Unit METHODS AND TECHNIQUES NEUROREHABILITATION

METHODOLOGY AND TECHNIQUES OF NEUROLOGICAL REHABILITATION II

Code	50553602
CFU	2
Teachers	Rita Monico (Codocenza)
Hours	24 ore (Codocenza) - Rita Monico
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	Perfetti Neuro-cognitive Rehabilitation. Motor Imagery, Action Observation, Mirror Therapy Physiotherapeutic intervention in some neurological pathologies
Reference texts	C. Perfetti La rieducazione motoria del’emiplegico - Ghedini C. Perfetti Condotte terapeutiche per la rieducazione motoria dell’emiplegico - Ghedini P.Reggiani L’immagine motoria come strumento per l’esercizio terapeutico – Biblioteca Lurija. Didactic material provided by the teacher
Educational objectives	- Know the main theories of movement and recovery are the basis of different therapeutic approache to cognitive rehabilitation - Know the main instruments available to the rehabilitator to guide the interpretation of the major neurological diseases, and therapeutic exercise for the recovery - Perform properly and adequately the cognitive therapeutic exercise on patient - Know the principles of physiotherapy treatment in some neurological pathologies: ALS, Guillain Barrè, Parkinson, Ataxias
Prerequisites
Teaching methods	Face to face and practical training through simulations in the classroom
Other information
Learning verification modality	oral and practical exam
Extended program	Evolution of neurological rehabilitatives sciences for the motor recovery Theories on the motor control and rehabilitation Perfetti Cognitive theory of the Rehabilitation The evolution towards the Cognitive Therapeutic Exercise: the reference models, the structuring of the exercise, the therapeutic supports Exercise of the first, second and third degree Analysis of the functions of the upper limb : exercises and supports Analysis of the functions of the trunk : exercises and supports Functional gait analysis, load re-education, control of lower limb movements: exercises and supports The neurocognitive rehabilitation: the image motor and conscious experience as a tool for therapeutic exercise Focus on Motor Imagery, Action Observation, Mirror Therapy Physiotherapeutic intervention in some neurological pathologies: Amyotrophic lateral sclerosis Guillain Barrè syndrome Ataxia Parkinson's disease

METHODOLOGY AND TECHNIQUES OF NEUROLOGICAL REHABILITATION I

Code	50543602
CFU	2
Teachers	Pamela Fiorucci (Codocenza)
Hours	24 ore (Codocenza) - Pamela Fiorucci
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	It starts from the observation method for a comparison between normal and phatological movement sequences as a manifestation of CNS lesions with particular reference stroke. It proceeds with: the activities of teaching tutorial aimed at acquiring manual dexterity as evaluative instrument and treatment by passing throug the awareness of the importance of contact in the therapist-patient dialogue tonic the general principles of the assessment and with particular depth treatment of the therapeutic tools of placing and guiding in the manifestation of the perceptual disturbance the therapeutic task specific exercise and context dependent consistent with the efficacy data available in the literature
Reference texts	P. M. Davies Steps to follow, Springer-Verlag Cap. 1-2-3-4-5-6-10-11 Edited by L.A.Rinaldi, Methods and techniques of neurological rehabilitation, Monduzzi Cap.8 Edited by S. Mantovani, Field research in educazione. I qualitative methods, Addison Cap.3 Bente E. Bassoe Gjelsvik, the Bobath concept in adult neurology, Verduci Publisher Cap. Clinical Cases
Educational objectives	Conduct an observation following the principles of observational methodology Recognize the manifestation of the movement of alteration in neurological patients Identify inappopriate compensatory strategies consistent with the principles of global assessment of the patient Make a manual guide can asses local issues such as the distribution of weight or general as the reciprocal innervation Make a conscious manual guidance of somatosensory information that can convey for postural control and movement in the patient with neurological disease
Prerequisites	Knowledge of the clinical frameworks of the main alterations of motor behaviour in neurological pathologies with particular reference to stroke, taking techniques and biomechanical analysis of manifestations of normal motor behaviour with Particular practical analysis of the muscular tests of the various body districts
Teaching methods	Frontal lesson Interactive teaching Educational workshop with the use of the methods for practical learning objectives such demonstration, repeated tests, screening of movie
Other information
Learning verification modality	Written test as selection criterion to support theoretical-practical examination
Extended program	The lessons are designed to prepare the student to therapeutic work in neurology. They are in chronological order and organized in preparatory manner observation of the normal sequences of movement conducted striktly for data collection and construction observation grid analysis of the motion sequences and the prerequisites to be able identify its alterations in CNS lesions and particularly in stroke the recognition of typical motor manifestation of neurological disease such as spasticity, the strong and weak parts of synergies, the pathological reaction to locate, in the whole of movements the inappropriate compensatory strategies that delay or prevent a selective motor control in the patient manual guide as evaluative instrument and specific therapeutic the therapy session as a moment of alternation evalutatio/treatment relevance of therapeutic exercise with specific characteristics and context dependent task and especially with the guiding instrument in cases of perception disorder. During the lessons, the teaching laboratory activities do not exhaust the learning curve necessary for the acquisition of practical skills but provide the opportunity to know and experience the various stage of the re-educational pat in neurology

NEUROLOGY

Code	50574002
CFU	2
Teacher	Maria Grazia Celani
Teachers	Maria Grazia Celani
Hours	24 ore - Maria Grazia Celani
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/26
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Neurophysiology of nociception. Clinical pictures and their rehabilitative aspects. Neuropsychology of pain syndromes
Reference texts	from the instructor slides. Waldman. Atlas of Common Pain syndrome .. ER Kandel. Principles of Neuroscience. Ben Greenstein. Neuroscience (neuroanatomy and neurophysiology. Atlas Text)
Educational objectives	The main objective of teaching is to provide students with elements related to nociception in neurological diseases and not, from the point of view that somatic neuropsychological. Additively the course will also address the neurobiological bases of learning and communication between health care worker and the sick person. To this end, the latter, must be evaluated in rehabilitation not as an isolated representation of a specific disease, but in a holistic manner, underlining the importance of the cognitive and applicational synthesis between EBM (evidence-based medicine) and ENM (narrative evidence medicines) The main knowledge gained will be: - The most common pain syndromes - Difference between acute and chronic pain - Neurochemistry of pain - Modifications neuropsychological and induced pain consciousness - Pain in the vegetative and minimally conscious - The body schema in pain The main skills (ie the ability to apply their knowledge) will be: - Application of pain scales - To recognize the soma and psyche changes caused by pain - Do not exacerbate the pain with maneuvers rehabilitation improper - Apply rehabilitation techniques can reduce the painful symptoms - Approach to the patient not only from the perspective of the "disease" but also of "illness" and "sickness" - Learning imitative through the mirror neuron - To acquire a forecasting method, scientific evidence relating the outcome of every single person treated
Prerequisites	Neuroanatomy, Neurophysiology
Teaching methods	Lectures. The method requires extensive interaction between teachers and students on the educational workshop model.
Other information
Learning verification modality	oral examination
Extended program	Nociception in neurorehabilitation Receptors and primary afferents Neurophysiology of the dorsal horn and central projections central pain modulation: the gate-control Endogenous opioids and their receptors Mechanism of pain; nociceptive, neuropathic and Deafferent Idiopathic pain, iatrogenic and psychogenic complex pain syndromes 1) headache pain syndromes 2) pain syndromes faciali 3) pain syndromes of the neck and brachial plexus 4) Painful Shoulder Syndromes 5) painful elbow Syndromes 6) pain syndromes of the wrist 7) pain syndromes of the hand 8) chest pain syndromes 9) thoracic spinal pain syndromes 10) abdominal pain syndromes and inguinal 11) syndromes painful spinal lumbar and sacroiliac joints 12) pelvic pain syndromes 13) pain syndromes hip and lower limb 14) knee pain syndromes 15) pain syndromes of the ankle 16) pain syndromes of the foot clinical approach to the patient with pain Acute and chronic pain The pharmacology of pain Non-pharmacological approaches to pain Neuropsychology of pain The reward-punishment system Pain and consciousness The body schema and pain Narrative medicine and pain perceived by the transmitted and shared The mirror neurons ICF and pain DMN (Default mode network)