Physiotherapy

Specific Approaches in Physiotherapy2

Abordagens Específicas em Fisioterapia

Curse code:9504318

Cláudia Maria Lima Costa

Learning outcomes of the curricular unit:

At the end of the course it is intended that the student is able to:

  • Integrate the anatomy and physiology of the vestibular system.
  • Understand the complexity in maintaining human balance.
  • Understand the relationship between vestibular, visual and proprioceptive sources of information.
  • Understand the motor output role on the maintenance of human balance 5 - Identify the causes of vertigo and imbalance. Distinguish symptomatology of peripheral and central pathology.
  • Understand the mechanisms of recovery of the vestibular system.
  • Describe the assessment of a Physiotherapist wearer with vestibular pathology, Taking into account the structures, functionality and participation limitation.
  • Identify the International Classification of Functionality and Health (ICF) core sets specific for vestibular dysfunction.
  • Understand the concept, indications and intervention strategies in Vestibular Rehabilitation.
  • Understand the objectives, the physiological mechanisms and materials handling, equipment and techniques used.
  • Develop the ability to analyse postural adjustments using a force platform.
  • Identify and understand the balance dysfunctions that are not exclusively vestibular.
  • Describe and explain the design and implementation of a treatment plan according to the potential for rehabilitation of each patient, through clinical case discussions.
  • Develop the ability to analyse muscular pathologies by means of ultrasonography
  • Analyse the progression of treatment in muscular pathologies by means of ultrasonography.
  • Address the intervention of physiotherapy in person suffered burns.
  • Demonstrate the utility of motion analysis technology - electromagnetic scanning system.
Syllabus:
  1. PHYSICAL THERAPY IN PATIENTS WITH VESTIBULAR AND BALANCE DISORDERS
    Vestibular system anatomophysiological integration and its role in balance.
    The sensorial input (vestibular, visual and proprioceptive).
    Relationship between sensorial input, integration of input and motor output.
    The motor output and its influence on the maintenance of human balance.
    Main vestibulopathies and other diseases affecting the balance. Vestibular compensation mechanisms.
    Physiotherapist Assessment of vestibular/balance dysfunction (Techniques, equipment and measuring instruments).
    Identification specific ICF Core sets for vestibular dysfunction.
    Vestibular Rehabilitation: concept, objectives and indications.
    Physiological principles inherent to the use of materials and equipment (Computerized dynamic posturography; rotary chair; optokinetic stimulation) and specific techniques.
    Using the force platform to study human balance.
    Intervention strategies in peripheral vestibular uni and bilateral deficits, in central vestibular and in multisensory.
    Discussion of clinical cases.
  2. PHYSICAL THERAPY IN PATIENTS WITH MUSCULAR INJURIES
    Relevance of surface anatomy on muscle identification.
    The ultrasonography and the study of muscular alterations.
    Clinical evaluation and intervention in muscle injuries.
  3. PHYSIOTHERAPY IN PERSON THAT SUFFERED BURNS
    Care team in burn patients.
    The skin and burns.
    Life support, therapy and psychological support.
    Therapeutic positioning. Therapeutic exercise. Pathological scars. Compression garments.
    Technology that assists in the analysis of movement: Scanning Electromagnetic System. and its applications, procedures for collecting, register and process kinematic data. Presentation of research undertaken.
 
Suggested Bibliography:
  • Garcia FV, Veiga VG & Santos C (1999) Reeducação Vestibular: Estratégias de Intervenção, Revista Portuguesa de Otorrinolaringologia, pp. 308-325
  • Herdman SJ & Clendaniel R (2014) Vestibular Rehabilitation, 4th ed., F.A. Davis Company, Philadelphia, EUA
  • Grill E, Bronstein A, Furman J, Zee DS & Muller M (2012) International Classification of Functioning, Disability and Health (ICF) Core Set for patients with vertigo, dizziness and balance disorders, Journal of Vestibular Research, 22 pp. 261–271
  • Goldie P A, Bach TM & Evans OM (1989). Force platform measures for evaluating postural control: reliability and validity, Archives of physical medicine and rehabilitation, 70(7), 510-517
  • Ekdahl C, Jarnlo GB & Andersson SI (1989) Standing balance in healthy subjects. Evaluation of a quantitative test battery on a force platform, Scandinavian journal of rehabilitation medicine, 21(4), 187-195
  • Arts IM, Pillen S, Schelhaas HJ, Overeem S & Zwarts MJ (2010). Normal values for quantitative muscle ultrasonography in adults. Muscle & nerve, 41(1), 32-41.
  • Condron JE, Hill KD & Physio GD (2002) Reliability and validity of a dual‐task force platform assessment of balance performance: effect of age, balance impairment, and cognitive task. Journal of the American Geriatrics Society, 50(1), 157-162.
  • Herdman SJ & Clendaniel R (2014) Vestibular Rehabilitation. 4th Ed. F.A. Davis Company: Philadelphia, EUA.
  • Hettiaratchy S & Dziewulski P (2004) ABC of Burns – Introduction, BMJ, 328, pp. 1366-1368
  • Jeschke M, Kamolz L & Shahrokhi S(2013) Burn Care and Treatment: A Practical Guide London: Springer
  • Pillen S (2010) Skeletal muscle ultrasound. European Journal of Translational Myology, 20(4), 145-156.
  • Pillen S & van Alfen N (2011) Skeletal muscle ultrasound. Neurological research, 33(10), 1016-1024.