Unit LOCOMOTOR PATHOLOGY AND REHABILITATION

Course
Physiotherapy
Study-unit Code
50574008
Curriculum
In all curricula
CFU
8
Course Regulation
Coorte 2023
Offered
2024/25
Type of study-unit
Type of learning activities
Attività formativa integrata

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

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.
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 An oral examination lasting usually 20-25 minutes will include the recognition of clinical, radiological and histopathological aspects of rheumatologic iconography and questions aimed at evaluating theoretical and practical skills as well as communication and deductive processes.
Evaluation criteria:
Unsuccessful: significant lack and/or inaccuracies in knowledge and understanding of the topics; limited capacity for analysis and synthesis, frequent generalisations. 18-20: sufficient knowledge and understanding of topics with possible imperfections; sufficient ability to synthesize and state independent judgment. 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 synthetical skills with rigorously expressed arguments. 27-29: Thorough knowledge and understanding of topics; remarkable skills of analysis and synthesis. Good autonomy of judgment. 30-30L: Excellent level of knowledge and understanding of the topics. Remarkable capacity for analysis and synthesis and independent judgement. Arguments expressed in an original way.
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)
Obiettivi Agenda 2030 per lo sviluppo sostenibile

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
Obiettivi Agenda 2030 per lo sviluppo sostenibile
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