Unit LOCOMOTOR PATHOLOGY AND REHABILITATION

LOCOMOTOR DISEASES

Code	50141902
CFU	2
Teacher	Giovanni Battista Mancini
Teachers	Giovanni Battista Mancini
Hours	24 ore - Giovanni Battista Mancini
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/33
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Clinical Examination and imaging Congenital and acquired pathologies of upper, lower extremities and spine Fractures and dislocations of extremities and spine
Reference texts	F. Grassi et al. :Manuale di ortopedia e traumatologia, ELSEVIER MASSON L. Molfetta: Patologie dell'apparato locomotore (manuale di ortopedia), PACINI editore F. Pecorelli Nozioni di Ortopedia e Traumatologia
Educational objectives	Good knowledge of congenital and acquired pathologies of upper, lower extremities and spine and fractures and dislocations of extremities and spine
Prerequisites	To be able to understand and tackle the course, the student must have passed with success examinations preparatory described in the regulation on the degree course. knowledge, in fact, of general notions of anatomy and chinesiology is a prerequisite for the student who wants to follow the course with profit.
Teaching methods	The course is organized as follows: Lectures face to face on all subjects of the course.
Other information
Learning verification modality	The exam consists of an oral test and/or a written test. Oral test consists on an interview of about 15 minutes long aiming to ascertain the knowledge level and the understanding capability acquired by the student. The written test consists of the solution of multiple choice test or the open answer to four questions. The written test has a duration of no more than 60 minutes.
Extended program	Clinical Examination and imaging Congenital deformities: developmental hip dysplasia and dislocation, congenital clubfoot, congenital torticollis Developmental pathologies: osteochondrosis, scoliosis, kyphosis spondylolysis and spondylolisthesis, slipped capital femoral epiphysis, flat and cavus foot Degenerative and inflammatory arthropaties: osteoarthrosis (hip, knee, avascular necrosis of the hip and knee), rheumathoid arthritis, acquired joint deformities (varus and valgus knee, hallux valgus) Spinal pathologies: lumbar and cervical herniated disk, spinal stenosis Muscolar and tendineous pathologies: shoulder ( impingement syndrome, rotator cuff tears, biceps tendinopathy, calcific tendinopathy), elbow ( lateral epicondylitis, medial epicondylitis), knee and leg (patellar, quadriceps, Achilles tendinopathy), tendons rupture ( distal biceps, patellar, quadriceps, Achilles), muscolar disruptions Hand and wrist: carpal tunnel syndrome, compression of the ulnar nerve at the elbow and wrist, DJD of thumb and long fingers, trigger finger, De Quervain disease, Dupuytren's contracture, traumatic lesions of tendons TRAUMATOLOGY General principles (Classification of the fractures, bone healing, treatment and complications) Physeal injuries Fractures of upper extremity Fractures of lower extremity Fractures of the spine Dislocations and sprains of the joints

METHODOLOGY AND TECHNIQUES OF LOCOMOTOR APPARATUS

Code	50575002
CFU	2
Teachers	Luca Capoccia (Codocenza)
Hours	24 ore (Codocenza) - Luca Capoccia
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian language
Contents	The course aims to develop in the student the knowledge of the most effective rehabilitation techniques in motor recovery after disorders of the musculoskeletal system and rheumatic pathologies
Reference texts	Kesson- Atkins, “Orthopaedic Medicine: a practical approach” Butterworth-Heinemann; 2 edition (30 Aug. 2005) Kisner – Colby, “Therapeutic Exercise: Foundations and Techniques”, F A Davis Co; 6 edition (21 settembre 2012) Shirley Sahrmann, Diagnosis and Treatment of Movement Impairment Syndromes, Mosby (1 maggio 1999) Gross - Fetto – Rosen, “Musculoskeletal Examination”, Blackwell Pub; 3 edition (9 april 2009) Giuseppe Monari, “FNP, Facilitazioni neurocinetiche progressive. Elaborazione del concetto kabat”, ed. Edi.Ermes. Cook C.E., Hegedus E.J., Orthopedic Physical Examination Tests: An Evidence-Based Approach, Pearson College Div; 2 edizione (30 dicembre 2011)
Educational objectives	The course aims to provide a primary university education regarding the methodologies and techniques related to the pathologies of the musculoskeletal system.
Prerequisites	Knowledge of anatomy, physiology, biomechanics and pathologies of the musculoskeletal system.
Teaching methods	Theoretical lessons and practical training.
Other information	At the end of the course the student will be able to evaluate the person with musculoskeletal disorders through a careful medical history, global and specific tests to build an individualized rehabilitation project (PRI) for the specific clinical condition, using the most rehabilitative therapy techniques suitable for the specific patient in compliance with the principles of evidence based clinical practice
Learning verification modality	Oral and practice examination.
Extended program	Conducting a clinical examination: anamnestic collection (brief excursus on pain), Inspection, functional examination, clinical reasoning. Taking into account the main anatomical regions (lumbar- AAII, sacro-iliac- THORAX, cervical AASS). Ability to put the indications and the limits of treatment with various proposed physiotherapy techniques and to activate interdisciplinary collaborations with other specialists in the health field. Training in the correct execution of the mobilization techniques of the spine and limbs according to the principles of the most important schools (with brief references to arthrocinematics). Creation of a cockpit model for the rational use of mobilization techniques. Some forms of therapeutic exercise will be proposed, for control and stabilization, and techniques for neuromotor recovery.
Obiettivi Agenda 2030 per lo sviluppo sostenibile

RHEUMATOLOGY

Code	50573202
CFU	2
Teachers	Silvano Baratta (Codocenza)
Hours	24 ore (Codocenza) - Silvano Baratta
Learning activities	Caratterizzante
Area	Scienze interdisciplinari e cliniche
Academic discipline	MED/16
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	After recalling some anatomical, histological and immunological topics, the program comprises the presentation of the major rheumatic diseases, alongside their epidemiology, classification, pathophysiology, clinical picture and viable rehabilitation.
Reference texts	Notes provided by the professor.
Educational objectives	The course aims at developing the students' knowledge of the physiopathology and clinical presentazion of the most relevant rheumatological diseases. At the end of the course the student will acquire expertise on classification, epidemiology and rehabilitation therapy of disabilities and will be able to learn concepts and develop specific skills to treat these diseases.
Prerequisites	Knowledge of immunology and inflammatory processes (essential).
Teaching methods	Lectures on all course topics . Presentations of clinical cases. Slides.
Other information	See web site http://www.med.unipg.it/fisioterapia/ for further information about learning activities timetable.
Learning verification modality	Oral exam (the exam consists in a 30 minutes-long interview, aimed at ascertaining the knowledge and the elaboration and presentation skills of the student,and will be based entirely on the content of the study program).
Extended program	Structure of the connective tissue, joints and bone. Definition and Epidemiology of the Rheumatic Diseases. Elements of immunopathology. The pathologic pictures. The laboratory in the Rheumatic Diseases. Physical examination of the patient rheumatology. Elements of physical therapy and pharmacotherapy of Rheumatic Diseases. Systematic treatment of rheumatic diseases with particular emphasis on the more frequent physiotherapy interventions - Inflammatory articular rheumatism: rheumatoid arthritis, spondylitis, psoriatic arthritis. - Systemic rheumatic diseases: Systemic lupus erythematosus, Systemic sclerosis. - Microcrystalline arthritis: Gout, Chondrocalcinosis. - Bone diseases: Osteporosis.

PHYSIOTERAPIC SCIENCE APPLIED TO ORTHOPEDIC MEDICINE AND INSTRUMENTAL REHABILITATION

Code	50041902
CFU	2
Teachers	Luca Collebrusco (Codocenza)
Hours	24 ore (Codocenza) - Luca Collebrusco
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Main degenerative and post-traumatic / post-surgical orthopedic diseases. Definition of the treatment objectives and identification of the appropriate therapeutic plan.
Reference texts	- C. Kisner, L.A. Colby; “Esercizio Terapeutico”, III ed., Piccin 2014 - S. Brent Brotzmann, Robert C. Manske; “La Riabilitazione in Ortopedia”, Edra Masson, 2014 - G. Porcellini, N. Abdelkhalki, A. Castagna; F. Campi, P. Paladini; “La spalla”, II ed. , Verducci Editore, 2014 - K. Mohan Iyer; “Clinical examination in Orthopedics”, Springer 2012
Educational objectives	The target of this course is to develop in students ability to set an appropriate therapeutic plane of the orthopedic post-traumatic/post surgical or degenerative diseases.
Prerequisites	Knowledge of the principles of anatomy of the musculoskeletal system and kinesiology.
Teaching methods	Theoretical lessons and practical training
Learning verification modality	Written and practice test.
Extended program	Basic principles Principles of orthopedic rehabililitation; Rationale in the rehabilitation program in post-traumatic lesions; Rationale in post-surgical rehabilitation treatment; Overview of instrumental therapy in rehabilitation in line with current EBP. SHOULDER Rotator cuff injury conservative and post-surgical treatment; Anatomical and reverse prosthesis shoulder; Articular and extra-articular fractures; Subacromial impingement syndrome; Therapeutic rationale in adhesive capsulitis; Shoulder instability; Superior Labral tear from Anterior to Posterior (SLAP Lesion); Management post surgical of bankart lesion and associadet lesions (Hill-Sachs): current concepts in reabilitation. ELBOW Management of radial head and olecranon fractures: current concepts in reabilitation; Overuse syndromes of the elbow Rational and effective treatment in rehabilitation. WRIST, HAND and FINGER Conservative and post-surgical treatment of: Colles and Goyrand-Smith fracture; Management of Scaphoid Fractures in rehabilitation; Rehabilitative management of injuries to the hand and fingers; Carpal and Cubital tunnel syndrome management in rehabilitation; Management of trapeziometacarpal joint osteoarthritis in rehabilitation; De Quervain’s tenosynovitis: rehabilitation options; Physical therapy and rehabilitation in the management of rheumatic disorders of the hand; Management of Dupuytren’s disease in rehabilitation. HIP Hip fractures care and management in rehabilitation; Physiotherapy rehabilitation after total hip replacement; Rehabilitation for the management of hip osteoarthritis using rehabilitation; Current concepts in the rehabiliation and management of femoral acetabolar impingement (FAI). KNEE Knee fractures care and management in rehabilitation; Physiotherapy rehabilitation after total Knee replacement; Management in rehabilitation of the Patient with an LCA/ACL/MCL and Injured Knee; Treatment of Knee Meniscus Pathology: management and rehabilitation; Rehabilitation for the management of knee osteoarthritis using rehabilitation; Rehabilitation and management of Patellofemoral Pain. ANKLE and FOOT Ankle and foot fractures care and management in rehabilitation; Rehabilitation of the Ankle After Acute Sprain or Chronic Instability; Physical therapy and rehabilitation in the management of rheumatic disorders of the foot; Overuse injury syndromes of the calf and foot. SPINE Cervical pain and Low Back Pain; Dorsal fractures; Lumbar spine surgery; Physical therapy and rehabilitation in the management of rheumatic disorders of the spine (ankylosing spondylitis); Lumbar Stenosis of the Aging Spine: Evaluation and Treatment According to the