39184 - Physiotherapy in Rheumathology and Geriatrics (CE)

Learning outcomes

At the end of the course 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 diseases and geriatric

Course contents

THE CLINICAL REASONING in Geriatric rehabilitation and 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 process-functional physiotherapy:
Evaluation 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 tests, water tests
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: treatment neuromotor individual, group, occupational therapy)
MAIN aids and orthotics and training in the use
The rehabilitation setting


2. THE HIP FRACTURE OF OLDER
Diagnostic process-functional physiotherapy:
Evaluation 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.
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 process-functional physiotherapy:
Evaluation 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 ADLs without prostheses, rehabilitation to walk with prosthesis
Classification of prosthetic components and training in the use
The rehabilitation setting



4. THE RISK OF FALLING IN THE ELDERLY
Diagnostic process-functional physiotherapy
evaluation by stairs Berg Balance Scale, Tinetti and Conley
Therapeutic process
Strategies and physiotherapy treatment, indications for prophylaxis
5. ROLE OF PHYSIOTHERAPIST IN RESIDENTIAL FACILITIES FOR ELDERLY references to the regional legislation, main projects, integration with other professionals

6. TYPE OF PAIN, INFLAMMATORY and MECHANICAL TYPE
Diagnostic process-functional
differential assessment of pain rheumatology 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 process-functional physiotherapy:
o Evaluation of the impairment made through observation, inspection, palpation, mobilization and administration of tests, measures out as (outcome measures: pain assessment by interview and administration VAS; evaluation of edema by perimetry and sign the fovea; assessment thermotouch through palpation of the affected area and comparison with the district contralateral evaluation test through the articular joint, assessment of muscle strength through muscle testing (MRC Medical Research Council)
Disability assessment through observation, interview with the caregiver administration of stairs (WOMAC, ACR - American College of Rheumatism - Classification criteria for osteoarthritis and rheumatoid arthritis, the Arthritis Impact measurement scales), 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

8. ANKYLOSING SPONDYLITIS
Diagnostic process-functional physiotherapy:
Evaluation 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 process-functional physiotherapy:
Evaluation of impairment made through observation, inspection, palpation, mobilization and administration of tests (Tests Lasègue, Wassermann tests, tests of Bob Elvey), outcome measures.
Disability assessment through observation, interview with the caregiver administration of stairs (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: Process-functional diagnostic and therapeutic process)
2. Connective: Process-functional diagnostic and therapeutic process)
3. DISEASES OF SOFT TISSUE (periarthritis, tendinitis, bursitis, myalgias, fasciitis, fibromyalgia): Process-functional diagnostic and therapeutic process
4. ALGODYSTROPHY: Process-functional diagnostic and therapeutic process

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