Bachelor's degree in Physiotherapy (to qualify as a physiotherapist) (Verona)

Rehabilitation of osteoarticular diseases (2017/2018)

Course code
4S000135
Credits
9
Coordinator
Simone Cecchetto

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
PROTESIOLOGIA E ORTESIOLOGIA 1 MED/48-NURSING IN NEUROPSYCHIATRY AND REHABILITATION FISIO VR 2^ ANNO - 1^ SEMESTRE Valentina Lazzari
MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING 3 MED/33-ORTHOPAEDICS FISIO VR 2^ ANNO - 1^ SEMESTRE Eugenio Vecchini
MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE 2 MED/34-PHYSICAL AND REHABILITATION MEDICINE FISIO VR 2^ ANNO - 1^ SEMESTRE Marialuisa Gandolfi
METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI 2 MED/48-NURSING IN NEUROPSYCHIATRY AND REHABILITATION FISIO VR 2^ ANNO - 1^ SEMESTRE Simone Cecchetto
REUMATOLOGIA 1 MED/16-RHEUMATOLOGY FISIO VR 2^ ANNO - 1^ SEMESTRE Domenico Biasi

Learning outcomes

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MM: PROTESIOLOGIA E ORTESIOLOGIA
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Provide notions concerning the rehabilitation of the patient with upper and lower limb amputee, in a multidisciplinary team environment. PROVIDE basics Several types of prosthesis. Provide notions regarded the orthosis and Their use within the rehabilitation program
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MM: MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING
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MM: MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE
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The student will improve knowledge of the pathophysiology of the neuro-musculoskeletal disorders including pain syndromes resulting from acute and chronic diseases, relevant in rehabilitation. The student will acquire knowledge of functional assessment to identify neuro-musculoskeletal dysfunctions resulting in acute and chronic diseases related to recovery. The student will be able to define the rehabilitative goals and understand the treatment plan of neuro-musculoskeletal disorders including the pain syndromes, in a multidisciplinary team environment.
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MM: METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI
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- know differential evaluation and the planning of physiotherapy interventions in musculoskeletal disorders; - know definitions, dimensions, possible determinants, possible consequences, and determinant-specific treatments of functional impairments, limitations of activity and restrictions of muscoloskeletal disorsders (joint stiffness, contractures, muscle deficit, pain, altered sensitivity and Image, articulate instability, postural alterations, kinematic alterations and remedies ...); - know rational and foundations of practical application of basic physiotherapy techniques (manual therapy, stretching, therapeutic exercise ...).
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MM: REUMATOLOGIA
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To know the basic pathogenesis of rheumatic diseases To asses the clinical manifestations for the diagnosis of arthritis and connective tissue diseases To know the classes of treatment and understand the role of the physiotherapy in the different rheumatic diseases

Syllabus

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MM: PROTESIOLOGIA E ORTESIOLOGIA
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Orthoses: choice and use within a therapeutic program The patient amputee: basics Patient rehabilitation amputee Upper Extremity Prosthetics Lower limb prostheses
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MM: MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING
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MM: MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE
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Pathophysiology and classification of pain syndromes resulting from acute and chronic diseases: nociceptive pain, neuropathic and mixed pain. Pathophysiology, assessment and guidelines for the treatment of lumbo-sacral pain syndromes (non-specific low back pain, low back sciatica, Failed Back Surgery Syndrome, Spondilolisi e spondilolistesi) Myofascial pain syndrome and myofascial dysfunction: pathophysiology, evaluation and treatment in rehabilitation. Compartimental regional pain syndromes and algodistrophy: pathophysiology, classification and guidelines for the rehabilitation treatment. Carpal tunnel syndrome: pathophysiology, evaluation and principles of conservative treatment (physical therapy, orthotic, therapeutic exercise) Rizoartrosi: pathophysiology, evaluation and principles of conservative treatment (physical therapy, orthotic, therapeutic exercise) Guidelines for the management of patients suffering from osteoporosis: role of exercise and orthosis. Scapular-humeral Pain syndromes: pathophysiology, clinical and instrumental diagnosis, evaluation and principles of rehabilitation.
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MM: METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI
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METHODOLOGICAL PREMISES. Definitions: Physiotherapy; Movement as a target and as a strategy; Mobilization and handling; Functional recovery and functional re-education; Compensation and rehabilitation. Kinesiopathological and patokinesiological disorders resulting from acute and chronic degenerative events. Applying the theory of complex adaptive systems to Physiotherapy. ICF and rehabilitation in musculoskeletal disorders. THE PHYSIOTHERAPY PROCESS. Functional evaluation, planning and conducting physiotherapy intervention. STRUCTURAL ALTERATIONS. Recalls of biomechanics. Pathophysiological processes and their rehabilitative meanings. JOINT STIFFNESS. Definitions, dimensions and evaluation strategies. Differential evaluation of possible causes of joint stiffness: capsullar-ligamentous retraction, myofascial retractions, muscular contractures, fear avoidance beliefs, pain, skin-fascial adherences, alterations of joint geometry. Possible consequences. Possible physiotherapeutic interventions and their meaning: joint mobilization, stretching, neuromuscular inhibition techniques, cognitive therapeutic exercise. Practice tests of the techniques presented. CONTRACTURAL STATES. Definitions. Causes and consequences. Differential evaluation of contractural states. Possible consequences and treatment strategies. DOLORE: Recalls of Pathophysiology of Pain. Assessment strategies of pain and disability. Differential evaluation of pain: nociceptive; neuropathic; central sensitization; visceral. Possible consequences. Possible physiotherapeutic interventions on pain and its meanings. ALTERATIONS OF SENSIBILITY AND MOTORY IMAGE. Definitions, possible causes, consequences and treatments. MUSCULAR DEFICIT. Definitions, dimensions and evaluations. Possible causes of changes in voluntary movements. Possible determinants of muscular deficiency: underuse alterations, arthrogenic or muscular muscle inhibition. Possible consequences. Treatments for artrogenic muscle inhibition. Principles of muscular reinforcement and biomechanical progression of therapeutic exercise in analytic and cognitive perspective. IPERMOBILITY, INCOORDINATION AND JOINT INSTABILITY. Definitions, possible determinants, possible consequences and strategies. POSTURAL ALTERATIONS: definitions, possible determinants, possible consequences and strategies. MOVEMENT CINEMATICS ALTERATIONS: definitions, possible determinants, possible consequences and strategies. INTRODUCTIVE LABORATORY ON CLINICAL REASONING. Guide for elaboration of "causal complex" and deliveries for oral exam.
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MM: REUMATOLOGIA
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Approach to the patients with rheumatic diseases Rheumatoid arthritis,Spondyloarthropathies,crystal-associated arthritis,infectious arthritis Osteoarthritis Fibromyalgia Connective tissue diseases

Assessment methods and criteria

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MM: PROTESIOLOGIA E ORTESIOLOGIA
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written examination with multiple choice questions, open questions and case reports
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MM: MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING
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MM: MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE
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Written exam in which the student will demonstrate to have achieved the stated learning objectives.
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MM: METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI
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WRITTEN TEST. formative assessment with ongoing tests with 18 questions with closed multiple choice (one correct out of 4 possibilities) and 3 open-ended questions. ORAL EXAM. Certificative evaluation in session with: - oral questions on the topics that the student has made a mistake in the written test (or on the whole program, in case of non-participation or fails to achieve the minimum rating of 24/30 in the written test); - discussion of a paper of a clinical reasoning (causal complex / conceptual map) in reference to a clinical case seen by the student during the placement of orthopedic area, analyzed according to the knowledge received in the course and pre-sent in writing to the teacher at least 7 days before the oral examination.
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MM: REUMATOLOGIA
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Oral test

Reference books
Author Title Publisher Year ISBN Note
Carolyn Kisner, Lynn Allen Colby Esercizio terapeutico: fondamenti e tecniche (Edizione 3) Piccin 2013 978-0-803-62574-7
Giuseppe Anastasi, Paolo Castano, Sergio Castorina, Ottavio Cremona, Raffaele De Caro, Eugenio Gaudio, Guido Macchiarelli, Mario Rende, Domenico Ribatti, Chiarella Sforza, Carlo Tacchetti Anatomia Umana – Atlante – Volumi 1-3 Edi Ermes 2017 9788870513936
Robert Manske, Brent Brotzman La riabilitazione in ortopedia (Edizione 3) edra masson 2014 978-0-323-05590-1
Kathleen A. Sluka Mechanisms and Management of Pain for the Physical Therapist (Edizione 2) Wolters Kluwer 2016 978-1-4963-4323-9
Simeon Niel-Asher Trigger Point (Edizione 3) edi-ermes 2016 978-88-7051-562-6




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