39167 - Physiotherapy in Paediatrics (CE)

Learning outcomes

After completing this module the student will have the ability to apply knowledge and understanding of the essential patterns of interpretation of motor development, the motor behavior of the child and its variability. Locate the preventive and rehabilitative needs of the child with the main developmental disorders through the various evaluation methods. He knows the tools used to achieve the objectives identified. He knows how to plan and carry out interventions aimed at satisfying the aforementioned needs.

Course contents

Clinical reasoning in children: 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, physiotherapy program), revaluation.

The main assessment scales included in the data base "Centre for evidence based Pysiotherapy" of interest for children and adolescents

Obstetrician paralysis: functional evaluation: evaluation of impairment made through observation, inspection, palpation, mobilization and administration of tests and rating scales. Outcome measures. Assessment of disability and participation in society. Therapeutic goals, physiotherapy strategies to the fulfillment of the objectives supported by tests of effectiveness available in the scientific literature .The physiotherapy (postural care, mobilization, massage, facilitating active movements, splinting, functional bandage).

P.T.C. Functional assessment: evaluation of the impairment made through observation, inspection, palpation, mobilization and administration of tests, rating scales. Outcome measures. Disability assessment. Therapeutic goals, physiotherapy strategies to the fulfillment of the objectives. The physiotherapy (postural care, mobilization, massage, facilitating active movements, splinting, functional bandage).

Neuro-Muscular Diseases: functional evaluation: evaluation of impairment made through observation, inspection, palpation, mobilization and administration of tests, rating scales. Outcome measures. Assessment of disability and participation in society. Therapeutic goals, strategies physiotherapy indicated to achieve the obiettivi.The physiotherapic treatment.

Bifid spine: functional evaluation: evaluation of impairment made through observation, inspection, palpation, mobilization and administration of tests, rating scales. Outcome measures. Assessment of disability and participation in society. Therapeutic goals, physiotherapic strategies indicated to achieve the objectives. Physiotherapy treatment and training to guardians.

Scoliosis: Functional Assessment: evaluation of impairment, disability assessment and participation in social life, outcome measures: Some outcome measures of relief: English Revised Version of the Scoliosis Research Society-22 Patient Questionnaire SRS-22r, (function, pain , mental health, self-image, management of satisfaction / dissatisfaction) SF 36 (physical function, role, pain, vitality, activity 'social, emotional, mental health). Therapeutic goals, strategies physiotherapy to the fulfillment of the objectives. Main methods of physiotherapy.

Infantile Cerebral Paralysis: rehabilitation setting. Functional assessment: evaluation of the impairment made through observation, inspection, palpation, mobilization and administration of tests, rating scales. Outcome measures: assessment of mobility through the "Gross Motor Function System of Palisano et al for Assessing Mobility in a child 6 to 12 Year of Age With Cerebral Paralisy" . disability valuation: WeeFIM ". therapeutic objectives and treatment goals, physiotherapic strategies suitable for achieving the objectives. therapeutic Project and physiotherapy treatment in different forms: spastic, ataxic, distonic. Aids.

Infant in the Neonatal Intensive Care Unit (NICU) Functional evaluation: evaluation of impairment made through observation, inspection, palpation, mobilization and administration of tests, rating scales. Outcome measures. Disability assessment. Therapeutic goals, physiotherapic strategies to the fulfillment of the objectives. The care in NICU. Postural care program, kangaroo, infant massagge, aids.

Readings/Bibliography

 

• Ermellina Fedrizzi «I DISORDINI DELLO SVILUPPO MOTORIO fisiopatologia-valutazione diagnostica-quadri clinici-riabilitazione» Piccin,2009
• Fondazione Pierfranco e Luisa Mariani " La Riabilitazione precoce del bambino con danno cerebrale" A cura di G.I.P.C.I.Gruppo Italiano Paralisi Cerebrali Infantili Franco Angeli 2009
• Psiche Giannoni,Liliana Zerbino "Fuori schema" Springer, 2000
• Frignani R. "I bendaggi funzionali :requisiti,ruoli,applicazioni." Piccin, Padova,1999
• Maranzana G.(1989) Ortopedia per il pediatra. La nuova Italia Scientifica
• Mancini A.,Moriacchi C.,Clinica ortopedica.Manuale-Atlante,1985,Perugina,Piccin Ed.,62-68
• Ferrari A., "Malattie neuromuscolari appunti di clinica e riabilitazione" Ghedini Editore Milano 1983
• Ferrari A., "Trattato di medicina riabilitativa, medicina fisica e riabilitazione" di Nino Basaglia Edizioni Idelson-Gnocchi, 2000
• Dubowitz "Malattie muscolari dell'infanzia " Il pensiero scientifico Editore
• Souchard Ph. E.,"Lo stretching globale attivo- La rieducazione posturale globale al servizio dello sport" Marrapese Editore, 1995
• Souchard Ph. E., Ollier M. "Le scoliosi-Trattamento fisioterapico e ortopedico Utet, 2002
• Muller Veronese E. "Modulazione posturale guidata - Nuove frontiere nel trattamento delle scoliosi. Spinger-Verlag,1994

Teaching methods

• lectures and theoretical practices

Assessment methods

• The assessment evaluation is done only through the final exam, which ensures the acquisition of knowledge and skill expectations. The final vote is called out of thirty, with an oral exam, the average obtained in three specific questions on topics related to the main learning objectives of the course.

Teaching tools

• PC, projector

Office hours

See the website of Stefania Dall'Ara