Neuro-musculoscheletal and visceral rehabilitation

A.Y. 2019/2020
11
Max ECTS
150
Overall hours
SSD
MED/34 MED/48
Language
Italian
Learning objectives
The aims of the course are:
- to elaborate rehabilitation projects in relation to different pathologies with indications, contraindications, prognoses, long, medium- and short-term objectives;
- to set up a rehabilitation protocol for the main pathologies, identify the need for aids and orthoses;
- to collaborate with other figures in the rehabilitation of patients with neurocognitive disorders with swallowing and incontinence disorders;
- to adopt the most appropriate assessment scales in relation to the pathology.
Expected learning outcomes
At the end of the course, the student must be able to translate the program from the rehabilitation projects, taking into account the indications, contraindications, prognosis, short, medium and long-term objectives for both neurological and orthopedic, pulmonary and visceral pathologies of the pelvic floor of interest. rehabilitation. Furthermore, he / she must be able to identify and interpret the main scales of assessment of the pathologies identified.
Course syllabus and organization

Unique edition

Prerequisites for admission
The student should have the knowledges required in courses in anatomy and physiology of the musculoskeletal and nervous systems, orthopedics and neurology.
Assessement methods and criteria
The final exam consists of a test with multiple answer questions.
Medicina fisica e riabilitativa
Course syllabus
Definition of Rehabilitation: identification of the contents and understanding of the meaning of the keywords
o Definition of the concept of health: historical background and cultural evolution- Cultural influence in ethics
o Concept of Impairment - Disability and Handicap
o Rehabilitation team concept
o The figure of the physiotherapist: professional profile and identification of functions, activities, skills and responsibilities
o Gestural and relational aspects of the profession.
o The code of ethics of the physiotherapist
· The elaboration of the "REHABILITATION PROGRAM": identification of the contents and procedural steps
o "PHYSIOTHERAPY EVALUATION": first approach to patient observation and evaluation. Practical examples
o Aids in rehabilitation: purpose and use
o Notes on Ergonomics
o Manual handling and transfer of patients: theoretical prerequisites for safeguarding the health of the spine and upper limbs of the physiotherapist
· Mechanical movement of patients: main devices and their use

Spinal cord injuries
· Epidemiology
· The history of the Spinal Unit in Italy
· Unipolar Spinal Units
· Clinical classification: AIS Scale
· Functional prognosis

The initial stage:
· Taking charge: observation and evaluation (Italian Toolkit Evaluation for Spinal Cord Injury)
· Tertiary damage prevention: Positioning, mobilization, handling
· Compensation, tricks and adaptive motor strategies; the concept of functional hand
· Immobilization orthosis: type, indications and use

The next stage:
· Postural re-adaptation: orthostatic hypotension and autonomic dysreflexia
· Control of spasticity
· ADL training
· Re-education on the way: orthoses and aids
· Technology rehabilitated: exoskeletons for the upper and lower limbs, platforms and stable metric seats, use of visual games
· Sport Therapy in spinal cord injuries
· Hydrokinesitherapy
Teaching methods
Frontal lessons and practical simulation
Bibliography
Slides e Dispensa fornita dal docente .
- Mariagloria Ferrari -Il codice deontologico dei Fisioterapisti - Libreria Cortina Verona
- Organizzazione Mondiale della Sanità - ICF Classificazione Internazionale del Funzionamento, della Disabilità e della Salute- Erickson ed.
-Nino Basaglia- Progettare la Riabilitazione- Edi Ermes ed.
- Presidenza del Consiglio dei Ministri - Comitato Nazionale per la Bioetica - Bioetica e Riabilitazione- (Testo integrale)- http://bioetica.governo.it/it/documenti/pareri-e-risposte/bioetica-e-ri…

· AAVV: "La persona con lesione midollare", Carocci Ed., Roma, 2012.
· Bonavita J.: "La riabilitazione del soggetto con mielolesione", Edizioni Masson, Milano, 2004.
· Bromley I.: "Tetraplegia e paraplegia, guida per i terapisti della riabilitazione", Libreria Editrice Fiorentina; Firenze, 1979.
· Di Benedetto P., Franceschini M., Lotta S.: "Riabilitazione dei traumi vertebro-midollari", Edizioni Minerva Medica; Torino, 1994.
· AA VV: "L'uomo spinale", Grafica Briantea; Milano, 1993.
· Minaire P.: "Paraplegia e tetraplegia. Guida pratica di riabilitazione", Ed. Masson; Milano, 1984.
· Menarini M.: "Blue book 200 risposte alla mielolesione", Milano, 2016.
Scienze infermieristiche e tecniche neuropsichiatriche e riabilitative
Course syllabus
Introduction to Orthopedic Rehabilitation.
The individual orthopedic rehabilitation project.
The pain.
The rehabilitative treatment of cervicobrachial syndrome, low back pain and sciatica.
The rehabilitation of the trauma patient.
The rehabilitation of the main orthopedic pathologies.

Introduction to Neurological Rehabilitation.
The individual neurological rehabilitation project.
The physiological basis of neurological rehabilitation: neuroplasticity and the mirror-neuron system.
The neuromotor and neurocognitive rehabilitation.
The main neuropsychological disorders
The rehabilitation of cerebro-vascular pathologies.
The rehabilitation of the main neurological disorders.
Teaching methods
The lessons take place in the classroom and include: frontal teaching, vision and analysis of photos and videos, practical tests between students supervised by the teacher, work in groups and research activities, analysis and presentation of scientific articles.
Bibliography
· Shumway-Cook A, Woollacott MH. Motor control : translating research into clinical practice. Lippincott Williams & Wilkins; 2007
· Neumann DA. Kinesiology of the musculoskeletal system : foundations for rehabilitation. Mosby/Elsevier; 2010. 725 p.
· Meadows L, Raine S, Lynch-Ellerington M. Bobath concept : theory and clinical practice in neurological rehabilitation. Wiley-Blackwell; 2009. 216 p.
· Aloisi AM, Grassi F, Negrini D, Porro CA. Fisiologia umana. Poletto; 2015.
· Tesio L. Fisiopatologia del controllo posturale e dell'equilibrio: razionale per l'esercizio tera- peutico. In: Cesarani A. La Riabilitazione vestibolare. Torino: Omega Edizioni; 2007; p. 77- 90. · Tesio L. Esercizio motorio terapeutico nella emiparesi postictale. In: Secondo rapporto sull'ictus: disabilita', riabilitazione, ricerca. Istituto Auxologico Italiano. Elsevier-Masson; 2005; p. 129-54.

1. A.Shumway-Cook, M.H. Woollacott " Motor Control - theory and practical Applications"
Ed. Williams e Wilkins
2. Kandel "Principi di neuroscienze" Casa Editrice Ambrosiana-Milano
3. Purves "Neuroscienze" Ed. Zanichelli
4. Marchetti, Pilllastrini "Neurofisiologia del movimento" Ed. Piccin
5. P. Davies "Passo dopo passo" Ed. Sprinter-Verlag
6. Cisari e Molteni "Stroke, clinica e riabilitazione" Edi-Ermes
7. Tasca, Tarditi "Guida allo studio per fisioterapisti" Società Editrice Universo
8. S. Boccardi, A. Lissoni " Cinesiologia" vol. 3. Soc. ed. Universo
9. M. Prencipe "L'esame neurologico. Quadri normali e patologici" Ed. Piccin
10. D.A. Neumann "Chinesiologia del sistema muscoloscheletrico" Ed. Piccin
11. Harald Masur "Scale e punteggi in Neurologia" Edi-Ermes
12. Sito per Scale di Valutazione in Riabilitazione : www.rehab measures.org

A.Shumway-Cook, M.H. Woollacott
" Motor Control - theory and practical
Applications" ed. Williams e Wilkins, 1995
· P.M. Davies " Passo dopo passo" ed. Sprinter, 2001
· S. Boccardi, A. Lissoni " Cinesiologia" vol. 3.
Soc. ed. Universo, 1990.
· Ann F., Vansant " rising from a supine position
To erect stance" Physical Therapy vol.68 n° 2
1988; 185-192
· D.Pini, S. Masetti, C. Papucci, La Rinaldi " Analisa
della cordinazione seduto-in-piedi-seduto" Riabilitazione Oggi anno
XVIII-n° 6 Giugno 2001;23-33
· M.Scenkman, R.A. Berger, Poriley, Rwmann, Wa.
Hodge " Whole- Bboby moviments durino rising
To standing from sitting" Physical Therapy vol.70
N°10, 1990, 638-651
· R:Rrichter,A.F.Vansnt " Description of adult rolling
movements and Hypothesis of developmental sequences"
Physical therapy vol.69, n°1, 1989; 77-85

SITI INTERNET

· www.pubmed.gov
· www.ricercainriabilitazione.it
· www.fisionline.org
· www.braintrack.com
· www.medline.com

Shultz S, Houglum P, Perrin D. Esame obiettivo dell'apparato locomotore. Piccin; 2018.
Kisner C, Colby L. Esercizio terapeutico. Piccin; 2012.
Neumann D, Chinesiologia del sistema muscolo scheletrico. Piccin; 2019.
Ferrari, Pillastrini, Testa, Vanti. Riabilitazione post-chirurgica nel paziente ortopedico. Elsevier; 2010

Hoffman et al: hematology basic principles and practice. Churchill-Livingstone

Slide del corso e materiale reso a disposizione dal docente, facente riferimento al seguente testo:
Vallar G. & Papagno C. (2018). Manuale di neuropsicologia. Clinica ed elementi di riabilitazione. Bologna: Il Mulino.

- "esame clinico e valutazione in riabilitazione respiratoria" ( autori vari, edito da A.R.I.R.)
- "il ricondizionamento all'esercizio fisico nel paziente con patologia respiratoria" (autori vari, edito da A.R.I.R.)
- " disostruzione bronchiale" (autori vari, edito da A.R.I.R.)

Shumway-Cook A, Woollacott MH, Motor Control: translating research into clinical practice, Wolters Kluwer (V edizione), 2017
Neumann DA, Kinesiology of the musculoskeletal system: foundations for rehabilitation, Mosby/Elsevier, 2010.
Manuale di Neuropsicologia Denes-Pizzamiglio Zanichelli Ed.
Manuale di Neuropsicologia Vallar-Papagno Il Mulino Ed.
Right brain, left brain S. Springer- G. Deutsch Revised ED.
Riabilitazione Neuropsicologica A. Mazzucchi Masson
Medicina fisica e riabilitativa
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 2
Lessons: 20 hours
Shifts:
Sezione: Don Gnocchi
Professor: Pagani Rossella
Sezione: San Carlo
Professor: Pagani Rossella
Sezione: San Paolo
Professor: Pagani Rossella
Scienze infermieristiche e tecniche neuropsichiatriche e riabilitative
MED/48 - NURSING IN NEUROPSYCHIATRY AND REHABILITATION - University credits: 9
Practicals: 120 hours
Lessons: 10 hours