The module of Physical and Rehabilitative Medicine aims to highlight the aspects of rehabilitation in adults and in the elderly
with great care to the the frailty and vulnerability of the subject in old age. In these subjects the prevention of disabilities secondary to
hypomobility is also important. The most important pathologies in the rehabilitation of the adult and elderly patient appear those related to the outcomes of orthopedic pathologies treated surgically (joint prostheses and surgical interventions, interventions for neoplastic pathologies) and those related to neurological pathologies (outcomes of cerebral strokes and head injury , Parkinson's disease, movement disorders, cognitive disorders). Another important chapter is the "immobility syndrome" and respiratory gymnastics. It is important to know the physio-pathological and clinical bases of aging, to know the specific assessment tools (also with reference to the ICF), to recognize the possible co-morbidities of the elderly in rehabilitation treatment and to prevent the risk of falls.
The course aims at providing students with the knowledge of the methodology of observation, evaluation and rehabilitation treatment of elderly patients, with special attention to the most frequent pathologies and the presence of comorbidities. At the end of the course the students will have to know what goals it is possible reach by rehabilitation in elderly patients and know the tools to reach them, they will have to be able to plan and perform preventive and rehabilitative interventions.
1. Ambulation of the elderly and disturbances of balance
2. Co-morbid evaluations
3. Scales for the evaluation of disability
4. Rehabilitation protocols of hip
5. Rehabilitation protocols of knee
6. "Immobility syndrome" (postural changes and muscle strengthening)
7. Respiratory gymnastics
6. Rehabilitation protocols for stroke
7. Parkinson's disease rehabilitation protocols and neurodegenerative diseases
8. Rehabilitation protocols after immobilization in order to wrist fracture, hand, elbow, shoulder, femur, tibia, foot
10. Physical therapy (magnetotherapy, electric currents,Laser)
Weekly frontal lessons with slides and videos. Attendance is 70% mandatory. Exam dates can be viewed at the following link:
Aging: general aspects.
Theories of aging.
Predisposing factors for the decrease or loss of self-sufficiency in an elderly patient.
Assessment and rehabilitation prognosis of the elderly patient.
The "fragile" elderly person
THE MOST FREQUENT DISEASES IN GERIATRIC AGE
Chronic Osteoarticular pain.
Ischemic heart disease and heart failure.
Chronic obstructive pulmonary disease.
Cognitive decline and dementia.
Fractures in the elderly.
PREVENTION OF THE FALLS
The falls in senile age.
The assessment of the risk of falling in the elderly.
The rehabilitation program for the prevention of fractures.
Assistive devices for ambulation and postural management of the elderly patient.