Corso di Laurea in Terapia della Neuro e Psicomotricità dell'Età Evolutiva

The aim of the Teaching is the knowledge and ability to apply the acquired knowledge to the specific professional in the field of neruomuscular pathology, with particular reference to the pediatric age.

In particular, they will be priority objectives:

- the knowledge of the physiologyof the neuromuscular system and the knowledge of the semiotics of the neuromuscular system;

- knowledge of the main pathological patterns of the peripheral nervous system in the pediatric field, in particular the paralysis of the brachial plexus;

- the knowledge of the main neuromuscular diseases in pediatric age, in particular the spinal amyotropies, neuropathies, myopathies and dystrophies;

- knowledge and ability to apply in the professional context of the evaluation and rehabilitation treatment of neuromuscular diseases, with reference to the different frameworks, the natural history of the disease, the main assessment scales and the measures used in the rehabilitation treatment.

KNOWLEDGE AND UNDERSTANDING
At the end of the course for the respective modules, the student must know:
- the biomechanical and kinesiological aspects of statics and antigravity dynamics of the trunk and the
interactions with other districts
- the basic elements of general applied kinesiology and special kinesiology in the field
of neuromuscular diseases
- outcome measures for the definition of the motor problem
- functional evaluation scales for the evaluation and monitoring of the neuromotor sign

ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
At the end of the course, in the following areas of expertise the student must be able to:
- carry out an adequate evaluation of the sign and symptom to place them in the organization
global movement;
- evaluate the fees adopted by the subject affected by neuromuscular pathology
- assess the need for orthoses and / or aids; accompany any surgical procedure
- carry out the kinesiological analysis of postural passages and gestures

AUTONOMY OF JUDGMENT
At the end of the course, the student must consciously acquire the procedures necessary for evaluation and interpretation of the clinical sign in neuromuscular pathology to plan,
independently plan and manage the individualized qualification and rehabilitation path of the aged patient evolutionary.
They must also acquire good skills in evaluating problems and related areas of intervention to report problems that are beyond his competence, in order to involve another professional with greater competence in the project and in the rehabilitation management, be it another TNPEE or other healthcare professional.

COMMUNICATION SKILLS
In order to ensure adequate habilitation and rehabilitation, at the end of the course
student will have to acquire skills and tools for efficient and effective communication:
• with the subject in developmental age who presents mainly neuromuscular problems
• with caregivers (parents, relatives, community assistants, ...)
• with the clinical nursing staff and with all the professional operators in
health or technical areas that make up the team
• with the specialist or basic pediatric medical staff who take care of the patient

• with all school or educational staff involved in the patient's life

LEARNING ABILITY
The three-year course lays the training foundations for practicing the profession. In order to guarantee the best taking charge of rehabilitation in the exercise of his professional activity, the student must acquire skills autonomous continuous learning in the field of functional diagnosis and rehabilitation techniques neuromotor oriented to scientific evidence.
In addition, he must be able to implement self-assessment strategies for his own preparation e
of their professional practice, to ensure the best professional performance on the patient.
In addition, he must keep up to date on the possibilities of undertaking in-depth training in addition to the obligation of continuing education in medicine and any subsequent studies for the improvement of his competence professional.

INFANTILE NEUROPSYCHIATRY VII

- Recalls of anatomy and physiology of the neuromuscular system

- Clinical semiology in developing age

- Physiology and pathology of the peripheral nervous system

- Physiology and pathology of the second motoneurone

- Introduction to the international reccomendations for the clinical-care path of the main neuromuscular diseases

NEUROLOGY II

- Skeletal muscle diseases: physiopathological principles and differential semeiotics

- Progressive muscular dystrophies

- Congenital muscular dystrophies

- Congenital myopathies

- Canalopathies and myotonies

- Metabolic myopathies

- Inflammatory and secondary myopathies

- Disorders of the neuromuscular junction: myasthenia gravis

- Congenital mygenie

NEUROPSYCHOMOTORIE SCIENCES IX

- Sign semeiotics in neuromuscular pathology;

- Special Kinesiology;

- The rehabilitation project and therapeutic strategies in the rehabilitation treatment of patients with: Sensory motor neuropathies; Myotonic dystrophies; dystrophinopathies; Spinal muscular atrophy; Pompe disease; Congenital muscular dystrophies; Congenital myopathies;

 - Tools of functional rehabilitation: rehabilitation, aids, orthoses

NEUROPSYCHOMOTORIE SCIENCES X

- Neuromuscular Semeiotic: from observation to reading the sign;

- Rehabilitation assessment in neuromuscular diseases: muscle examination, joint examination, time trials, functional assessment scales;

 - Rehabilitation assessment of people with DMD in the various stages of the disease; the indications of the international guidelines, national and of the Ministerial Council on neuromuscular diseases of the Ministry of Health; The North Star Rating Scale, Hammersmith Expanded, EK and the Seating Clinic Evaluation Card.

The SMA rehabilitation assessment in different forms: the indications of the international and national guidelines. The Chop Intend Evaluation Scales, Hammersmith, Hammersmith Expanded, Upper Limb Module, EK and the Seating Clinic Evaluation Card. Charcot Marie Tooth: proposal for a functional evaluation form.

rehabilitation assessment Congenital muscular dystrophies and congenital myopathies: the indications of the international guidelines. Glycogenosis 2 in different forms: the indications of the International Guidelines. The GSGC Evaluation Scale.

Frontal lecture with video support

We inform students that, in compliance with this University’s recommendations, educational activities may be subject to variations in the event of any health emergency or other kind of emergency.
Specifically, educational activities could be carried out online, through multimedia platforms, and, if possible, in small groups in lecture halls.

For each training activity indicated, a conclusive and certifying assessment is scheduled at the end of the period in which the activity took place. For the modules divided into modules the final evaluation of the profit is unitary and collegial. By passing the exam or the exam, the student obtains the credits assigned to the training activity in question.

We inform students that, in compliance with this University’s recommendations, assessment procedures may be subject to variations in the event of any health emergency or other kind of emergency. Oral and written exams might be conducted through multimedia platforms.

Trattato di medicina fisica e riabilitazione, G.N. Valobra e altri, Utet, 2010

Malattie neuromuscolari, appunti di clinica e riabilitazione, A.Ferrari,  ed.Ghedini  1988

Le lesioni ostetriche del plesso brachiale: percorso riabilitativo fisioterapico-chirurgico, Riabilitazione Oggi, aprile 2004, n.4

Mercuri E, Finkel RS et al. Diagnosis and management of spinal muscular atrophy: Part 1: Recommendations for diagnosis, rehabilitation, orthopedic and nutritional care. Neuromuscular Disorders 28 (2018) 103-;115.

Finkel RS, Mercuri E et al. Diagnosis and management of spinal muscular atrophy: Part 2: Pulmonary and acute care; medications, supplements and immunizations; other organ systems; and ethics. Neuromuscular Disorders 28 (2018) 197-;207.

Birnkrant DJ, Bushby K et al. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular,rehabilitation, endocrine, and gastrointestinal and nutritional management. Lancet Neurol 2018; 17: 251-;67.

Birnkrant DJ, Bushby K et al. Diagnosis and management of Duchenne muscular dystrophy, part 2: respiratory, cardiac, bone health, and orthopaedic management. Lancet Neurol 2018; 17: 347-;61.

Birnkrant DJ, Bushby K et al. Diagnosis and management of Duchenne muscular dystrophy, part 3: primary care, emergency management, psychosocial care, and transitions of care across the lifespan. Lancet Neurol 2018; 17: 445-;55.

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