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KINESIOLOGY AND METHODOLOGY OF REHABILITATION

Academic year and teacher
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Versione italiana
Academic year
2021/2022
Teacher
GIANNI MAZZONI
Credits
12
Didactic period
Secondo Semestre

Training objectives

ASSESSMENT IN KINESIOLOGY AND EXERCISE THEORY IN PHYSIOTHERAPY
-Knowledge: the rationale for measuring and evaluating the range of passive and active movement, muscle strength and endurance in the different types of contraction; the standard and alternative postures for measurements and maneuvers and their precautions and contraindications, the characteristics of the main muscle strength measurement scales; the kinematics and kinetics of human movement.
The theory behind stretching, osteocinematic and arthrocinematic exercise and the rationale for the therapeutic choices of exercise. The main operating facilities.
-Ability: Identify the osteoarticular and muscle-tendon landmarks through visual and manual surface inspection. Analyzing, through visual observation, postures, changes in body position and gestures. Hypothesize the origin and type of forces that maintain and / or change a body position during the main gestures; attributing meaning to signs and alterations in postures, changes in position, gestures observed in relation to the most frequent causes. Apply the rationale of the exercise for the maintenance and enlargement of the ROM. In general; identify the characteristics of isotonic and isometric movement; identify the rationale of the exercise for the maintenance and development of muscle strength, endurance and power through the different types of contraction; apply the principles of therapeutic exercise, of passive, active and assisted active mobilization and its relationship with breathing.
-Knowledge: Describe the motor skills and spontaneous communication of the normal child
-Ability: identify the salient features of the interaction between the child and the environment
SPECIAL KINESIOLOGY
-Knowledge: the different types of muscle and biomechanical role; the classification of the joints, the axes of movement, the degrees of freedom, the Hill's scheme of the muscle, the biomechanics of the cartilages, of the synovium.
-Ability: Identify the different types of levers recognizable in the districts of the human musculoskeletal system. Identify the role of synergy, antagonism and fixation of muscles in the main body areas; acquire the concept of anatomical and physiological cross section; describe the concept of joint stability (close packed position vs loose packed position); describe the movements of the lower, upper limbs and rachis and their joints and muscles.
MOTOR DEVELOPMENT OF THE NORMAL CHILD
Knowledge of the child's development in all aspects with particular attention to motor development; describe the psychomotor developmental stages of the child from 0 to 3 years and know how to recognize the warning signs of deviation from the norm.
INSTRUMENTAL ANALYSIS OF THE MOVEMENT
To be able to analyze, through visual observation, some activities of the mobility domain (maintaining and changing body position, walking, climbing and descending a flight of stairs, picking up and moving an object).
Recognize the main deviations from segmental alignment in maintaining a body position and kinematics during the implementation of activities and hypothesize the action of external and internal forces that are the cause.
Know the devices (optoelectronic systems, force platforms, devices for dynamic electromyography) and techniques for instrumental analysis of movement in the clinic and the information they provide. Knowing how to read an instrumental gait analysis report and in particular the morphology of the signal relating to the kinematics, dynamics and dynamic electromyography of normal gait and the most frequent deviations found in the pathological path.
TRAINING THEORY
Description of the biochemical and physiological basis of energy metabolism; the integration of the metabolic pathways with the energy demands during anaerobic and aerobic muscular activity. Training theory principles.
MASSAGE TECHNIQUES (LAB)
Know the basic principles of massage therapy in reference to the anatomy-physiology of the upper and lower limb districts. Know the indications, contraindications and physiological effects of massage

Prerequisites

Knowledge and skills deemed to have already been acquired:
Anatomy, Histology, Physiology and neurophysiology

Course programme

ASSESSMENT IN KINESIOLOGY AND EXERCISE THEORY IN PHYSIOTHERAPY
The use of joint goniometry and muscle length or alternative systems. The use of tests and measurement scales of muscle strength in the healthy person and introduction to their use in the most frequent musculoskeletal conditions.
The exercises with eccentric, concentric, isometric contraction. Basic principles of therapeutic exercise for the development of strength, endurance and power. Exercise and its relationship with breathing and vital signs. Application of the exercise for the maintenance and expansion of active and passive ROM. osteocinematic and arthrokinematic mobilizations of the major body districts. Various types of facilitation that can be used in exercise.
Use of the principles of observational analysis of the movements of the different body segments
Manual surface inspection techniques applied to the head, neck, trunk, lower and upper limbs: identification of reference bone landmarks; origin of insertion and their possible tendon, anatomical site and line of action of the superficial muscles. Characteristics and parameters of posture and changes in posture, walking, reaching, in normal conditions. Observational techniques of movement analysis applied to postures in different body positions, changes in body position and gestures. The most frequent deviations of skeletal alignment and during walking in the sagittal, coronal and transverse planes.
Observation and study of the development of the child as a whole, needs and functions, attachment, cognitive development, communication and manipulation, play, awareness of the other and of oneself.
SPECIAL KINESIOLOGY
Principle of levers applied to the human body and the concept of the resultant of force. Kinesiology in the description of the normal behavior of the spine, thorax, upper limb, lower limb (structure and function of the respective osteoarticular and ligament complexes).
MOTOR DEVELOPMENT OF THE NORMAL CHILD
The stages of the psychomotor development of the child from 0 to 3 years. The use of specific scales or grids for the observation of "normal" movement in the child. Initial signs of deviation from the norm.
INSTRUMENTAL ANALYSIS OF THE MOVEMENT
Reference systems and terminology for describing the position and movement of body segments. Observational analysis applied to the activities of maintaining and changing body position, walking, climbing and descending a flight of stairs, taking and moving an object in normal conditions and in the presence of impaired neuromusculoskeletal and movement-related bodily functions and structures. Optoelectronic, dynamometric and electromyographic devices and instrumental motion analysis techniques.
Instrumental analysis of movement (space-time parameters, morphology of kinematics, dynamics and timing of electromyographic activity) applied to the activities of maintaining and changing body position, walking, climbing and descending a flight of stairs, taking and moving an object in conditions of normality and in the presence of impairments of neuromusculoskeletal and movement-related bodily functions and structures.
TRAINING THEORY
The essential elements for defining a training program.
MASSAGE TECHNIQUES (LAB)
The basic principles of massage therapy in reference to the anatomo-physiology of the upper and lower limb districts. Application of basic massage therapy techniques: brushing, friction, kneading, percussion. Indications and contraindications.

Didactic methods

Lectures, interactive classroom lessons, simulations, video analysis and group work, video analysis, practical exercises.

Learning assessment procedures

The exam consists of a written exam with 31 multiple choice questions covering all the topics covered in class. Each question has 4 answers of which only one is correct. Each correct answer is worth 1 point. Wrong or missing answers are worth 0 points. The duration of the exam is 60 minutes.
To pass the exam it is necessary to acquire a minimum score of 18 out of 30. If the test is insufficient, or the score is less than 18, it is necessary to repeat the learning test.
MOTOR DEVELOPMENT OF THE NORMAL CHILD
The exam consists of a written test consisting of 31 multiple choice questions (with 4 answers); each question is worth one point if correct, wrong or no answer 0 points. It is necessary to acquire a minimum of 18 points to pass the exam. The estimated time for the test is 30 minutes.
TRAINING THEORY: written exam. 1 open question on the topics covered. Time 60 minutes. Evaluation criteria: completeness and correctness of the presentation.

Reference texts

Slide fornite dai docenti,video per l’autoapprendimento/esercitazioni
ASSESSMENT IN KINESIOLOGY AND EXERCISE THEORY IN PHYSIOTHERAPY
(Fornito) Bertozzi L.; Montanari L., Mora I. (2003), Architettura delle Funzioni , Springer , Milano
Camaioni L., Aureli T., Petrucchini P. (2004), Osservare e Valutare il Comportamento Infantile, il Mulino Bologna
H.M. Clarkson, G.B. Gilewich, Valutazione cinesiologica - Esame della mobilità articolare e della forza muscolare, Edi Ermes
For further information:
Kisner & Colby “Esercizio Terapeutico”
S. Tixa, Atlante di Anatomia Palpatoria di collo, tronco e arto superiore – Ispezione manuale di superficie, Elsevier Masson - 2007
S. Tixa, Atlante di Anatomia Palpatoria dell'arto inferiore – Ispezione manuale di superficie, Elsevier Masson 2008
S. Boccardi A. Lissoni, Cinesiologia, vol III, SEU 1984;
SPECIAL KINESIOLOGY
Vincenzo Pirodda, Il movimento umano, EDI ERMES
Nigel Palastranga, Anatomia del movimento umano Struttura e Funzione, Elsevier
I.A. Kapandji, Fisologia Articolare, Marrapese Editore
Neumann, Kynesiology of the muscoloscheletal system, Mosby Elsevier Ed.
S. Boccardi, Lissoni, Cinesiologia, SEI
INSTRUMENTAL ANALYSIS OF THE MOVEMENT
Portable Document Format presentazioni docente
J.Perry, Analisi del movimento, Edizione Italiana a cura di M.G. Benedetti, Elsevier, 2005