Learning objectives
1. Knowledge and understanding. Students will learn a good understanding of the techniques of rehabilitation for specific memory function that would allow them to process and/or apply them in the context of basic and applied research.
2. Ability to apply knowledge and understanding. Students will be able to apply the knowledge, understanding and skills acquired in dealing with issues clinical/rehabilitative new or unfamiliar managing the assessment and the treatment outcomes in interdisciplinary contexts.
3. Independence of judgment. Students will develop critical thinking skills and independent judgment with respect to the formulation of rehabilitation and functional rehabilitation protocols that include reflecting on social and ethical responsibilities linked to the application of their knowledge.
4. Communication skills. Students will be able to communicate clearly and unambiguously their observations, procedures and conclusions, and the knowledge and rationale, to specialist and non-specialist.
5. Learning ability. Students will be able to upgrade from reliable sources and to continue their professional development on their own.
Prerequisites
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Course unit content
The course aims to offer state of the art and the evidence of effectiveness concerning the neurocognitive treatment of functions of memory resulting from degenerative diseases (MCI, dementia, multiple sclerosis) and with traumatic origin (stroke, cerebrovascular events, head trauma, PTSD) examining the potential interactions between features patient, interventions and outcome. The course deals with the possibilities of recovery, compensation and rehabilitation based on the functional brain plasticity illustrating the most recent rehabilitation approaches and specific techniques which aimed to promote independence and social integration of the individual. Particular attention is addressed to the increasing interest, in a preventive perspective, devoted to the life styles modification programs.
Full programme
•What does it mean recovery of functions, it is possible to recover and how?
•Changes in the memory functioning as a result of intervention or rehabilitation
Cognitive and behavioral methods. •Stimulation and functional rehabilitation of the preserved abilities (explicit and implicit memory, prospective memory, external aid and prosthetic environments).
•Individual cognitive psychotherapy in brain injured people: problem solving, self-monitoring, cognitive restructuring, guided communication for the recovery of consciousness.
•Treatment of mood symptoms associated with the losses of memory.
•Environmental modification and prosthetic intervention.
•Assessment and counseling to the patient, family and care-givers.
Technology at the service of rehabilitation: rehabilitation software, ICT (Information and Communication Technology) and BCI (Brain Computer Interface).
•EEG biofeedback or neurofeedback and brain stimulation.
•Outcomes verification and evidence of effectiveness.
Bibliography
Pino, O. (2017). Ricucire i ricordi. La memoria, i suoi disturbi, evidenze di efficacia dei trattamenti riabilitativi. Milano: Mondadori Università.
Ladavas, E. (2012). La riabilitazione neuropsicologica. Bologna: Il Mulino (for non-attending students).
Only for the student who attend classes: a written group report (to be delivered one week before the exam) based on three from the following scientific papers:
1) Leem J, Cheong MJ, Yoon SH, et al. (2020). Neurofeedback self-regulating training in patients with Post traumatic stress disorder: A randomized controlled trial study protocol. Integr Med Res.; 9 (4). doi:10.1016/j.imr.2020.100464
2) das Nair et al. (2019). Clinical and cost effectiveness of memory rehabilitation following traumatic brain injury: a pragmatic cluster randomized controlled trial. Clinical Rehabilitation, 33(7) 1171–1184. doi: 10.1177/0269215519840069
3) Ge, S. et al., (2018). Technology-based cognitive training and rehabilitation interventions for individuals with mild cognitive impairment: a systematic review. BMC Geriatrics, 18, 213. https://doi.org/10.1186/s12877-018-0893-1
4) Lecouvey G, Morand A, Gonneaud J, Piolino P, Orriols E, Pélerin A, Ferreira Da Silva L, de La Sayette V, Eustache F and Desgranges B (2019) An Impairment of Prospective Memory in Mild Alzheimer’s Disease: A Ride in a Virtual Town. Front. Psychol. 10:241. doi: 10.3389/fpsyg.2019.00241
5) Harvey PD, McGurk SR, Mahncke H, Wykes T. (2018). Controversies in Computerized Cognitive Training. Biol Psychiatry Cogn Neurosci Neuroimaging;3(11):907-915. doi:10.1016/j.bpsc.2018.06.008
6) Barbarulo AM, Lus G, Signoriello E, Trojano L, Grossi D, Esposito M, Costabile T, Lanzillo R, Saccà F, Brescia Morra V and Conchiglia G (2018) Integrated Cognitive and Neuromotor Rehabilitation in Multiple Sclerosis: A Pragmatic Study. Front. Behav. Neurosci. 12:196.
doi: 10.3389/fnbeh.2018.00196
Teaching methods
The course will be provided via a mixed modality through the support of the Teams platform with traditional lectures delivered mainly at distance and specific seminars in small groups carried out in person, in order to guarantee compliance with safety procedures.
Therefore, the opportunity of Student/Teacher interaction will be preserved both face to face and remotely, by the use of the Teams platform.
Video recordings and slide presentations will be available to students on the Elly platform (https://elly.medicina.unipr.it). Similarly, video tutorial, scientific paper analysis and practise may accompany the lectures and will be uploaded on Elly platform with the aim to actively involve students.
Assessment methods and criteria
As mid-term progress attending classes students will be requested to write a report on 3 scientific papers. The report will shown the ability of learning, understanding, processing the scientific communication.
The oral examination will ascertain the attainment of all the objectives of the course. In case of the persistence of the health emergency, the exams will be conducted remotely, as follows: remote oral examination, through the Teams platform (guide http://selma.unipr.it/).
Students with SLD / BSE must first contact Le Eli-che: support for students with disabilities, D.S.A., B.E.S. (https://sea.unipr.it/it/servizi/le-eli-che-supporto-studenti-con-disabilita-dsa-bes).
Any questions regarding the contents tend to check whether the student has attained a solid foundation of knowledge and a deep understanding of what has been treated. Questions about rehabilitation protocols and functional rehabilitation will reflect the acquisition of analytical ability, critical, independent judgment and responsibility for organization and management. The final evaluation will be derived from the accuracy levels achieved for each training goal corresponding to 6 classes of evaluation (A to F).
Other information
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