Module 9: Mobility

9.0 Aim, rational and outcomes

Pre-Test

This module includes a Pre-Test.

You may find it helpful to do the pre-Test now and the Post-Test at the end of the module. You will be able to compare you pre and post answers.

The Pre-Test includes 10 multiple choice questions. It is quick to do. Your answers will be emailed to you.

Aim

This module provides information about the range of motor problems that may result following a traumatic brain injury. This module also discusses strategies for managing these motor problems as well as overcoming potential barriers to improving function.

Rationale

Movement and motor control is a complex function requiring the co-ordination of a number of things to achieve appropriate movement. After an acquired brain injury, movement is often affected and may result in impairments such as weakness and poor co-ordination of movement.

Physical impairments can cause many challenges for the individual, families and carers. These may range from individuals requiring full assistance in all activities of daily living (e.g. to get in and out of bed), to less physically dependent individuals who may need only supervision when performing some motor tasks (e.g. walking outside). As each injury is different, each individual will present with different problems. These problems may be long standing issues that require ongoing interventions over many years.

Family and carers often assist in carrying out physiotherapy programmes in the community. Thus, it is important to have a basic understanding of some of the common impairments and strategies on how to best facilitate a rehabilitation programme.

Outcomes

At the end of this module you should be able to:

1. Explain different physical impairments commonly seen after brain injury

2. Explain how movement occurs

3. Be able to recognise some common physical problems seen after brain injury

4. Understand the role of the physiotherapy programme and the principles of motor relearning

5. Be able to provide assistance for the following areas:

     a. Motor retraining
     b. Prevention of secondary complications
     c. Fitness training
     d. Participation in regular community physical activity

6. Identify barriers to implementation and strategies to manage these

7. Recognise and minimise potential complications in relation to the physiotherapy programme.

8. Know how to access resources and assistance when needed.

Module 9 compiled by:

Siobhan Barry – Senior Physiotherapist Leanne Hassett –Senior Physiotherapist/Research Fellow Taryn Jones – Senior Physiotherapist Carson Wong – Senior Physiotherapist Brain Injury Rehabilitation Unit Liverpool Hospital, Sydney

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