OVERVIEW

The teaching of cardiologic rehabilitation is inserted in the context of the integrated course of Rehabilitation of visceral functions, which includes 4 disciplinary modules: oncologic rehabilitation, uro-genital rehabilitation, cardiologic rehabilitation, respiratory rehabilitation

AIMS AND CONTENT

LEARNING OUTCOMES

To acquire the notions and critical tools on the surgical procedure and on the rehabilitation phase of cancer patients; to know the rehabilitative principles of the main urogynecological diseases of the pelvic floor; to know the assessment of the patient with respiratory and cardiological pathology, both medical and surgical, the indications and contraindications to the rehabilitation treatment and the most recent physiotherapeutic techniques.

AIMS AND LEARNING OUTCOMES

The purpose of the course is to provide students, on the basis of scientific evidence and clinical experience, with basic knowledge on the assessment and rehabilitation approach of people suffering from acute, post-acute, chronic cardio-vascular diseases, medical and cardiac surgery type.

The teaching will also focus on the educational role of the physiotherapist in cardio-vascular prevention and in the reduction of risk factors.

Attendance to the course and individual study will allow the student to:

- understand and be able to describe the main features of the different cardio-vascular pathologies and the most frequent cardio-surgical interventions, learning to use adequate terminology;

-learn the indications and contraindications to rehabilitation treatment;

- identify the general and specific aims in cardiological rehabilitation;

- acquire the basic knowledge necessary to be able to carry out a correct assessment of a patient suffering from cardiovascular disease, also identifying the appropriate measurement scales and learning to interpret the meaning of the instrumental tests and their results.

- formulate, after the assessment and identification of the aims, an appropriate personalized treatment plan, in the criteria of efficacy and safety by following the "problem solving" approach. 

TEACHING METHODS

The course is delivered face to face through classroom lectures with slides presentations. Clinical reasoning, critical thinking and t "problem solving" skills are also stimulated through the discussion of clinical cases.

Students with SLD, disability or other special educational needs certification are strongly encouraged to contact the teachers at the beginning of the course to agree on teaching methods that, in compliance with the teaching objectives, take into account individual learning methods and provide suitable compensatory instruments.

SYLLABUS/CONTENT

CARDIAC REHABILITATION

1.      Definition, phases and aims

2.      Components of cardiac rehabilitation and rehabilitation team

3.      Risk stratification; cardiovascular risk factors

4.      Indications and contraindications

5.      Patient assessment (clinical assessment, 6MWTest, ergometric test, cardiopulmonary exercise test, X-ray)

6.      Rehabilitation session features:

1.      type of activity (breathing exercises, calisthenic exercises, training, stretching)

2.      frequency

3.      Duration

4.      Intensity: anaerobic threshold, Watts, METs, heart rate, shortness of breath

5.      Method: continuous training, interval training, circuit weight training

6.      Phases (warm-up, workout, cool-down...)

7.      Monitoring needs and training interruption/termination criteria

7.      Physical training effects

8.      Elderly patient

9.      Heart failure, NYHA classification

10.  Ischemic Pathology (Heart attack, Angioplasty, Chronic peripheral arterial disease, etc.)

11.  Post-surgical patient (coronaric bypass, valve replacement , aortic disease , congenital heart disease)

12.  Transplanted patient; brief notes on VAD

13.  Extensive rehabilitation or maintenance (follow up, the educational role of the physiotherapist) 

RECOMMENDED READING/BIBLIOGRAPHY

Text book: "Riabilitazione cardiologica",  Galati, Vigorito  EDI-ERMES

Support material, provided by the teacher: slides used during lessons, and any in-depth material.

TEACHERS AND EXAM BOARD

LESSONS

LESSONS START

Lessons will start in the firts semester of the third year.

Class schedule

The timetable for this course is available here: Portale EasyAcademy

EXAMS

EXAM DESCRIPTION

The exam is oral. The grade will be mediated with the evaluations obtained in the other disciplines of the I.C. Appeals will be available for the winter session (January, February) and for the summer session (June, July, September).

ASSESSMENT METHODS

It includes at least 2 questions asked by the teachers.
It will be aimed at evaluating an appropriate knowledge of the topics explained during lessons and in any case on all those specified in the program.

Students with SLD or other regularly certified special educational needs will be able to agree on written or oral modalities with the teacher, by contacting the teachers at least 10 days before the exam. They can also take advantage of 30% additional time.

Exam schedule

FURTHER INFORMATION

In the case of a student with a certified SLD, it is necessary to contact the Referent Professor of the DISABILITY and SLD Commission for DINOGMI: Prof. N. Girtler (nicolagirtler@unige.it) who, after evaluating the individual case, will send the necessary information to both for the development of the lessons and the examination procedure.