Level 4 Neurological Conditions
Assessment Guidance & Documentation
The key email address is Case Studies for anything associated with externally delivered courses. Please note: For extension requests or queries regarding assessments please contact Case Studies.
Additionally, lecturing staff is not permitted to preliminary grade papers prior to submission. All communication should be made directly to the WRIGHT Foundation Office and any requests to review students' work will be declined.
Submission Dates
Case-study report: post-course written assessment.
To be completed post-course and is based on a ‘hypothetical’ client. Candidates have 12 weeks to complete this assessment and return it to the office. Pass Mark = 70%. per section.
Task One - Complete the Online Course
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Please watch the Bitesize Animation on the region of the brain [under neurological conditions] - Link
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Including 2x multi-choice quiz [See Links Below]
On Course Resources
Online Resources
Click image to access textbooks.
Bitesize Animations
Neurological Resources
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MOOC (Free Online Courses): Link
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Canada (Canadian Best Practice Recommendations for Stroke Care: Link
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USA (APA Physical Activity and Exercise Recommendations for Stroke Survivors: Link
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National Institute of Neurological Disorders and Stroke: Link
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National Multiple Sclerosis Society: Link
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American Academy for Cerebral Palsy and Developmental Medicine Fact Sheets: Link
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Learn more about Cerebral Palsy (CP) from the Centres for Disease Control and Prevention Link
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National Institute of Neurological Disorders and Stroke. Cerebral palsy: Link
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Peter Harrison Centre for Disability Sport. Educational toolkit: Link
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American Parkinson Disease Association: Link
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Davis Phinney Foundation: Link
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European Parkinson’s Disease Association: Link
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National Parkinson Foundation: Link
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Parkinson’s Disease Foundation: Link
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The Michael J. Fox Foundation for Parkinson’s Research: Link
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The Parkinson Alliance: Link
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MS Society: Link
Notes from Course
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Day 1 Neurological Conditions Notes > Link
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Day 1 Stroke (Student Presentation Notes) > Link
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Day 1 My stroke of insight [Jill Bolte Taylor] > Link
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Day 1 ACSM (2021) Recommendations for individuals with a cerebrovascular accident (Stroke) > Link
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Day 1 NSCA (Essentials of Training Special Populations] - Program Design Guidelines for Clients Who Have Sustained a Stroke > Link
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Neuralink: Elon Musk's entire brain chip presentation > Link
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Day 1 Exercise Intensity Studies on Stroke Patients > Link
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Day 1 Stroke: Upper limb exercises [NHS Sheffield Teaching Hospital] > Link
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Day 2 Neurological Conditions Notes > Link
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Day 2 Spinal Cord injury (Student Presentation Notes) > Link
Digital Media Clips of Inspiring Practices
![Real Life Matters [Inspire2Tri CIC]](https://static.wixstatic.com/media/89bbafa7ce904817b22223beefe7129d.jpg/v1/fill/w_147,h_98,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/89bbafa7ce904817b22223beefe7129d.jpg)
Task 2 - Complete The Case Study
Case Study Assessment Resources
NHS Medication Resource [Case Study Relevant]
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NHS Medication - Link
*Physical & **Mental Health Resources/Measurement & Tools [Case Study Relevant]
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*Berg Balance Test - Link
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*Timed Up & Go (TUG) - Link
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*30-Second Chair Stand - Link
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*Performance-Oriented Mobility Assessment (POMA) - Link
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*The Functional Reach Test (FRT) - Link
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*American Spinal Cord Injury Association (ASIA) Impairment Scale - Link
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*Nottingham Sensory Assessment - Link
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**GAD-7 [Anxiety] - Link
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**PHQ-9 [Depression] - Link
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**Warwick-Edinburgh Mental Well-being Scale (WEMWBS) - Link
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**Short General Health Questionnaire (GHQ 12) - Link
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*PARQ+ (2021) - Link
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*Various Online Calculators - Link
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*1RM Estimate Calculator - Link
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*RPE Chart - Link
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*Talk Test Chart - Link
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*Example of a RAG Progression Circuit [Red, Amber & Green] - Link
* = Physical Resources
** = Mental Wellness Resources
Case Study Summary Guidance
You must complete the following:
Section 1 - Create a summary statement of your client explaining his/her medical diagnoses,
Section 2 - Detail what other information you may be interested in finding out either from your client and/or her specialist, giving a rationale for each. You may create additional information, if you wish, in order to provide you with greater clarification for the case-study assessment.
Section 3 - Which tests/assessments would you choose? Give a rationale for your choices (i.e., Berg Balance, TUG, Dual TUG, Nottingham scale, comorbidities BP, BF% VO2 etc) and method of securing/storing/transmitting the information.
Section 4 - Design a prospective 12-week programme of exercise, which you deem to be safe, appropriate and effective for your client.
Section 5 - Provide a detailed example of typical exercise session from your programme, assuming that she/he is feeling motivated for the particular session, based on the depth of information that you used for the practical assessment on your course.
Section 6 - Justify your exercise programme with regard to safety, appropriateness and effectiveness. (12 paragraphs, one week per paragraph)
Section 7 - Explain what considerations you would have when ensuring the referral location (i.e., gym, etc.) is suitable for your client; ensure you consider physiological and psychosocial components.
Section 8 - Create a detailed agreed programme for continued intervention/engagement with your client, this may be signposting or development of other services.
Section 9 - Develop an information/promotional leaflet or flyer about the benefits of the neurological rehabilitation exercise referral scheme. Design it so it aims at the patients and the medical professional from whom you wish to receive referrals.
Task 3 - Complete The Practical Assessment
Example Only Exercises
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Easy Leg Exercises for Stroke Patients (Guided by a Physical Therapist) > Link
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Stroke Rehab Exercises > Link
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Leg Strengthening after Stroke Using Exercise Ball- Easy Treatment > Link
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Exercises for Individuals with Multiple Sclerosis - Warm-up, Strength, Core and Balance > Link
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Simple seated exercise workout (Move more with Multiple Sclerosis) > Link
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Sitting exercises, Move it for Multiple Sclerosis [MS Trust > Link
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Parkinson's Exercises: Balance > Link
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Parkinson’s Exercises: Leg Strength > Link
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Parkinson’s Exercises: Posture > Link
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Parkinson's Boxing Clip > Link [On course Female Boxing Clip]
Practical Assessment Submission Guidelines
You MUST complete the following:
Plan for a 60-minute practical session for your case study client. Due to COVID, you will deliver 20 minutes of this [5-minute warm-up; 10-minute main section; and 5-minute cool-down].
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The digital media [video] should have no more than three breaks [warm-up; main component; cool-down] with the client and instructor [yourself] in view at all times during the recording.
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The sound quality must be sufficient to enable assessment (minimal noise in the background).
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Note: The session should follow the programme design you have completed on the course.
You Must demonstrate the following:
Pre-Warm up Health & Safety - Showing the instructor [yourself]taking a client through the health and safety issues, verbal PARQ, medication check, including any comorbidity checks and concerns relating to exercise prescription.
Warm-up - Show and explain to the client duration, mobilisation, pulse raiser, stretches or replicant movement patterns.
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Use two measures of intensity required for warm-up (RPE, Talk test, observation, heart rate reserve, heart rate maximum, or METS)
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Demonstrate/verbalise safe use of equipment, training suggestions, health and safety advice throughout the warm-up.
Main Section - Demonstrate/verbalise safe use of equipment.
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Demonstrate/verbalise - CV type, workload, intensity. Additionally, explain the reason for the client using this equipment or performing the movement action and where it fits with the client's goals.
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Demonstrate/verbalise -Resistance machines, free weights, bands, bodyweight exercise, reps, sets, weight, time. Additionally, explain the reason for the client using this equipment or performing the movement action and where it fits with the client's goals
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Demonstrate/verbalise - Explain the reason for the client's exercise or movement action either progressing and/or any modifications required throughout the main section.
Cool Down - Demonstrate and explain duration, rewarm to cv cool down, structural work (stretches whether maintenance or developmental)
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Apply two measures of Intensity for the cool-down (RPE, Talk test, observation, heart rate reserve, heart rate maximum, or METS)
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Demonstrate/verbalise- safe standing to floor transitions. Highlight any concerns post-exercise.
Please Note: All evidence or questions should be sent to the following address and NOT the Lecturers.
Additionally, it is expected that all completed assessments will be graded by the assessors (normally between a period of 6-8 weeks [excluding holidays]) upon receipt from the WRIGHT Foundation office.