Unit NEUROSCIENCE AND REHABILITATION

APPLIED PHYSICAL MEDICINE AND REHABILITATION OF SNC DISEASES

Code	50584002
CFU	2
Teachers	Mauro Zampolini (Codocenza)
Hours	24 ore (Codocenza) - Mauro Zampolini
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/34
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The program, in its first part covers the basics of plasticity and basic neuropathology of CNS disorders. Specifically, stroke, multiple sclerosis and degenerative diseases of the central nervous system rehabilitation will be presented.
Reference texts	Sandrini G., Dattola R. - Compendio di Neuroriabilitazione – Verduci Editore, 2012 Basaglia N. - Medicina Fisica E Riabilitazione - PRINCIPI E PRATICA, 2009 Braddom Randall L. Medicina Fisica & Riabilitazione, Delfino Antonio editore, 2005 Cisari C., Molteni F. - Stroke. Clinica e Riabilitazione, Edi Ermes 2005 Valobra Giorgio N., Trattato di Medicina Fisica e Riabilitazione UTET, 2000 SPREAD 2009 – disponibile gratis al sito www.spread.it (cap 14 e 15)
Educational objectives	To develop the physiopathology skills of the movement and the main neurological pathologies to be applied to the rehabilitation program.
Prerequisites	It is necessary to know the anatomy and neurophysiology of the central and peripheral nervous system.
Teaching methods	Presentations Free use of the slides Podcasts of the lessons
Other information
Learning verification modality	Oral Examination
Extended program	TEACHING UNIT 1: Plasticity of the nervous system and functional recovery 1.1. Plasticity in the brain intact 1.2. Neurophysiological basis of learning 1.3. Plasticity Induced by the Injury and Functional Recovery TEACHING UNIT 2: Organization and motor neuron syndrome 2.1. Motor Control and Organization Postural 2.2.1. Clinical features 2.2.2. The recovery of motor neuron syndrome 2.2.3 Recovery Movement 2.2.4. Spasticity and pain 2.2.5 Spasticity and Spine Irritative 2.2.6 Consequences of Spasticity 2.2.6 spasticity in severe brain injury 2.2.7 Treatment of Spasticity TEACHING UNIT 3: APPLICATION OF REHABILITATION TREATMENTS 3.1. General characteristics of rehabilitative interventions 3.2. Role assistance for rehabilitation 3.3. The differences in approach between the damage and focal brain damage widespread 3.4. The most common techniques of neurological rehabilitation 3.5. New Technologies and rehabilitation TEACHING UNIT 4: REHABILITATION STROKE 4.1. Introduction to the rehabilitation of stroke 4.2. The size of the problem 4.3. Functional prognosis after stroke 4.4. The overall goals of stroke rehabilitation 4.5. Teamwork and recovery 4.6. Role and effectiveness of stroke units TEACHING UNIT 5: THE GENERAL OBJECTIVES OF REHABILITATION STROKE 5.1. Rehabilitation in the acute phase 5.2. Painful shoulder 5.3. Dysphagia 5.4. Rehabilitation in post-acute phase 5.5. The Communication Disorders 5.6. Hemineglect 5.7. Proprioceptive disturbances 5.8. Vision disturbances TEACHING UNIT 6: The rehabilitation of the person with multiple sclerosis 6.1. White matter lesions 6.2. Features of MS 6.3. Rehabilitation problems in Multiple Sclerosis 6.4. Rating Multiple Sclerosis 6.5. Rehabilitative approach TEACHING UNIT 7: THE REHABILITATION OF PEOPLE WITH PROGRESSIVE DISEASES DEGENERATIVE 7. The example of Amyotrophic Lateral Sclerosis 7.1.1. Elements of Pathophysiology 7.1.2. Quantification of the problem 7.1.3. The natural evolution of the disease 7.1.4. The rehabilitative intervention by severity 7.1.5. Elements of drug treatment

NEUROLOGY

Code	50545302
CFU	2
Teacher	Gabriela Cardaioli
Teachers	Gabriela Cardaioli
Hours	24 ore - Gabriela Cardaioli
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/26
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Liquor Multiple Sclerosis Miastenia gravis Parkinson's disease Motoneuron disorders Guillain-Barrè syndrome
Reference texts	Federico, Caltagirone, Provinciali, Tedeschi: Neurologia pratica. Pinessi, Gentile, Rainero: Neurology book- Clinica e terapia
Educational objectives	The main objective of teaching is to provide students with elements related to the principles neurological diseases, admitted in hospitals and ambulatory settings.
Prerequisites	Neuroanatomy, Neurophysiology
Teaching methods	Lectures.
Learning verification modality	oral examination
Extended program	Liquor: function, production, distribution, absorption, purpose and liquor collection. Principles disorders, malfuction symptoms. Neuromuscolar plaque disorders. Miasternia gravis Parkinson's disease: definition, epidemiology, ethiopathogenesis, symptoms, diagnosis, therapy Guillain-Barrè Syndrome: definition, epidemiology, ethiopathogenesis, symptoms, diagnosis, therapy Demyelinating syndorme: Multiple sclerosis: definition, epidemiology, ethiopathogenesis, symptoms, diagnosis, therapy Cerebrovasculare diseases. Anatomy, vascular circle's physiology. diagnosis, therapy

APPLIED PHYSIOTHERAPIC SCIENCE TO NEUROLOGICAL MEDICINE

Code	50356902
CFU	2
Teachers	Simone Migliorati (Codocenza)
Hours	24 ore (Codocenza) - Simone Migliorati
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Upper motor neuron injury and its rehabilitative implications. The observational analysis of movement and alterations in the subject with neurological damage. The rehabilitative evaluation of the subject with neurological damage in the acute phase. Elements to deal with an effective clinical reasoning and taking charge of the subject's totality. Importance of positioning and adequate mobilization in the acute phase of the subject with cerebral lesion. Basic principles of neurorehabilitation and practical application.
Educational objectives	Acquiring the basic concepts of the neurorehabilitation approach for the person with brain damage outcomes. Acquiring the rationale and tools for clinical reasoning as a guide to conduct observation/evaluation and care of the person with neurological damage in the acute rehabilitation phase. Knowing the main measuring instruments related to impairment, activity limitation and participation restrictions of the person with neurological disability. Working as a team for the formulation of the Project. Knowing how to deal with the first phases of evaluation and treatment. Being able to evaluate the tone, sensitivity, motility and residual functional capacity and the potential that the subject is able to express.
Prerequisites	Conoscenza del sistema nervoso, dei meccanismi di recupero e di neuroplasticità dopo lesione
Teaching methods	lezioni frontali, role playing
Learning verification modality	oral and practice examination
Extended program	Neuroplasticity and individual-environment interaction Features of normal movement and individual component Movement Prerequisites Role of experience and somato-sensory information. Internal models Features of motor learning Bobath concept as one of the possible approaches in neurorehabilitation: rational and basic principles. Organization of postural control and adaptations Upper motor neuron injury: rehabilitation interpretation of positive and negative signs Reappearance of reflected tonic activity Spasticity Pathological synergistic patterns and associated reactions Alterations in perception and characteristics. Associated cognitive and behavioral disorders. Clinical reasoning in neurorehabilitation. ICF as a reference paradigm for the evaluation and care of the subject affected by hemiplegia. The team and the Individual Rehabilitation Project Observational analysis: importance and fundamentals of the observation method. The evaluation of the subject with stroke in the acute phase. The evaluation of sensitivity The placing and its evaluation value Importance and strategic role of the trunk Main measuring scales The guidelines for stroke rehabilitation. Contact and tonic dialogue, sockets and key points. The importance of positioning the subject in the acute phase and mobilization in bed. Postural passages. Guiding Objectives of the acute phase treatment program Initial activation and therapeutic proposals in the acute phase.