UNIVERSITY OF PADUA
MOLECULAR MEDICINE DEPARTMENT
HUMAN ANATOMY
MASTER IN MANUAL THERAPY AND MUSCULAR-SKELETAL REHABILITATION
(DIRECTOR: PROF. RAFFAELE DE CARO)
Learning outcomes and contents
Unit
Aims and learning outcomes
contents
Didactic methods
Evaluation
References
A
HUMAN ANATOMY
1st module: Radiological anatomy
-
Principles of Radiology
Radiological anatomy of the Column, Upper and Lower limb.
Lectures
MCQ
1)
Abrahams Weir. Atlante di anatomia
radiologica per bioimmagini, Elsevier, 2013
B
HUMAN ANATOMY
2nd module: Peripheral nervous system
at the end of the course the student will be
able to recognize the anatomical
structures on X-ray , CT and MR images.
Knowledge of Peripheral nervous system
-
Organization of the roots of the spinal nerves
Segmental organization of the peripheral nervous system.
Cervical plexus.
Brachial Plexus.
Lumbar Plexus.
Sacral Plexus.
Pudendal Plexus.
Lectures
MCQ
1)
G. Anastasi, G. Balboni, P. Motta, Trattato di
anatomia umana edi-ermes, vol 3, 2007
R. De Caro, Istituzioni di anatomia dell’uomo
S.N.P., in press
-
The deep fascia: macroscopic and microscopic aspects,
mechanical behavior. Regional specializations.
Relationship with the vessels and nerves. Implication in the
lymphedema.
The deep fascia: macroscopic and microscopic aspects,
mechanical behavior. Regional specializations.
Relationship with the underlying muscles. analysis of its
possible role in the proprioception.
Lectures
MCQ
1)
Stecco C:, “Atlas of the human fascial
system”, Elsevier ed, 2014
Lectures
MCQ
1)
2)
Conti F., Fisiologia medica, edi-ermes editore
Skeletal muscle structure, function &
plasticity. Liber RL. Lippincott Williams &
Wilkins ed.
R. De Caro. Neuroanatomia, in press
C
HUMAN ANATOMY
3rd module: Fascia Anatomy
Knowledge of Fascia Anatomy
-
D
HUMAN PHYSIOLOGY
In depth knowledge of the adaptive
capacity of skeletal muscle to the diverse
functional demands with reference to
rehabilitation
-
Neuromuscular transmission, excitation-contraction coupling,
characteristics of the contractile filaments
Skeletal muscle fiber types
Motor nerve and motor units
Muscular plasticity
Muscle force, velocity and fatigue
Organization of motor systems
2)
E
NERVOUS SYSTEM PHYSIOLOGY
At the end of the course the student will
be able to know the functional
neuroanatomy
-
neuroanatomy
functional neuroanatomy
Lectures
MCQ
1)
F
ORTHOPAEDICS AND
TRAUMATOLOGY
At the end of the course the student will
be able to know the main disorders
muscleskeletal (enclose the post injuries )
and conservative approaches in this field.
-
Musculoskeletal disorders (acute and chronic) of muscles,
joints, tendons, ligaments and nerves.
Bone injuries (fractures).
Stress fractures.
Overuse syndromes.
Management and conservative treatment in Musculoskeletal
disorders.
Classification, measurement and conservative treatment of
idiopathic scoliosis.
Good Practices to prevent musculoskeletal disorders.
Ergonomics and musculoskeletal disorders.
Lectures
MCQ
1) Oxford Textbook of Trauma and Orthopaedics
(2 ed.) Edited by Christopher Bulstrode, James
Wilson-MacDonald, Deborah M. Eastwood, John
McMaster, Jeremy Fairbank, Parminder J. Singh,
Sandeep Bawa, Panagoitis D. Gikas, Tim Bunker,
Grey Giddins, Mark Blyth, David Stanley, Paul H.
Cooke, Richard Carrington, Peter Calder, Paul
Wordsworth, and Tim Briggs
Oxford University Press, 2011
-
-
2) Essentials of Musculoskeletal Care [With DVD
ROM]. John F. Sarwark
American Academy of Orthopaedic Surgeons,
2010
3) Essential Orthopaedics and Trauma
David J. Dandy,Dennis J. Edwards
Churchill Livingstone- Elsevier 2009
G
NEUROLOGY
at the end of the course the student will
acquire basic knowledge of the more
common neurological diseases that will
-
Cerebrovascular diseases
Neurodegenerative diseases
Peripheral neuropathies
Lectures
MCQ
1)
C. Angelini, L. Battistin “Neurologia Clinica”
1st edition 2010; Societa’ Editrice Esculapio
1
H
BIOMECHANICS AND KINESIOLOGIY
I
GENERAL PHYSIOPATOLOGY
J
CLINICAL PSICHOLOGY
K
RHEUMATOLOGY
L
PHARMACOLOGY
M
RESEARCH METHODOLOGY IN
REHABILITATION AND EVIDENCE
BASED MEDICINE
1st module: Research Methodology in
Rehabilitation
N
RESEARCH METHODOLOGY IN
REHABILITATION AND EVIDENCE
BASED MEDICINE
2nd module: Evidence Based Medicine
benefit from Rehabilitation and Manual
Therapy
-
Muscular dystrophy and myopathies
Motorneuron diseases
at the end of the course the student will
have acquired the basic concepts of a
biomechanical approach to human
movement, including the method for
evaluating forces generated in the
different joints during activity. Further,
the student will have acquired the basic
knowledge about the relationship between
structural properties and functions of a
connective tissue, in physiologic or
pathologic conditions.
Knowledge of main topics of general
physiopatology
-
Introduction to anthropometry
Structure and function of bones and joints: spine and lower
extremity
Analysis of the forces on spine and lower extremity during
activity
Forces on bones and joints in physiological and pathological
conditions
Classification and composition of connective tissues
Mechanical properties of connective tissues
Biomechanics of articular cartilage
Biomechanics of bone tissue
Mechanisms of muscle control in pathological conditions.
Biochemical reactions to trauma and immobilization.
Repair processes.
Aging.
Inflammation.
Theoretical perspectives of the different models in clinical
psychology and health psychology.
Assessment methods.
Chronic pain: assessment, diagnosis and cognitive-behavioral
treatment guides.
Counseling elements for health care workers.
Lectures
MCQ
Lectures
MCQ
-
osteoarthritis
fibromyalgia
rheumatoid arthrtitis
ankylosing spondilytis
psoriatic arthritis
infectious arthritides.
Lectures
at the end of the course the student will be
able to understand beneficial and adverse
effects of drug therapies currently
available for treatment of rheumatic and
musculoskeletal diseases
At the end of the course the student will
be able to locate in the scientific literature
the reliability of the scientific work
conducted with different research
methods.
The student will have acquired the skills
to plan and implement a research project
in Rehabilitation and in Manual Therapy
specifically.
-
Drugs used in treatment of rheumatoid arthritis and gout
Skeletal muscle relaxants
Drugs used in treatment of osteoporosis
Lectures
MCQ
1)
-
Meaning of terms Methodology, Method and Techniques
Meaning and differences between Research Methodology and
Research Methods
Epidemiological studies: cross-sectional studies, case control
studies, cohort studies
The experimental method
Clinical case study and case reports
Qualitative research
History of Science
History of Rehabilitation
Epistemology
Making a research projects in Rehabilitation and in Manual
Therapy
Lectures.
Workshops according to the
theory of social-cultural
constructivist learning
(problem-based learning
and cooperative learning).
Evaluation of group work
Task.
Written exam with
questions and multiple
choice answers
1)
L.G.Portney, M.P. Watkins, Foundations of
clinical research. Applications to practice.
Prentice Hall, London
The aim of this seminar is to identify the
basic concepts of Evidence Based
Practice in Physiotherapy.
-
Interactive lectures and
group working
MCQ
1)
Learning goal.
At the end of the seminar and after a brief
period of study and practice, the student
will be able to:
•
Formulate an answerable
clinical question and a PICO
•
Identify the main literature
databases and evidence sources
relevant to Physiotherapy
•
To search Pubmed, PEDro and
-
The core elements of EBP
How to formulate a PICO and choose proper keywords.
Structure and resources of PEDro, DARE, Cochrane library
(CENTRAL, CDSR), Pubmed, TRIPmetadatabase
PEDro scale to assess internal validity of a clinical trial in
Physiotherapy.
Minimally Clinical Important Difference, Minimal
Detachable Change
Likelihood ratios an how to use them within the Fagan
Nomogram; Positive an Negative Predictive Values
How to interpret a meta-analysis
Information about QUADAS
EQUATOR NETWORK: guidelines for the reporting of
studies.
Evidence-based clinical practice. La pratica
clinico assistenziale basata su prove di
efficacia. P.Chiari et al. McGrawHill 2011
seconda edizione
Herbert, Robert. Practical Evidence-Based
Physiotherapy, 2nd Edition. Churchill
Livingstone, 2011
the aim of the course is to provide an
overview of some theoretical and
applicative areas of the clinical
psychology such as health psychology,
research methods and counseling
elements for health care workers
The student will acquire the basic
knowledge about patho-physiology,
clinics, diagnosis and therapy of the most
frequent rheumatic diseases
-
-
-
Lectures and group
exercises
MCQ
1)
Carol A. Oatis, “Kinesiology, The Mechanics
and Pathomechanics of Human Movement”,
Lippincott Williams & Wilkins, Second
Edition, 2004
1)
Advances in Muscle Research 3 - Skeletal
muscle repair and regeneration. Schiaffino &
Partridge eds., 2008. Springer , The
Netherlands.
E. Sanavio, C. Cornoldi (2010) Psicologia
clinica. Il Mulino
Rosengren, D.B. (2009) Guida pratica al
counseling:manuale per i professionisti sociali
e sanitari. Erickson
1)
2)
MCQ
1)
2)
3)
2)
S. Todesco, P.F. Gambari, L. Punzi: "Malattie
reumatiche", McGraw-Hill Ed., Milano, 2007.
Spadaro, M. Govoni, R. Caporali:
“Reumatologia per le professioni sanitarie.”
Idelson-Gnocchi Ed., Napoli, 2009.
G.S. Firenstein, R.C. Budd, S. E. Gabriel, I.B.
Mcinnes, J.R. O’Dell. “Kelley’s textbook of
Rheumatology”, Elsevier Saunders Ed.,
Philadelphia, 2013 (per consultazione).
B.G. Katzung, S.B. Masters, A.J. Trevor
“Basic and Clinical Pharmacology”, 12th
edition, Ed. McGraw Hill, 2012.
2
•
DARE
To use the relevant results from
(pre-appraised) papers
(questions about therapy and
diagnosis) to inform the
decision making process in the
clinical practice
O
THERAPEUTIC EXERCISE
METHODOLOGY AND PAIN MANUAL
THERAPY
at the end of the course the student is able
to understand and identify the
mechanisms of acute and chronic
musculoskeletal pain. At the end of the
course the student is able to understand
the neurophysiological mechanisms of
therapeutic exercise. The student will
have acquired the skills to plan and
implement a training program in
Rehabilitation and Manual Therapy
specifically aimed at reducing pain and
restore the correct movement pattern.
-
Definitions, Concepts, and Model of Pain
Peripheral Mechanisms involved in Pain Processing
Central Mechanisms involved in Pain Processing
Pain Assessment
Pain and Manual Therapy
Pain, Exercise and Hypoalgesia
Terapeutic Exercise: The Basic
Exercise and Learning
Exercise and Motor Control
Exercise with load
Aerobic Exercise
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures.
Workshops according to the
theory of social-cultural
constructivist learning
(problem-based learning
and cooperative learning).
Evaluation of group work
Task.
MCQ
1) C. Kisner, L. A. ColbyTherapeutic Exercise:
P
MANUAL THERAPY AND
THERAPEUTIC EXERCISE IN CLINICAL
CONDITIONS OF CERVICAL COLUMN
at the end of the course the student will be
able to
assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of the
cervical spine, identifying risk
factors, precautions and
contraindications to physical therapy
treatment
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief and/or return
to function (or patient’s functional
optimization) according to current
scientific evidences and clinical
evidence
develop the clinical practice
according to an advanced clinical
reasoning processes in the patient
centered care model.
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
Part 1 - Manual Therapy – Theory and
methodology.
At the end of the course the student will
be able to

project the assessment of several
clinical conditions related to neuromuscular-skeletal
impairments/dysfunction and identify risk
factors, precautions and contraindications
for treatment;

elaborate a physical therapy
diagnosis and develop a manual therapy
treatment plan, considering as objectives
pain relief or return to function (or
patient’s functional optimization)
according to current scientific evidences;

develop the clinical practice
-
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of the cervical region, identify
the structures which have altered this function as far as
possible and, if it is possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to apply any special tests for the safe practice of OMT, for
example cervical artery screening
to treat pain and movement dysfunctions of the cervical
spine according the biopsycosocial model by education,
exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures and practical lab
sessions
Written, oral and practical
exam
1) Bogduk N, McGuirk B. Management of acute
Q
MANUAL THERAPY METHODOLOGY
AND LUMBO-PELVIC TREATMENT
-
Part 1 - Manual Therapy – Theory and methodology.
history of manual/musculoskeletal therapy and characteristics
of the different approaches;
scopes and characteristics of manual therapy treatments;
clinical triage: red flags, yellow flags, indications,
contraindications and precautions for manual therapy
treatments;
assessment of the patient, both subjective (anamnesis) and
objective (clinical exam), comprehensive of the assessment of
vascular system;
neurodynamics assessment and treatment;
biopsycosocial model as a guide for the exam and the
treatment;
different passive techniques: traction, translation,
mobilization, manipulation and their progression during the
treatment;
active exercises for different scopes: ROM, strength,
endurance, balance, etc.;
Foundations and Techniques .
2)
3)
4)
Lectures, practical lab
sessions and workshops
Part 1 - Manual
Therapy – Theory and
methodology.
Evaluation and discussion
of clinical cases
Written exam
Part 2 - Clinical
investigation of the
lumbar region and
treatment by manual
therapy and therapeutic
exercise.
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
4)
5)
and chronic neck pain, An evidence-based
approach Edinburgh ... Elsevier, 2006;
Jull G, Sterling M, Falla D, Treleaven J,
O'Leary S. Whiplash, Headache, and Neck
Pain: Research-Based Directions for Physical
Therapies: Research-based directions for
physical therapies Edinburgh ... Churchill
Livingstone (Elsevier), 2008;
Kaltenborn, F M. Manual Mobilization of the
Joints, Volume II, The Spine. Oslo, Norli,
2009
Schomacher, J. Orthopedic Manual Therapy,
Assessment and Management. Stuttgart, New
York Thieme, 2014 (in press)
Part 1
Magee DJ Orthopedic Physical Assessment.
WB Saunders 1992
Wolf U. Terapia Manuale. Atlante Illustrato.
Edi-Ermes 2010
Jones M, Rivett D Clinical reasoning for
manual therapists. Elsevier 2005
Part 2
La lombalgia 1. Valutazione e trattamento
riabilitativo. Ferrari S. e Autori vari.
MedTutor Riabilitazione. UTET, Torino,
2010
The Back Pain Revolution. Waddell G.
Churchill Livingstone, Edinburgh, 2004 (2°
ed)
3
according to the advanced clinical
reasoning process in a patient-centered
care model;

establish clinical and functional
outcomes and “verify/check” them
through different measures such clinical
tests and questionnaires.
Part 2 - Clinical investigation of the
lumbar region and treatment by
manual therapy and therapeutic
exercise.
At the end of the course the student will
be able to

assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of lumbar spine,
identifying risk factors, precautions and
contraindications to treatment;

elaborate a physical therapy
diagnosis and develop a manual therapy
treatment plan, considering as objectives
pain relief or return to function (or
patient’s functional optimization)
according to current scientific evidences;

develop the clinical practice
according to the advanced clinical
reasoning process in a patient-centered
care model;

establish clinical and functional
outcomes and “verify/check” them
through different measures such clinical
tests and questionnaires.
R
S
MANUAL THERAPY AND
THERAPEUTIC EXERCISE IN CLINICAL
CONDITIONS OF THORACIC-LUMBOPELVIC COMPLEX
1st module
MANUAL THERAPY AND
THERAPEUTIC EXERCISE IN CLINICAL
CONDITIONS OF THORACIC-LUMBOPELVIC COMPLEX
2nd module
-
the assessment of the results: outcome measures for pain,
ROM, muscular strength, endurance and balance, disability,
psychosocial factors.
Part 2 - Clinical investigation of the lumbar region and
treatment by manual therapy and therapeutic exercise.
to localize the region (or even segment) which is in
correlation with the pain;
to assess movement function of lumbar region, identify the
structures which have altered this function and, if it is
possible, the pain generator;
to investigate factors which might influence or cause
movement dysfunctions;
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunctions of lumbar spine,
according to the biopsycosocial model, by education and
exercise
to treat pain and movement dysfunction of lumbar spine, by f
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
at the end of the course the student will be
able to:
Assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of lumbar
and pelvic region, identifying risk
factors, precautions and
contraindications to treatment
Elaborate a clinical physical
diagnosis and develop a complete
treatment plan, considering as
objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
Develop the clinical practice
according to the advanced clinical
reasoning processes in patient
centered care model.
Establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
-
at the end of the course the student will be
able to
assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of thorax,
identifying risk factors, precautions
and contraindications to treatment
elaborate a physical therapy
-
-
-
to localize the region (or even segment) which is in
correlation with the pain
to assess the movement function of lumbo-pelvic region and
identify the structures which are have altered this function
and, if it is possible, the pain generator
to investigate factors which might influence or cause
movement dysfunctions
to treat pain and movement dysfunction of the lumbar spine
and pelvic segments, according the biopsycosocial model by
education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures and practical lab
sessions and workshops
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of thoracic region, identify the
structures which have altered this function and, if it is
possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to treat pain and movement dysfunctions of thorax
according the biopsycosocial model by
Lectures, practical lab
sessions and workshops
Evaluation of group work
Task. Written, oral and
practical exam
1)
2)
3)
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
La lombalgia 1. Valutazione e trattamento
riabilitativo. Ferrari S. e Autori vari.
MedTutor Riabilitazione. UTET, Torino,
2010
The Back Pain Revolution. Waddell G.
Churchill Livingstone, Edinburgh, 2004 (2°
ed)
Spinal Control: The rehabilitation of back
pain. State of the art and science. Hodges PW,
Cholewicki J, Van Dieen JH. Churchill
Livingstone Elsevier, Edinburgh 2013
Physical therapy of the cervical and thoracic
spine; 3th ed.; R. Grant 2002, Churchill
Livingstone 2002 (3° ed)
The clinical Anatomy and Management of
Thoracic Spine; L.F. Giles, ButterworthHeinemann 2000
The Thorax: an integrated approach ; D.Lee;
Elsevier 2002
4
-
-
T
U
MANUAL THERAPY AND
THERAPEUTIC EXSERCISE IN
CLINICAL CONDITIONS OF SHOULDER
COMPLEX
1st module
MANUAL THERAPY AND
THERAPEUTIC EXSERCISE IN
CLINICAL CONDITIONS OF SHOULDER
COMPLEX
2nd module
at the end of the course the student will be
able to
•
assess the clinical conditions
related to neuro-muscular-skeletal
impairments/dysfunctions of shoulder ,
identifying risk factors, precautions and
contraindications to treatment;
•
elaborate a physical therapy
diagnosis and treatment plan, considering
pain relief and return to function (or
patient’s functional optimization) as goals
according to current scientific evidence;
•
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient-carecentered model;
•
establish clinical and functional
outcomes and verify them by using
different measurements such as clinical
tests and validated questionnaires.
at the end of the course the student will be
able to
-
-
V
MANUAL THERAPY AND
THERAPEUTIC EXERCISE IN CLINICAL
CONDITIONS OF FOOT-LEG-KNEE
COMPLEX
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient
centered care model.
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of knee,
identifying risk factors, precautions
and contraindications to treatment
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
-
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient
centered care model.
-
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
at the end of the course the student will be
able to
-
assess the clinical conditions related
-
-
-
-
education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
localization of the region (or even the segment) related to the
pain;
assessment of movement function of shoulder girdle;
identification of the pathomechanics and, if possible, the
pain generator;
to investigate factors which might influence or cause
dysfunctions of movement;
to treat pain and dysfunctions of shoulder girdle region
according to the bio-psycho-social model by education,
exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures, practical lab
sessions and workshops
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of knee region, identify the
structures which have altered this function
and, if it is possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to treat pain and movement dysfunctions of knee according
the biopsycosocial model by
education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures, practical lab
sessions and workshops
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of foot-leg-knee region, identify
the structures which have altered this function and, if it is
Lectures, practical lab
sessions and workshops
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
Evaluation of group work
Task
Written, oral and practical
exam
1.
2.
Athlete's Shoulder. Wilk K.E., Reinold M.M.,
Andrews J.R. Churchill Livingstone 2e (2009)
The Shoulder. Rockwood C.A.,Matsen
F.A.,Wirth M.A.,Lippitt S.B. Saunders 4e;
(2009)
Physical Therapy of the Shoulder (Clinics in
Physical Therapy). 5e. Donatelli, Robert A.
(2011)
Athlete's Shoulder. Wilk K.E., Reinold M.M.,
Andrews J.R. Churchill Livingstone 2e (2009)
The Shoulder. Rockwood C.A.,Matsen
F.A.,Wirth M.A.,Lippitt S.B. Saunders 4e;
(2009)
Physical Therapy of the Shoulder (Clinics in
Physical Therapy). 5e. Donatelli, Robert A.
(2011)
Riabilitazione integrata delle patologie del
piede e della caviglia; Casonato O e Poser A.
Masson (2000)
The biomechanics of the foot and ankle.2e;
5
-
-
-
W
X
MANUAL THERAPY AND
THERAPEUTIC EXSERCISE IN
CLINICAL CONDITIONS OF ELBOWWRIST-HAND COMPLEX
MANUAL THERAPY AND
THERAPEUTIC EXSERCISE IN
CLINICAL CONDITIONS OF UPPER
LIMB AND TMJ
to neuro-muscular-skeletal
impairments/dysfunction of foot-legknee region, identifying risk factors,
precautions and contraindications to
treatment
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient
centered care model.
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
-
possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to treat pain and movement dysfunctions of foot-leg-knee
region according the biopsycosocial model by education,
exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
at the end of the course the student will be
able to
assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of the wrist
-hand, identifying risk factors,
precautions and contraindications to
treatment
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient
centered care model.
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
-
Elbow and upper limb
At the end of the course the student will
be able to:
assess the clinical conditions related
to neuro-muscular-skeletal elbow
and upper limb
impairment/dysfunction, identifying
risk factors, precautions and
contraindications to treatment;
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, aiming to
pain relief or return to maximal
potential function, according to
current scientific evidences;
express the clinical practice
according to the advanced clinical
reasoning processes in a patient
centered care model;
establish clinical and functional
outcomes and “verify/check” them
Elbow and upper limb
localization of the region or segment correlated to pain and/or
dysfunction
assessment of elbow and upper limb movement and
function in order to identify structures involved in
function modifications and – when possible - the pain
generator
investigation of predisposing, contributing or aggravating
factors which might influence or cause the movement
dysfunctions
treatment of elbow and upper limb pain and movement
dysfunctions, according to biopsycosocial model by
education, exercise and manual therapy.
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
-
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of wrist-hand region, identify
the structures which have altered this function
and, if it is possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to treat pain and movement dysfunctions of the whrist-hand
according the biopsycosocial model by
education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
3.
Lectures, practical lab
sessions and workshops
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
4)
Lectures, practical lab
sessions, brainstorming,
didactic cases analysis and
workshops
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
4)
Donatelli R. F.A. Davis (1996)
La caviglia e il piede nello sportivo; Spairani
L. et al. Elsevier (2009)
Treatment of Elbow Lesions: New Aspects in
Diagnosis and Surgical Techniques by Andrea
Celli, Luigi Celli and Bernard F. Morrey (Jan
25, 2011)
The Athlete's Elbow: Surgery and
Rehabilitation by David W. Altchek and
James R. Andrews (Jun 15, 2001)
Biomechanics of the Upper Limbs:
Mechanics, Modeling and Musculoskeletal
Injuries, Second Edition byAndris
Freivalds (Feb 16, 2011)
Clinical Mechanics of the Hand, 3e by Paul
W. Brand MB BS FRCS and Anne M.
Hollister MD (Aug 15, 1999)
Rehabilitation of the Hand and Upper
Extremity, 2-Volume Set: Expert Consult:
Online and Print, 6e by Terri M. Skirven
OTR/L CHT, A. Lee Osterman MD, Jane
Fedorczyk PT PhD CHT ATC and Peter C.
Amadio MD (Mar 2, 2011)
Craniofacial Dysfunction and Pain: Manual
Therapy, Assessment and Management, 1e by
Harry J. M. von Piekartz PhD MSc PT MT
and Lynn Bryden MSc MSCP SRP (Jun 26,
2001)
Temporomandibular Disorders: An
Evidenced-Based Approach to Diagnosis And
Treatment by Daniel M. Laskin, Charles S.
Greene, William L. Hylander and PhD (Mar
1, 2006)
Management of Temporomandibular
Disorders and Occlusion, 7e by Jeffrey P.
Okeson DMD (Jun 4, 2012)
TMJ
localization of the region or segment correlated to pain and/or
6
through different measurements,
clinical validated tests and
questionnaires.
Y
Z
MANUAL THERAPY AND
THERAPEUTIC EXSERCISE IN
CLINICAL CONDITIONS OF HIP JOINT
AND INTREVERTEBRAL DISC
1st module
MANUAL THERAPY AND
THERAPEUTIC EXSERCISE IN
CLINICAL CONDITIONS OF HIP JOINT
AND INTREVERTEBRAL DISC
2nd module
-
TMJ
at the end of the course the student will be
able to:
assess the clinical conditions related
to neuro-muscular-skeletal
impairment/dysfunction of tmj,
identifying risk factors, precautions
and contraindications to treatment;
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, aiming to
pain relief or return to maximal
potential function, according to
current scientific evidences;
express the clinical practice
according to the advanced clinical
reasoning processes in a patient
centered care model;
establish clinical and functional
outcomes and “verify/check” them
through different measurements,
clinical validated tests and
questionnaires.
-
at the end of the course the student will be
able to
assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of hip and
cervical spine, identifying risk
factors, precautions and
contraindications to treatment
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient
centered care model.
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
-
at the end of the course the student will be
able to
assess the clinical conditions related
to neuro-muscular-skeletal
impairments/dysfunction of the hip
identifying risk factors, precautions
and contraindications to treatment
elaborate a physical therapy
diagnosis and develop a physical
therapy treatment plan, considering
as objectives pain relief or return to
function (or patient’s functional
optimization) according to current
scientific evidences
-
-
-
-
dysfunction
assessment of tmj movement and function in order to identify
structures involved in function modifications and – when
possible - the pain generator
investigation of predisposing, contributing or aggravating
factors which might influence or cause the movement
dysfunctions
treatment pain and movement dysfunctions of tmj,
according the biopsycosocial model by
education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of hip and cervical region,
identify the structures which have altered this function
and, if it is possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to treat pain and movement dysfunctions of hip and cervical
spine according the biopsycosocial model
by education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures, practical lab
sessions and workshops
to localize the region (or even segment) which is in
correlation with the pain
to assess movement function of the hip region, identify the
structures which have altered this function
and, if it is possible, the pain generator
to investigate factors which might influence or cause this
movement dysfunctions
to treat pain and movement dysfunctions of the hip
according the biopsycosocial model by
education, exercise and manual therapy
to apply any special tests for the safe practice of OMT;
to treat pain and movement dysfunction of lumbar spine, by
low velocity, rhythmical, passive movements (mobilization –
grade I-IV ) and high velocity, small amplitude passive
movements with impulse (manipulation – grade V).
Lectures, practical lab
sessions and workshops
Evaluation of group work
Task
Written, oral and practical
exam
1) Bogduk N, McGuirk B. Management of acute
and chronic neck pain. An evidence-based
approach. London:
Elsevier, 2006.
2) Jull G, Sterling M, Falla D, Treleaven J, O'Leary
S. Whiplash, headache, and neck pain. Researchbased
directions for physical therapies. London: Elsevier
Churchill Livingston,
3) McKenzie R, May S. The cervical and thoracic
spine: Mechanical diagnosis and therapy. Raumati
Beach, New
Zealand: Spinal Publications Ltd, 2006.
Evaluation of group work
Task
Written, oral and practical
exam
1)
2)
3)
4)
Netter’s Orthopaedic Clinical Examination
– An Evidence Based Approach 2nd
edition;Joshua A.Cleland, Shane
Koppenhaver (2011)
The Hip and Pelvis in Sports Medicine and
Primary Care; Peter H. Seidemberg, Jimmy
D.Bowen (2010)
The pelvic girde: an approach to the
examination and treatment of the
lumbopelvic – hip region; Hodges, Lee (2004)
Hip and Pelvis Inuries in Sports Medecine;
Guanche (2009)
7
-
-
AA
BB
Clinical placements (supervised
by Clinical Mentors)
Final Thesis
develop the clinical practice
according to the advanced clinical
reasoning processes in the patient
centered care model.
establish clinical and functional
outcomes and “verify/check” them
through different measurements such
clinical tests and validated
questionnaires.
The general aims of clinical placements
regards the cognitive and manual skills
learning, necessary for the professional
practice.
Specifically the expected outcomes are:
to gather the patient history properly
and exhaustively
to maintain the physical examination
in accordance with the principles and
techniques learned in the practical
and theoretical lessons
to generate multiple interpretive
hypothesis
to identify contraindications and care
situations
to be able to treat the patient's
condition within, a psychosocial
framework
to formulate a functional diagnosis
and prognostic guidance
to identify realistic goals, based on
the patient's needs
to develop and conduct a treatment
plan, according to Manual Therapy
Methodology
to implement correctly the
procedures for manual therapy and
therapeutic exercise
to properly implement monitoring
and verification
to change the therapeutic objectives
according to the observed changes
during the therapeutic process
to educate the patient, suggesting the
use of AIDS, behavioral and
environmental adaptations.
-
to develop skills in research , analysis
and discussion of data in relation to a
clinical query
The thesis aims to contribute to the body of OMT knowledge,
skills and measurement of outcomes. The thesis has to be linked
to the clinical practice of the manipulative/muscle-skeletal
physiotherapist and the clinical query has to be expressed
according to PICO model (patient problem or population,
intervention, comparison, and outcomes ).
-
-
The 1st period of training will take place at the end of the
Upper Quadrant and lectures and it will focus on the districts:
o ankle
o foot/knee
o sacral-iliac/lumbar spine
The 2nd period of training will take place at the end of the
Lower Quadrant and lectures will focus on the districts:
o thoracic Spine
o cervical spine
o shoulder
o elbow/wrist/hand
o TMJ.
Students will be engaged in direct clinical supervision
tutorials with a minimum of 4 patients a day.
Each day will close with a review of clinical cases met, a full
and careful analysis of all logical processes and practices.
It will underlined the anamnestic, diagnostic and treatment
processes.
The clinical/practical
training course is divided
into two periods for a total
of 150 hours.
It will be performed at
facilities accredited by the
University of Padua. The
tutoring activity will be
performed by
Physiotherapists in the
possession of the Diploma
of "Master of manual
therapy and
Musculoskeletal
Rehabilitation" and the title
of Orthopedic Manipulative
Therapists (OMT).
Oral and practical exam
Research process guided by
a supervisor. The thesis
must have the same length
and framework of a
scientific article (Abstract e
Text, divided in :
Introduction, Materials and
Methods, Results,
Discussion, and
Conclusions. The thesis
will be written in Italian.
Title and abstract will be
also in English.
Oral exam.
An Evaluation
Commission composed
by 2 Manual Therapy
professors and 2 Basic
Sciences professors, at
least, will evaluate the
thesis according the
following criteria:
methodological
quality of the
research
quality of problem
definition
quality of the
theoretical
framework
quality of the
research results and
their discussion
validity of the
conclusion,
8
-
clarity and
correctness of the
text.
The score will be divided
in: fail, pass, pass with
merit.
9