PHYSIOTHERAPY AND REHABILITATION IN ORTHOPAEDICS AND RHEUMATOLOGY
Academic year and teacher
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- GAETANO CARUSO
- Credits
- 10
- Didactic period
- Primo Semestre
Training objectives
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Modulo: 53120 - ORTOPEDIA IN FISIOTERAPIA
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ORTHOPAEDICS IN PHYSIOTHERAPY
On completion of the course the student is expected to be able to:
Knowledge: -recognise the main clinical features of priority health problems (in relation to epidemiological data) involving bones, joints, muscles and ligaments, and deriving from trauma, inflammation or degeneration, that can be conservative and/or surgical treated.
Skills: -Identify appropriate rehabilitation treatment paths for orthopedic conditions.
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Modulo: 53121 - FISIOTERAPIA NEI DISTURBI MUSCOLOSCHELETRICI
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PHYSIOTHERAPY FOR MUSCULOSKELETAL DISORDERS
Knowledge: -Know the role of the physiotherapist in the musculoskeletal rehabilitation team
-Know the specific assessment instruments used by physiotherapists (also with reference to ICF CORE SETS if any) for structures and functions (with particular attention to quality of the pain, to alteration of the neuromuscular control, the functions of the PNS), activities and participation (with emphasis gait training, personal care and upper limb functional use, ergonomics of vocational activities), contextual factors. -know valid and reliable assessment tools and clinical observation.
Skills: Apply the principles of clinical reasoning for the definition of all the steps of the physiotherapy process. Formulating functional diagnosis physiotherapy; identify the functional prognosis also in relation to the gradient of modifiability of the problems.
Formulate goals. Define the physiotherapy program (including prevention, therapeutic education and the identification of aids and orthotics) in relation to the objectives.
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Modulo: 53141 - REUMATOLOGIA IN FISIOTERAPIA
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RHEUMATOLOGY IN PHYSIOTHERAPY
Knowledge: Classification of the rheumatic diseases, main clinical and semeiological aspects of the most diffuse rheumatic diseases.
Skills: To be able to evaluate each single patient and to identify his/her most relevant needs related to the different phases of the ongoing disease. To be able to inform-communicate with the patient about the rehabilitation program which will be performed (making judgements and communication skills).
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Modulo: 53142 - PERCORSI RIABILITATIVI IN AMBITO MUSCOLO-SCHELETRICO
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MUSCULOSKELETAL REHABILITATION
On completion of the course the student is expected to know how to:
Knowledge: -know different protocols and/or guidelines in reference to existing rehabilitation for the main pathologies.
Skills: define suitable physiotherapy treatment and evaluate outcomes.
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Modulo: 53143 - DIAGNOSTICA PER IMMAGINI IN FISIOTERAPIA
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DIAGNOSTIC IMAGING IN PHYSIOTHERAPY
Knowledge: -know the main procedures and language of imaging (for bones, soft tissues, nervous structures), their indications and contraindications.
Methodology for analysis of the most common images and radiology reports. Elements of correlation between clinical picture to rehabilitation and imaging report.
Skills: -interpret an image, also thanks to the specialist report. -identify and quantify the described lesion. Identify the evolution of a healing process after a traumatic and/or inflammatory and/or degenerative event. -use Imaging elements to identify contra-indications to therapeutic exercise.
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Modulo: 53144 - LABORATORIO SULL'ASSESSMENT E TECNICHE DELL'ESERCIZIO IN AMBITO MUSCOLO-SCHELETRICO
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TRAINING IN ASSESSMENT AND EXERCISE TECHNIQUES IN MUSCULOSKELETAL DISORDERS
On completion of the course the student is expected to:
Infrared, paraffin therapy, diathermy, magnetotherapy, ultrasound, shock waves, ionophoresis, TENS, muscle stimulation, laser therapy
Skills: apply the most common evaluation and exercise techniques in musculoskeletal rehabilitation. Prerequisites
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Modulo: 53120 - ORTOPEDIA IN FISIOTERAPIA
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Knowledge of the anatomy of the musculoskeletal system and nervous system, human physiology and neurophysiology, kinesiology and rehabilitation methodology. Bases of general pathology and pharmacology.
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Modulo: 53121 - FISIOTERAPIA NEI DISTURBI MUSCOLOSCHELETRICI
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Knowledge of the anatomy of the musculoskeletal system and nervous system, human physiology and neurophysiology, kinesiology and rehabilitation methodology. Bases of general pathology and pharmacology.
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Modulo: 53141 - REUMATOLOGIA IN FISIOTERAPIA
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Knowledge of the anatomy and physiology of the musculoskeletal system
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Modulo: 53142 - PERCORSI RIABILITATIVI IN AMBITO MUSCOLO-SCHELETRICO
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Knowledge of the anatomy of the musculoskeletal system and nervous system, human physiology and neurophysiology, kinesiology and rehabilitation methodology. Bases of general pathology and pharmacology.
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Modulo: 53143 - DIAGNOSTICA PER IMMAGINI IN FISIOTERAPIA
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Knowledge of the anatomy of the musculoskeletal system and nervous system, human physiology and neurophysiology, kinesiology and rehabilitation methodology. Bases of general pathology and pharmacology.
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Modulo: 53144 - LABORATORIO SULL'ASSESSMENT E TECNICHE DELL'ESERCIZIO IN AMBITO MUSCOLO-SCHELETRICO
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Knowledge of the anatomy of the musculoskeletal system and nervous system, human physiology and neurophysiology, kinesiology and rehabilitation methodology. Bases of general pathology and pharmacology. Course programme
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Modulo: 53120 - ORTOPEDIA IN FISIOTERAPIA
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Basic pathologies of:
-the hip: congenital diseases, acquired (inflammatory, degenerative, necrotic, traumatic)
-the knee: meniscus, ligament, arthrosis, tibia fractures;
-spine: aetiopathogenisis of scoliosis, clinics and treatment;
-the shoulder: lesions of the rotator cuff, joint dislocation and fractures;
-slipped disc, arthrosis of the spinal column and spinal fractures;
-fractures and their complications, healing process, failure to heal, conventional and surgical treatment;
-Osteocondritis in developing age: particularly the hip and knee;
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Modulo: 53121 - FISIOTERAPIA NEI DISTURBI MUSCOLOSCHELETRICI
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PHYSIOTHERAPY FOR MUSCULOSKELETAL DISORDERS
Role of the physiotherapist in rehabilitation in people with musculoskeletal disorders. Principles of clinical reasoning for physiotherapy functional diagnosis and the formulation of objectives in the m.s. ICF CORE SET (if any). Valid and reliable assessment methods and tools, including ICF core set, structure / function, activity / participation and contextual factors specific to core pathologies in the
districts: spine (cervical, lumbar, shoulder, hip, knee, ankle). Specific tests for the differential diagnosis of core districts and evaluation scales of specific functional skills for the musculoskeletal area. Elements of attention and danger: red yellow black and blue flags. Indications, methods and general techniques of physiotherapy intervention (rationale, setting characteristics, duration, frequency, intensity, rules for stopping, facilitations, posture and setting) for: resolution of pain, development of strength, power, endurance, proprioception, muscle ligament and joint flexibility, movement coordination.
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Modulo: 53141 - REUMATOLOGIA IN FISIOTERAPIA
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Classification of rheumatic disorders, approach to pain in rheumatic diseases, importance of early diagnosis and the concept of “early arthritis”.
Chronic inflammatory rheumatism (rheumatoid arthritis and seronegative spondyloarthritis), Mechanic and inflammatory low back pain.
General information about systemic autoimmune diseases, with particular reference to systemic connective tissue disease as Systemic lupus erythematosus, systemic sclerosis and dermato-polymyositis.
Degenerative rheumatism including osteoarthrosis and osteoporosis.
Localised and generalised extra-articular rheumatism, with particular reference to fibromyalgia.
Basic elements of standardized method for the assessment of disease activity, damage and functional impact. Principles of joint economy.
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Modulo: 53142 - PERCORSI RIABILITATIVI IN AMBITO MUSCOLO-SCHELETRICO
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-protocols and/or guidelines for musculoskeletal rehabilitation(conventional and post-surgical treatment) for the spine, hip, knee and shoulder.
-Predictive markers of positive and negative outcome during the various phases of musculoskeletal rehabilitation.
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Modulo: 53143 - DIAGNOSTICA PER IMMAGINI IN FISIOTERAPIA
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DIAGNOSTIC IMAGING IN PHYSIOTHERAPY
-main techniques and specific terminology of imagin.
- current methodology for the analysis of images
-correlation between clinical picture and rehabilitation and imaging.
-imaging as a tool in planning therapeutic exercises.
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Modulo: 53144 - LABORATORIO SULL'ASSESSMENT E TECNICHE DELL'ESERCIZIO IN AMBITO MUSCOLO-SCHELETRICO
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Physical principles, indications and contraindications of the most used instrumental physical therapies in the different phases of the healing process and methods of application. Evaluation and exercise maneuvers in musculoskeletal rehabilitation. Didactic methods
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Modulo: 53120 - ORTOPEDIA IN FISIOTERAPIA
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Interactive frontal lessons.
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Modulo: 53121 - FISIOTERAPIA NEI DISTURBI MUSCOLOSCHELETRICI
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Interactive frontal lessons. Analysis and comment on images and radiology reports. Practical exercises. Teaching unit videos and videos of exercise and evaluation techniques with commentary, discussion of clinical cases.
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Modulo: 53141 - REUMATOLOGIA IN FISIOTERAPIA
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Interactive frontal lessons. Working group.
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Modulo: 53142 - PERCORSI RIABILITATIVI IN AMBITO MUSCOLO-SCHELETRICO
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Interactive frontal lessons.
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Modulo: 53143 - DIAGNOSTICA PER IMMAGINI IN FISIOTERAPIA
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DIAGNOSTIC IMAGING IN PHYSIOTHERAPY
Interactive frontal lessons. Analysis and comment on images and radiology reports. Practical exercises. Teaching unit videos and videos of exercise and evaluation techniques with commentary, discussion of clinical cases.
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Modulo: 53144 - LABORATORIO SULL'ASSESSMENT E TECNICHE DELL'ESERCIZIO IN AMBITO MUSCOLO-SCHELETRICO
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Interactive frontal lessons. Teaching unit videos and videos of exercise and evaluation techniques with commentary, discussion of clinical cases.
Practical laboratory of evaluation and exercise techniques. Learning assessment procedures
- ORTHOPAEDICS IN PHYSIOTHERAPY
Oral exam. One or two questions related to the program developed during the course.
RHEUMATOLOGY IN PHYSIOTHERAPY
Written test consisting of 30 multiple choice questions each of them providing 4 possible answers (only one is right). The final score is calculated attributing 1 point for each right answer, 0 points in case of wrong or not provided answer. The final mark is the sum of the points achieved. The time allowed for this test is 30 minutes. To pass the exam it is necessary to get at least 18 point out of 30. In the event of achieving 30 points it is also offered an additional question to improve the final mark with laude (in case of right answer). If the tests is not passed (final mark < 18), it is necessary to repeat the exam in a subsequent oral format.
MUSCULOSKELETAL REHABILITATION
Oral exam. Two questions related to the program developed during the course. Evaluation criteria: completeness, appropriateness and professional scientific language
PHYSIOTHERAPY FOR MUSCULOSKELETAL DISORDERS: Written test in applied knowledge (including instrumental physical therapy) and clinical reasoning: 31 multiple choice questions (1 single correct, 1 point for each correct answer, 0 points missed or incorrect).
DIAGNOSTIC IMAGING IN PHYSIOTHERAPY Written exam, 11 multiple choice questions, four options and only one correct answer. The score is calculated by assigning 3 point for every correct answer and 0 points for a wrong or missed answer. The test is passed with a score = 18. Possibility of have an oral exam in case of failure to pass the test.
Evaluation criteria for the oral examination: completeness, appropriateness and scientific language.
TRAINING IN ASSESSMENT AND EXERCISE TECHNIQUES IN MUSCULOSKELETAL DISORDERS: Written test consisting of 31 multiple choice questions, with 4 choices of which 1 correct, 1 point for each correct answer.
Wight average of the marks of the tests taken. Reference texts
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Modulo: 53120 - ORTOPEDIA IN FISIOTERAPIA
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Grassi, Pazzaglia, Pilato, Zatti, Manuale di Ortopedia e Traumatologia, Elsevier Ed. 2012
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Modulo: 53121 - FISIOTERAPIA NEI DISTURBI MUSCOLOSCHELETRICI
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PHYSIOTHERAPY FOR MUSCULOSKELETAL DISORDERS
Cleland J. Netter's Orthopaedic Clinical Examination: An Evidence-Based Approach
Kisner e Colby, L'esercizio terapeutico. Principi e tecniche di rieducazione funzionale
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Modulo: 53141 - REUMATOLOGIA IN FISIOTERAPIA
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Unireuma - Reumatologia per le professioni sanitarie. A. Spadaro – M. Govoni – R. Caporali • 2009 Ed Idelson Gnocchi
Quick Review – Reumatologia F. Trotta, M. Govoni. Edises II edizione 2020
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Modulo: 53142 - PERCORSI RIABILITATIVI IN AMBITO MUSCOLO-SCHELETRICO
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Bibliographic information provided by the teacher
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Modulo: 53143 - DIAGNOSTICA PER IMMAGINI IN FISIOTERAPIA
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DIAGNOSTIC IMAGING IN PHYSIOTHERAPY
Terry Malone, Charles Hazle, Micheal L. Grey, Imaging in riabilitazione
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Modulo: 53144 - LABORATORIO SULL'ASSESSMENT E TECNICHE DELL'ESERCIZIO IN AMBITO MUSCOLO-SCHELETRICO
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Bibliographic information provided by the teacher. Zati A., Valent A.,Terapia Fisica. Nuove tecnologie in medicina riabilitativa; Clelaland J., L’esame clinico ortopedico. L’approccio EBM.; Colby, Kisner, L’esercizio terapeutico.
