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

ADVANCED METHODOLOGIES IN MUSCLE-SKELETAL PHYSIOTHERAPY AND RESEARCH INTRODUCTION (2020/2021)

Course code
4S007306
Credits
5
Coordinator
Simone Accordini

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
METODOLOGIA DELLA FISIOTERAPIA BASATA SULLE EVIDENZE 1 MED/48-NURSING IN NEUROPSYCHIATRY AND REHABILITATION FISIO VR 2^ anno - 2^semestre Clizia Cazzarolli
LOGICA CLINICA E FILOSOFIA DELLA SCIENZA IN FISIOTERAPIA 1 M-FIL/02-LOGIC AND PHILOSOPHY OF SCIENCE FISIO VR 2^ anno - 2^semestre Sara Patuzzo
STATISTICA INFERENZIALE IN RICERCA CLINICA 1 MED/01-MEDICAL STATISTICS FISIO VR 2^ anno - 2^semestre Simone Accordini
STRATEGIE AVANZATE DI TERAPIA MANUALE NEI DISORDINI MUSCOLOSCHELETRICI 2 MED/48-NURSING IN NEUROPSYCHIATRY AND REHABILITATION FISIO VR 2^ anno - 2^semestre Giacomo Rossettini

Learning outcomes

Provide basic knowledge about manual therapy strategies in musculoskeletal disorders, the methodology of sports physiotherapy, the methodology of evidence-based physiotherapy, inferential statistics in clinical research as well as logics and philosophy of science in physiotherapy. MODULE: ADVANCED MANUAL THERAPY STRATEGIES IN MUSCULO-SKELETAL DISORDERS Know the general principles and procedures for the application of specific techniques of manual therapy, indications/contraindications, differences in the different approaches of manual therapy in order to choose the most effective method with an EBP approach. Apply them to some sample cases. MODULE: PHYSIOTHERAPY METHODOLOGY BASED ON EVIDENCE Know the principles of the Evidence Based Practice, the different types of studies and research questions (descriptive, etiology/risk, diagnostic/evaluation, prognostics, treatment). Know the concepts of systematic review, meta-analysis and guidelines. Consolidate the psychometric aspects of evaluation strategies. Know how to correctly formulate a research question, know how to build a search string and carry out research using the main databases in physiotherapy and rehabilitation. Know how to critically read a scientific study. MODULE: INFERENTIAL STATISTICS IN CLINICAL RESEARCH Know the fundamental elements of the inferential statistics useful for inducing or inferring the properties of a population on the basis of known data relating to a sample. Acquire knowledge concerning experimental design, sampling, analysis and distribution of variables. MODULE: LOGICS AND PHILOSOPHY OF SCIENCE IN PHYSIOTHERAPY Understand the essential problems related to the philosophy of science and logics, the links between philosophical reflection on the scientific method and the practice of science in physiotherapy. Acquire knowledge and skills in the understanding of a philosophical text, ability to apply this knowledge to philosophical issues, autonomy of judgment regarding the implications and meaning of topics, communication skills aimed at the correct expression of philosophical contents, ability to learn philosophical contents.

Syllabus

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MM: METODOLOGIA DELLA FISIOTERAPIA BASATA SULLE EVIDENZE
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MM: LOGICA CLINICA E FILOSOFIA DELLA SCIENZA IN FISIOTERAPIA
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LOGIC Definition of Logic Short story of Logic Uses and functions of language Informal fallacies of relevance Informal fallacies of ambiguity Deductive reasoning and related fallacies Inductive reasoning and calculation of probability Writing a scientific paper
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MM: STATISTICA INFERENZIALE IN RICERCA CLINICA
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The course is structured in remote theoretical lessons (10h). The teaching material is made available to the students on the e-learning web page of the course (Moodle platform). - Random variables - Gauss, Student's T and chi-squared distributions - An outline of sampling theory - Sample distribution of an estimator - Confidence interval of one mean and one proportion - The logic of the statistical test: null hypothesis and alternative hypothesis, type I and type II errors, power of a statistical test, p-value - Z, Student's T and chi-squared tests
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MM: STRATEGIE AVANZATE DI TERAPIA MANUALE NEI DISORDINI MUSCOLOSCHELETRICI
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LECTURES: - Manual therapy o definition, o history, o future prospects, o clinical reasoning, o Italian and global policy groups. - Articular techniques: o joint dysfunction: definitions, characteristics, etiology of joint stiffness; o therapeutic solutions: definitions, characteristics, indications and contraindications of the physiological mobilization, effect adverse and manipulations (HVLA); o the assessment parameters: the sequence pain / resistance / spasm, the "joint play", the "limit", the "tissue resistance in range"; o the treatment parameters: duration, frequency, velocity, intensity. - Myofascial techniques: o myofascial dysfunction: definition, characteristics, etiology of trigger points and tender points; o therapeutic solutions: definitions, characteristics, indications and contraindications of passive techniques (ischemic compression, trigger point pressure release, positional release therapy) and active (hold-relax, agonist-contraction); o the assessment parameters: the "taut band", the "twich response", the "jump's sign"; o the treatment parameters: duration, frequency, velocity, intensity. - Neural Techniques: o neural dysfunction: definition, characteristics, etiology of nerve problems and mechanical interface; o therapeutic solutions: definitions, characteristics, indications and contraindications of the data on the nerve and mechanical interface; o the assessment parameters: the resistance and the evocation of the symptoms. - Therapeutic exercises: o typology, posology, goal-oriented approach (force, resistance, coordination, aerobic). SKILL LAB PRACTICE: - Articular techniques: physiological and accessory mobilization of the upper and lower quadrant (evaluation and treatment of ankle, knee, hip, wrist, elbow, shoulder complex); - Myofascial techniques: identification and treatment of trigger points and tender points charged to the upper quadrant, and lower trunk (evaluation and treatment using ischemic compression, trigger point pressure release, positional release therapy, hold-relax, agonist-contraction); - Neural Techniques: upper and lower quadrant of neurotensione test (assessment and treatment using SLUMP, SLR, PKB, ULNT1). - Therapeutic Exercises: typology, posology, examples of goal-oriented approach (force, resistance, coordination, aerobic)

Assessment methods and criteria

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MM: METODOLOGIA DELLA FISIOTERAPIA BASATA SULLE EVIDENZE
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MM: LOGICA CLINICA E FILOSOFIA DELLA SCIENZA IN FISIOTERAPIA
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Written text
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MM: STATISTICA INFERENZIALE IN RICERCA CLINICA
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The final test is a written exam in presence with short answer questions and multiple choice questions. The remote exam is however guaranteed for all students who request it in the academic year 2020/21. The aim of the test is to verify the knowledge of all the topics discussed. The final evaluation is expressed in thirtieths.
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MM: STRATEGIE AVANZATE DI TERAPIA MANUALE NEI DISORDINI MUSCOLOSCHELETRICI
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Goal: To pass the exam, students must demonstrate to: - know the theoretical contents of clinical reasoning; the articular, myofascial and neural evaluation and treatment; the therapeutic exercise; - know how to deliver articular, myofascial and neural evaluation and treatment techniques; - know how to plan and demonstrate therapeutic exercises. Contents: The contents of the exam cover all the topics discussed in the lesson and included in the program of this course. In summary: - clinical reasoning in manual therapy; - articular, myofascial and neural techniques (theoretical concepts, evaluation and treatment techniques); - the therapeutic exercise (theoretical concepts, the exercise of the exercise). Method of assessment: - oral test (to test the theoretical knowledge) by interview with the teacher; - practical testing (to test manual skills) by demonstration. Methods of assessment: - oral test (score 0-30); - practical test (score 0-30); The final vote will be given by the average of the two individual tests and it will be expressed in 30th. There are no differences in exam between attending and non-attending students.

Reference books
Author Title Publisher Year ISBN Note
M.A. Jones, D. Rivett Clinical Reasoning in Musculoskeletal Practice (Edizione 2) Elsevier 2019 9780702059766
Verlato G, Zanolin ME Esercizi di Statistica Medica, Informatica ed Epidemiologia Libreria Cortina Editrice, Verona 2000
IRVING M. COPI, CARL COHEN Introduzione alla logica Il Mulino 1999
Swinscow TDV, Campbell MJ Le Basi della Statistica per Scienze Bio-mediche Edizioni Minerva Medica 2004
Triola MM, Triola MF Statistica per le Discipline Biosanitarie Pearson 2009




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