ADULT REHABILITATION METHODOLOGIES
cod. 15972

Academic year 2008/09
3° year of course - First semester
Professor
Academic discipline
Medicina fisica e riabilitativa (MED/34)
Field
Scienze fisioterapiche
Type of training activity
Characterising
18 hours
of face-to-face activities
1 credits
hub: -
course unit
in - - -

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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