Locomotor Pathology; Physical and Rehabilitation Medicine

A.Y. 2023/2024
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.
Single course

This course can be attended as a single course.

Course syllabus and organization

Single session

Responsible
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
Oral examination based on case studies
Multiple choice questions
Reumatologia
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 arthrosis 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 Childre
Malattie dell'apparato locomotore
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;
Teaching methods
Classroom lessons
Teaching Resources
- 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
- classification of rheumatic diseases
- rheumatoid arthritis
- microcrystalline arthritis
- connective tissue disease
- ankylosing spondylitis and psoriatic arthritis
- osteoarthritis and osteoporosis

General concepts and guidelines
The rehabilitation of the neurological patient suffering from:
- Demyelinating diseases: multiple sclerosis;
- Neurodegenerative diseases: Parkinson's disease and Parkinsonisms; progressive myelopathic atrophies, amyotrophic lateral sclerosis (ALS)
- Hereditary diseases: progressive neuronal muscular atrophies (Charcot-Marie-Tooth), inherited, degenerative cerebellar spinal diseases (Friedreich's ataxia); Ehlers Danlos syndrome
- Rehabilitation in coma and stroke
- Stroke rehabilitation guidelines
- Severe acquired brain injury (GCA): rehabilitation assessment guidelines
- Neuromuscular diseases: progressive muscular dystrophies, myotonia and myasthenia
- Guillain-Barré syndrome

- Movement disorders: dystonia
- Alterations in muscle tone: spasticity
- Mirror neurons
- Mirror therapy
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
Chirurgia plastica
MED/19 - PLASTIC SURGERY - University credits: 1
Lessons: 10 hours
Malattie dell'apparato locomotore
MED/33 - ORTHOPAEDICS - University credits: 1
Lessons: 10 hours
Professor: Pietrogrande Luca
Medicina fisica e riabilitativa
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 3
Practicals: 30 hours
Lessons: 10 hours
Reumatologia
MED/16 - RHEUMATOLOGY - University credits: 1
Lessons: 10 hours
Professor: Castellana Paola