39184 - Physiotherapy in Rheumathology and Geriatrics (IM)

Learning outcomes

After completing this module the student will have the ability to apply knowledge and understanding about physiotherapy in rheumatology and geriatric field, he knows the basic principles of design and implementation of interventions aimed at satisfying the needs of the person with rheumatic and geriatric diseases.

Course contents

THE REASONING IN CLINICAL AND GERIATRIC RHEUMATOLOGY: definition The phases of the clinical reasoning: history-taking with its clinical diagnosis made by the doctor, functional assessment, identification of therapeutic targets, planning rehabilitation intervention (project, program physiotherapy), revaluation

1. PARKINSON'S DISEASE Diagnostic-functional process in physiotherapy: Assessment of impairment made through observation, inspection, palpation, mobilization and administration of tests, outcome measures. Ex. The scales: Scale of Hoehn and Yahr, Unified Parkinson's Disease Rating Scales, Webster ScoreVAS, mini mental test, water test Disability assessment through observation, interview with the caregiver administering scales (Barthel scale, FIM, Berg Balance test, Tinetti, Time Walking test), outcome measures. Evaluation of participation in social life through observation, interview with the caregiver, administering tests, outcome measures therapeutic goals therapeutic process Testing effectiveness found in the scientific literature Strategies and physiotherapy treatment: neuromotor individual treatment, neuromotor group treatment, occupational therapy) main aids and orthotics and training in the use The rehabilitation setting

2. THE FEMOR FRACTURE OF THE ELDERLY Diagnostic-functional process in physiotherapy: Assessment of impairment made through observation, inspection, palpation, mobilization and administration of tests, outcome measures. Disability assessment through observation, interview with the caregiver administering tests, outcome measures. Evaluation of participation in social life through observation, interview with the caregiver administering tests, outcome measures Therapeutic goals Therapeutic process Testing effectiveness found in the scientific literature Strategies and physiotherapy Main aids and orthotics and training in the use The rehabilitation setting

3. THE ELDERLY PERSON amputated OF LOWER LIMB Diagnostic-functional process in physiotherapy: Assessment of impairment made through observation, inspection, palpation, mobilization and administration of tests, outcome measures. Disability assessment through observation, interview with the caregiver administering tests, outcome measures. Evaluation of participation in social life through observation, interview with the caregiver administering tests, outcome measures Therapeutic goals Therapeutic process Testing effectiveness found in the scientific literature Strategies and physiotherapy treatment: care of the stump, exercise autonomy in ADL without prostheses, rehabilitation to walk with prosthesis main aids and orthotics and training in the use The rehabilitation setting

4. THE RISK OF FALLING IN THE ELDERLY Diagnostic -functional process in physiotherapy evaluation by Berg Balance Scale, Tinetti and Conley scales therapeutic process Strategies and physiotherapy treatment, indications for prophylaxis

5. ROLE OF PHYSIOTHERAPIST IN RESIDENTIAL FACILITIES FOR ELDERLY references to regional legislation, main projects, integration with other professionals

6. INFLAMMATORY PAIN AND MECHANICAL PAIN Diagnostic-functional process Differential evaluation of rheumatology pain through the history and physical examination and using the appropriate measurement scales (VAS; Short-form McGill pain questionnaire Assessment, scale painad) therapeutic process Strategies and physiotherapy treatment in the different phases and stages of rheumatic diseases

7. RHEUMATOID ARTHRITIS Diagnostic-functional process in physiotherapy: Assessment of impairment made through observation, inspection, palpation, mobilization and administration of tests, outcome measures. Disability assessment through observation, interview with the caregiver administration of scales (WOMAC, ACR - American College of Rheumatism - Classification criteria for osteoarthritis and rheumatoid arthritis, the Arthritis Impact measurement scales), measures of outcome. Evaluation of participation in social life through observation, interview with the caregiver administering tests, outcome measures therapeutic goals therapeutic process Testing effectiveness found in the scientific literature Strategies and physiotherapy main aids and orthotics and training in the use The rehabilitation setting

8. ANKYLOSING SPONDYLITIS Diagnostic-functional process in physiotherapy: Assessment of impairment made through observation, inspection, palpation, mobilization and administration of tests (eg. Remote finger - ground (Bending), occipital wall distance, Schober test and rating scales BASMI (Bash Ankylosing Spondylitis Metrology Index (anthropometric index proposed assessing the motility of the spine and hip), outcome measures. Disability assessment through observation, interview with the caregiver administration of stairs (BASFI (Bath Ankylosing Spondylitis functional Index) questionnaire esplorail degree of difficulty encountered in the performance of specific activities of daily living. BASDAI (Bath Ankylosing Spondylitis Disease Activity Index) Bas-G (Bath Ankylosing Spondylitis Patient Global Score), outcome measures. Evaluation of participation in social life through observation, interview with the caregiver administering tests, outcome measures Therapeutic goals Therapeutic process Testing effectiveness found in the scientific literature Strategies and physiotherapy treatment: individual treatment, self treatment, group treatment MAIN aids and training in the use The rehabilitation setting

9. BACKACHE AND NECK-PAIN Diagnostic -functional process in physiotherapy: Assessment of impairment made through observation, inspection, palpation, mobilization and administration of test (Test of Lasegue, Wassermann tests, tests of Bob Elvey), outcome measures. Disability assessment through observation, interview with the caregiver administration of scales (back Ill, Oswestry Low bach pain disability questionnaire, Roland Morris - Disability questionnaire, SF36) outcome measures. Evaluation of participation in social life through observation, interview with the caregiver administering tests, outcome measures Therapeutic goals Therapeutic process Testing effectiveness found in the scientific literature Strategies and physiotherapy treatment: individual treatment, self treatment, group exercises, back school MAIN orthoses and training in the use The rehabilitation setting

1. OSTEOPOROSIS: diagnostic-functional Process and therapeutic process)

2. Connective diseases: diagnostic-functional Process and therapeutic process)

3. DISEASES OF SOFT TISSUE (periarthritis, tendinitis, bursitis, myalgias, fasciitis, fibromyalgia): diagnostic-functional Process and therapeutic process

4. ALGODYSTROPHY: diagnostic -functional Process and therapeutic process

Readings/Bibliography

E. Hartmann, Parkinson. The multidisciplinary rehabilitative approach. Ed. Spec. Rehabilitation, 2000

Salaffi F., A. Stancati, Scales and rheumatic diseases. Ed. 1885 Mattioli, 2001

Otago Exercise Programme to prevent falls in older adults, 2003

Govannoni S., Minozzi S., S. Negrini, therapeutic diagnostic paths for the care of patients with back pain. Physiotherapist the magazine, January-February, 1, Ed. Edi Ermes, 2006

The European Physiotherapy Guideline for Parkinson's, 2014

Teaching methods

Lectures and demonstrations

Assessment methods

written exam

Teaching tools

PC, video projector

Office hours

See the website of Alessandra Cenni