cod. 15915

Academic year 2023/24
2° year of course - First semester
Federica MOSETTI
Academic discipline
Scienze infermieristiche e tecniche neuro-psichiatriche e riabilitative (MED/48)
Scienze della fisioterapia
Type of training activity
20 hours
of face-to-face activities
1 credits
hub: -
course unit

Integrated course unit module: NEUROLOGY IN ADULT PATIENTS

Learning objectives

 produce in students the motivation of "indispensability" of the scientific, reasoned and personalized construction of the rehabilitation program
 developing and finalizing the ability to: observe a patient with cortical pathology both in a way aimed at motor skills and in the overall and correlation of the manifestations; identify priorities and hierarchies of intervention; building the longitudinally rehabilitative procedure and the vertical rehabilitation session in a scientific, reasoned and personalized way.
 to create the cultural prerequisites for the practical technical-professional approach with the patient with cortical pathology
 sensitize students to act with scientific methodology.



Course unit content

 the scientific nature of rehabilitative action - evidence-based prerequisites

 motor representation within the cortex (brief historical summary and current evidence)

 functional neuromuscular compartimentation:
- neuromuscular compartments (summary)
- sensory and central compartmentation (summary)
- functional hypothesis and task group concept

 the functional construction of the behavioral act (Anochin scheme):
- afferent summary
- decision making
- perceptive hypothesis - prediction apparatus
- efferent action program
- object
- return afferentation
- closing of the feed back - verification - learning - orientation reflex

Cortical lesional mechanisms and functional recovery
- cortical plasticity
- the mechanisms of functional recovery
- the ischemic penumbra
- the ischemic zone

 the plasticity of the supporting tissues

 the principles of therapeutic exercise:
- early intervention
- significance
- passive mobilization
- motivation
- prevention of sensory deprivation
- cervico-cranio-caudal law of development
- repetition of the exercise
- reinforcement
- enrichment of the environment
- interaction between therapist and patient

 the planning of the rehabilitation intervention:
- observation: direct - guided by protocols - mediated by other experts
- the predictive elements
- expected final modifications
- intermediate modifications: work unit
- exercises: contents - modality - objectives
- exercises: the degrees with respect to the contents and to the specific pathological one
- periodic checking of results and corrective choices

 the pathological specific: the "profile" of the patient:
• specific pathological motor
• specific pathological sensory
• specific pathological neuropsychological
• specific pathological relationship

 fundamental methodological differences between synchronic and diachronic methods (summary)

Full programme

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notes provided by the teacher

Teaching methods

The course is structured on a continuous parallelism between scientific theory, reasoned practical observation, and intervention methodology, so that each student can adopt the concepts through a guided critical analysis.

Assessment methods and criteria

theoretical-practical exam

Other information

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