Locomotor Pathology; Physical and Rehabilitation Medicine

A.Y. 2021/2022
6
Max ECTS
70
Overall hours
SSD
MED/16 MED/19 MED/33 MED/34
Language
Italian
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

Responsible
More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
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
Rheumatology
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
Plastic surgery
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
- Burn injuries
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
Musculoskeletal system diseases
Course syllabus
TRAUMATOLOGY:
- 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;
ORTOPEDIA:
- 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;

Rehabilitation: definition and meanings. The poster for the rehabilitation of the child. Rehabilitation as a complex process.
Conceptual differences between measurement, evaluation and classification.
Georg Rasch's model: potential and limits.
The assessment of adaptive behavior by observation.
Infantile cerebral palsy as a complex paradigm of rehabilitation.
The CPQoL questionnaire (quality of life assessment).
Head trauma as a complex paradigm of acquired brain injury.
Stroke as a paradigm of focal lesions of the Central Nervous System.
Neuroplasticity, the concept of affordance.
The canonical neurons and mirror neurons. The thought movement.
Teaching methods
The teaching metods consist of classroom lessons, usually with the help of slides.
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 the 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.

MED/33 - Medicina Fisica e Riabilitativa - (1 CFU) - dottssa Meraviglia
- Complessità del movimento. (M.V. Meraviglia) Franco Angeli, Milano 2004.
- Sistemi motori. Nuovi paradigmi di apprendimento e comunicazione (M.V. Meraviglia)
Springer, 2012.
- Neuroscienze per giovani studenti.
- Articoli di approfondimento specifici per ciascun argomento forniti dal docente durante il corso.
Physical and rehabilitation medicine
Course syllabus
Pain in orthopedics and traumatology: musculoskeletal pain
- Rehabilitation after implantation of a joint prostheses
- Amputations and preparation for the use of limb prostheses
- The rehabilitation of the traumatized patient
General concepts and guidelines
The rehabilitation management of the neurological patient affected by
- Demyelinating diseases: multiple sclerosis;
- Neurodegenerative diseases: Parkinson's disease and Parkinsonisms, progressive myelopathic atrophies, amyotrophic lateral sclerosis (ALS),
- Inherited disorders: spino cerebellar heredoatassias (Friedreich's disease); progressive neuronal muscle atrophies (Charcot-Marie-Tooth)
- Neuromuscular diseases: progressive muscular dystrophies, myotonias and myasthenia
- Movement disorders: dystonia
- Muscle tone alteration: spasticity
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

Scientific articles and slides discussed during lessons
Musculoskeletal system diseases
MED/33 - ORTHOPAEDICS - University credits: 2
Practicals: 15 hours
Lessons: 10 hours
Physical and rehabilitation medicine
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 2
Practicals: 15 hours
Lessons: 10 hours
Plastic surgery
MED/19 - PLASTIC SURGERY - University credits: 1
Lessons: 10 hours
Rheumatology
MED/16 - RHEUMATOLOGY - University credits: 1
Lessons: 10 hours
Professor: Castellana Paola