75291 - Rehabilitation Medicine in Neurology - (BO)

Course Unit Page

Academic Year 2019/2020

Learning outcomes

At the end of the course the student has the knowledge and the ability to understand the objectives reachable through rehabilitation and to learn the tools to achieve them, knowing how to design and execute targeted interventions at satisfying the needs of the person with neurolesion. He also knows and recognizes the main clinical features, which lists the rehabilitation treatment.

Course contents

Spinal Cord Injury: pathological and clinical features, patterns of functioning and disability. Spastic hypertonia.

Severe Acquired Brain Injury: traumatic,injury, clinical features, patterns of disability, disorders of consciousness. Dystonic hypertonia

Stroke: ischemic injury, ischemic penumbra, clinical features, patterns of disability. Disorders of gait after Stroke. The concept of synergy and coordinative structure, alteration of the synergies.

Multiple Sclerosis: demyelinating disease, clinical features, patterns of functioning and disability. Disorders of Balance and postural coordination.

Motor control: historical evolution of assumptions about motion control. Primary and secondary components of changes in the movement after neurolesion.

Recovery after neurolesion: sprouting, plasticity, remyelination. Lesional momentum. Biological factors and environmental factors.

Motor learning after neurolesion: hypothesis about motor learning, motor learning factors, stages of motor learning, intrinsic and extrinsic feedback.

Readings/Bibliography

  1. Lecture notes available at the Teacher (Prof. Roberto Piperno, Rehabilitation Medicine, Hospital Maggiore of Bologna -3 floor).
  1. Roberto Piperno. Valutazione Neurofunzionale Clinica. In “Riabilitazione dei traumi vertebro – midollari” ed by Di Benedetto P, Franceschini M, Lotta S. Pagg. 45-57. Minerva Medica, 1994.
  2. Roberto Piperno. Il progetto Riabilitativo. In “La Riabilitazione nelle Mielolesioni”, ed. by Bonavita J, Menarini M, Pillastrini P., cap.15, pagg. 223-234, Masson, Milano, 2004.
  3. Roberto Piperno, Francesco Gambino, Laura Simoncini, Anna Di Santantonio. Riabilitazione del trauma encefalico e midollare. In “Trauma Care: La cura definitiva del trauma maggiore”. Ed by Chiara O., Nardi G., Gordini G., Sanson G. Cap. 20, pagg. 399-405. Elsevier, 2012.
  4. Roberto Piperno. La Grave Cerebrolesione Acquisita. In “Dal Coma Alla Comunità”,ed. by Roberto Piperno e Fulvio De Nigris. Cap. 3, Pagg 18-28. Franco Angeli, Milano, 2014
  5. Roberto Piperno. Programmi posturali nei pazienti con bassa responsività. http://www.casadeirisvegli.it/images/documenti

Teaching methods

frontal lectures

Assessment methods

The examination of the module is aimed at verifying the acquisition of knowledge on the processes of damage and recovery after neurolesion.
The exam consists of an oral exam with three questions on the topics of the program.
It is required the registration on Almaesami.

Teaching tools

powerpoint slides

Office hours

See the website of Roberto Piperno