Veidlapa Nr. M-3 (8)
Study Course Description
Neurology
Course Code
NUNK_021
Branch of Science
Clinical medicine; Neurology
ECTS
3.00
Target Audience
Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Iveta Haritončenko
Structure Unit Manager
Guntis Karelis
Structural Unit
Department of Neurology and Neurosurgery
Contacts
Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 37; 2 Hipokrata Street, Unit No. 7, Room No. 901, neuro@rsu.lv, +371 67069653; +371 67536540
About Study Course
Objective
To facilitate the acquisition of knowledge about the pathogenesis of the main diseases of the nervous system, clinical manifestations thereof, the basic principles of treatment and the objectives of rehabilitation in the care.
Preliminary Knowledge
Preliminary theoretical knowledge in anatomy and physiology of the nervous system.
Learning Outcomes
Knowledge
1.As a result of completing the study course, the student is able to do the following: • to tell how to assess a neurological patient; • to list and describe the aetiology, pathogenesis and clinical picture of the most common neurological diseases; • to describe and justify rehabilitation objectives and explain the use of orthoses in the rehabilitation and care stages of different neurological diseases or syndromes; • to set and justify rehabilitation objectives for patients with neurological disorders.
Skills
1.As a result of completing the study course, the student will be able: • to perform and assess the patient’s neurological condition; • to apply the acquired knowledge in topical diagnosis to recognise and clarify the localisation of neurological lesions and the main syndromes; • to identify rehabilitation tasks; • to draw up a rehabilitation plan for patients with a neurological disease and its sequelae; • to predict the likely outcome of the disease and treatment.
Competences
1.As a result of successfully completing the study course, the student is able: • to recognise the symptoms of the most common neurological diseases, differentiate between them, substantiate and logically explain the neurological diagnosis; • to develop rehabilitation objectives and basic tasks appropriate for the specific neurological clinical situation.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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1. To assess and interpret the patient’s neurological condition.
2. To prepare theoretically for practical classes.
3. To work independently with literature on neurology.
In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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• Active participation in classes, participation in discussions, quality of oral answers;
• Quality of tests, test works during the cycle on covered topics;
• Ability to perform a neurological examination, to interpret symptoms;
Examination method: Oral and written examination in the 2th year of studies – student knowledge is tested on topical diagnosis in neurology, the aetiology of neurological diseases, pathogenesis, clinic, basic treatment principles and rehabilitation objectives.
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Study Course Theme Plan
FULL-TIME
Part 1
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Introduction. Tasks of the neurology discipline. Structure and clinical anatomy of the nervous system. Tasks and stages of neurological care. Additional examinations in neurology.
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Anatomy of the cerebral hemispheres. Cerebral hemisphere damage symptoms.
Cerebral circulation disorders: types, risk factors and prevention, clinical manifestations. Operational principles and tasks of a stroke unit. Rehabilitation tasks at different stages of stroke care.
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Peripheral nervous system diseases, types and manifestations thereof. Tasks of care for patients with diseases of the peripheral nervous system, prevention of these diseases. Causes and prevention of back pain. Neurological aspects of spinal diseases. Tactics and methods of treatment of back pain, tasks of patient care.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Structure of the motor unit, motion control centres.
Neural regulation of the locomotor act and movement disorder syndromes.
Paresis and paralysis, their signs. Care and rehabilitation tasks for patients with active movement and mobility impairments.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Functional anatomy of the sensory system. Symptoms of sensory system impairment, neurological examination thereof. Peripheral sensory disturbances and pain. Principles and tasks of care and rehabilitation in case of sensory impairment.
Anatomy of the cranial nerves and brain stem. Cranial nerve disorders, assessment thereof and tasks of care.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Anatomy of the cerebellum and vestibular system.
Balance and coordination disorders: ataxias and vertigo. Neurological examination for balance and coordination disorders. Care and rehabilitation tasks for patients with coordination and balance impairments.
Anatomy of the extrapyramidal system.
Extrapyramidal movement disorder syndromes: Parkinson’s disease and hyperkinesis. Care and rehabilitation tasks in case of Parkinsonism and hyperkinesia patients.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Structure of the spinal cord. Transverse spinal cord lesion syndromes, neurological examination thereof. Specifics of patient care and rehabilitation tasks in case of spinal cord injury. Head and spinal cord injury. Unconsciousness and assessment of coma level.
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Neurodegenerative diseases. Amyotrophic lateral sclerosis. Demyelinating diseases of the nervous system – multiple sclerosis, course and manifestations thereof, aspects of rehabilitation.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Neuromuscular diseases. Myasthenia gravis, muscular dystrophies, myopathies – aetiology, pathogenesis, clinic, examination, treatment options and rehabilitation principles. Examination of the nervous system in children.
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Total ECTS (Creditpoints):
3.00
Contact hours:
36 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Mattle H., Mumenthaler M. Fundamentals of Neurology - an illustrated guide. 2nd ed. 2017. Thieme. Stuttgart.
2.
Fuller G. Neurological Examination Made Easy. Ch. Livingstone, Elsevier, 2020
3.
Weiner W.J., Goltz C.G. Neurology for the non-neurologist. 2010, J.B. Lippincott Co, Phyl. (akceptējams izdevums)
4.
Gārša I. Ievads neiroķirurģijā. Nac. medicīnas apgāds, 2008. (akceptējams izdevums)
5.
I.Logina, E.Smeltere. Neiroloģija shēmās. Avots: 2009. (akceptējams izdevums)
Additional Reading
1.
Bērziņš J., Logina I., Pilmane M., Vītols E. Neiromuskulārās slimības. Rīga, 2007.
2.
Metodiskās rekomendācijas studentiem // RSU
3.
Gehlen W., Delank H-W. Neurologie. 12th ed. Thieme. Stuttgart, 1988.
4.
Kendall F.P., Kendall McCreary E., Provance P.G. Muscles: Testing and Testing and Function with Posture and Pain. Fifth North American Edition, 2010.
Other Information Sources
1.
Ķīse L., Logina I., Kamša I., Krieviņa I., Millers A. Vestibulārā reiboņa cēloņi un asociētās slimības. Rīga, 2013.
2.
Kamša I., Logina I., Raumane D. ,Krieviņa I., Millers A. Reiboņa aprūpes taktika: izmeklēšana un diagnostika. Rīga, 2012.
3.
The international Headache Classification, 3rd ed.
4.
Gudreniece A, Karelis G., Minibajeva O., Gulbe G. , Kalniņa Z. Alcheimera slimības, vaskulārās demences, Levī ķermenīšu demences un frontotemporālas demences klīniskās vadlīnijas. Rīga, 2017.
5.
Minibajeva O., Karelis G., Gudreniece A., Gūtmane E., Žīgure I., Korogodovs S. Parkinsona slimības un parkinsona plus-sindromu klīniskās vadlīnijas. Rīga, 2018.
6.
Gintere S., Logina I., Kozlovska L., Bērziņa G., Pūcīte E. Klīniskās vadlīnijas - Muguras lejas daļas sāpes primārajā veselības aprūpē. Rīga, 2016.
7.
Millers A., Miglāne E., Logina I., Ķēniņa V. Cerebrāla infarkta prehospitālās aprūpes, diagnostikas un akūtas ārstēšanas klīniskās vadlīnijas. Rīga, 2013.