A practical refresher in neurological examination.
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NO FEAR NEUROLOGY
CPD COURSE PLAN
This is a PRACTICAL course in 3 Modules:
1) Neurological examination of the lower limbs
2) Neurological examination of the upper limbs
3) Examination of the cranial nerves
COURSE TIMES: 09:00 to 18:00
CPD POINTS: 8
REFRESHMENTS depend on the venue. Some have the facilities others do not.
VENUE: Most frequently, the venues will be the North London School of Sports Massage and the NTC (National Training Centre, Dublin).
EQUIPMENT REQUIRED:
Partial diagnostic kit:
Patella hammer
512 Hz tuning fork
128 Hz tuning fork
Pen torch.
Neurotips and cotton wool will be provided
DRESS: All attendees will be required to expose feet, legs, arms and shoulders, so bras, sports bras, vests or tank tops are necessary.
EXTENSIVE NOTES WILL BE PROVIDED ON A FREE USB STICK.
AIMS AND OUTCOMES:
Module 1) Neurological examination of the lower limbs
Module 2) Neurological examination of the upper limbs
Module 3) Examination of the cranial nerves
Learning Aims: To revise, refresh and familiarize the participant with standard neurological examination routines in a congenial atmosphere.
To clarify and concretize the reasons for performing a neurological examination and how this relates to patient safety prior to spinal manipulation.
To refresh understanding of the basic underpinnings of the various routines.
Learning Outcomes: By the end of this course, the participant should:
Be more relaxed and familiar with standard neurological examination routines.
Have a way to revise and refresh these routines quickly and easily in clinic or at home, without a partner.
Be able to recognise the signs and symptoms that call for a neurological examination and what injuries may be caused by inappropriate treatment.
Understand the purpose of a neurological examination.
Be able to confidently identify upper and lower motor neuron signs and symptoms.
Be able to explain and report their findings
Be able to offer a rational argument as to why a patient could be safely treated or should be referred.
Be much more confident about the neurological patient.
Course Duration: One day.
CPD Points: Eight.
LESSON PLAN:
1) Introduction to the tutor 5 min
2) Introduction to the class 10 min
3) Introduction to the course – what its aims are and what you are about to learn 15min
4) Exploration of HOW to spot a neurological deficit, WHY to conduct a neurological examination and what the PURPOSE of a neurologic exam actually is. 15min
5) Demonstration of neurological exam of the lower limbs & dermatome powerpoint 10 min
6) Discussion of what has just been demonstrated – whys and wherefores. 20 min
7) Class practice in pairs with supervision and tutoring 30 min
8) Break for coffee and smelling salts 15 min
9) Demonstration of neurological exam of the upper limbs & dermatome powerpoint 8 min
10) Discussion of what has just been demonstrated 20 min
11) Class practice in pairs with supervision and tutoring 30 min
12) LUNCH 30 min
13) Demonstration of a complete examination of the cranial nerves 15 min
14) Discussion 30 min
15) Supervised practice in pairs 60 min
16) Revision and supervised practice of lower and upper limbs 30 min
17) Reflection on what has been taught and learned, Q&A and list of resources 60 min
18) Discussion of differential for Parkinson’s Disease and cerebellar pathology 30 min
19) Signing and distribution of attendance certs.
20) Total duration of course 8 to 9 hours.
COURSE DESCRIPTION:
NO FEAR NEUROLOGY
IT’S NOT JUST YOU! You might be surprised at just how many practitioners of manual medicine are unsure of their neurological assessment and fearful of treating patients with neurogenic pain or neurological deficit.
THIS COURSE is designed to make your neurological assessments and routines EASY, transparent and SIMPLE TO REMEMBER so that you need no longer fear neurological patients or turn them away for others to deal with.
All you really need to know is when a problem is safe to treat and when to refer to a neurologist or other consultant and that depends almost entirely on a thorough and competent neurological examination. This, in turn, relies on a familiar, simple and unvarying EXAMINATION ROUTINE.
This course covers these neurological examination routines and gives you a quick, personal, simple revision method to keep them fresh. NO DEEP, THEORETICAL KNOWLEDGE OF NEUROLOGY IS REQUIRED.
This is a practical class consisting mostly of demonstration and practice, not principles or theory and these accompanying notes are intended only for clarification, revision and orientation.
The course consists of three modules:
1) NEUROLOGICAL EXAMINATION OF THE LOWER LIMBS.
2) NEUROLOGICAL EXAMINATION OF THE UPPER LIMBS.
3) EXAMINATION OF THE CRANIAL NERVES.
Each module begins with a description and demonstration of the examination routine, then moves on to supervised practice in pairs. At the end, there is an informal assessment to establish how comfortable you are with the routines you have learned.
These routines follow the standard medical-school format but are put together in a smooth, clear and logical way. If there is time, we may also cover examinations for differentiating Parkinson’s Disease and Cerebellar Pathology.
Questions are welcome at any time but we would ask that you constrain these to the practical routines at hand as there is so much to cover in a single day and time is always too short to field questions on general neurology.
The atmosphere is intended to be light and informal.
NO FEAR NEUROLOGY
SUPERCHARGE PATIENT SAFETY AND YOUR CLINICAL SKILLS
Compiled and tutored by David Wilson B.A. D.O. FRSPH. MLCSP.
This is a face-to-face refresher course in neurological examination routines suitable for anyone with a clinical qualification, particularly all physical and manual therapists such as physiotherapists, osteopaths, chiropractors, sports therapists and massage therapists. GPs, hospital doctors and nurses of all kinds are welcome.
This is a PRACTICAL class but extensive notes are provided.
By the end of this course, you should be assured of four things:
1) Your ability to recognise a neurogenic problem.
2) When a neurogenic problem is safe to treat and when it should be referred.
3) Your competence to ascertain WHERE in the nervous system the problem lies, that is; UPPER MOTOR NEURON (brain & spinal cord) or LOWER MOTOR NEURON (nerve root, peripheral nerve or muscle).
4) Your ability to learn and remember simple and rational examination routines which previously may have seemed complex or confusing.
One of the reasons for CPD is to break through the isolation that often occurs in clinical practice. These classes are conducted in a light, informal atmosphere and social contacts between participants are encouraged.
