75301 - Physiotherapy in Specialist Area (CE)

Learning outcomes

At the end of the module the student has the ability to apply knowledge and understanding regarding the clinical-functional evaluation of subjects with pathology of the cardio-respiratory system. He knows the objectives and knows how to plan and implement a physiotherapy intervention, in subjects with respiratory-cardiological pathology and / or undergoing surgery / transplantation. The student knows and understands epidemiology, preventive aspects and the main operating techniques of burns. He knows and understands the role, the purpose of rehabilitation and knows how to plan, plan and implement an adequate rehabilitation intervention in the burn patient. The student knows and understands the theoretical principles and knows how to plan, program and apply a physiotherapy intervention in patients with pelvic floor dysfunctions or with urinary and faecal incontinence.

Course contents

RESPIRATORY PHYSIOTHERAPY

- Introduction to Respiratory Physiotherapy

- Historical notes and objectives

- Outlines of Anatomy and Physiology of the Respiratory System

- Clinical and functional evaluation of the patient with respiratory problems: data collection, observation, subjective evaluation, objective evaluation (pulmonary function tests, reading and interpretation of the EGA)

- Principles underlying the setting of a respiratory physiotherapy treatment: posture, volume, flow.

- Bronchial unblocking techniques based on location in the lung

- CPAP, humidification, tracheostomy tube management, oxygen therapy, inhalation therapy: the role of the physiotherapist

- Exercise training: Evaluation and treatment setting

- Application of the techniques explored so far, in the main respiratory pathologies: COPD, bronchiectasis, asthma, cystic fibrosis, OSAS, neuromuscular diseases, interstitial diseases, cardio-thoracic surgery and lung transplantation, the patient in intensive care unit

- Discussion of clinical cases

REHABILITATION OF THE PELVIC FLOOR

- Historical notes, definitions

- Notes on Anatomy

- Function and dysfunctions

- Evaluation and treatment setting (kinesitherapy, electrostimulation, biofeedback, volumetric rehabilitation)

REHABILITATION OF THE BURNED PATIENT

- Acute Phase; PostAcute Phase; Results Phase

- Identification of objectives

- Treatment: posture, mobilisation, respiratory rehabilitation, ergotherapy, standing and walking rehabilitation, pre and post surgery

Readings/Bibliography

• Brivio, Lazzeri, Oliva, Zampogna "La disostruzione bronchiale- dalla teoria alla pratica" Ed. Masson 2001
• Lazzeri, Clini, Repossini, Corrado "Esame clinico e valutazione in riabilitazione respiratoria" Ed. Masson 2006
• Lazzeri, Brivio, Carlucci, Piaggi “Il ricondizionamento all’esercizio fisico del paziente con patologia respiratoria” Ed. Edra 2014
• www.arirassociazione.org
• Pryor, Prasad "Physiotherapy for respiratory and cardiac problems" Ed. Livingstone
• Kari Bo, Evidence-based Physical Therapy for the Pelvic Floor
  Bridging science and clinical practice
  Second edition, Ed Churchill Livingstone Elsevier
• A. Bortolami "Riabilitazione del pavimento pelvico" Ed. Masson
• Marc G. Jeschke, Lars-Peter Kamolz
  Folke Sjöberg, Steven E. Wolf
  Handbook of Burns Volume 1
  Acute Burn Care
  Second Edition 2020

Teaching methods

lLectures with PowerPoint presentations, practical exercises among students, discussion of clinical cases, role play

Assessment methods

The learning assessment will take place with an oral exam, during which the student will be presented with a clinical case involving a patient with a respiratory issue. The student will need to comment on it, identify goals, assessment tools, and treatment. There will also be questions about definitions and techniques covered during the lectures.

Additionally, there will be one question on pelvic floor rehabilitation and one on rehabilitation for burn patients.

The evaluation criteria will focus on mastery of the subject, accuracy of scientific terminology, and rigor in clinical reasoning.

Grading will be out of thirty.

As for learning assessments, the use of AI is forbidden. Any use of it is considered a breach of academic integrity.

Students with learning disorders and\or temporary or permanent disabilities: please, contact the office responsible (https://site.unibo.it/studenti-con-disabilita-e-dsa/en/for-students ) as soon as possible so that they can propose acceptable adjustments. The request for adaptation must be submitted in advance (15 days before the exam date) to the lecturer, who will assess the appropriateness of the adjustments, taking into account the teaching objectives.

Teaching tools

Material: the material presented in class will be made available to the student in electronic format

Office hours

See the website of Francesca Plazzi