TERAPIA MANUALE APPLICATA AL RACHIDE
Manual Therapy
Anatomy, biomechanics, physiology of exercise are needed to understand the topics discussed in the course. There are no constraints on propedeuticity.
Manual Therapy of the spine
There are no prerequisites required
Management of health rehabilitation
degree in physiotherapy
No specific scientific or technical knowledge is required other than those provided by any high
school. The similar teachings of the previous two years will provide the students with a
conceptual heritage useful to address the themes proposed in the course.
Manual Therapy
The main objective of the course is to acquire knowledge about soft tissues injury mechanisms, their healing processes and treatment, and the instruments used to measure outcomes.
Particular attention will also be given to the mechanisms that generate musculoskeletal pain and its management in tendon and muscular pathologies 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. Laboratory activities aim to deepen and complete the theoretical lessons, making students familiar with the basic techniques of manual therapy. They also aim at developing teamwork skills.
At the end of the course the student is expected to be able:
- to know and differentiate the main musculoskeletal disorders; know the main manual therapy techniques principles;
- to be able to perform a thorough evaluation of a patient with musculoskeletal disorders; know how to apply the learned techniques; be able to use, where possible, appropriate outcome tools;
- 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.
Manual Therapy of the spine
The student will be able to:
•To learn the concepts of manual therapy for the spine
•Integrate knowledge of anatomy and physiology of biomechanics with clinical practice
•Perform an examination, consider the contributing factors and establish a diagnosis by clinical reasoning for patients with pain of the spine.
•Develop and instruct the patient in a diagnosis-specific treatment program and modification of life activities, which contributes to the formation of the movement impairment syndrome of lumbar dorsal and cervical spine
•Have the know how of the principal concepts of manual therapy (Mulligan, Kalterborn and Maitland
•To learn the concept of neurodynamics and to do the standard neurodynamic testing
Management of health rehabilitation degree in physiotherapy
The course aims to illustrate, by starting from the legislation regulating the professional
activities of healthcare professionals, the rehabilitation professionals' intervention contexts;
addresses aspects of ownership, professional responsibility and deontology as well as new
organizational models in the light of the application of the Clinical Government.
At the end of the course the student is expected to be able to:
- know how to define the term organization and the profession of intellectuals
- know the professional profile of the physiotherapist and the code of ethics
- be able to recognize the differences between the role of the collaborative physiotherapist,
coordinator and manager
- know how to define the departmental model and clinical government and identify goals and
tools
Manual Therapy
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, manual therapy and state of art (2h)
- Pain, soft tissue injuries and their healing process (8h)
- Kinesiological and functional evaluation of the patient (history, clinical and functional tests, measurement scales) (4h)
- Rational principles of major manual handling techniques based on evidence based practice (2h)
- Practical evaluation and treatment practices through manual therapy and therapeutic exercise of musculoskeletal dysfunctions (8h)
Manual Therapy applied to spine
•PRINCIPLES AND CONCETS OF MANUAL THERAPY (2h)
•OSTEOKINEMATICS AND KINEMATICS PRINCIPLES OF CERVICAL, DORSAL AND LUMBAR SPINE (3h)
•ASSESMENT OF POSUTRE AND COMMON POSTURAL DEVIATIONS(30’)
•ASSESMENT OF NORMAL ALIGMENT OF THE LUMBAR, DORSALE E CERVICAL SPINE(2h)
•PRESENTATION FO THE MAIN TECHINIQUES OF MANUAL TERAPY OF THE SPINE (Mulligan, Kalterborn e Maitland) 3h30’
•PRINCIPLES AND A PRESENTATIO OF THE SYSTEM OF MOBILISATION NEURODYNAMICS TECNIQUES (3h)
Management of health rehabilitation
degree in physiotherapy
The acquisition of the various expected knowledge and skills will develop in parallel throughout
the course, where the following topics will be addressed:
- Organization definition and its components (1h)
- Definition of Intellectual Profession (1h)
- The Professional Profile of Physiotherapist and Code
Deontological (legislative evolution) - (2h)
- Role of Physiotherapist Collaborator, Coordinator and Manager (2h)
- The delegation (1h)
- Work for Processes (1h)
- The Departmental Model (2h)
- The tools of the Clinical Government (2h)
Manual Therapy
The slides projected during lessons will be provided at the end of classroom lessons.
Students will also find it useful to consult the following texts:
Orthopedic Physical Assessment – Magee.
Dolore Muscolare – Travell & Simons.
Muscle pain – Understanding the Mechanisms. Mense & Gerwin.
Apparato Locomotore - Anatomia e Funzioni – Hochschild.
Manual Therapy applied to spine
•CLINICAL NEURODYNAMICS - MICHAEL SHACKLOCK
•MAITLAND’S VERTEBRAL di Elly Hengeveld and Kevin Banks
•SCIENCE THEORY AND CLINICAL APPLICAION IN ORTHOPAEDIC MANUAL PHYSICAL THERAPY Ola Grimsby and Jim Rivard
•EDUCATIONAL MATERIAL ( slides)
Management of health rehabilitation
degree in physiotherapy
The lesson slides will be available electronically to the mail of the class representative from the
second lesson.
Bibliography:
- L. Lamberti, G. Cantisani, L. Galasso- Physiotherapist Profession- UTET, 2004
- T. Gandini - Competences and the Valorization of Human Heritage in Health - Franco Angeli,
2005
- Position Statement GIMBE®: The Clinical Government in Healthcare. Available at:
www.gimbe.org/gimbe/statement/ps_gc.htm