Physiotherapy

Activity type

Scienze interdisciplinari e cliniche

SSD

MED/06

Year

3rd year

Semester

2nd semester

CFU

2

Hours distribution

20 classroom hours

Lecturers

SILVIA MEZI

Activity type

Scienze interdisciplinari e cliniche

SSD

MED/24

Year

3rd year

Semester

2nd semester

CFU

2

Hours distribution

20 classroom hours

Lecturers

ANTONIO CARBONE

Activity type

Scienze della fisioterapia

SSD

MED/48

Year

3rd year

Semester

2nd semester

CFU

1

Hours distribution

10 classroom hours

Lecturers

ANDREA IANNI

To know the diseases and rehabilitation techniques in the field of cancer, with reference to carcinogenesis, diagnosis, prevention, staging and palliative care, the relative indications and contraindications to treatment, with reference to guidelines and validated protocols. Knowing the urological and gynecological system's diseases, with particular reference to pelvic floor rehabilitation treatment and its relation to guidelines and validated protocols.

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Knowledge of the fundamental mechanisms of neoplastic transformation. Oncogenes and tumor suppressor genes. Acquisition of diagnostic strategies in oncology. Framework of disease settings. Principles of therapy (chemotherapy, target therapies and immunotherapy). Systematics of breast, lung and colorectal cancer.


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N/D
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N/D

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have passed the relevant exams


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None required.


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N/D

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ONCOLOGY 2024-2025

1) molecular mechanism of neoplastic transformation
2) epidemiology, characterization of the cancer patient, staging, setting of disease
3)diagnostic-therapeutic planning
4) breast cancer, lung cancer, colon rectal cancer


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FUNCTIONAL DISORDERS OF LOWER URINARY TRACT

to. Overactive bladder syndrome

b. Neurological bladder

c. "Chronic pelvic pain" syndromes

d. LUTS (Lower Urinary Tract Symptoms), Prostatic Hyperplasia, Urethral Obstruction

* MALE AND FEMALE URINARY INCONTINENCE

is. Pathophysiology of incontinence

f. Clinical and instrumental diagnosis

g. Principles of rehabilitative and surgical treatment

* CHRONIC PELVIC PAIN AND RELATED UROLOGICAL SYNDROMES

h. Pelvic pain syndrome

i. The Interstitial cystitis

* URINARY DERIVATIONS

j. Indications

k. Continent, incontinent, orthotopic urinary derivations

the. Functional re-education in patients with urinary derivation

* JATROGENIC MICTURITION DYSFUNCTIONS

* URETERAL AND URETERAL CATHETERISM

m. Indications

n. urethral catheters

or. management of the catheterized patient and training in intermittent catheterization


Module:
1. Physiotherapy Functional Assessment
• Musculoskeletal palpation: Palpation techniques to assess muscle tone, trophism and consistency, with reference to trigger points and myofascial dysfunctions.
• Postural observation: Classification of postural dysfunctions into ascending, descending and mixed. Detection of deviations from the Barré line through postural balance tests.
• Joint functional tests: Active and passive movements of the joints, including tests to identify restrictions or instability.
• Muscle strength assessment: MRC scale to grade muscle strength. Dynamic and static strength tests, with particular attention to districts involved in post-surgical deficits or peripheral neuropathies.
2. Exercise reconditioning
• Cardio-circulatory and respiratory considerations: use of the Karvonen equation to calculate the Heart Rate Reserve (HRR) and set up cardiopulmonary exercise programs. Pulse oximetry: interpretation of values ​​and monitoring of SpO₂ during physical activity. Oxygen therapy: indications and management during rehabilitation treatment.
• Rehabilitation interventions: Early mobilization exercises and gradual increase in intensity to improve resistance. Exercise protocols to improve exercise tolerance.
3. Pelvic Floor Rehabilitation
• Pelvic Floor Anatomy and Physiology: Anatomical structures involved: muscles, pelvic fascia, main nerves. Pathophysiology of pelvic dysfunctions (urinary and fecal incontinence, dyspareunia, pelvic organ prolapse).
• Manual Therapy Techniques: Soft tissue mobilization, fascial manipulations and myofascial release for the pelvic floor. Manual interventions to improve trophism and muscle recruitment.
• Therapeutic exercises and bio-feedback: Muscle strengthening and relaxation exercises (Kegel method, proprioceptive exercises). Use of bio-feedback for neuromuscular education and muscle contraction control.
4. Rehabilitation Approach to the Oncology and Urology Patient
• Oncology Patient: Treatment of side effects of oncology therapies: lymphedema, neuropathies, chronic fatigue. Post-surgical rehabilitation management (mastectomy, prostatectomy, gastrointestinal interventions).
• Urology Patient: Post-operative rehabilitation in patients undergoing urological surgery (pelvic prolapse, urinary incontinence). Exercises to improve urinary continence and reduce chronic pelvic pain.

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Preparation on handouts, slides and recommended articles


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Arianna Bortolami
Title: Pelvic floor rehabilitation
Editor: Elsevier
Publication: May 2009
ISBN: 9788821430893


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N/D

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references recommended in the slides


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lessons on all points of the program. Interactive questions and final discussion


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N/D

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compulsory attendance in person


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Mandatory in attendance.


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N/D

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oral oncology questions


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The student will be examined on the topics covered during the lectures


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N/D

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What is the mechanism of action of immunotherapy drugs?


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N/D
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