39155 - Phyisiotherapy in Muscle Skeletal Desease (BO)

Learning outcomes

At the end of the module, the student possesses the ability to apply knowledge and understanding regarding: pathologies of the musculoskeletal system amenable to physio-kinesiatric treatment, identification of the subject's preventive and rehabilitative needs through evaluation of clinical data and individual characteristics, appropriate therapeutic modalities in the orthopedic setting, design, planning and execution of physiotherapeutic intervention

Course contents

Clinical Reasoning:

Definition and steps that make up clinical reasoning: history collection, functional assessment, identification of therapeutic goals, rehabilitation intervention planning, reevaluation

Shoulder:

- Functional assessment: assessment of impairment by observation, inspection, palpation, administration of tests and rating scales (Constant Murley Scale); assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and fovea sign; assessment of thermotectomy by palpation of affected area and comparison with contralateral district; specific tests useful in making differential functional diagnosis: Neer, Hawkins, Jobe, Erls, Drop Sign, Lift off test, Press Sign, Speed, Furrow Sign, Appression Test, Relocation Test, O'Brien's Test

- Physiotherapy strategies indicated for goal achievement in major conditions of rehabilitation interest (fracture outcomes, impingement, rotator cuff reconstruction, slap lesion, instability, shoulder prosthesis, adhesive capsulitis)

Elbow:

- Functional assessment: assessment of impairment by observation, inspection, palpation, administration of tests and rating scales (Dash scale);assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and fovea sign; assessment of thermotectomy by palpation of affected area and comparison with contralateral district;Specific tests: test for ligament stability, tennis elbow sign, and test to highlight epitrochleitis

- Physiotherapy strategies indicated for goal achievement in major conditions of rehabilitation interest (dislocation and fracture outcomes)

Hand:

- Functional assessment: assessment of impairment by observation, inspection, palpation, administration of tests and rating scales (Dash scale); assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and fovea sign; assessment of thermotectomy by palpation of affected area and comparison with contralateral district; specific tests:

- Physiotherapy strategies indicated for goal achievement in major pathologies of rehabilitation interest (fracture outcomes)

Hip:

- Functional assessment: assessment of impairment by observation, inspection, palpation, administration of tests and rating scales (harris hip scale); assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and fovea sign; assessment of thermotectomy by palpation of affected area and comparison with contralateral district; specific functional tests: Ober test, Thomas test, trendelenburg test, Patrick test, piriformis test, test to assess lower extremity heterometry

- Physiotherapy strategies indicated for goal achievement in major pathologies of rehabilitation interest (femur fractures, hip arthroplasty)

Knee:

- Functional assessment: assessment of impairment by observation, inspection, palpation, administration of tests and rating scales (Womac scale); assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and fovea sign, patellar ballot test; assessment of thermotectomy by palpation of affected area and comparison with contralateral district; specific tests: anterior and posterior drawer tests, Lachman test, lateral drawer test, Mc Murray test, compression and distraction tests

- Physiotherapy strategies indicated for goal achievement in major conditions of rehabilitation interest (ACL and LCP reconstruction outcomes, knee arthroplasty)

Foot and ankle:

- Functional assessment: assessment of impairment by observation, inspection, palpation, administration of tests and rating scales (Ankle Functional Score and FADI scales); assessment of pain by interview and administration of VAS scale; assessment of edema by perimetry and fovea sign; assessment of thermotectomy by palpation of affected area and comparison with contralateral district; specific tests: Drawer test, Differential test between tibio-ankle and subastragalic, Thompson test)

- Physiotherapy strategies indicated for goal achievement in major pathologies of rehabilitation interest (ankle sprain outcomes)

Gait:

Causes of pathological gait: drooping foot, flexed knee, knee snap in extension, knee recurvatum, positive trendelenburg sign, mowing gait, stepping gait; gait observation; assessment of disability (Tinetti Scale and Time Walking test)

Readings/Bibliography

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

Coppola L, Masiero S, Riabilitazione in Ortopedia, 2005 Piccin, Padova

Mancini A, Morlacchi C, Clinica Ortopedica, 2003 Piccin, Padova

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

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

Giannini S, Faldini C, Manuale di Ortopedia e Traumatologia, 2008, Edizioni Minerva Medica, Torino

Brent Brotzman S, Riabilitazione in ortopedia e traumatologia. Protocolli terapeutici, 2002, Utet, Torino

Brent Brotzman S, Manuale di Riabilitazione Ortopedica, 2008, Elsevier Masson, Milano

L.Coppola – S. Masiero “Riabilitazione in ortopedia” ed. PICCIN

Teaching methods

Lectures, discussion of clinical cases and scientific articles, practical exercises, group activities.

Assessment methods

Oral.

No cell phones or supporting materials such as handouts or notes are allowed during the test.

Teaching tools

PC, video projector.

Office hours

See the website of Antonio Culcasi