Unit LOCOMOTOR PATHOLOGY AND REHABILITATION

LOCOMOTOR DISEASES

Code	50141902
CFU	2
Teacher	Pierluigi Antinolfi
Teachers	Pierluigi Antinolfi
Hours	24 ore - Pierluigi Antinolfi
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/33
Type of study-unit

METHODOLOGY AND TECHNIQUES OF LOCOMOTOR APPARATUS

Code	50575002
CFU	2
Teacher	Luca Capoccia
Teachers	Luca Capoccia
Hours	24 ore - Luca Capoccia
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit
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.

RHEUMATOLOGY

Code	50573202
CFU	2
Teacher	Carlo Perricone
Teachers	Carlo Perricone
Hours	24 ore - Carlo Perricone
Learning activities	Caratterizzante
Area	Scienze interdisciplinari e cliniche
Academic discipline	MED/16
Type of study-unit
Language of instruction	ITALIAN
Contents	To: - Define the concept of rheumatologic disease; Describe the degenerative and inflammatory pathologies of the musculoskeletal system relevant from an epidemiological point of view; Analyze the main signs and symptoms related to rheumatic diseases; Describe the diagnostic path of the assisted person suffering from rheumatic diseases; Analyze the care pathway (planning, delivery and evaluation) for subjects with the most frequent rheumatic diseases; Describe the healthcare implications in the management of specific drugs for rheumatic diseases
Reference texts	Reumatologia. Per studenti e medici di medicina generale a cura di UNIREUMA. IDELSON GNOCCHI IV Ed. 2022. Reumatologia per le Professioni Sanitarie a cura di UNIREUMA. Spadaro, Govoni, Caporali. SORBONA 2009 Rheumatology: Evidence-Based Practice for Physiotherapists and Occupational Therapists 1st Edition by Krysia Dziedzic, Alison Hammond Elsevier Science 2010
Educational objectives	At the end of the study course the student should be able to recognize: - The most common rheumatic diseases; - Less common rheumatic pathologies that require urgent recognition (example: polymyalgia rheumatica); - Rheumatic diseases of social importance both in terms of diffusion and costs, on which it is possible to intervene with prevention and/or timely recognition (example: rheumatoid arthritis); - The significance of the signs and symptoms of rheumatological diseases for general diagnostic purposes as well as their pathogenetic mechanisms; Furthermore, he/she will have to demonstrate the ability to know and interpret the main laboratory tests specific to these pathologies and the most common instrumental methods used in rheumatology. The student's ability to reason for diagnostic purposes on the basis of certain proposed symptoms and/or clinical signs will also be assessed.
Prerequisites	In order to start Rheumatology lessons, the student should have good knowledge of anatomy and physiopathology.
Teaching methods	The Course includes 25 hours of theoretical lessons, besides seminars and practical skills training.
Other information	Overarching objectives are recognition, the main therapeutic guidelines and indications for the professional contribution of the physiotherapist in the most frequent rheumatological diseases.
Learning verification modality	The exam will be carried out through an oral test, lasting on average approximately 20-25 minutes. At least 2 questions will be asked on two different diseases, a further question on the minimum essential knowledge may be asked in the case of an unsatisfactory answer to the 2 previous questions, and a further question may concern the discussion of a clinical case. The 2 main questions will focus on the recognition of clinical, radiological and histopathological aspects of rheumatological iconography and questions that can allow to evaluate theoretical and practical knowledge, as well as reasoning and communication skills. The student must demonstrate that they are able to apply the acquired knowledge independently in clinical practice. TESTING OF CLINICAL SKILLS: interpretation of an autoimmunity laboratory exam, or imaging The exam will be evaluated according to the following criteria: Not suitable: significant deficiencies and/or inaccuracy in knowledge and understanding of the topics; limited capacity for analysis and synthesis, frequent generalizations. 18-20: sufficient knowledge and understanding of the topics with possible imperfections; Sufficient analytical, synthesis and independent judgment skills. 21-23: Knowledge and understanding of routine topics; Correct analysis and synthesis skills with coherent logical argumentation. 24-26: Fair knowledge and understanding of the topics; good analytical and synthesis skills with rigorously expressed arguments. 27-29: Complete knowledge and understanding of the topics; remarkable ability of analysis and synthesis. Good independent judgement. 30-30L: Excellent level of knowledge and understanding of the topics. Remarkable analytical and synthesis skills and independent judgement. Arguments expressed in an original way. METHOD FOR DETERMINATION OF THE FINAL MARK: arithmetic mean of the marks obtained in the individual disciplines of the integrated course
Extended program	1. Definition, classification, and epidemiology of rheumatic diseases 2. Anatomical-functional elements of the musculoskeletal system 3. Symptoms and signs of rheumatic diseases 4. Laboratory and imaging diagnostics of rheumatic diseases and synovial fluid analysis 5. Inflammatory articular and periarticular diseases a. Rheumatoid arthritis and related forms b. Spondyloentesoarthritis i. Ankylosing spondylitis ii.. Psoriatic arthritis iii. Enteropathic arthropathies c. Polymyalgia rheumatica 6. Infectious and post-infectious arthritis: viral, bacterial, tuberculous arthritis, reactive arthritis, acute articular rheumatism (RAA), Lyme’s disease 7. Microcrystalline arthritis [gout, calcium pyrophosphate and basic calcium phosphate crystals (hydroxyapatite)] 8. Primary osteoarthritis, secondary osteoarthritis, mechanical low back pain 9. Localized and generalized extra-articular pain diseases and syndromes (fibromyalgia) 10. Bone diseases: osteoporosis 11. Localized muscle-tendon diseases: enthesopathies, tenosynovitis 12. Neurological and neurovascular syndromes: Radicular compression neuropathies, Algodystrophies, Carpal tunnel syndrome 13. Connective tissue disorders (general concepts and framework) a. Systemic lupus erythematosus b. Antiphospholipid antibody syndrome c. Systemic sclerosis d. Polymyositis/Dermatomyositis/ Inflammatory Myopathies/Anti-Synthetase Antibody Syndrome e. Sjogren's syndrome f. Overlap connectivity including mixed connective tissue disease g. Undifferentiated connective tissue disease 14. Primary systemic vasculitis (outline) a. involving large arteries (Takayasu's arteritis, Horton's arteritis) b. involving medium-sized arteries (panarteritis nodosa) c. ANCA-associated medium and small vessels vasculitides (micropolyangiitis, granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis) d. involving small caliber vessels (Behçet's disease, Cryoglobulinemia)

PHYSIOTERAPIC SCIENCE APPLIED TO ORTHOPEDIC MEDICINE AND INSTRUMENTAL REHABILITATION

Code	50041902
CFU	2
Teacher	Luca Collebrusco
Teachers	Luca Collebrusco
Hours	24 ore - Luca Collebrusco
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Academic discipline	MED/48
Type of study-unit
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
Other information
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