OVERVIEW

The module PATOLOGIA DELL'APPARATO LOCOMOTORE E REUMATOLOGIA develops a thorough understanding of the main diseases in Trauma/Orthopaedics and Rheumatology; Musculoskeletal Physiotherapy intervenes to recover the disturbances of the locomotive system and compasses all the “ hands on ” manual techniques and exercise prescription for the relief or prevention of disorders of the musculoskeletal system.

AIMS AND CONTENT

LEARNING OUTCOMES

The module PATOLOGIA DELL'APPARATO LOCOMOTORE E REUMATOLOGIA delivers what happens when injuries occur and how to treat and manage them. The unit aims to provide students with the knowledge of the patient's healing process, to define an appropriate rehabilitation action according to the biomedical and psycho-social model. As with all areas of physiotherapy, the assessment is very important; then, with manual therapy , exercise prescription and other therapies, musculoskeletal physiotherapy improves and prevents the disorders of the musculoskeletal system.

LEARNING OUTCOMES (FURTHER INFO)

The module PATOLOGIA DELL'APPARATO LOCOMOTORE E REUMATOLOGIA aims to provide students the ability to understand and solve issues related to:

• Know the trauma recovery and the clinical diagnosis of the patient;
• Know about Imaging to identify the main physioterapic  controindications;
• Know about the surgical / conservative treatment for the relief of disorders of the musculoskeletal system.

TEACHING METHODS

Lectures are performed in all the teaching location by owners teachers and are explained with slides and videos. The Students/Teachers percentage report allows a direct comparison and an use of collaborative methodology, discussion about rehabilitation and working groups.

SYLLABUS/CONTENT

You can see the content of the learnings in every module of this course

Lesson schedule URL:

https://sanitarie.aulaweb.unige.it/pluginfile.php/30098/mod_label/intro/Programma%20C.I.%20Patologia%20dellApparato%20locomotore%20e%20Reumatologia%20a.a.%202015-16.pdf

ORTOPEDIA E TRAUMATOLOGIA

ORTHOPEDICS :

- Osteoporosis 

- Osteochondrosis

- Complex regional pain syndrome                                                                                                                                                                     

- Shoulder Pathologies (sub acromial impingement, lesion rotator cuff)                                                                                                             

- Hip Dysplasia

- Paramorphisms of the lower limbs

- Scoliosis and kyphosis

- Spinal disorders: Lumbar Herniated Disc

- Bone Tumors

- Arthrosis and generality on prosthetic surgery.
 

TRAUMATOLOGY:

- Fractures, luxations and sprains

- Spine Fractures

- Fractures and dislocations of the upper limb

- Fractures and dislocations of the lower limb

- Knee lesions: meniscal and ligaments lesions

REUMATOLOGIA

1. Chronic degenerative rheumatic diseases (osteoarthritis)
2. Muscoloskeletal disease (soft tissue)
3. Metabolic bone diseases (osteoporosis)
4. Regional pain sindrome
5. Chronic Inflammatory Diseases:

• Rheumatoid arthritis
• Spondyloarthritides
• Connective tissue Diseases
• Crystal-Induced Arthropathy( Gout -Chondrocalcinosis-Calcium hydroxyapatite crystal induced arthropathy)
• Reactive arthritis-Infective arthritis

RIABILITAZIONE IN ORTOPEDIA E TRAUMATOLOGIA I

The main phases of the rehabilitation process in Orthopaedic and Traumatology:

• Method:
  a. Place the rehabilitation question in the patient's medical history: rehabilitation after conservative or surgical treatment, pre-operative rehabilitation training, management of outcomes, home care program etc.
  b. Clinical documentation: literature, guidelines and rehabilitation protocols                                                                        

          c. Know how to observe the diagnostic artifacts in Images to identify indications and contraindications of therapeutic.

• Main goals in Orthopaedic and Traumatologic Rehabilitation:

1. After immobilization and post chirurgical phases: lesions of the tissue and prevention of swelling, adherence and retraction; early mobilization; prevention of the main complicances
2. The recovery phase of range of motion, active movements, load and gait: prevention and treatment of joint stiffness.
3. The reinforcing phase and the resumption of normal activities: recovery protocols for strength and dexterity.
4. The treatment phase of joint instability.
5. The management of functional outcomes: therapeutic treatment for soft tissue injuries, preparation for re-interventions, ADL and aids, prevention of deformities. Improve patient mobility and enhance both his independence and quality of life.

• Instrumental Therapy: physical and therapeutic effects; main selection and use of Instrumental Therapy:
  a. Electrical stimulation:  the effect of innervation, denervation, and muscle type: the precise stimulus to work the muscle as much and as efficiently as desired (Kotz, Functional Electrical Stimulation (FES) and so on)

          b Electroanalgesia: definition, technology  and indications; Gate control and TENS Therapy, Interferential

          c Ultrasound

          d Electromagnetic radiation: pulsed short wave diathermy, Infrared, UVA/B/C, Soft Laser, Magnetic field

          e ESWT (Extracorporeal Shock Wave Therapy) and Tecar therapy

          f Thermal therapy and Thalassotherapy

RIABILITAZIONE IN REUMATOLOGIA 

- Rehabilitation for Rheumatic Conditions

- Functional Evaluation and Rehabilitative Approach to Rheumatics: Ratio of the patient's state of health with rheumatic problems according to ICF and load capacity.

- Rehabilitation management of the main impairment conditions in the patient.

- The planning of physiotherapy intervention

- Physiotherapy in hip and knee arthrosis

- Physiotherapy and Osteoporosis

- Evaluation and treatment of neck pain

- Evaluation and treatment of lumbar pain

- Evaluation and treatment of thoracic pain

- Extra-articular rheumatism and Physiotherapy

- Physiotherapy and CRPS I

- Rehabilitation in rheumatoid arthritis

- Rehabilitative intervention in nervous compression syndromes

SCIENZE FISIOTERAPICHE IN ORTOPEDIA E REUMATOLOGIA

General principles of treatment of injuries of the locomotor system in polytrauma:

REHABILITATION IN THE MAIN SHOULDER PATHOLOGIES:

a. Impingement syndrome, tendonitis and rotator cuff injuries

b. Shoulder instability and dislocation

c. Acromio-clavicular injury

d. Humerus: Fractures of the proximal epiphysis and of the diaphysis

ELBOW REHABILITATION:

a. Elbow dislocation

b. Radial head fractures

c. Epicondylitis: rehabilitation principles and different phases

REHABILITATION OF THE TRAUMATIC INJURIES OF WRIST AND HAND

a. Fractures and dislocations

b. Notes on tendon and nerve lesions

PELVIC,ACETABULAR AND FEMURAL FRACTURES:

a. Notes on pelvic fractures and hip fractures-dislocations

b. Femural fractures: neck, dhiaphysis and epiphysis

KNEE: GUIDELINES AND REHABILITATION PROTOCOLS:

a. Knee fractures

b. Traumatology of the patella and Patello-Femoral Pain (PFP)

c. Ligament and meniscus injuries: ACL reconstruction

LEG AND FOOT REHABILITATION:

a. Leg fractures

b. ankle sprains and fractures

c. Foot traumatic injury

THE SPINE: BRIEF NOTES ABOUT AMYELIC VERTEBRAL FRACTURES AND SPRAINS

IMPLANT/REMOVAL OF ARTICULAR PROSTHESIS AND REHABILITATION:

a. The joints: hip, knee, shoulder

b. Brief notes about other prothesis: ankle, elbow, wrist and small joints

VALUTAZIONE DEL PAZIENTE ORTOPEDICO SECONDO CRITERI ICF

Designing rehabilitation interventions and evidence-based strategies: from Guidelines to the implementation of diagnostic and therapeutic care (PDTA) protocols

RECOMMENDED READING/BIBLIOGRAPHY

The slides used during lectures and other educational materials (such as in-depth tutorial, E-book) will be provided by teachers; they may also indicate books, articles and scientific journals.

The notes taken during the lectures and material provided by teachers are sufficient for the exam.

It is suggested as text / support scientific articles from 2012.

TEACHERS AND EXAM BOARD

Exam Board

VALERIA BANAUDI

ANDREA CESARI

GIOVANNI ANTONIO CHECCHIA

GIACOMINA DANERI

ALBERTO EMINENTE

FRANCESCA FARINA

EMILIO FISCHER

ANTONELLA FOCACCI

NADIA FOLEGANI

DANIELA GARAVENTA

CLAUDIA GIORGINI

VITO GIUDICE

LEONARDO INCERTI VECCHI

CINZIA LAURA

SILVANA MAZZARO

MARCO MEZZASALMA

LUIGI MOLFETTA

PATRIZIA MONTEFORTE

SABRINA PAOLINO

ALBERTO PIACENZA

AURORA PRATESI

DANIELA RASO

GIANLUCA RISSO

ALESSANDRO ROBUTTI

GIORGIO ZANASI

CARLA BUFFA (President and Coordinator of Integrated Course)

LESSONS

LESSONS START

Lessons: from october to december

EXAMS

EXAM DESCRIPTION

Oral interview; the oral examination will be mainly directed to ensure a proper understanding of the theory discussed in the course.

Available 7 examination date.

ASSESSMENT METHODS

The assessment method is explained during the lessons.

The exam consists of an oral interview based on the lectures and on the program, to evaluate knowledge and critical thinking of the student. The student have to prove his competence in scientific description of Muscoloskeletal Physiotherapy.

Exam schedule

FURTHER INFORMATION

Pre-requisites: some knowledge on fundamentals of Anatomy and Pathology

The exam can be supported if the student passed all the 1st year examinations.

The exam is preliminary to the Tirocinio II (2nd year internship exam)