Ateneo - UPO

Assessment and treatment of individuals
who have injury or disease of their central
nervous system such as Stroke, Balance
disorders, Multiple Sclerosis, Parkinson’s
Disease, Polyneuropathies, spinal cord
injuries, craniocerebral trauma, motor
neuron disease (ALS), permanent
vegetative state.

Provided by the lecturer.
Textbooks suggested for in-depth
analysis:
Steps to follow – Patricia M. Davies –
Springer 2001
Trattato di medicina fisica e riabilitazione
– Nino Basaglia - Gnocchi 2009;
Progettare la riabilitazione: il lavorare in
team interprofessionale – Nino Basaglia –
Edi-ermes 2002
Stroke Clinica e Riabilitazione – Carlo
Cisari e Franco Molteni – Edi-ermes
2005;
Parkinson. L’approccio riabilitativo
multidisciplinare – Emma Hartmann - Spe
2000
Atassie. Proposte riabilitative. Pavan S,
Trevisan CP - Esculapio 2010

Students will learn the principles that rule
the assessment and treatment of
individuals affected by the main
pathologies and serious neurological
injuries
Student will also learn roles, dynamics
and procedures of teamwork, as well as
its importance in the rehabilitation medical
departments.
APPLIED KNOWLEDGE AND
COMPREHENSION SKILLS. The student
will improve the knowledge of the
theoretical aspects by transferring them to
the implementation of a rehabilitation
project and consequent developement
and application of the therapeutic
program both with simulations
and during the technical-practical training.
AUTONOMY OF JUDGMENT Using the
acquired knowledge, integrating them
with the expected notions, the student
must be able to collect and
interpret the signs, symptoms and useful
data for formulating the evaluation and a
rehabilitation program according to
clinical reasoning, in an autonomous way.
COMMUNICATION The student must be
able, during simulations, complementary
activities and practical technical training
as well as
during the verification of learning, tocommunicate the information, the
problems detected and the possible
solutions to specialist and non-
specialist interlocutors.
ABILITY TO LEARN The student must be
aware of what his difficulties are, in order
ask for further clarifications on the topics.

Students must be aware of the essential
notions of anatomy, physiology,
neurological pathology and kinesiology.
There are no prerequisites for curricular
exams.

The training objectives of the course will
be achieved through face-to-face lessons
and exercises. Lessons are supported by
slide shows. At the request of the
students, the teacher can dedicate the
first part of each lesson to further
clarification of the topics covered in the
previous lessons. It is also possible to ask
for clarification on specific points during
the lesson.

Exams will be in written form with questions with multiple choice , and will verify the knowledge and expected learning results. The final grade will be determined by the degree of acquisition of
the expected knowledge and skills, and will take into account the ability to synthesize and analyze, mastery of scientific language and clinical reasoning skills. To pass the exam, the student must achieve a grade not lower than 18/30
(eighteen thirtieths).

Rehabilitation, the physiotherapist, the working model, the rehabilitation team, the evaluation and management, the project, the programs and the results.
Definitions (muscle tone, flaccidity,hypotonia, hypertonia, spasticity, etc.) and evaluation scales.
Spinal cord injuries: epidemiology, clinical evaluation, clinical picture, rehabilitation in the acute phase and in the intensive rehabilitation phase.
TCE: epidemiology, evaluation, rehabilitation in the acute, post-acute and outcome phases.
Motor neuron disease (ALS): multidisciplinary approach, phases of the disease with related rehabilitation objectives, breathing, nutrition, aids and
orthoses.
Permanent vegetative state: rehabilitation objectives and tools, post-discharge solutions.
Stroke: associated cognitive disorders; the acute phase: outcome, hospital room, observation, evaluation, posture; the post-acute phase: sitting position, vertical position, standing position, walking; upper limb: painful shoulder; pusher syndrome.
Balance disorders: balance, motor coordination, types of ataxias: evaluation and treatment.
Multiple sclerosis: etiology, signs and symptoms, evaluation and treatment in the various stages of the disease.
Parkinson's disease: signs and symptoms, evaluation and treatment in the various stages.
Polyneuropathy: peripheral neuropathies,
Guillain Barrè syndrome, signs and symptoms. rehabilitation treatment.

Acquisition of clinical reasoning skills, evaluation and treatment of pathologies and lesions examined in the lessons.