Unit METHODS OF SPECIAL REHABILITATION

PHYSIC MEDICINE AND APPLIED REHABILITATION

Code	50232302
CFU	2
Teachers	Antonello Nocella (Codocenza)
Hours	24 ore (Codocenza) - Antonello Nocella
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/34
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian language
Contents	Rehabilitation in spinal cord injury. Rehabilitation in cancer disease
Reference texts	Medicina Fisica & Riabilitazione. De Lisa JA et al. Delfino Antonio Editore. Bonavita J et al. La riabilitazione nelle mielolesioni. Masson Editore. La riabilitazione in oncologia – M.P. Schuieroni – C.G. Edizioni Medico Scientifiche
Educational objectives	Knowledge of spinal cord injuries; ability to identify targets in relation to the level of spinal injury and knowledge of rehabilitation settings knowledge of general concepts of oncological rehabilitation and of the main tumors of rehabilitative interest and knowledge of rehabilitation settings
Prerequisites	Knowledge of the anatomy and physiology of the central and peripheral nervous system and of the tumors.
Teaching methods	Lectures. Use of slides.
Other information	Once a week.
Learning verification modality	Oral examination.
Extended program	Unit 1- 4: rehabilitation of spinal cord injury: epidemiological outlines - elements of anatomy and pathophysiology - the various lesional levels and consequent clinical conditions - complications (respiratory, neurological bladder, intestinal, skin, autonomic nervous system, hypotension) - rehabilitation intervention in the various phases of the disease - clinical and functional evaluation - assessment scales in the spinal cord injury- interaction with the environment: the prescription of aids - rehabilitation: the appropriate setting in relation to the illness state Unit 5-6: Rehabilitation of the person with cancer disease. The cancer patient and rehabilitation: tumors of rehabilitative interest - rehabilitation approach in the various phases of illness - assessment scales and indicators in rehabilitative management of the person with cancer - indicators and setting in the rehabilitation - quality of life, ICF and rehabilitation in oncology

METHODS AND TECNIQUES OF VISCERAL REHABILITATION

Code	50232402
CFU	2
Teachers	Lucia Bambagioni (Codocenza)
Hours	24 ore (Codocenza) - Lucia Bambagioni
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The module is divided into 6 didactic units which aim to provide basic training in therapeutic techniques involving the myofascial apparatus and skeletal muscle, with reference to visceral-somatic dysfunction present in chronic oncological patients and all subjects with chronic pain related to such dysfunctions.
Reference texts	- Monica Mastrullo, Antonio Maestri, “Riabilitazione Integrata della donna operata al seno “ ed. EDRA, anno 2018 - Catherine Cavalloro Goodman, Charlene Marshall, “Linee Guida per l’intervento Fisioterapico” a cura di Paolo Pillastrini, Ed. EDRA, anno 2016 - Sistema Integrato Multimediale, MED TUTOR Riabilitazione, “La spalla Dolorosa”, UTET Edizioni Scientifiche, anno 2018 - Basaglia N., Progettare la riabilitazione, Il lavoro in team interprofessionale, Edi-ermes - Istituto Nazionale Tumori “Libro Bianco sulla Riabilitazione oncologica” - Libro Bianco sul dolore cronico, Edito da HPS - Health Publishing & Services Srl, 2014 - Shirley Sahrmann “Valutazione e trattamento delle sindromi da disfunzione del movimento”, Utet Div. Scienze Mediche – 2005.
Educational objectives	At the end of the course the student will have acquired practical experience and knowledge of the techniques involved in rehabilitation treatment for patients with oncological pathology, with post-surgical abdominal-pelvic and thyroid iatrogenic damage. In particular, the main objective of the teaching module is to provide students with the necessary knowledge, both theoretical and practical, for the creation of an Individual Rehabilitation Plan (IRP) for the specific clinical-functional condition, in line with the state of the art Evidence Based clinical Practice (EBP) or, in its absence, through “good clinical care practices”, according to the latest professional legislative guidelines.
Prerequisites	Taking charge of the global rehabilitation of oncology patients, management of functional problems from iatrogenic post-surgery outcomes involving the breast, prostatic, thyroid, bladder prolapse and hysterectomy.
Teaching methods	Frontal lessons
Other information
Learning verification modality	Written Verification
Extended program	Unit 1: Introduction of the module, The importance of the connective and its function in physiotherapy, Rehabilitation and the rehabilitative needs of the cancer patient, The functional clinical assessment of the cancer patient, The reasoning for regional interdependencies, General postural and functional evaluation, Available therapeutic models in literature. Unit 2: Rehabilitative needs in breast cancer, Rehabilitative needs in limb lymphoedema after lymph node dissection for neoplasms, Manual axillary cavity techniques, Manual therapy for the upper quadrant, Manual movement of scars (1st part). Unit 3: Rehabilitative needs in chest tumours, Rehabilitative needs in cervical and facial neoplasms, Postural and functional assessment of chest and thoracic outlet syndrome, Manual chest and thoracic outlet syndrome approach, Manual movement of scars (2nd part). Unit 4: Rehabilitative needs in colorectal neoplasms, Manual approach to the abdomen, Abdominal adhesions and the manual approach, Rehabilitative needs involving urogenital neoplasms, Voiding dysfunction, The functional approach to voiding dysfunction through manual techniques, therapeutic exercises, and the administration of controlled motor activities through the use of ultrasound biofeedback. Unit 5: Chronicity in health care and the role of rehabilitation, Rehabilitation treatment in chronic patients through approaches involving manual techniques, The role of physical exercise and behavioural factors. Introduction and classification of the patient with spinal cord injury. Unit 6: Complexity and multifactoriality of the oncological and chronic patient, the importance of the caregiver and the role of the family, Quality of life and life expectancy, The ability to set indications and the limits of treatment with various proposed physiotherapeutic techniques, to activate interdisciplinary collaboration with other specialists in the health field for optimal performance, The simulation of a therapeutic diagnostic rehabilitative treatment (PDTA-R).

UROLOGY

Code	50519802
CFU	2
Teacher	Elisabetta Costantini
Teachers	Elisabetta Costantini
Hours	24 ore - Elisabetta Costantini
Learning activities	Caratterizzante
Area	Scienze interdisciplinari e cliniche
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Urinary incontinence Frequency urgency syndrome Chronic urinary retention Recurrent Urinary Tract infectiions Pelvic Chronic Pain Overactive Bladder syndrome Urinary Tract Infections Genital prolapse Sexual dysfunctions
Reference texts	1. Trattato di Medicina Interna, fondato da Paolo Larizza. Malattie del rene, dell'apparato urinario e genitale maschile. A.Albertazzi, M.Porena, Ed. Piccin 2. E.Costantini , F.Natale , A.Carbone, A.L.Pastore, G.Palleschi. Pelvic Organ Prolapse. in Heesakkers, J., Chapple, C., De Ridder, D., Farag, F. Practical Functional Urology, pag. 153-238, 2016 ISBN 978-3-319-25430-2, ISBN 978-3-319-25428-9 ISBN 978-3-319-25430-2 (eBook), Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com) DOI 10.1007/978-3-319-25430-2
Educational objectives	To know mainly from a clinical and diagnostic point of view the main urological and uroginecological affections
Prerequisites	Knowledge of the anatomy and physiology of the urinary and male genital system are indispensable in order to understand the topics of the lessons.
Teaching methods	frontal teaching video, ppt presentations
Other information
Learning verification modality	Oral test consists on an interview of about 15 minutes long aiming to ascertain the knowledge level and the understandi capability acquired by the student on theoretical and methodological contents as indicated on the program.
Extended program	• Urology Glossary • Anatomy of urinary tract • Bladder • Urethra • Pelvic floor • Micturition • The neurophysiology of micturition and continence • Functional anatomy of the lower urinary tract • Innervation of the lower urinary tract • Sphincter system • Urinary tract infection ¿ Definition ¿ Classification ¿ Diagnosis ¿ Therapy • Urinary incontinence ¿ Definition ¿ Classification ¿ Diagnosis ¿ Therapy • Urogenital prolapse ¿ Definition ¿ Clinical classification ¿ Diagnosis ¿ Therapy • Neurological bladder ¿ Definition ¿ Classification ¿ Diagnosis ¿ Therapy • Urodynamic tests • Pelvic Pain Syndrome • Male and female sexual dysfunctions • Overactive Bladder Syndrome • Benign Prostatic Hyperplasia: ¿ Epidemiology ¿ Classification ¿ Diagnosis ¿ Therapy • Prostate cancer: ¿ Epidemiology ¿ Classification ¿ Diagnosis ¿ Therapy • Bladder cancer ¿ Epidemiology ¿ Classification ¿ Diagnosis ¿ Therapy • Kidney cancer: ¿ Epidemiology ¿ Classification ¿ Diagnosis ¿ Therapy • Andrology • Physiology of the male reproductive system • Principal Pathologies and Diagnoses • Bladder Catheterism • Rehabilitative Therapy (Biofeedback, Kinetics therapy, Pelvic floor electrostimulation) ¿ Methodology ¿ Approaches ¿ Aims ¿ Indications ¿ Protocols