METODOLOGIA DELLA RIABILITAZIONE IN ETA' EVOLUTIVA

8 CFU - 1° Semester

Teaching Staff

AGATA FIUMARA - Module PEDIATRIA - MED/38 - 2 CFU
MATTEO CIONI - Module PHYSICAL MEDICINE AND REHABILITATION - MED/34 - 2 CFU
VITO PAVONE - Module Musculo-skeletal system diseases in pediatric age - MED/33 - 2 CFU
DAVIDE DANIELE DE CARLO - Module METODOLOGIE E TECNICHE DELLA RIABILITAZIONE PEDIATRICA - MED/48 - 2 CFU

Learning Objectives

PEDIATRIA
Learn normal psychic and motor development of the newborn

Learn most common neuromuscular disorders

understand when suspect a genetic metabolic disease
PHYSICAL MEDICINE AND REHABILITATION
The aim is to provide therapeutic intervention knowledge conducted in Physical Medicine and Rehabilitation .
Musculo-skeletal system diseases in pediatric age
The aim is to provide general knowledges about the musculoskeletal diseases of the developmental age, focusing on orthopedics and traumatology.

The goal is to provide to the student the main notions about diagnosis andtherapeutic prescriptions of orthopedic and traumatology surgeon, in order to identify the appropriate rehabilitation program following a trauma in the developmental age, to carry out the ideal functional rehabilitation in congenital deformities or in orthopedic diseases of the developmental age, and to train the patient in adoption and use of prostheses and orthosis.
METODOLOGIE E TECNICHE DELLA RIABILITAZIONE PEDIATRICA
To create competence in the observation, evaluation, treatment of the baby and the child through the application of different concepts, techniques and methods integrated and supported by the hydrokinesitherapy.

Ontogenetic stages and NEUROPSICOMOTORIO development. Functional evaluation scales. Pathologies: Infantile cerebral palsy and a chart of observation and functional evaluation. Global approach and fundamental principles of neuromotor treatment. From theory to Practice: BOBATH concept exercises and methodical VOJTA on didactic doll. Hydrokinesitherapy: Principles, objectives, water treatment of infantile cerebral palsy and syndromic children. Techniques and methods IN Pediatric rehabilitation

Course Structure

PEDIATRIA
frontal lessons
PHYSICAL MEDICINE AND REHABILITATION
Frontal teaching
Musculo-skeletal system diseases in pediatric age
Frontal lessons. Ppt files.
METODOLOGIE E TECNICHE DELLA RIABILITAZIONE PEDIATRICA
To create competence in the observation, evaluation, treatment of the baby and the child through the application of different concepts, techniques and methods integrated and supported by the hydrokinesitherapy.

Ontogenetic stages and NEUROPSICOMOTORIO development. Functional evaluation scales. Pathologies: Infantile cerebral palsy and a chart of observation and functional evaluation. Global approach and fundamental principles of neuromotor treatment. From theory to Practice: BOBATH concept exercises and methodical VOJTA on didactic doll. Hydrokinesitherapy: Principles, objectives, water treatment of infantile cerebral palsy and syndromic children. Techniques and methods IN Pediatric rehabilitation

Detailed Course Content

PEDIATRIA
Motor and behavioural development in the first year of life

Physical examination of the newborn and child

Neurological examination

Hypotonia

Floppy infant baby

Muscular dystrophies

Neurodegenerative diseases:

Autism

Rett syndrome

Leucodystrophies

Inborn errors metabolism, Mucopolysaccharidoses

Obesity

Sport and asma

Down syndrome

Fragile X syndrome
PHYSICAL MEDICINE AND REHABILITATION
Rehabilitation of children with cerebral palsy:
Definition of cerebral palsy, etiology, cerebral circulatory disorders in children pre-term role of the germinal matrix and oligodendrocyte in the genesis of cerebral palsy, classification of cerebral palsy, assessment of the child (general movements, observation of spontaneous activity, clinical examination, assessment scales GMFCS).
Clinical characteristics of children with cerebral palsy: spasticity, lack of inhibition of the flexor reflex, changes in rheological properties of spastic muscle, negative symptoms. Pictures of the way the disease. Associated disorders in cerebral palsy. Type of rehabilitation. Target physiotherapy intervention. Target of drug treatment. Botulinum Toxin and baclofen. Baclofen pump. Treatment with orthoses and its target. Prefabricated and customized orthoses. Ankle-foot orthosis. Orthosis knee and hip. Materials used in the construction of orthoses. Surgical treatment and its target. Lengthening of the Achilles tendon, stretching the muscle-tendon junction, tendon transpositions, Splatt. Interventions to de-bone rotation.
Enabling children with Down syndrome:
Multidisciplinary rehabilitation project. Specific programs for the acquisition of gait. Methods of assessment of motor and cognitive skills. Programs for the acquisition of autonomy.
Rehabilitation of children with myelomeningocele:
Definition of myelomeningocele. Clinical picture. Multidisciplinary rehabilitation project. Rationale and use of orthoses.
Rehabilitation of children with muscular dystrophies: classification of the main clinical forms. Speech rehabilitation: physical therapy, orthotics and surgery
Musculo-skeletal system diseases in pediatric age
The course is based on the main orthopaedic and traumatologic disorders in pediatric age, highlighting: epidemiology, etiology, pathogenesis, clinical features, imaging investigations, differential diagnosis, prognosis, complications, conservative and surgivcal treatment.
METODOLOGIE E TECNICHE DELLA RIABILITAZIONE PEDIATRICA
ONTOGENETIC STAGES AND NEUROPSYCHOMOTOR DEVELOPMENT. FUNCTIONAL EVALUATION SCALES. PATHOLOGIES: INFLAMMABLE CEREBRAL PARALYSIS AND FUNCTIONAL ASSESSMENT AND ASSESSMENT FOLDER. GLOBAL APPROACH AND FUNDAMENTAL PRINCIPLES OF NEUROMOTORY TREATMENT. FROM THEORY TO PRACTICE: EXERCISES CONCEPT BOBATH AND METHOD VOJTA ON TEACHING DOLL. HYDROCHINESITHERAPY: PRINCIPLES, OBJECTIVES, WATER TREATMENT OF INFLAMMABLE CEREBRAL PARALYSIS AND SYNDROMIC CHILDREN.

Ontogenetic stages and neuropsychomotor development
- First lesson: The stages of ontogenetic development. Psychomotor development, neuropsychomotor. Neuromotor development. Neuropsychomotor development
Functional Evaluation Scales
- Second lesson: Archaic reflexes and reactions: the age of appearance and disappearance. The stages of development Ingram. General Movements. Primary, secondary and tertiary circular reactions. The Vojta staircase, Bobath, Kabat. The Gesell scales. The scale of Milani Comparetti and Gidoni. Thomas's scale. The Brazelton scale. The Prechtel scale. Written test.
Infantile Cerebral Palsy. Compilation of Observation and Functional Assessment
- Third lesson: Infantile Cerebral Palsy. Diagnostics, etiology, classification. General objectives of the rehabilitation program. Importance of compilation, audio-video recording for the Observation Folder. Basic principles in neuromotor rehabilitation. Strategies and objectives for rehabilitation. Therapy: what to stimulate.
Observation, Evaluation, Neuromotor Treatment of Infant Cerebral Palsy
- Fourth lesson: Methodological contexts: Bobath, Vojta, Kabat. Balance and reflex postural mechanism. Areas of Observation and Intervention of the Rehabilitation Process. Observation, evaluation of the child with infantile cerebral palsy.

From theory to practice

- Fifth lesson: Compilation Functional Assessment Folder Observation, Evaluation, Supine, prone, seated, standing, walking, language, feeding child treatment. The Global Approach in the treatment with the various methods, concepts and techniques.

Practical and contextual exercises in Infantile Cerebral Palsy
- Sixth lesson: Exercises Bobath concept and Vojta method on teaching doll and among students. Global Approach and Fundamental Principles of Treatment.
Hydro kinesitherapy: principles, objectives, treatment
Rehabilitation in water in the outcome of infant cerebral palsy; in syndromes
- Seventh lesson: Rehabilitation in water in infantile Cerebral Palsy. General introduction. Setting and Floating. Physics and Biomechanics. Basic positions. Evaluation, Objectives. Basic positions. The Hydromatic concept. Schemes of movement. Rehabilitation of syndromic children in water. Final written exam test.

Textbook Information

PEDIATRIA
Pavone Ruggieri Neurologia Pediatrica, Masson ed
PHYSICAL MEDICINE AND REHABILITATION
- Basaglia N. Trattato di Medicina Riabilitativa. Medicina Fisica e Riabilitazione. Idelson-Gnocchi, II edizione, 2009
- Linee Guida per la Riabilitazione dei bambini affetti da paralisi cerebrale infantile della SIMFER e SINPIA, 2002.
- Linee Guida per la Riabilitazione dei bambini affetti da paralisi cerebrale infantile della SIMFER e SINPIA. Aggiornamento del 2005-2006
- Ferrari A. e Cioni G. Le forme spastiche della paralisi cerbrale infantile. Springer. 2005
- Gruppo Italiano Paralisi Cerbrale Infantile. Le sindromi tetraparetiche : architettura delle funzioni e riabilitazione basata sull’evidenza scientifica. Franco AngeliEditore. 2012.
- Ferrari A. Proposte riabilitative nelle paralisi cerebrali infantili.Edizioni del Cerro. 1997
Musculo-skeletal system diseases in pediatric age
1. Sessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore.

2. Canavese - Andreacchio. Manuale Pratico di Traumatologia Pediatrica. Timeo Editore.
METODOLOGIE E TECNICHE DELLA RIABILITAZIONE PEDIATRICA
1) Title: Out of scheme-Manual of treatment of infantile cerebral palsy. Editions: Springer. Authors: L. doormat; P. Gam
2) Title: Spastic forms of infantile cerebral palsy. Editions: Springer. Authors: A. Ferrari; G. Ceres.
3) Title: Gross Motor Function Measure – User manual. Editions: Armando Editore. Author: D.J. Russell; P.L. Rosenbaum; L. M. Avery; M. Lane.
4) Title: We are children and we want to grow. Editions: Springer. Author: E. Muller-Veronese.
5) Title: Motor Disorders of cerebral origin in early childhood. Editions: Children/Padua. Author: Vaclav Vojta.
6) Title: psychomotor development. Editions: library University editions. Author: F. Boscaini.
7) Title: Architecture of functions. Editions: Springer. Author: L. Baig; L. Montanari; I. Mora.
8) Title: Hydrotherapy. Editions: Red. Author: F. Vinas.

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