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The following discussion questions were excerpted from
PHTH617-
NEUROMUSCULAR SYSTEM II . These questions are designed to prompt students' critical thinking.
- One topic per week.
- The class will be divided into two groups of 7 to make following the discussion easier.
- Two questions will be posted each week on the topic.
- One question will be more of an opinion, looking at ethics, etc.
- The other questions denoted by ****** will be based on evidenced based practice.
- The responses to these questions denoted by ***** must cite at least one reference in the response.- Please cite in AMA format so that your classmates can access the material.
- You must post at least one time to each question before Wed at 6:00 pm . 5 points will be deducted from that week’s possible points if late.
- You must post at least once to the original question. Your second response can be a response to another student.
- Responses must be thought provoking and meaningful. For example, don’t just say, “ I agree.” Instead tell why you agree or what led you to that opinion.
- In your responses you may choose to agree, disagree, comment or debate the point.
- There will be 5 points possible for each response. 3 responses required per week = 15 points possible per week.
Responses will be graded according to the scale described below.
| 5 points (A) |
Provides strong and consistent evidence of ability to interpret course content; analyze concepts, arguments, and situations; evaluate information, claims/arguments; explain and support reasoning and conclusions; and monitor, reflect on, and questions own thinking. Has obviously been following the whole discussion and taken all responses into account. |
| 3 points (B) |
Provides good and generally consistent evidence of ability to interpret course content; analyze concepts, arguments and situations; evaluate information, claims/arguments; explain and support reasoning and conclusions; and monitor, reflect on, and question own thinking. May only have read or followed responses immediately preceding theirs and is not following the whole discussion. |
| 1 point (C) |
Provides fair and/or partial or inconsistent evidence of ability to interpret course content; analyze concepts, arguments and situations; evaluate information, claims/arguments; explain and support reasoning and conclusions; and monitor, reflect on, and question own thinking. |
| 0 points |
Fails to provide and/or superficially provides evidence of ability to interpret course content; analyze concepts, arguments and situations; evaluate information, claims/arguments; explain and support reasoning and conclusions; and monitor, reflect on, and question own thinking. |
| Week1: |
You are treating a new patient that is 5 yrs old and has a history of severe brain
damage from complications of pneumonia at 3 mos. During the examination his mother repeatedly talks about the poor treatment he has received from therapists who don’t believe in him. She feels that he is just waiting inside for someone to help him get out and communicate with the world. He has no speech, or very little voluntary motor movement but does track a few objects. His mother wants you to discuss with the school based therapists what you want them to do to get him to walk and meet his full potential. You feel he does have some room for improvement, but his limited motivation and cognition are going to be a significant hindrance. How do you deal with this situation? Will your actions change if you are an employee at a hospital that uses the 3 strikes and you’re out rule? ( 3 patient complaints whether justified or not and you are fired). |
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| Week2: |
As genetic research progresses there has been more thought about testing every child at birth for many genetically determined disorders. There is the possible suggestion in the research that ALS and MS may have a genetic component. Here is the scenario. MS is in your family history. Your have just had your first child. Your family physician recommends that you have both yourself and your child tested for this genetic marker. Do you have it done? Why or why not? How would this affect your lifestyle choices? |
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| Week3: |
There has been some exciting research in the area of functional electric stimulation with implanted electrodes in patients with SCI to give patients functional use of their upper extremities (UEs), bowel, bladder, and possibly even standing. For us it is exciting since it has the potential to significantly increase function. Do you think this has drawbacks for the patient? |
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| Week4: |
Human stem cells have been a hot topic across the country lately. There has been research in using these cells to improve function in patients with Parkinson’s Disease when the cells were grown from their own tissue. There is a clinical trial going on that has had some previous good results. Would you encourage your patients to participate in these trials? Why or why not? Would your opinion change if you or a close family member had the disease? |
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| Week5: |
The mother of your patient with CP comes to you with the request to discontinue physical therapy for 10 weeks while he participates in a hippotherapy program. How do you respond? Would your response be any different if he was participating in a program such a SABAH? |
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| Week6: |
The family of your patient recovering from a severe case of meningitis wishes to move him to a facility that follows the theory of patterning or Doman/Delacotto. They have talked to other families who have taken their loved one to these centers in Ohio and report wonderful results. They ask your opinion. What do you tell them? |
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| Week7: |
Many neuromuscular disorders such as MS and ALS are progressive and have a prognosis of an untimely death. What justification can we give to use health care dollars in providing therapy, equipment, etc. for patients with these types of diagnoses? |
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| Week8: |
Discuss ambulation with partial body weight support. Does it have potential? Why or why not? What may or may not be the mechanism by which it appears to be working?
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| Week9: |
Discuss the use of visual aids and or auditory input to encourage smooth forward progression of walking in patients with Parkinson’s Disease.
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| Week10: |
You are treating a 12 year old boy with spina bifida who is currently an independent community ambulatory with lofstrand crutches. He is complaining that he is frustrated with his slow speed of ambulation when out with his friends. What do you do? |
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| Week11: |
Discuss the use of Tai Chi in the treatment of patients with disorders of a neurologic origin. |
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