Learning Outcomes and Contents
Learning outcomes and contents
Unit / Aims and learning outcomes / contents / Didactic methods / Evaluation / ReferencesA / HUMAN ANATOMY
1st module: Radiological anatomy / at the end of the course the student will be able to recognize the anatomical structures on X-ray , CT and MR images. / -Principles of Radiology
-Radiological anatomy of the Column, Upper and Lower limb. / Lectures / MCQ / 1)Abrahams Weir. Atlante di anatomia radiologica per bioimmagini, Elsevier, 2013
B / HUMAN ANATOMY
2nd module: Peripheral nervous system / Knowledge of Peripheral nervous system / -Organization of the roots of the spinal nerves
-Segmental organization of the peripheral nervous system.
-Cervical plexus.
-Brachial Plexus.
-Lumbar Plexus.
-Sacral Plexus.
-Pudendal Plexus. / Lectures / MCQ / 1)G. Anastasi, G. Balboni, P. Motta, Trattato di anatomia umana edi-ermes, vol 3, 2007
2)R. De Caro, Istituzioni di anatomia dell’uomo S.N.P., in press
C / HUMAN ANATOMY
3rd module: Fascia Anatomy / Knowledge of Fascia Anatomy / -The deep fascia: macroscopic and microscopic aspects, mechanical behavior. Regional specializations.
-Relationship with the vessels and nerves. Implication in the lymphedema.
-The deep fascia: macroscopic and microscopic aspects, mechanical behavior. Regional specializations.
-Relationship with the underlying muscles. analysis of its possible role in the proprioception. / Lectures / MCQ / 1)Stecco C:, “Atlas of the human fascial system”, Elsevier ed, 2014
D / HUMAN PHYSIOLOGY / In depth knowledge of the adaptive capacity of skeletal muscle to the diverse functional demands with reference to rehabilitation / -Neuromuscular transmission, excitation-contraction coupling, characteristics of the contractile filaments
-Skeletal muscle fiber types
-Motor nerve and motor units
-Muscular plasticity
-Muscle force, velocity and fatigue
-Organization of motor systems / Lectures / MCQ / 1)Conti F., Fisiologia medica, edi-ermes editore
2)Skeletal muscle structure, function & plasticity. Liber RL. Lippincott Williams & Wilkins ed.
E / NERVOUS SYSTEM PHYSIOLOGY / At the end of the course the student will be able to know the functional neuroanatomy / -neuroanatomy
-functional neuroanatomy / Lectures / MCQ / 1)R. De Caro. Neuroanatomia, in press
F / ORTHOPAEDICS AND TRAUMATOLOGY / At the end of the course the student will be able to know the main disorders muscleskeletal (enclose the post injuries ) and conservative approaches in this field. / -Musculoskeletal disorders (acute and chronic) of muscles, joints, tendons, ligaments and nerves.
-Bone injuries(fractures).
Stress fractures.
Overusesyndromes.
-Managementandconservativetreatmentin Musculoskeletal disorders.
Classification, measurement and conservative treatment of idiopathic scoliosis.
-Good Practices to prevent musculoskeletal disorders.
-Ergonomics and musculoskeletal disorders. / Lectures / MCQ / 1) Oxford Textbook of Trauma and Orthopaedics (2 ed.) Edited by Christopher Bulstrode, James Wilson-MacDonald, Deborah M. Eastwood, John McMaster, Jeremy Fairbank, Parminder J. Singh, Sandeep Bawa, Panagoitis D. Gikas, Tim Bunker, Grey Giddins, Mark Blyth, David Stanley, Paul H. Cooke, Richard Carrington, Peter Calder, Paul Wordsworth, and Tim Briggs
Oxford University Press, 2011
2)Essentials of Musculoskeletal Care [With DVD ROM]. John F. Sarwark
American Academy of Orthopaedic Surgeons, 2010
3)Essential Orthopaedics and Trauma
David J. Dandy,Dennis J. Edwards
Churchill Livingstone- Elsevier 2009
G / NEUROLOGY / at the end of the course the student will acquire basic knowledge of the more common neurological diseases that will benefit from Rehabilitation and Manual Therapy / -Cerebrovascular diseases
-Neurodegenerative diseases
-Peripheral neuropathies
-Muscular dystrophy and myopathies
-Motorneuron diseases / Lectures / MCQ / 1)C. Angelini, L. Battistin “Neurologia Clinica” 1st edition 2010; Societa’ Editrice Esculapio
H / BIOMECHANICS AND KINESIOLOGIY / at the end of the course the student will have acquired the basic concepts of a biomechanical approach to human movement, including the method for evaluating forces generated in the different joints during activity. Further, the student will have acquired the basic knowledge about the relationship between structural properties and functions of a connective tissue, in physiologic or pathologic conditions. / -Introduction to anthropometry
-Structure and function of bones and joints: spine and lower extremity
-Analysis of the forces on spine and lower extremity during activity
-Forces on bones and joints in physiological and pathological conditions
-Classification and composition of connective tissues
-Mechanical properties of connective tissues
-Biomechanics of articular cartilage
-Biomechanics of bone tissue / Lectures / MCQ / 1)Carol A. Oatis, “Kinesiology, The Mechanics and Pathomechanics of Human Movement”, Lippincott Williams & Wilkins, Second Edition, 2004
I / GENERAL PHYSIOPATOLOGY / Knowledge of main topics of general physiopatology / -Mechanisms of muscle control in pathological conditions.
- Biochemical reactions to trauma and immobilization.
-Repair processes.
-Aging.
-Inflammation. / Lectures / MCQ / 1)Advances in Muscle Research 3 - Skeletal muscle repair and regeneration. Schiaffino & Partridge eds., 2008. Springer , The Netherlands.
J / CLINICAL PSICHOLOGY / the aim of the course is to provide an overview of some theoretical and applicative areas of the clinical psychology such as health psychology, research methods and counseling elements for health care workers / -Theoretical perspectives of the different models in clinical psychology and health psychology.
-Assessment methods.
-Chronic pain: assessment, diagnosis and cognitive-behavioral treatment guides.
Counseling elements for health care workers. / Lectures and group exercises / MCQ / 1)E. Sanavio, C. Cornoldi (2010) Psicologia clinica. Il Mulino
2)Rosengren, D.B. (2009) Guida pratica al counseling:manuale per i professionisti sociali e sanitari. Erickson
K / RHEUMATOLOGY / The student will acquire the basic knowledge about patho-physiology, clinics, diagnosis and therapy of the most frequent rheumatic diseases / -osteoarthritis
-fibromyalgia
-rheumatoid arthrtitis
-ankylosingspondilytis
-psoriatic arthritis
-infectious arthritides. / Lectures / MCQ / 1)S. Todesco, P.F. Gambari, L. Punzi: "Malattie reumatiche", McGraw-Hill Ed., Milano, 2007.
2)Spadaro, M. Govoni, R. Caporali: “Reumatologia per le professioni sanitarie.” Idelson-Gnocchi Ed., Napoli, 2009.
3)G.S. Firenstein, R.C. Budd, S. E. Gabriel, I.B. Mcinnes, J.R. O’Dell. “Kelley’s textbook of Rheumatology”, Elsevier Saunders Ed., Philadelphia, 2013 (per consultazione).
L / PHARMACOLOGY / at the end of the course the student will be able to understand beneficial and adverse effects of drug therapies currently available for treatment of rheumatic and musculoskeletal diseases / -Drugs used in treatment of rheumatoid arthritis and gout
-Skeletal muscle relaxants
-Drugs used in treatment of osteoporosis / Lectures / MCQ / 1)B.G. Katzung, S.B. Masters, A.J. Trevor “Basic and Clinical Pharmacology”, 12th edition, Ed. McGraw Hill, 2012.
M / RESEARCH METHODOLOGY IN REHABILITATION AND EVIDENCE BASED MEDICINE
1st module: Research Methodology in Rehabilitation / At the end of the course the student will be able to locate in the scientific literature the reliability of the scientific work conducted with different research methods.
The student will have acquired the skills to plan and implement a research project in Rehabilitation and in Manual Therapy specifically. / -Meaning of terms Methodology, Method and Techniques
-Meaning and differences between Research Methodology and Research Methods
-Epidemiological studies: cross-sectional studies, case control studies, cohort studies
-The experimental method
-Clinical case study and case reports
-Qualitative research
-History of Science
-History of Rehabilitation
-Epistemology
-Making a research projects in Rehabilitation and in Manual Therapy / Lectures.
Workshops according to the theory of social-cultural constructivist learning (problem-based learning and cooperative learning). / Evaluation of group work Task.
Written exam with questions and multiple choice answers / 1)L.G.Portney, M.P. Watkins, Foundations of clinical research. Applications to practice. Prentice Hall, London
N / RESEARCH METHODOLOGY IN REHABILITATION AND EVIDENCE BASED MEDICINE
2nd module: Evidence Based Medicine / The aim of this seminar is to identify the basic concepts of Evidence Based Practice in Physiotherapy.
Learning goal.
At the end of the seminar and after a brief period of study and practice, the student will be able to:
•Formulate an answerable clinical question and a PICO
•Identify the main literature databases and evidence sources relevant to Physiotherapy
•To search Pubmed, PEDro and DARE
•To use the relevant results from (pre-appraised) papers (questions about therapy and diagnosis) to inform the decision making process in the clinical practice / -The core elements of EBP
-How to formulate a PICO and choose proper keywords.
-Structure and resources of PEDro, DARE, Cochrane library (CENTRAL, CDSR), Pubmed, TRIPmetadatabase
-PEDro scale to assess internal validity of a clinical trial in Physiotherapy.
-Minimally Clinical Important Difference, Minimal Detachable Change
-Likelihood ratios an how to use them within the Fagan Nomogram; Positive an Negative Predictive Values
-How to interpret a meta-analysis
-Information about QUADAS
-EQUATOR NETWORK: guidelines for the reporting of studies. / Interactive lectures and group working / MCQ / 1)Evidence-basedclinicalpractice. La pratica clinico assistenziale basata su prove di efficacia. P.Chiari et al. McGrawHill 2011 secondaedizione
2)Herbert, Robert. Practical Evidence-Based Physiotherapy, 2nd Edition. Churchill Livingstone, 2011
O / THERAPEUTIC EXERCISE METHODOLOGY AND PAIN MANUAL THERAPY / at the end of the course the student is able to understand and identify the mechanisms of acute and chronic musculoskeletal pain. At the end of the course the student is able to understand the neurophysiological mechanisms of therapeutic exercise. The student will have acquired the skills to plan and implement a training program in Rehabilitation and Manual Therapy specifically aimed at reducing pain and restore the correct movement pattern. / -Definitions, Concepts, and Model of Pain
-Peripheral Mechanisms involved in Pain Processing
-Central Mechanisms involved in Pain Processing
-Pain Assessment
-Pain and Manual Therapy
-Pain, Exercise and Hypoalgesia
-Terapeutic Exercise: The Basic
-Exercise and Learning
-Exercise and Motor Control
-Exercise with load
-Aerobic Exercise
-to apply any special tests for the safe practice of OMT;
-to treat pain and movement dysfunction of lumbar spine, by low velocity, rhythmical, passive movements (mobilization – grade I-IV ) and high velocity, small amplitude passive movements with impulse (manipulation – grade V). / Lectures.
Workshops according to the theory of social-cultural constructivist learning (problem-based learning and cooperative learning). / Evaluation of group work Task.
MCQ / 1)C. Kisner, L. A. ColbyTherapeutic Exercise: Foundations and Techniques .
P / MANUAL THERAPY AND THERAPEUTIC EXERCISE IN CLINICAL CONDITIONS OF CERVICAL COLUMN / at the end of the course the student will be able to
-assess the clinical conditions related to neuro-muscular-skeletal impairments/dysfunction of the cervical spine, identifying risk factors, precautions and contraindications to physical therapy treatment
-elaborate a physical therapy diagnosis and develop a physical therapy treatment plan, considering as objectives pain relief and/or return to function (or patient’s functional optimization) according to current scientific evidences and clinical evidence
-develop the clinical practice according to an advanced clinical reasoning processes in the patient centered care model.
-establish clinical and functional outcomes and “verify/check” them through different measurements such clinical tests and validated questionnaires. / -to localize the region (or even segment) which is in correlation with the pain
-to assess movement function of the cervical region, identify the structures which have altered this function as far as possible and, if it is possible, the pain generator
-to investigate factors which might influence or cause this movement dysfunctions
-to apply any special tests for the safe practice of OMT, for example cervical artery screening
-to treat pain and movement dysfunctions of the cervical spine according the biopsycosocial model by education, exercise and manual therapy
-to apply any special tests for the safe practice of OMT;
-to treat pain and movement dysfunction of lumbar spine, by low velocity, rhythmical, passive movements (mobilization – grade I-IV ) and high velocity, small amplitude passive movements with impulse (manipulation – grade V). / Lectures and practical lab sessions / Written, oral and practical exam / 1)Bogduk N, McGuirk B. Management of acute and chronic neck pain, An evidence-based approach Edinburgh ... Elsevier, 2006;
2)Jull G, Sterling M, Falla D, Treleaven J, O'Leary S. Whiplash, Headache, and Neck Pain: Research-Based Directions for Physical Therapies: Research-based directions for physical therapies Edinburgh ... Churchill Livingstone (Elsevier), 2008;
3)Kaltenborn, F M. Manual Mobilization of the Joints, Volume II, The Spine. Oslo, Norli, 2009
4)Schomacher, J. Orthopedic Manual Therapy, Assessment and Management. Stuttgart, New York Thieme, 2014 (in press)
Q / MANUAL THERAPY METHODOLOGY AND LUMBO-PELVIC TREATMENT / Part 1 - Manual Therapy – Theory and methodology.
At the end of the course the student will be able to
- project the assessment of several clinical conditions related to neuro-muscular-skeletal impairments/dysfunction and identify risk factors, precautions and contraindications for treatment;
- elaborate a physical therapy diagnosis and develop a manual therapy treatment plan, considering as objectives pain relief or return to function (or patient’s functional optimization) according to current scientific evidences;
- develop the clinical practice according to the advanced clinical reasoning process in a patient-centered care model;
- establish clinical and functional outcomes and “verify/check” them through different measures such clinical tests and questionnaires.
At the end of the course the student will be able to
- assess the clinical conditions related to neuro-muscular-skeletal impairments/dysfunction of lumbar spine, identifying risk factors, precautions and contraindications to treatment;
- elaborate a physical therapy diagnosis and develop a manual therapy treatment plan, considering as objectives pain relief or return to function (or patient’s functional optimization) according to current scientific evidences;
- develop the clinical practice according to the advanced clinical reasoning process in a patient-centered care model;
- establish clinical and functional outcomes and “verify/check” them through different measures such clinical tests and questionnaires.
-history of manual/musculoskeletal therapy and characteristics of the different approaches;
-scopes and characteristics of manual therapy treatments;
-clinical triage: red flags, yellow flags, indications, contraindications and precautions for manual therapy treatments;
-assessment of the patient, both subjective (anamnesis) and objective (clinical exam), comprehensive of the assessment of vascular system;
-neurodynamics assessment and treatment;
-biopsycosocial model as a guide for the exam and the treatment;
-different passive techniques: traction, translation, mobilization, manipulation and their progression during the treatment;
-active exercises for different scopes: ROM, strength, endurance, balance, etc.;
-the assessment of the results: outcome measures for pain, ROM, muscular strength, endurance and balance, disability, psychosocial factors.
Part 2 - Clinical investigation of the lumbar region and treatment by manual therapy and therapeutic exercise.
-to localize the region (or even segment) which is in correlation with the pain;
-to assess movement function of lumbar region, identify the structures which have altered this function and, if it is possible, the pain generator;
-to investigate factors which might influence or cause movement dysfunctions;
-to apply any special tests for the safe practice of OMT;
-to treat pain and movement dysfunctions of lumbar spine, according to the biopsycosocial model, by education and exercise
-to treat pain and movement dysfunction of lumbar spine, by f low velocity, rhythmical, passive movements (mobilization – grade I-IV ) and high velocity, small amplitude passive movements with impulse (manipulation – grade V). / Lectures, practical lab sessions and workshops / Part 1 - Manual Therapy – Theory and methodology.
Evaluation and discussion of clinical cases
Written exam
Part 2 - Clinical investigation of the lumbar region and treatment by manual therapy and therapeutic exercise.
Evaluation of group work Task
Written, oral and practical exam / Part 1
1)Magee DJ Orthopedic Physical Assessment. WB Saunders 1992
2)Wolf U. Terapia Manuale. Atlante Illustrato. Edi-Ermes 2010
3)Jones M, Rivett D Clinical reasoning for manual therapists. Elsevier 2005
Part 2
4)La lombalgia 1. Valutazione e trattamento riabilitativo. Ferrari S. e Autori vari. MedTutorRiabilitazione. UTET, Torino, 2010
5)The Back Pain Revolution. Waddell G. Churchill Livingstone, Edinburgh, 2004 (2° ed)
R / MANUAL THERAPY AND THERAPEUTIC EXERCISE IN CLINICAL CONDITIONS OF THORACIC-LUMBO-PELVIC COMPLEX
1st module / at the end of the course the student will be able to:
-Assess the clinical conditions related to neuro-muscular-skeletal impairments/dysfunction of lumbar and pelvic region, identifying risk factors, precautions and contraindications to treatment
-Elaborate a clinical physical diagnosis and develop a complete treatment plan, considering as objectives pain relief or return to function (or patient’s functional optimization) according to current scientific evidences
-Develop the clinical practice according to the advanced clinical reasoning processes in patient centered care model.
-Establish clinical and functional outcomes and “verify/check” them through different measurements such clinical tests and validated questionnaires. / -to localize the region (or even segment) which is in correlation with the pain
-to assess the movement function of lumbo-pelvic region and identify the structures which are have altered this function and, if it is possible, the pain generator
-to investigate factors which might influence or cause movement dysfunctions
-to treat pain and movement dysfunction of the lumbar spine and pelvic segments, according the biopsycosocial model by education, exercise and manual therapy
-to apply any special tests for the safe practice of OMT;
-to treat pain and movement dysfunction of lumbar spine, by low velocity, rhythmical, passive movements (mobilization – grade I-IV ) and high velocity, small amplitude passive movements with impulse (manipulation – grade V). / Lectures and practical lab sessions and workshops / Evaluation of group work Task. Written, oral and practical exam / 1)La lombalgia 1. Valutazione e trattamento riabilitativo. Ferrari S. e Autori vari. MedTutorRiabilitazione. UTET, Torino, 2010
2)The Back Pain Revolution. Waddell G. Churchill Livingstone, Edinburgh, 2004 (2° ed)
3)Spinal Control: The rehabilitation of back pain. State of the art and science. Hodges PW, Cholewicki J, Van Dieen JH. Churchill Livingstone Elsevier, Edinburgh 2013
S / MANUAL THERAPY AND THERAPEUTIC EXERCISE IN CLINICAL CONDITIONS OF THORACIC-LUMBO-PELVIC COMPLEX
2nd module / at the end of the course the student will be able to
-assess the clinical conditions related to neuro-muscular-skeletal impairments/dysfunction of thorax, identifying risk factors, precautions and contraindications to treatment