Ateneo - UPO

Orthopedic physical assessment (observation, instruments, and outcome measure) and treatment (manual therapy, muscle flexibility, strength, proprioception, and endurance) of the musculoskeletal disorders and soft-tissue injuries from a evidence-based point.

- Braddom RL. Medicina Fisica e Riabilitazione. Vol 1 e 2. Roma: Delfino editore; 2006. - Magee DJ. Orthopedic physical assessment. St. Louis: Saunders - Elsevier; 2008. - Magee DJ, Zachazewski JE, Quillen WS. Scientific foundations and principles of practice in musculoskeletal rehabilitation. St. Louis: Saunders - Elsevier; 2007. - Nordin M, Frankel VH. Basic biomechanics of the musculoskeletal system. 3^ ed. Philadelphia: Wolters Co: 2001.

The main objective of the course is to acquire knowledge about orthopedic physical assessment (observation, instruments, and outcome measure) and treatment (manual therapy, muscle flexibility, strength, proprioception, and endurance) of the musculoskeletal disorders and soft-tissue injuries from a evidence-based point of view. Where necessary, the concepts will be integrated with basic concepts regarding the construction of a therapeutic exercise program. At the end of the course the student is expected to be able: - to know the main tools, tests, questionnaire, and outcome measures for checking the effectiveness of the treatment; - to be able to perform a thorough assessment of a patient with musculoskeletal disorders, and acute injuries; know how to apply the learned techniques (manual therapy, muscle strength, endurance and proprioception; - to acquire cross-competences such as communicative skills, autonomy in clinical reasoning, synthesis skills, and re-elaboration of information and knowledge coming from different sources.

Anatomy, biomechanics, physiology of exercise are needed to understand the topics discussed in the course. There are no constraints on propedeuticity.

The objectives will be achieved through frontal lessons (36h) (3 CFUs). Lessons are supported by slides projection. At the request of the students, the teacher can devote the first part of each lesson to clarification and insights on the topics discussed in the previous lessons. You can also ask for clarifications on specific points during the lesson. Class attendance is strongly recommended.

Marco D'Innocenzio receives by appointment: marco.dinnocenzio@maggioreosp.novara.it

The exam will take place in written form: multiple choice closed-ended
questions, with only one or more correct option out of 4 or 5. To pass the
exam, the student must achieve a grade of not less than 18/30 (eighteen
thirty).

The acquisition of the various expected knowledge and skills will develop in parallel throughout the course, where the following topics will be addressed: - Introduction to the course, and state of art of orthopedic rehabilitation - Patient history, clinical and physical orthopedic assessment (observation, palpation, clinical metrics, measure scales and questionnaires, and functional tests) - Principles and rational concepts of the orthopedic rehabilitation techniques (mobilization, manipulation, muscle strength and endurance, skills, proprioception, etc) based on evidence based practice- EBP

Expected student's results concern knowledge and comprehension about how to conduct functional assessment and how to deal with patient's disability using clinical reasoning in autonomy. Student's results are also related with the development of cross-skills, such as communication, summary and information rework. In order to achieve knowledge and skills corresponding to sufficiency, students need to know the theory about functional assessment in orthopedic disorders, about tissues properties and about the main neuro-muscular and proprioceptive rehabilitation techniques. Moreover, student has to distinguish between observation's tools and measurement's tools, carry out functional assessment choosing the best between tests, scales and questionnaires, and identify the theoretical rationale that determines therapeutic choices. To achieve the maximum score, student must be able to use knowledge and skills learned to suggest coherent and suitable solutions about patient's evaluation and treatment.