2017/2018

2021/2022

DM270

MED/34 (PHYSICAL AND REHABILITATION MEDICINE)

DEPARTMENT OF MOLECULAR MEDICINE

MEDICINE AND SURGERY (IN ENGLISH LANGUAGE) (ENGLISH LANGUAGE)

PERCORSO COMUNE

5°

2nd semester (01/03/2022 - 03/06/2022)

2

16 lesson hours

English

WRITTEN AND ORAL TEST

NARDONE ANTONIO - 1 ECTS
PAVESE CHIARA - 1 ECTS

The student must know the basis of anatomy, physics, physiology and pathophysiology

Aims of the course are to teach the basic principles of Physical Medicine and Rehabilitation, to describe the organization of the relevant facilities and of the interprofessional team. The student will learn to evaluate and treat some diseases frequently causing disability and requiring rehabilitation.

Definition of impairment, disability, handicap. WHO classification: ICIDH-1, ICIDH2 o ICF. Measurement of impairment: pain, muscle trophism and strength, dynamometry, goniometry. Measurement of disability: Barthel Index, global mobility tests, IADL ed EADL, FIM. Measurement of handicap: PDQ-39. Definition of rehabilitation, rehabilitative diagnosis, individual rehabilitative project and program, phases of intervention. Rehabilitation team.
Therapeutic exercise. Sources of energy during muscle contraction. Muscle strengthening exercise. Aerobic Exercise. Training Parameters. Borg Rate of Perceived Exertion.
Primary and secondary hip arthrosis. Elective hip arthroprosthesis. Hip arthroprosthesis and femur osteosynthesis after medial and lateral fractures of the proximal end of the femur. Complications of hip replacement surgery that may affect rehabilitation. Individual rehabilitation project and program. Prevention of prosthesis dislocation. Walking training.
Knee arthrosis and total knee prosthesis. Complications after surgery. Individual rehabilitation project and program after knee prosthesis. Passive and active range of motion recovery.
Anatomo-physiology of the lumbar spine. Low back pain: classification based on duration and etiology. Symptoms and signs. Therapy.
Anatomo-physiology of the cervical spine. Causes of cervicalgia. Degenerative and inflammatory pathology of the cervical spine. Physical examination in neck pain. Physical and pharmacological therapy. Whiplash syndrome: pathophysiology and treatment.
Shoulder: anatomy and physiology. Physical examination. Rotator cuff disease. Shoulder instability. Glenohumeral osteoarthritis. Adhesive capsulitis. Diagnosis, medical treatment and surgery.
Rehabilitation of insertional tendinopathy.
Spinal cord injury: pathophysiology and rehabilitation.
Peripheral facial palsy.
Introduction to Stroke. SPREAD Guidelines. Spasticity, changes in posture, balance and gait. Verbal communication disorders, swallowing, sphincter continence. Complications and comorbidity. Rehabilitation: muscle strengthening, aerobic exercise, equilibrium and walking training. Use of treadmill with body weight support and robot for recovery of locomotion. Occupational Therapy in Stroke.
Dizziness and falls. Berg Balance scale. Timed Up & Go test.

The course is based on lectures given with PowerPoint presentations, projected on screen. Practice is not part of the course.

1. Cifu DX et al., Braddom’s Physical Medicine and Rehabilitation, 6th edition, Elsevier Inc., 2021. ISBN: 978-0-323-62539-5
2. http://emedicine.medscape.com/rehabilitation
3. http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=physmedrehab

Written exam made of 15 questions with multiple choice answers. Only one possible answer is correct. The total score ranges from 0 to 30. Correction is made just after the test and immediately communicated to the students.

N/A