42247 - Physical and Rehabilitation Medicine 2 (L-Z)

Learning outcomes

At the end of the course, the student: - Knows the general framework of the discipline, the concepts of health and social activities of rehabilitation, the professional organization and rehabilitation structures. - Knows the International Classification of Functioning, Disability and Health (IFC = International Classification of Functioning). - Knows the tools and techniques for the impairment assessment and the most common disability assessment scales. - Knows the most common therapeutic means in the rehabilitation field and the indications (physical therapy, kinesitherapy, neuromotor rehabilitation, occupational therapy, orthoses and aids, adapted physical activity, advanced technologies for rehabilitation). - Can identify the relationships between disease, impairment, disability and handicap of the main diseases of the elderly and the consequent organizational and therapeutic strategies for patient management.

Course contents

Introduction to the concept of frail elderly and multidimensional evaluation
Deconditioning and bedding syndrome
Rehabilitation principles in the elderly patient with osteoporosis, vertebral fractures and flexed posture
Risk of falling in the elderly and prevention interventions
Rehabilitation management in the elderly patient with fracture of femur due to fragility
Orthoses, aids and prostheses
Rehabilitation principles in the patient with stroke outcomes
Rehabilitation principles in the osteoarthritic patient

Readings/Bibliography

• Manuale di ausili e cure del paziente geriatrico a domicilio, Utet 2002
• Cisari C., Molteni F. Stroke. Clinica e Riabilitazione, Edi Ermes 2005
• American Geriatrics Society, British Geriatrics Society and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the Prevention of Falls in Older Persons. JAGS 2001; 49: 664-672
• Commissione Intersocietaria per l’Osteoporosi: Linee Guida sulla gestionedell’Osteoporosi e delle Fratture da fragilità https://www.sigg.it/wp-content/uploads/2018/05/Linee-Guida-definitive-OSTEOPOROSI-1.pdf
• Rehabilitation in osteoarthritis Therapy (2010) 7(6), 669–674
• https://emedicine.medscape.com/article/305145-overview
• Systematic Review of Guidelines for the PhysicalManagement of Osteoarthritis Archives of Physical Medicine and Rehabilitation 2014;95:375-89.

Teaching methods

Frontal lessons with presentation support .PPT

Assessment methods

Oral exam

The final exam consists of an oral exam in which the student will mainly discuss a topic taken from the program. As part of the interview, questions will also be asked aimed at verifying the degree of in-depth knowledge of the proposed topic and the other topics of the program, the critical ability to connect different knowledge to each other through logical-deductive connections and the achievement of a deep understanding of topics covered in class.

Gradation of the final grade:

Preparation on a very limited number of topics covered in the course and analytical skills that emerge only with the help of the teacher, expressed in an overall correct language → 18-19;

Preparation on a limited number of topics covered in the course and ability to autonomous analysis only on purely executive matters, expression in correct language → 20-24;

Preparation on a large number of topics covered in the course, ability to make independent choices of critical analysis, mastery of specific terminology → 25-29;

Comprehensive preparation on the topics covered in the course, ability to make autonomous choices of critical analysis and connection, full mastery of specific terminology and ability to argue and self-reflection → 30.

The achievement by the student of an integrated vision of the topics addressed in class, combined with their critical use, the ability to make connections, the demonstration of an expressive mastery and specific language will be evaluated with honors.

The criterion for integrating the grade into the final overall assessment of the CI provides for the weighted mathematical average based on credits.

Teaching tools

.pdf file of the lessons, personal notes, scientific papers

Office hours

See the website of Daniela Platano