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THEORY, TECHNIQUE AND DIDACTICS OF THE EXERCISE IN NEUROLOGICAL AND RHEUMATIC DISEASES

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
MAURA PUGLIATTI
Credits
8
Didactic period
Primo Semestre

Training objectives

The aim of the course is to equip the student with a broad view of inflammatory and degenerative rheumatic tissue diseases. The purpose is to provide the basic knowledge for the diagnosis (clinical, laboratory and imaging) and treatment. Special attention will be focused to physical exercise in the context of rheumatic diseases.
To provide a brief presentation of the main pathological dysfunctions of the nervous central and peripheral system, of the neuro-muscular junction and of the muscle which limit voluntary reflex, automatic and psycho-motor physical activity in the adult and the elderly.

Prerequisites

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Modulo: 47450 - L'ESERCIZIO NELLE PATOLOGIE NEUROLOGICHE
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Basic knowledge of anatomy and physiology of the nervous system and of the muscular-skeletal apparatus.

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Modulo: 47451 - L'ESERCIZIO NELLE PATOLOGIE REUMATICHE
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Basic knowledge of the anatomy and physiology of the musculo-skeletal system.

Course programme

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Modulo: 47450 - L'ESERCIZIO NELLE PATOLOGIE NEUROLOGICHE
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Disorders of cortical functions related to motor activity: body image disorders, disorders of psycho-motor functions, with special reference to apraxia, cortical ataxic syndromes. Dementias.
Disorders of motor function from impairment of the pyramidal tract in brain and spinal cord pathology: central paralysis, spasticity. Pharmacological and physical treatment strategies.
Disorders of cerebellar function: cerebellar ataxia, dysmetria.
Disorders of vestibular and vestibular-cerebellar function.
Movement disorders from dysfunction of extrapyramidal system: the hypokinesia -bradykinesia in parkinsonian syndromes, rigidity-plasticity system failures and postural control in parkinsonian syndromes
Other movement disorders.
Disorders of the sensory system: sensory ataxic syndromes, nociceptive and neuropathic pain.
The pathology of peripheral motor neuron: defects of trophism, tone, muscle strength, reflex activity.
Disorders of the neuromuscular junction
The hyperactivity of the motor unit: tetanus, cramps
The primary disorders of the muscle.
Autonomic nervous system disorders and their effects on motor functions.
Electrophysiological approaches to clinical neurology (electromyography, motor and sensory nerve conduction velocity, multimodal evoked potentials.
Gender issues in neurological disorders.

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Modulo: 47451 - L'ESERCIZIO NELLE PATOLOGIE REUMATICHE
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Classification and epidemiology of rheumatic diseases. Semeiotics of musculo-skeletal pain. Basic semeiotics of musculo-skeletal system. Chronic inflammatory arthritis (Rheumatoid arthritis, Spondylo-entesoarthritis). Osteoarthritis. Soft tissue rheumatisms and fibromyalgia. Low back pain. Metabolic bone diseases (osteoporosis). Adapted physical activity and occupational therapy.

Didactic methods

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Modulo: 47450 - L'ESERCIZIO NELLE PATOLOGIE NEUROLOGICHE
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Frontal lessons. Training at rehabilitation centres, gymnastics and other structures which are dedicated to promotion of adapted motor activities for neurological patients.
Optional participation at seminars and workshops, advanced courses, meetings on neurological movement disorders.

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Modulo: 47451 - L'ESERCIZIO NELLE PATOLOGIE REUMATICHE
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The course forecasts 16 hours of teaching (frontal lectures).

Learning assessment procedures

RHEUMATIC DISEASES
30 multiple choice questions (4 answers) + 1 for the praise
NEUROLOGICAL DISEASES
Oral examination. Questions on the following topics:
- semeiology of the Diseases of the Nervous System generating movement disorders;
- strategies of adapted motor activities in neurological disorders.
Duration of exam is ca 20 minutes;
Knowledge, clarity of presentation, communicative abilities, logical speaking, capability of connection and application to professional practice.

THE EVALUATION OF THE INTEGRATED COURSE IS GIVEN BY THE WEIGHTED AVERAGE OF THE MARKS RETURNED IN EACH PARTIAL TEST.

Reference texts

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Modulo: 47450 - L'ESERCIZIO NELLE PATOLOGIE NEUROLOGICHE
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- Berardelli A, Cruccu G. La Neurologia della Sapienza. Società Editrice Esculapio. 2019.
- Bertora P. Neurologia per i corsi di Laurea in Professioni Sanitarie. Piccin 2015

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Modulo: 47451 - L'ESERCIZIO NELLE PATOLOGIE REUMATICHE
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UNIREUMA: Reumatologia per studenti e medici di medicina generale, Idelson-Gnocchi ed., IV edition, 2022
QUICK REVIEW REUMATOLOGIA a cura di F. Trotta e M. Govoni. Edizioni EdiSES 2014