39167 - Physiotherapy in Paediatrics (IM)

Course Unit Page

Academic Year 2019/2020

Course contents

THE CLINICAL REASONING IN CHILDHOOD:

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

ICF Children and Youth

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

2. NEURO-MUSCULAR DISEASES

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

Physiotherapy strategies suitable for achieving the objectives supported by tests of effectiveness available in the scientific literature

Physiotherapy treatment

main aids and training in the use

Taking charge of the child with neuromuscular disease

3.OBSTETRICIAN PARALYSIS

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

Physiotherapy strategies suitable for achieving the objectives supported by tests of effectiveness available in the scientific literature

The physiotherapy (postural care, mobilization, massage, facilitating active movements, splinting, bandaging functional ....)

main aids and training in the use

Taking charge of the child with obstetrician paralysis

4. SCOLIOSIS

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

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, social, emotional, mental health)

Therapeutic goals

Therapeutic process

Physiotherapy strategies suitable for achieving the objectives supported by tests of effectiveness available in the scientific literature

Physiotherapy treatment

MAIN orthoses and training in the use

Taking charge of the child with scoliosis

5. THE CHILDHOOD CEREBRAL PARALYSIS

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

Some outcome measures important: evaluation of mobility through the "Gross Motor Function Classification System of Palisano et al for Assessing Mobility in a Child 6 to 12 Year of Age With Cerebral Palsy" and evaluation of disability: "WeeFIM"

Therapeutic goals

Therapeutic process

Testing effectiveness found in the scientific literature

Strategies and physiotherapy treatment in different forms: spastic, ataxic, dystonic

MAIN aids and orthotics and training in the use

The rehabilitation setting and taking charge of the children with CP

6. THE NEWBORN BABY IN INTENSIVE CARE (TIN)

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 process

Physiotherapy strategies suitable for achieving the objectives supported by evidence available in the scientific literature

The "care" and the physiotherapy treatment in TIN (postural care, kangaroo, infant massage, physiotherapy techniques and bronchial unblocking etc.)

MAIN aids and orthotics and training in the use

Taking care of the newborn

7. CONGENITAL CLUBFOOT

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 process

Physiotherapy strategies suitable for achieving the objectives supported by tests of effectiveness available in the scientific literature

The physiotherapy (postural care, functional bandage etc)

MAIN aids and orthotics and training in the use

The rehabilitation setting and taking charge of the child with congenital clubfoot

Readings/Bibliography

  • Ferrari A.,Cioni G. "Le forme spastiche della Paralisi Cerebrale Infantile", Edizioni Springer
  • Cioni G., Ferrari A., "Le forme discinetiche delle P.C.I", Editore del Cerro
  • Michele Bottos, "P.C.I. Dalla guarigione all'autonomia. Diagnosi e proposte riabilitative", Edizione Piccin
  • Giannoni, Zerbino, "Fuori schema. Manuale per il trattamento delle P.C.I", Edizione Springer

Teaching methods

Lectures, work in small groups

Assessment methods

The verification of learning takes place through a written test lasting 1 hour, which includes 5 open questions, including two clinical cases.

All questions are inherent to topics covered in class and therefore aim to verify the acquisition of knowledge required by the course program and also the acquisition of a critical judgment.

Teaching tools

Pc

Office hours

See the website of Daniela Donati