Unit REHABILITATION IN CRITICAL AREA

PHYSICAL MEDICINE AND REHABILITATION APPLICABLE TO SERIOUS BRAIN INJURY PATIENTS

Code	50242402
CFU	2
Teacher	Federico Scarponi
Teachers	Federico Scarponi
Hours	24 ore - Federico Scarponi
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/34
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	mechanisms of severe brain injury , evaluation and rehabilitative aspects.Managementin Acute and Post-Acute phase
Reference texts	La riabilitazione delle gravi cerebrolesioni acquisite. Percorsi sanitario-assistenziali, complessità gestionale, evidenza dei risultati di Anna Mazzucchi - Giunti OS editore Metodologia della Riabilitazione di Bartolo - Sandrini - Smania • 2016
Educational objectives	physiopathological mechanisms of a severe brain injury; disorders of consciousness ; knowledge of the rehabilitative pathways ,rehabilitative interventions in intensive care unit and post-acute phase
Prerequisites	knowledge of neurology and the basics of neurological rehabilitation
Teaching methods	Frontal lessons through slides and audiovisual material; experiences and clincal cases
Learning verification modality	depending on the number of participants, the exam may be held orally or in writing.
Extended program	Lesson 1 Definition of Severe Acquired Cerebrolesione Acquired (GCA). . GCA traumatic mechanisms of injury; focal damage, diffuse damage, diffuse axonal damage (DAI) GCA to non-traumatic etiology: brain haemorrhages and anoxic brain injuries anoxieties.infectious brain injuries Lesson 2 The consciousness , definition and characteristics of the patient in coma, in vegetative state, minimal consciousness state, akinetic mutism and locked in syndrome. The use of tools to evaluate the state of consciousness. The difficulties of diagnostic accuracy of consciousness Lesson 3 The minimum protocol for the assessment of Severe Acquired Brain injury. The Coma Recovery Scale revised : general rules, scale characteristics, use in scientific studies Lesson 4 factors influencing the recovery of consciousness; role of pain and its evaluation; pain matrix Lesson 5 Rehabilitation management in the acute phase: the bed rest syndrome; pressure sores ; polyneuropathies acquired in intensive care; evidence of early rehabilitation: mobilization, verticalization Lesson 6 Hydrocephalo-craniectomy and cranioplasty spasticity - paroxysmal sympathetic hyperactivity - tracheostomic tube Lesson 7 heterotopic calcifications (POA) -nutrition routes for GCA Lesson 8 transferability criteria - appropriateness criteria - priority criteria. teamwork. assistive devices

PHYSIOTERAPIC SCIENCES APPLIED TO CRITICAL AREA

Code	50242502
CFU	2
Teachers	Lorella Sagrestani (Codocenza)
Hours	24 ore (Codocenza) - Lorella Sagrestani
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Project and rehabilitation program in critical area
Reference texts	“La riabilitazione delle gravi cerebrolesioni acquisite Percorsi sanitario assistenziali, complessità gestionale, evidenza dei risultati” Mazzucchi Anna - Giunti Editore 2011 “Ricominciare” Patricia M. Davies - Sringer edizione 2004
Educational objectives	Acquire knowledge about the management in a team of the patient with brain injury Acquire knowledge for an adeguate evaluation and to create an appropriate physical treatment for the patient with brain injury Acquire the skills to implement strategies to guide the functional recovery of the patient with brain injury
Prerequisites	brain injury neurophysiology
Teaching methods	theoretical lessons and practical training through simulations
Other information
Learning verification modality	oral examination
Extended program	The take on responsibility of the patient with acquired brain injury: the multidisciplinary team Peculiarity of the intervention of the physioterapist on the patient with brain damage in the acute and post acute phase Rehabilitative intervention on the patient with reduced awareness Strategies to help the motoric and functional recovery in acquired brain injuries Prevention and cure of complications due to paralysis Axial disorders treatment Early verticalization Identification of wheelchair and postural system Physical treatment for spasticity

LOGOPHEDIC SCIENCES

Code	50242602
CFU	2
Teachers	Rita Moretti (Codocenza)
Hours	24 ore (Codocenza) - Rita Moretti
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/50
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Neuropsychological symptoms in diffuse brain injury. The swallowing disorders in brain injury.
Reference texts	La riabilitazione delle gravi cerebrolesioni acquisite Percorsi sanitario assistenziali, complessità gestionale, evidenza dei risultati. Mazzucchi Anna . Giunti Editore 2011 Linee guida sulla gestione del paziente disfagico adulto in foniatria e logopedia. ConsensusConference Torino, 2007
Educational objectives	To get knowledge of cognitive-behavioral disorder after acquired brain injury and to learn how to plan and improve and effective rehabilitation intervations and supports.
Prerequisites	Brain Injury neurophysiology
Teaching methods	Lectures Seminarial activity with audiovisual material
Other information
Learning verification modality	oral examination
Extended program	Unità didattica 1:Traumatic and nontraumatic acquire brain injury. Neuropsychological symptoms in diffuse brain injury. Observation tools of cognitive behavior. Unità didattica 2: The attentional processes. Attention and cognitive processes. Automatic and voluntary attention; selective and intensive attention components; spatial attention. Clinical evaluation and rehabilitative interventions on the attentional disorders in the acquired brain injury. Unità didattica 3: The mnesic functions. MBT and MLT. Prospective memory. Learning processes, consolidation and reenactment. Clinical assessment and rehabilitative interventions memory of memory disorders in the acquired brain injury. Unità didattica 4: Executive functions. Disorders of the initiative and planning of activities aimed. Disorders of logic skills, of abstract judgment and problem solving. Disorders of behaviour and affectivity. Clinical evaluation and rehabilitative interventions for executive and behavioral deficits in the acquired brain injury. Unità didattica 5: The swallowing function. Dysphagia Oropharyngeal: assessment and rehabilitation. Multidisciplinary management in dysphagia.