To show the organization of the course that includes this module, follow this link Course organization
- 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 ...).
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.
|M.A. Jones, D. Rivett||Clinical Reasoning in Musculoskeletal Practice (Edizione 2)||Elsevier||2019||9780702059766|
WRITTEN TEST. Formative assessment by 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.