- Docente: Amanda Nardi
- Credits: 2
- Language: Italian
- Teaching Mode: Traditional lectures
- Campus: Bologna
- Corso: First cycle degree programme (L) in Physiotherapy (cod. 8476)
Learning outcomes
At the end of the module, the student has the ability to apply knowledge and understanding about physiotherapy in the geriatric and rheumatological fields, knows the basic principles of the design and execution of interventions aimed at satisfying the needs of the subject with rheumatic and geriatric diseases .
Course contents
CLINICAL REASONING IN THE GERIATRIC AND RHEUMATOLOGICAL AREA:
Definition
The phases that make up the clinical reasoning: anamnestic collection with the relative clinical diagnosis made by the doctor, functional evaluation, identification of therapeutic objectives, rehabilitation intervention planning (project, physiotherapy program), re-evaluation
1.THE FRAGILITY OF THE ELDERLY PATIENT
Problems occurring in the rehabilitation of the geriatric patient: cognitive impairment, comorbidities.
Immobility and immobilization syndrome in the elderly
2. PARKINSON DISEASE
Diagnostic-functional process in physiotherapy:
Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests, outcome measures. E.g. Scale: Hoehn and Yahr scale, Unified Parkinson's Disease Rating Scales, Webster ScoreVAS, mini mental test, water test
Assessment of disability through observation, interview with the caregiver, administration of 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, administration of tests, outcome measures
Therapeutic goals
Therapeutic process
Evidence of efficacy available in scientific literature
Strategies and physiotherapy treatment: individual, group neuromotor treatment, occupational therapy)
Main aids and orthoses and training for use
The rehabilitation setting
Care giver training
3. THE ELDERLY FEMALE FRACTURE
Diagnostic-functional process in physiotherapy:
Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests, outcome measures.
Fracture types and loading times
Assessment of disability by observation, interview with the caregiver, administration of tests, outcome measures.
Therapeutic goals
Therapeutic process
Evidence of efficacy available in scientific literature
Strategies and physiotherapy treatment
Main aids and orthoses and training for use
The rehabilitation setting
4. THE ELDERLY PERSON WITH A LOWER LIMB
Diagnostic-functional process in physiotherapy:
Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests, outcome measures.
Assessment of disability by observation, interview with the caregiver, administration of tests, outcome measures.
Evaluation of participation in social life through observation, interview with the caregiver, administration of tests, outcome measures
Therapeutic goals
Therapeutic process
Evidence of efficacy available in scientific literature
Strategies and physiotherapy treatment: stump care, autonomy training in ADL without prosthesis, rehabilitation of walking with prosthesis
The rehabilitation setting
5. THE RISK OF FALLING IN THE ELDERLY
Diagnostic-functional process in physiotherapy
evaluation via the Berg Balance Scale, Tinetti and Conley scales
Therapeutic process
Physiotherapy strategies and treatment, indications for prophylaxis.
6. THE ROLE OF THE PHYSIOTHERAPIST IN RESIDENTIAL STRUCTURES FOR THE ELDERLY
Hints to regional legislation, main areas of intervention, integration with other professional figures: the PAI (individualized care plans)
The restraints
The patient with dementia: ROT, maintaining ADL skills.
7. INFLAMMATORY TYPE PAIN and MECHANICAL TYPE PAIN
Diagnostic-functional process
differential assessment of rheumatological pain through anamnesis and physical examination and using the appropriate measurement scales (VAS; Short-form McGill pain Assessment questionnaire, painad scale)
Therapeutic process
Strategies and physiotherapy treatment in the different phases and stages of rheumatic diseases
7. Rheumatoid arthritis
Diagnostic-functional process in physiotherapy:
Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests, out measures such as (Outcome measures: assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and sign of the fovea; assessment of thermotact by palpation of the affected area and comparison with the contralateral district; evaluation of joint excursion by joint test, evaluation of muscle strength by muscle test (MRC Medical Research Council)
Assessment of disability by observation, interview with the caregiver, administration of scales (WOMAC, ACR - American College of Rheumatism - Classification criteria for osteoarthritis and rheumatoid arthritis, Arthritis Impact measurement scale), outcome measures.
Evaluation of participation in social life through observation, interview with the caregiver, administration of tests, outcome measures
Therapeutic goals
Therapeutic process
Evidence of efficacy available in scientific literature
Strategies and physiotherapy treatment
Main aids and orthoses and training for use
The rehabilitation setting
8. ANCHYLOSANT SPONDYLITIS
Diagnostic-functional process in physiotherapy:
Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests (e.g. finger-to-ground distance (Bending), occiput wall distance, Schober test and BASMI evaluation scales (Bash Ankylosing Spondylitis Metrology Index) (anthropometric index proposed for the evaluation of the motility of the spine and the hip), outcome measures.
Assessment of disability by observation, interview with the caregiver administration of scales (BASFI (Bath Ankylosing Spondylitis functional Index) questionnaire which explores the degree of difficulty encountered in carrying out specific activities of daily life. 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, administration of tests, outcome measures
Therapeutic goals
Therapeutic process
Evidence of efficacy available in scientific literature
Strategies and physiotherapy treatment: individual treatment, self-treatment, group treatment
Main aids and training for use
The rehabilitation setting
9. SPINE AND CERVICALGIA
Diagnostic-functional process in physiotherapy: Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests (Lasegue test, Wassermann test, Bob Elvey test),, outcome measures. Disability assessment by observation, interview with the caregiver, administration of scales (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, administration of tests, outcome measures
Therapeutic goals
Therapeutic process
Evidence of efficacy available in scientific literature
Strategies and physiotherapy treatment: individual treatment, self-treatment, group gymnastics, back school, the AFA project. Main orthoses and use training
The rehabilitation setting
10 FIBROMYALGIA
Assessment of impairment performed through observation, inspection, palpation, mobilization and administration of tests, out measures such as.
The tender points
Therapeutic goals
Therapeutic process
Mutidisciplinary approach to fibromyalgia.
1. OSTEOPOROSIS: Diagnostic-functional process and therapeutic process)
2. CONNECTIVITIES: Diagnostic-functional process and therapeutic process)
3. SOFT TISSUE PATHOLOGIES (periarthritis, tendinitis, bursitis, myalgias, fasciitis, fibromyalgia) Diagnostic-functional process and therapeutic process
4. ALGODYSTROPHY: Diagnostic-functional process and therapeutic process
Teaching methods
Frontal lesson, work group, bibliographic research.
Assessment methods
Written test
Teaching tools
Biomedical databases
Office hours
See the website of Amanda Nardi