METHODOLOGY AND TECHNIQUE OF ADULT NEUROMOTOR REHABILITATION
cod. 15982

Academic year 2007/08
3° year of course - First semester
Professor responsible for the course unit
COSTANTINO Cosimo
integrated course unit
4 credits
hub:
course unit
in - - -

Course unit structured in the following modules:

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

<br />General Rehabilitation Methodology

Course unit content

<br /><br />Methodology and Techniques of Neuromotor Rehabilitation<br />CONTENTS: <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 -   <br />Internet                                                                                                        O.P.A.C.                                                                                               MultiO.P.A.C.                                                                                                          Electronic catalogues                                                                                       WebSites                                                                                                                        PubMed                                                                                                                          Evidence Based Medicine<br /><br />Occupational therapy <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 />Principles of Manual Therapy. <br />Clinical Reasoning Strategies in Physiotherapy<br />General considerations, epidemiology and etiology of diseases and disorders of the rachis. Surface and palpatory anatomy of the rachis<br />Posture and motor control<br />Pain-producing mechanisms in disorders of the rachis<br />The principles and concepts of Functional Assessment. The importance of the Medical Record<br />The complete examination of the Rachis:<br />The Medical History<br />Observation/inspection<br />Myotome and dermatome tests<br />Special Tests<br />Functional assessment (with assessment sheet)<br />Physical Examination<br />of active movements<br />of passive physiological movements<br />of passive accessory movements or joint play movements<br />of the muscular structures of the rachis<br />of the peripheral nervous structures (neurodynamic tests)<br />Palpatory examination<br />Methods of rehabilitation therapy for the rachis:<br />Treatment through Manual Therapy (joint mobilisation, neuromuscular relaxation, mobilisation of the nervous system)<br />Treatment through specific assisted therapeutic exercises (for the rehabilitation of motor control)<br />Self-treatment<br />Pain control<br /><br />Principles of the proprioceptive neuromuscular facilitation approach <br />-treatment philosophy according to the P.N.F. approach<br />-principles of treatment<br />-principles of facilitation<br />-techniques<br />-patient assessment<br />-treatment planning<br />-patient re-assessment<br />-home programme<br />observation of videos and assessment of patients<br /><br />Principles of the Bobath approach <br /><br />-definition of the Bobath concept<br />-basic principles of the Bobath approach<br />-analysis of posture and normal movement<br />-facilitation according to the Bobath concept<br />-key points of control<br />-assessment of the patient, identification of the main problem<br />-treatment plan<br />-patient re-assessment<br />observation of videos and assessment of patients<br /> 

Full programme

- - -

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

- - -

Other information

- - -