromuscular Proprioceptiva, 1ª ed. Buenos Aires:
    Panamericana.
    – Voss, D.E.; Ionta, M.K. & Myers, B.J. (1985). Proprioceptive Neuromuscular Facilitation – Patterns and
    Techniques, 3rd ed. Philadelphia: Harper & Row.
    -Shumway-Cook, A., Woollacott, M. H. (2017). Motor control: translating research into clinical practice, fifth
    edition. Philadelphia: Lippincott Williams & Wilkins.
    -Gjelsvik, B. E. B. (2016). The Bobath concept in adult neurology, second edition. New York: Thieme.
    -Raine, S., Meadows, L., & Lynch–Ellerington, M. (2009). Bobath concept: theory and clinical practice in
    neurological rehabilitation. Chichester: Wiley-Blackwell.

    Secundary bibliography:

    Dusing, S. C. (2016). Postural variability and sensorimotor development in infancy. Developmental Medicine
    and Child Neurology, 58, 17-21. https://doi.org/10.1111/dmcn.13045
    Dusing, S. C., Izzo, T. A., Thacker, L. R., & Galloway, J. C. (2014). Postural complexity differs between infant
    born full term and preterm during the development of early behaviours. Early Human Development, 90(3),
    149-156. https://doi.org/10.1016/J.EARLHUMDEV.2014.01.006
    Gallahue, D. L., Ozmun, J. C., & Goddway, J. D. (2013). Compreendo o desenvolvimento motor: bebés,
    crianças, adolescentes e adultos. Porto Alegre: AMGH Editora ltda.Dusing, S. C. (2016). Postural variability and sensorimotor development in infancy. Developmental Medicine and Child Neurology, 58, 17-21. https://doi.org/10.1111/dmcn.13045

    Dusing, S. C., Izzo, T. A., Thacker, L. R., & Galloway, J. C. (2014). Postural complexity differs between infant born full term and preterm during the development of early behaviours. Early Human Development, 90(3), 149-156. https://doi.org/10.1016/J.EARLHUMDEV.2014.01.006

    Gallahue, D. L., Ozmun, J. C., & Goddway, J. D. (2013). Compreendo o desenvolvimento motor: bebés, crianças, adolescentes e adultos. Porto Alegre: AMGH Editora ltda.