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

Rehabilitation of osteoarticular diseases (2017/2018)

Course code
4S000135
Credits
9
Coordinator
Ombretta Viapiana

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
PROTESIOLOGIA E ORTESIOLOGIA 1 MED/48-NURSING IN NEUROPSYCHIATRY AND REHABILITATION FISIO VI 2^ ANNO - 1^ SEMESTRE Laura Bisarello
MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING 3 MED/33-ORTHOPAEDICS FISIO VI 2^ ANNO - 1^ SEMESTRE Carlo Dall'Oca
MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE 2 MED/34-PHYSICAL AND REHABILITATION MEDICINE FISIO VI 2^ ANNO - 1^ SEMESTRE Stefano Mazzon
METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI 2 MED/48-NURSING IN NEUROPSYCHIATRY AND REHABILITATION FISIO VI 2^ ANNO - 1^ SEMESTRE Barbara Roviaro
REUMATOLOGIA 1 MED/16-RHEUMATOLOGY FISIO VI 2^ ANNO - 1^ SEMESTRE Ombretta Viapiana

Learning outcomes

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MM: PROTESIOLOGIA E ORTESIOLOGIA
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The course aims to provide theoretical knowledge about the problems of functional assessment and rehabilitation planning of the patient amputee, bringing the student to think about the need to customize as much as possible both the choice of the prosthesis that the type of rehabilitation program to which the patient will undergo. Orthoses most used by both orthopedic and neurological patients will also be described, for the upper limb, the lower limb and the column, so that the student understands the reasoning behind this aspect of patient care path.
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MM: MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING
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Understanding the anatomy and biomechanics of the Musculoskeletal System Identifying some of the most common diseases of the Musculoskeletal System Understanding the fundamentals of Traumatology Carrying out physical examination of the Musculoskeletal System Specifying the best disgnostic-therapeutical paths for the main orthopedic diseases Introducing the physiotherapeutic path for each anatomical part and pathology
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MM: MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE
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Make the students know and learn: - The main causes of orthopedic disabilities - The rehabilitation principles of the most common orthopedic disabilties - The principles of operation and the indications / contraindications of physical therapy in orthopedic disabilities - The Evidence Based Medicine principles and their application in evaluating the effectiveness of physical medicine and rehabilitation of the musculoskeletal system.
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MM: METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI
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After completing the course the student will know: - different aspects of functional evaluation and rehabilitation planning of the intervention in the planning of the physiotherapy process in the field of orthopedic-trauma-rheumatology; - definitions, dimensions, determinants, consequences and main cause-specific treatments of the main functional impairments and limitations in activities (joint stiffness, muscle contractures, muscle deficit, pain, abnormal sensitivity and image, joint instability, alterations posture, abnormal kinematics, ...); - basic rehabilitation techniques (manual therapy, stretching, therapeutic exercise ...) and the essential principles of their practical application.
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MM: REUMATOLOGIA
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Teaching: anatomo-functional and physiopathological basis of rheumatic diseases; physical exam and main instrumental and laboratory analysis; classification, epidemiology, clinical characteristics, diagnostic criteria; basis of therapeutic approach, with and without drugs administration.

Syllabus

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MM: PROTESIOLOGIA E ORTESIOLOGIA
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Program in summary form: • Amputations: definitions, etiology, and amputation levels • Types of prostheses for the lower and upper limb. • Assessment and rehabilitation of amputee patients. • The phantom limb. • General information on Orthosis: rest and correction; static and dynamic functional. • Employee of prostheses and orthoses in the tariff nomenclature; prescription, approval, delivery
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MM: MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING
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TRAUMATOLOGY General principles Principles of fracures Fractures healing Classification of fractures Physical examination of fractures Imaging Conservative and surgical treatment Complications Rehabilitation REGIONAL TRAUMATOLOGY Fractures of the spine Fractures of the pelvis Fractures of the lower limb Fratures of the upper limb Ligament injury of the knee and the ankle Dislocations and subluxations Avascular necrosis GENERAL ORTHOPAEDICS General principles Anamnesis and physical examination Anatomy and biomechanics of the Musculoskeletal System REGIONAL ORTHOPAEDICS THE BACK Low back pain, spinal disc herniation, lumbar spinal stenosis Scoliosis Spondylolysis and spondylolisthesis Cervical radiculopathy Spondyloarthrosis THE HIP Arthrosis Rheumatoid arthritis Femoroacetabular impingement Osteonecrosis Osteoporosis Trochanteric bursitis and snapping hip syndrome THE PEDIATRIC HIP Hip dysplasia Perthes disease Epiphysiolysis THE SHOULDER Subacromial impingement syndrome Rotator cuff tear and rupture of the lonf head of biceps tendon Shoulder instability Glenoid labrum tear Arthrosis and arthritis THE WRIST AND THE HAND Arthrosis and arthritis Carpal tunnel syndrome Compression of the ulner nerve De Quervain tenosynovitis Dupuytren’s syndrome Trigger finger THE ANKLE AND THE FOOT Arthrosis and arthritis Flat foot Cavus foot Club foot Hallux valgus and hallux rigidus
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MM: MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE
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Low back pain: causes, clinical expressions and rehabilitation; evidence of effectiveness of rehabilitation treatments. - Rehabilitation of hip arthroplasty and hip fracture - Rehabilitation of rotator cuff surgery - Proprioceptive rehabilitation - Physical therapy: electrotherapy, ultrasound, laser, magnetoherapy, shockwaves. Evidence of effectiveness of physical therapy. - Principles of Evidence Based Medicine (hierarchy of evidence)
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MM: METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI
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Methodological premises. Principles applied to the theory of complex adaptive systems in rehabilitation and ICF. The physiotherapy process. Functional assessment and intervention planning physiotherapy functional assessment and differential treatment proposals of: joint stiffness, muscle contractures, pain, abnormal sensitivity and image, muscle deficit, joint instability, hypermobility and neuromuscular incoordination, postural alterations, alterations of the movement and kinematic compensation. Guide to the drafting of the causal complex.
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MM: REUMATOLOGIA
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• Anatomo-funcional basis of the different articular and musculoskeletal structures: structure and cells of connective tissues; structure and function of joints; structure and remodeling of bone tissue; • Physiopathological basis of rheumatic diseases: inflammatory, degenerative, metabolic, immunologic, infective, genetic and psychosomatic processes; • Main symptoms and signs of rheumatic diseases: pain, tenderness, weakness, strain, rush, swelling, disability, instability, deformity, vascular deficit. Elementary rheumatologic physical exams: inspection, palpation, movement evaluation, main physical exams, functional tests; • Main instrumental and laboratory analysis; • General classification of different rheumatic diseases and essential epidemiologic information; • Risk conditions and main radiological and clinical manifestations of osteoporosis; differences with the other main rheumatic diseases; • Main anatomo-pathological and clinical characteristics of osteoarthritis and their placement on localization and aetiological basis; the essential placement of other articular or peri-articular degenerative diseases; • Main anatomo-pathological, diagnostic, clinical and prognostic elements of rheumatoid arthritis; • Clinical manifestations of main seronegative arthritis, in particular of spondyloarthritis; • Distinctive elements of bacterial arthritis, gout and chondrocalcinosis; • Main articular, cutaneous and visceral manifestations of systemic lupus erythematosus and of other main connectivities (scleroderma, dermatomyositis, Sjogren syndrome, vasculitis, rheumatic polymyalgia); • Distinctive characteristics of fibromialgic syndrome and of localized extra-articular rheumatisms; • Possible rheumatological manifestations in various diseases

Assessment methods and criteria

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MM: PROTESIOLOGIA E ORTESIOLOGIA
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Oral examination.
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MM: MALATTIE DELL'APPARATO LOCOMOTORE IN ORTOPEDIA E TRAUMATOLOGIA E IMAGING
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Oral Exam
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MM: MEDICINA FISICA E RIABILITAZIONE DELL'APPARATO LOCOMOTORE
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Written and oral tests. 1-hour written test: multiple-choice questions and open questions. Oral test (generally few days after the written test): discussion of the written test, possible other questions.
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MM: METODOLOGIA DELLA FISIOTERAPIA DEI DISORDINI MUSCOLOSCHELETRICI
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Formative evaluation: Formative written test in itinere with multiple choice test, and 3/4 open-ended questions. Certification service evaluation: Oral certification exam
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MM: REUMATOLOGIA
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Written + oral test.

Reference books
Author Title Publisher Year ISBN Note
Mancini Morlacchi Clinica Ortopedica Piccin 2010




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