COGNITIVE THERAPY PRACTICE
cod. 16151

Academic year 2010/11
3° year of course - Second semester
Professor
Academic discipline
Scienze infermieristiche e tecniche neuro-psichiatriche e riabilitative (MED/48)
Field
A scelta dello studente
Type of training activity
Student's choice
16 hours
of face-to-face activities
1 credits
hub: PIACENZA
course unit
in - - -

Learning objectives

# make the students aware of the absolute need for a rehabilitation programme to be designed in a scientific, reasoned and personalised manner
# develop the following skills:
- observing a stroke patient focusing on sensory-motor skills but paying attention also to the overall conditions and to the relation between manifestations
- identifying the intervention priorities establishing an intervention hierarchy
- designing the rehabilitative path in a scientific, reasoned and personalized manner bearing in mind both the long-term objectives and the objectives of each single rehabilitative session
# providing the cultural bases necessary for the technical/professional approach to the stroke patient

Prerequisites

- anatomy, sensory and motor tract physiology and pathology
- using Pubmed

Course unit content

the scientific nature of the rehabilitation practice
sensory and motor representations inside the cortex (brief historical overview and current view)
Functional neuromuscular compartmentation:
- neuromuscular compartments
- sensory and central compartmentation
- functional hypothesis and task group concept
plasticity of supporting tissues
cortical lesion mechanisms and functional recovery after a stroke
- pathogenic mechanisms
- recovery theories
behaviour act (Anochin’s scheme):
- afferent synthesis
- decision making
- sensory hypothesis – prediction apparatus
- efferent action programme
- object
- return afferentation
- feedback closure - learning check
- orientation reflex
stroke specific pathology:
- the patient’s profile:
o motor specific pathology
o sensory specific pathology
o neuropsychology specific pathology
o relation specific pathology
planning of the rehabilitative intervention:
- observation: direct “protocol guided” directed by other experts
- predictive elements
- expected final changes
- intermediate changes: work unit
- exercises contents - methods - goals
- periodical results check
fundamental methodological differences between synchronic and diachronic methods (synthesis)

Full programme

- - -

Bibliography

P.K. Anochin; Biologia e Neurofisiologia del riflesso condizionato; Mosca 1968 trad. italiana Bulzoni editore 1975: 256-312
P.K. Anokin; La teoria del sistema funzionale e l’approccio sistemico in biologia e medicina; Rassegna Sovietica,4, 1973: 42-55. Traduzione di I.Coletti in Attivita, linguaggio e conoscenza le radici dell’approccio sistemico nello studio del sistema nervoso centrale; Idelson-Gnocchi 1999: 229-241
C. Perfetti; La rieducazione motoria dell’emiplegico; Libreria Scientifica Ghedini 1979: 1-50
M.A. Veronese; Lettura epistemologica del problema riabilitativo; da Neuropsicologia clinica Esercizio Terapeutico; Idelson-Gnocchi 1992: 35-39
M. Matelli; Le aree corticali; da Neuropsicologia clinica Esercizio Terapeutico; Idelson-Gnocchi 1992: 63-71
G. Denes; Disturbi della localizzazione e consapevolezza corporea; da Neuropsicologia clinica Esercizio Terapeutico; Idelson-Gnocchi 1992: 101-114
G.M. Tortolone; Corporeita’ e movimento; Idelson-Gnocchi 1992: 91-125
S. Briganti, V. Noccioli; La rieducazione del cammino nell’emiplegico; da La logica dell’esercizio; Idelson-Gnocchi 1992: 223-231
E. De Giovannini; Il trattamento riabilitativo nelle lesioni traumatiche dell’arto inferiore; Monduzzi Editore 1993: 7-342
G. Grotto; Dalla contrazione muscolare all’Esercizio Terapeutico; Idelson-Gnocchi 1994: 1-134
A. Pieroni; Dall’Osservazione all’Esercizio; Idelson-Gnocchi 1995: 1-77
P. Reggiani; L’immagine motoria come strumento per l’esercizio terapeutico; Biblioteca A.R. Lurija1999: 7-81
M. Frescarelli; Neurofisiopatologia in Riabilitazione; Edizioni Minerva Medica 2003: 1-10, 81-85, 99-107
J. Krakauer, C. Ghez; Il movimento volontario; 744-769
S. Gusella; Il caso clinico riabilitativo; Aracne editrice 2005: 9-91

Teaching methods

frontal lessons + simulations

Assessment methods and criteria

enrolment specifying name at the Degree Course; min. mandatory attendance 75% with attendance check through signature collection.

Other information

The course consists of the study of scientific theory, along with the practical reasoned observation and intervention methods so that each student becomes acquainted with the concepts through guided critical analysis. Classroom lectures, simulations and practical exercises with patients.