ADULT REHABILITATION METHODOLOGIES
Course unit partition: PARMA

Academic year 2009/10
3° year of course -
Professor
Academic discipline
Medicina fisica e riabilitativa (MED/34)
Field
Ambito aggregato per crediti di sede
Type of training activity
Caratterizzante
18 hours
of face-to-face activities
1 credits
hub: PARMA
course unit
in - - -

Course unit partition: ADULT REHABILITATION METHODOLOGIES

Learning objectives

The student is will be expected to acquire knowledge of the aims, instruments, typical methods of occupational therapy, Bobath approach, PNF approach, manual therapy and adult rehabilitation treatment. <br />
Additionally, he/she must be able to research, develop and set up a correct, targeted therapeutic programme for the treatment of the orthopedic and neurological patient

Prerequisites

General Rehabilitation Methodology <br />
<br />
Methodology and Techniques of Neuromotor Rehabilitation

Course unit content

<br />Adult Rehabilitation Methodologies <br />
Functional bandaging: <br />
-Materials, characteristics, bandaging criteria <br />
-Upper limb bandaging <br />
-Lower limb bandaging <br />
Rehabilitation of muscular injuries <br />
Physical/instrumental therapies <br />
Rehabilitation programmes <br />
Hydrokinesitherapy <br />
The physical properties of water <br />
Characteristics of movement in water <br />
Therapeutic effects <br />
Indications and contraindications <br />
Rehabilitation treatment of the osteoporotic patient <br />
The correct rehabiltatiive approach to conflictual syndromes of the shoulder <br />
(subacromial conflict, glenohumeral conflict, secondary conflicts ) <br />
Clinical-rehabilitation classification of lumbago and lumbar ischialgia and <br />
Clinical-rehabilitation classification of distortion trauma of the cervical rachis <br />
Clinical-rehabilitation classification of knee disorders <br />
New rehabiltatiive approach to the effects of distortion traumas of the tibial-tarsal joint <br />
<br />
<br />
Methodologies of Clinical Research in Rehabilitation Medicine (Prof. Cosimo - Internet &nb! sp; &n bsp; O.P.A.C. &nbs! p; &nb sp; MultiO.P.A.C. Electronic catalogues &n! bsp; & amp;nbsp; Web Sites ! &nbs p; Pub Med Evidence Based Medicine <br />
<br />
Occupational therapy <br />
< /P> <br />
<br />
Definition of Occupational Therapy at international level: the profile of the physiotherapist and the occupational therapist in Italy., ICIDH 2, ICF, definition of the concept of autonomy as regards dressing, self-care, eating and drinking: demonstration through video cassettes of clinical cases, instruments, facilitating settings. Problem solving, methods of analysis, procedure of the three phases. The aids: international classification, selection criteria, methods of analysis. The wheelchair: technical aspects and criteria for customised prescriptions. Splints: construction and prescription criteria in the various diseases. Rheumatoid arthritis and joint economy. Group work on two clinical cases with a view to defining a rehabilitation plan. Posture and anti-decubitus systems: technical characteristics and the physiotherapist’s selection criteria <br />
<br />
<br />
<br />
Principles of Manual Therapy. <br />
<br />
Clinical Reasoning Strategies in Physiotherapy <br />
<br />
General considerations, epidemiology and etiology of diseases and disorders of the rachis. Surface and palpatory anatomy of the rachis <br />
<br />
Posture and motor control <br />
<br />
Pain-producing mechanisms in disorders of the rachis <br />
<br />
The principles and concepts of Functional Assessment. The importance of the Medical Record <br />
<br />
The complete examination of the Rachis: <br />
<br />
The Medical History <br />
<br />
Observation/inspection <br />
<br />
Myotome and dermatome tests <br />
<br />
Special Tests <br />
<br />
Functional assessment (with assessment sheet) <br />
<br />
Physical Examination <br />
<br />
of active movements <br />
<br />
of passive physiological movements <br />
<br />
of passive accessory movements or joint play movements <br />
<br />
of the muscular structures of the rachis <br />
<br />
of the peripheral nervous structures (neurodynamic tests) <br />
<br />
Palpatory examination <br />
<br />
Methods of rehabilitation therapy for the rachis: <br />
<br />
Treatment through Manual Therapy (joint mobilisation, neuromuscular relaxation, mobilisation of the nervous system) <br />
<br />
Treatment through specific assisted therapeutic exercises (for the rehabilitation of motor control) <br />
<br />
Self-treatment <br />
<br />
Pain control <br />
<br />
Principles of the proprioceptive neuromuscular facilitation approach <br />
<br />
-treatment philosophy according to the P.N.F. approach <br />
<br />
-principles of treatment <br />
<br />
-principles of facilitation <br />
<br />
-techniques <br />
<br />
-patient assessment <br />
<br />
-treatment planning <br />
<br />
-patient re-assessment <br />
<br />
-home programme <br />
<br />
observation of videos and assessment of patients <br />
<br />
Principles of the Bobath approach <br />
<br />
-definition of the Bobath concept <br />
<br />
-basic principles of the Bobath approach <br />
<br />
-analysis of posture and normal movement <br />
<br />
-facilitation according to the Bobath concept <br />
<br />
-key points of control <br />
<br />
-assessment of the patient, identification of the main problem <br />
<br />
-treatment plan <br />
<br />
-patient re-assessment <br />
<br />
observation of videos and assessment of patients 

Full programme

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Bibliography

Teaching materials provided by the professors <br />
Bettina Paeth: 'Experiencias con el concepto Bobath' Ed. Panamerica <br />
Paticia M. Davies ' Passo dopo passo ' Ed. Springer-Verlag <br />
S.Brent Brotzman, Kevin E.Wilk : ' La riabilitazione in ortopedia ' II? Edizione Excerpta Medica

Teaching methods

The teaching method will include classroom lectures, group work on clinical cases, guided clinical examinations. <br />
Knowledge will be tested by means of a written exam during the course and an oral exam

Assessment methods and criteria

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Other information

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