Locomotor pathology; Physical and rehabilitation medicine

A.Y. 2019/2020
Overall hours
MED/16 MED/19 MED/33 MED/34
Learning objectives
The course will provide general knowledge in the etiology and pathogenesis, clinical manifestations, diagnostic processes and principles of the treatment of pathologies in the field of rheumatology, orthopedics and traumatology and plastic surgery. It will also provide skills in recognizing and assessing disability, clinical signs of patient recovering and deterioration, according to the principles of physical and rehabilitation medicine.
Expected learning outcomes
The student will be able to describe the characteristics of the main diseases in the field of rheumatology, orthopedics and plastic surgery, to indicate the main treatments of these diseases, with particular attention to the evaluation of disability and the methodologies in rehabilitation.
Course syllabus and organization

Single session

Prerequisites for admission
Be enrolled at the 2nd year of the program. The student should have the knowledges requested by the courses of Anathomy, Physiology, General pathology.
Assessment methods and Criteria
Written test with quiz
Course syllabus
- classification of rheumatic diseases
- rheumatoid arthritis
- microcrystalline arthritis
- connective tissue disease
- ankylosing spondylitis and psoriatic arthritis
- osteoarthritis and osteoporosis
Teaching methods
Classroom lessons
Teaching Resources
UNIREUMA, Reumatologia per le professioni sanitarie, Ed. Idelson-Gnocchi
Todesco, Malattie Reumatiche, Ed Mc Graw Hill
Chirurgia plastica
Course syllabus
- Introduction of hand surgery and rehabilitation
- Anatomy of the hand
- Common diseases of the hand: Minimally-invasive approaches
- Main athrosis clinical picture: surgical treatment
- Traumatic and compressive disorders of the peripheral nervous system
- Fractures of the hand and wrist: indications, conservative and surgical treatment
- Ligamentous and tendon injuries of the hand
- The traumatic hand: CUMI centers, amputations, complex traumas
- Soft tissue injuries of the hand: the role of microsurgery
- Congenital malformations of the hand
Teaching methods
Classroom lessons
Teaching Resources
Pajardi, G. La Chirurgia della Mano, Piccin, Nuova Libraria
Kapandji, A., Pagani, P.A. Anatomia Funzionale
Bonola - Caroli - Celli (1981) La mano - Filogenesi, Embriologia, Anatomia descrittiva, funzionale, topografica, chirurgica e radiologica
Scott W. Wolfe MD et al. (2016) Green's Operative Hand Surgery 7e
Amit Gupta, Simon P. J. Kay, Luis R. Scheker (2000) The Growing Hand: Diagnosis and Management of the Upper Extremity in Children
Malattie dell'apparato locomotore
Course syllabus
- mechanism of traumatic injuries and general aspects of the most important lesions of soft tissues, joints, muscles and tendons, bone, and cartilage, and their complications;
- principles of conservative and surgical treatment of the fractures;
- principal lesions of the skeleton:
o hip fractures;
o dislocation of the shoulder;
o fractures of the shaft of the long bones;
o fractures of the spine;
- primary and secondary osteoporosis and fragility fractures, femural and vertebral and mention of
- other metabolic bone deseases;
- joint replacement in osteoartritis and other reumatic deseases and its complications;
- bone infections;
- intervertebral disc herniation and degeneration;
- mentions of congenital deformities and of developmental pathologies;
- mentions of skeletal tumors, primitive, benign and malignant, and secondary;
most common tendon pathologies.
- Recovery after brain damage
- Implicit and explicit learning
- Movement, space and mirror neurons
- The rehabilitation project in coma and stroke outcomes
- Stroke rehabilitation guidelines
- Minimum rehabilitation assessment protocol for the person with severe acquired brain injury (GCA)
- Rehabilitation project in Infantile Cerebral Palsy
Teaching methods
The teaching metods consist of classroom lessons, usually with the help of slides, and of practical teaching by attending the activities of the ward, the out-patient service, the first-aid service, the operating room, under the guide of the teachers and of the tutors.
Classroom lessons
Teaching Resources
The slides projected in the lessons will be available on Ariel, or directly in the classroom.
The following textbooks could be used to preapare te final exam:
- Paolo Cabitza - Ortopedia - 2012 Esculapio Ed.
- Federico A. Grassi, Ugo E. Pazzaglia, Giorgio Pilato. Manuale di ortopedia e traumatologia. 2012 Elsevier Ed.
- Jennifer Hart, Mark D. Miller, Stephen R. Thompson. Miller's Review of Orthopaedics. 2016 Elsevier Ed.
- Franco Postacchini, Ernesto Ippolito, Andrea Ferretti. Ortopedia e Traumatologia. 2017 Antonio Delfino Ed.
- Attilio Mancini, Carlo Morlacchi. Clinica ortopedica. Manuale-atlante. 2018 Piccin-Nuova LibrariaEd.
Medicina fisica e riabilitativa
Course syllabus
General concepts and Guidelines; Rehabilitative care of the neurological patient affected by: Demyelinating diseases: Multiple sclerosis; Systematic degenerative diseases: Progressive myelopathic atrophies, Progressive neuronal muscle atrophies (Charcot-Marie-Tooth), Amyotrophic lateral sclerosis (ALS), Spino cerebellar heredoaxassias (Friedreich's disease); Diseases of the extrapyramidal system: Parkinson's disease and Parkinsonisms; Neuromuscular diseases: progressive muscular dystrophies, myotonies and myasthenia
Teaching methods
Classroom lessons
Teaching Resources
Basaglia N. "Progettare la Riabilitazione" . Edi-Ermes, Milano 2002
Schimpf, O. "Riabilitazione neurologica" Edizione italiana a cura di Gianfranco Lamberti
Franchignoni F, Ferriero G. La misura in Medicina Fisica e Riabilitativa. In: Saraceni VM, Fletzer D, editors. L'esercizio in Medicina Riabilitativa. Capitolo 4. Padova: Piccin, 2009; pp. 73-83.
Penta M, Arnoult C. Decruynaère C. Analisi di Rasch e questionari di misura. Applicazioni in medicina e scienze sociali Traduzione a cura di L.Tesio: Springer Italia, 2008;
Tesio L. La valutazione funzionale in Medicina Riabilitativa: principi e metodi. In: Encyclopédie Médico-Chirurgicale 2005;41,1:1-6
Chirurgia plastica
MED/19 - PLASTIC SURGERY - University credits: 1
Lessons: 10 hours
Malattie dell'apparato locomotore
MED/33 - ORTHOPAEDICS - University credits: 2
Practicals: 15 hours
Lessons: 10 hours
Professor: Pietrogrande Luca
Medicina fisica e riabilitativa
Practicals: 15 hours
Lessons: 10 hours
Professors: Converti Rosa Maria, Meraviglia Maria Vittoria, Tesio Luigi
MED/16 - RHEUMATOLOGY - University credits: 1
Lessons: 10 hours
Professor: Castellana Paola