75302 - Advanced Physiotherapy - (BO)

Academic Year 2016/2017

  • Docente: Mirco Branchini
  • 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 course, the students will be able to apply knowledge and comprehension about the disease of the periferical nervous system (PNS) as well as degenerative disease of the first and second motor neuron that could have indications for a physical therapy treatment. The students will be able to evaluate the neurological disease and formulate rehabilitative hypotesis, then plan an intervention of physical therapy

Course contents

General elements of neuroanatomy of the PNS

- Clinical dates of the PNS disease and their pathogenesis

- Classification of PNS disease

- Instruments for a clinical diagnosis

- Electromyography; Intensity/time curve; Conduction velocity

- The clinical signs

- The observation of the patient: active movements, tonus, trofismus; principal osteondineus reflexes; sensibility tests

- The axonal regeneration

- Indications for a functional differential assessment

- Cranial nerves diseases: clinical aspects and treatment indication, in particular for 7th c.n.

- Cervical spine and brachial plexus diseases: -anatomy, miotomy, sclerotomy of cervical spine roots; -the thoracic outlet syndrome; -palpation, clinical tests and osteotentineus reflexes of the principal cervical nerves

- Lumbar spine and lumbar and sacral plexus diseases: -anatomy, miotomy, sclerotomy of lumbar and sacral spine roots; -palpation, clinical tests and osteotentineus reflexes of the principal lumbar and sacral nerves

- dismetabolic neuropathy: the Guillan barrè syndrome: etiopathogenesis, clinical aspects and rehabilitative treatment with indications for physiotherapy

- Ereditary and degenerative neuropaty: Charcot Marie Tooth; Dejerine Sottas: etiopathogenesis, clinical aspects and rehabilitative treatment with indications for physiotherapy

- Viral neuropathy: Poliomyelitis: etiopathogenesis, clinical aspects and rehabilitative treatment with indications for physiotherapy

- other degenertive disease: Amyotrophyc Lateral Sclerosis: etiopathogenesis, clinical aspects and rehabilitative treatment with indications for physiotherapy

- Assessement indications for the patient with PNS disease

- Principal tecniques for an intervention of physiotherapy in PNS disease

Readings/Bibliography

M.Prencipe "Peripheral Neuropathy" Lombardo

"Lumbosacral plexus and its nerves" Rorer scientific document

"Cervicobrachial plexus and its nerves" Rorer scientific document

S.Hoppenfield "Objective examination of locomotor system" Aulo Gaggi

Teaching methods

frontal lessons

practical lessons with students interaction between themselves

discussions over videotaped clinical cases

treatment of patients realised by the patient in presence of the whole class

Assessment methods

The evaluation will be conducted by a quiz with open and closed questions, propaedeutic to a subsequent practical examination in which will be discussed a didactic clinical case. In both steps the students need to get an adequate score: 18/30 for the test, 18/30 for the practice. The final score will be the media of both scores.

Teaching tools

Theorical lessons will be carried out in a classroom equiped with p.c. and projector; practical lessons will be carried out in a physiotherapy room equiped with tecnical beds. Will be conducted discussions about clinical cases (with PNS affections) videotaped during their treatment. If awailable, patients with PNS affections will be in the class for a treatment demonstration realised by the teacher.

Office hours

See the website of Mirco Branchini