39155 - Phyisiotherapy in Muscle Skeletal Desease (IM)

Learning outcomes

At the end of the module, the student get the skill to apply knowledge about: locomotor disorders, identification of the rehabilitative needs through the evaluation of clinical data and individual characteristics, modality therapeutic, planning and execution of the physiotherapic intervention.

Course contents

Clinical reasoning:
Definition and phases of clinical reasoning: anamnestic collection, functional evaluation, identification of therapeutic goals, rehabilitation intervention planning, re-evaluation
Shoulder:
- Functional evaluation: assessment of impairment by observation, inspection, palpation, test and assessment scales (Constant Murley Scale); Assessment of pain through VAS scale interview and administration; Evaluation of edema by perimetry and sign of fovea; Evaluation of the thermotape through palpation of the affected area; Specific tests useful for differential functional diagnosis: Test of Neer, Hawkins, Jobe, Erls, Drop Sign, Lift off Test, Press Sign, Speed, sulcus Sign, Appression Test, Relocation Test, O'Brien Test
- Physiotherapeutic strategies for the achievement of goals in major rehabilitative diseases (fracture, impingement, rotator cuff reconstruction, slap lesions, instability, shoulder prosthesis, adhesive capsulitis)
Elbow:
- Functional evaluation: assessment of impairment by observation, inspection, palpation, testing and assessment scales (Dash scale), assessment of pain through VAS scale interview and administration; Evaluation of edema by perimetry and sign of fovea; Evaluation of the thermotape by palpation of the affected area; Specific tests: test for the stability of the ligament, tennis elbow sign and test to highlight an epitrocleite
- Physiotherapeutic strategies for achieving the goals in major rehabilitative diseases (outbreaks and fractures)
Hand:
- Functional evaluation: assessment of impairment by observation, inspection, palpation, testing and evaluation scales (Dash scale); Assessment of pain through VAS scale interview and administration; Evaluation of edema by perimetry and sign of fovea; Evaluation of the thermotape through palpation of the affected area; Specific tests
- Physiotherapeutic strategies for the achievement of goals in major pathologies of rehabilitative interest (fracture outcomes)
Hip:
- Functional evaluation: assessment of impairment by observation, inspection, palpation, testing and evaluation scales (Scala harris hip); Assessment of pain through VAS scale interview and administration; Evaluation of edema by perimetry and sign of fovea; Evaluation of the thermotape through palpation of the affected area; Specific functional tests: Ober tests, Thomas test, trendelenburg test, Patrick's test, lower limb etherometry test
- Physiotherapeutic strategies for the achievement of goals in major rehabilitative diseases (femoral fractures, hip arthrosis)
Knee:
- Functional evaluation: assessment of impairment by observation, inspection, palpation, testing and evaluation scales (Womac scale); Assessment of pain through VAS scale interview and administration; Evaluation of edema by perimetry and sign of fovea, test of the rolling round; Evaluation of the thermotape through palpation of the affected area; specific tests: Front and Back Drawer Test, Lachman Test, Side Drawer Test, Mc Murray Test, Compression and Distress Test
- Physiotherapeutic strategies for the achievement of goals in major rehabilitative diseases (LCA and LCP reconstruction, knee arthroplasty)
Foot and Ankle:
- Functional evaluation: assessment of impairment by observation, inspection, palpation, testing and evaluation scales (Ankle Functional Score and FADI scale); Assessment of pain through VAS scale interview and administration; Evaluation of edema by perimetry and sign of fovea; Evaluation of the thermotape through palpation of the affected area and comparison with the control district; Specific tests: Drawer Test, Thompson Test, differentiation between gastrocnemio and soleo
- Physiotherapeutic strategies for achieving the goals in the major pathologies of rehabilitation interest (ankle distortion outcomes)

Gate analysis:
Causes of pathological walking: falling foot, knee flexed, knee release in extension, recurvatum knee, positive trendelenburg sign, steppage; Disability Assessment (Tinetti Scale and Time Walking Test)

Readings/Bibliography

Bruce Reider, The orthopaedic physical examination. Ed Elsevier 2005

Ferrari S, Pillastrini P, testa M, Vanti C, Riabilitazione post-chirurgica nel paziente ortopedico, 2010, Elsevier Masson, Milano

Fusco A, Foglia A, Musarra F, Testa M, La Spalla nello Sportivo, 2005, Masson Milano

Gross J., Fetto J., Rosen E. Esame obiettivo dell'apparato muscolo scheletrico. Utet 1999

Hoppenfield S. - L'esame obiettivo in ortopedia - Ed. Aulo Gaggi

Neumann Donald A. Kinesiology of the musculoskeletal system. Fundations for rehabilitation. Mosby Elsevier 2010

Spairani L., Ansaldi R., Albertoni D., Testa M. La caviglia e il piede nello sportivo, Masson 2009

Teaching methods

Frontal lessons and practical exercises, presentation of case studies

Assessment methods

The learning verification takes place through a final exam, which ensures the acquisition of the knowledge and skills expected by carrying out a written test lasting 1 hour and 15 minutes carried out without the help of notes or books. The test consists of 32 multiple choice questions (with a score of 1 point for each correct question) and 6 open-ended questions (with a score of 2/3 points each) relating to the notions learned during the theoretical and practical lessons. The total score is 46 points, then converted to thirtieths.

Teaching tools

PC, video projector classroom assessment scales simulation

Office hours

See the website of Marica Fontana