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Atividade
| 111929 - PHYSICAL AND REHABILITATION MEDICINE V |
| Período da turma: | 17/07/2023 a 28/07/2023
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| Descrição: | PHYSICAL AND REHABILITATION MEDICINE V
Department of Legal Medicine, Medical Ethics and Social and Occupational Medicine GENERAL DESCRIPTION Physical and Rehabilitation Medicine, also known as physiatry, is a medical specialty dedicated to the diagnosis, evaluation and care of people of all ages who experience disability. This art involves the diagnosis and treatment of patients with disabilities and aims to help patients to achieve their full bio-psycho-social potential, embracing physical, functional, psychological and social factors. It recovers what is possible, adapts what is not (or does it until it is), and trains and supports people to face their new reality. The diagnosis of rehabilitation is carried out by clinical methods and additional assessments. Providing rehabilitation involves the use of preventive and therapeutic measures, training, and support, with attention to risk factors, preexisting comorbidities and impairments. Therapeutic measures involve the use of medications, procedures, rehabilitation therapies, and assistive technologies (orthoses, prostheses, and mobility aids), besides rehabilitation technologies such as rehabilitation robotics for upper and lower extremities. COURSE OBJECTIVES The course aims to prepare students to acknowledge the most important factors that interfere in assessing and treating impairments and disabilities, through a clinical approach, including medical and therapeutic interventions. TEACHING METHODS - Students should improve their ability to assist patients using a comprehensive approach, considering their bio-psycho-social context. - The course focuses on functional assessments and is oriented towards disabling pain syndromes, brain and spinal cord injuries and amputations. - This knowledge, skills and attitudes are transmitted through theoretical and practical classes offered at the outpatient services of the Physical and Rehabilitation Medicine Institute of the University of Sao Paulo Medical School General Hospital. - Classes are comprised by a 30 minutes lecture followed by a monitored clinical and practical session, which count on the participation – when feasible, and as indicated in the course’s program – of volunteer patients. All classes are only concluded after a group discussion on the subject and an individual assessment of that session’s content. - Besides a daily evaluation for immediate feedback, students will have a final test by the end of the course. - During the course, other facilities of our Institute will be visited, which include outreach rehabilitation units in the community and an inpatient rehabilitation center. WHO SHOULD ATTEND Medical students who are compassionate and eager to effectively address the major demands of the world of physiatry. Previous classes gathered medical students from 2nd to 8th semester of their medical course, coming from Belgium, Brazil, Chile, Colombia, France, Japan, Mexico, the Netherlands, United Kingdom, Uruguay, and USA. REFERENCES Class A. Introduction to disability and rehabilitation United Nations General Assembly, Convention on the Rights of Persons with Disabilities, 2006. World Health Organization, International Classification of Functioning, Disability and Health, 2001. World Health Organization, The World Bank Group, World Report on Disability. WHO: Geneva, 2011. Class B. Brain injuries: The intensive rehabilitation program (practical aspects of the inpatient rehabilitation program and rehabilitation robotics) Bernhardt J, Thuy MNT, Collier JM, Legg LA. Very early versus delayed mobilisation after stroke. Cochrane Database of Systematic Reviews 2009, Issue 1. Art. No.: CD006187. Lo AC, Guarino PD, Richards LG, Haselkorn JK, Wittenberg GF, Federman DG, et al. Robot-assisted therapy for long-term upper-limb impairment after stroke. N Engl J Med 2010; 362(19):1772-83. Stroke Unit Trialists' Collaboration (2013). Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 9:CD000197. Ward AB, Gutenbrunner C, Damjan H, Giustini A, Delarque A. European Union of Medical Specialists (UEMS) section of Physical & Rehabilitation Medicine: a position paper on physical and rehabilitation medicine in acute settings. J Rehabil Med 2010; 42(5):417-24. Class C. Brain injuries: Gait and movement analysis Jacquelin Perry MD; Judith Burnfield PhD PT. Gait Analysis: Normal and Pathological Function. 2nd Edition, 2010. ISBN-13: 978-1556427664 ISBN-10: 9781556427664 James R. Gage, Michael H. Schwartz, Steven E. Koop, Tom F. Novacheck. The Identification and Treatment of Gait Problems in Cerebral Palsy. 2nd Edition, 2009. ISBN-13: 978-1898683650 ISBN-10: 1898683654 Michael W. Whittle. An Introduction to Gait Analysis. 4th Edition, 2007. Richard W. Baker. Measuring Walking: A Handbook of Clinical Gait Analysis. 1st Edition, 2012. ISBN-13: 978-1908316660 ISBN-10: 19083 16667 Class D. Brain injuries: Practical applications of neuromodulation Adeyemo BO, Simis M, Macea DD, Fregni F. Systematic review of parameters of stimulation, clinical trial design characteristics, and motor outcomes in non-invasive brain stimulation in stroke. Front Psychiatry. 2012 Nov 12; 3:88. doi: 10.3389/fpsyt.2012.00088. eCollection 2012. PMID: 23162477 Fregni F, Nitsche MA, Loo CK, Brunoni AR, Marangolo P, Leite J, Carvalho S, Bolognini N, Caumo W, Paik NJ, Simis M, Ueda K, Ekhitari H, Luu P, Tucker DM, Tyler WJ, Brunelin J, Datta A, Juan CH, Venkatasubramanian G, Boggio PS, Bikson M.. Regulatory Considerations for the Clinical and Research Use of Transcranial Direct Current Stimulation (tDCS): review and recommendations from an expert panel. Clin Res Regul Aff. 2015 Mar 1; 32(1):22-35. PMID: 25983531 Simis M, Di Lazzaro V, Kirton A, Pennisi G, Bella R, Kim YH, Takeuchi N, Khedr EM, Rogers LM, Harvey R, Koganemaru S, Turman B, Tarlacı S, Gagliardi RJ, Fregni F. Neurophysiological measurements of affected and unaffected motor cortex from a cross-sectional, multi-center individual stroke patient data analysis study. Neurophysiol Clin. 2016 Feb; 46(1):53-61. doi: 10.1016/j.neucli.2016.01.003. Epub 2016 Mar 9. PMID: 26970808 Simis M, Doruk D, Imamura M, Anghinah R, Morales-Quezada L, Fregni F, Battistella LR. Neurophysiologic predictors of motor function in stroke. Restor Neurol Neurosci. 2015 Oct 29; 34(1):45-54. doi: 10.3233/RNN-150550. PMID: 26518670 Class E. Amputees’ rehabilitation and associated rehabilitation and assistive technologies DeLisa JA, Gans BM, Walsh NE, (editors). Physical Medicine and Rehabilitation: Principles and Practice. Philadelphia: Lippincott Williams and Wilkins; 2005. Fleury AM, Salih AS, Peel NM. Rehabilitation of the older vascular amputee: A review of the literature. Geriatr Gerontol Int 2013; 13: 264-273. Met R, Janssen LI, Wille J et al. Functional results after through-knee and above knee amputations: does more length mean better outcome? Vasc Endovasc Surg 2008; 42(5): 456-461. Meulembelt HEJ, Dijkstra PU, Jonkman MF, Geertzen JHB. Skin problems in lower limbs amputees: A systematic review. Disab and Rehab, May 2006; 28(10): 603-608. Class F. Assistive Technology SUGAWARA, ANDRÉ T.; RAMOS, VINÍCIUS D.; ALFIERI, FÁBIO M.; BATTISTELLA, LINAMARA R. Abandonment of assistive products: assessing abandonment levels and factors that impact on it. DISABILITY AND REHABILITATION: ASSISTIVE TECHNOLOGY, v. 13, p. 1-8, 2018. BATTISTELLA, LINAMARA RIZZO; JUCA, SUELI SATIE H.; TATEISHI, MARIANE; OSHIRO, MILTON SEIGUI; YAMANAKA, EDUARDO INGLEZ; LIMA, ELIANA; RAMOS, VINICIUS DELGADO. Lucy Montoro Rehabilitation Network mobile unit: an alternative public healthcare policy. Disability and Rehabilitation: Assistive Technology, v. 11, p. 1-7, 2015. World Health Organization. Assistive Products Priority List. Geneva: WHO. 2016 World Health Organization. AT Global Priority Research Agenda. Geneva: WHO. 2017 World Health Organization. Global perspectives on assistive technology: proceedings of the GREAT Consultation 2019. Geneva: WHO. 2019. Class G. SCI rehabilitation: Clinical interventions Mehta S, McIntyre A, Janzen S. Systematic Review of Pharmacologic Treatments of Pain after Spinal Cord Injury: An Update. Arch Phys Med Rehabil. 2016 Jan 12 Milinis K, Young CA. Systematic review of the influence of spasticity on quality of life in adults with chronic neurological conditions. Disabil Rehabil. 2015 Dec 29:1-11. Morawietz C, Moffat F. Effects of locomotor training after incomplete spinal cord injury: a systematic review. Arch Phys Med Rehabil. 2013 Nov; 94(11):2297-308. Patil S, Raza WA, Jamil F. Functional electrical stimulation for the upper limb in tetraplegic spinal cord injury: a systematic review. J Med Eng Technol. 2014; 39(7):419-23. Phillips AA, Krassioukov AV. Contemporary Cardiovascular Concerns after Spinal Cord Injury: Mechanisms, Maladaptations, and Management. J Neurotrauma. 2015 Dec 15; 32(24):1927-42. Post MW, Charlifue S, Biering-Sorensen F. Development of the International Spinal Cord Injury Activities and Participation Basic Data Set. Spinal Cord. 2015 Oct 20. doi: 10.1038/sc.2015.188. World Health Organization, International perspectives on spinal cord injury. WHO. Geneve 2013. Class H. SCI rehabilitation: Therapeutic interventions (FES, ADL, Orthotics, Wheelchairs) To be confirmed. Class I. Rehabilitation robotics: Spinal cord injury, stroke and amputations Alcobendas-Maestro M, Esclarín-Ruz A, Casado-López RM, Muñoz-González A, Pérez-Mateos G, González-Valdizán E, Martín JL. Lokomat robotic-assisted versus overground training within 3 to 6 months of incomplete spinal cord lesion: randomized controlled trial. Neurorehabil Neural Repair. 2012.Nov-Dec;26(9):1058-63. Drużbicki M, Rusek W, Snela S, Dudek J, Szczepanik M, Zak E, Durmala J,Czernuszenko A, Bonikowski M, Sobota G. Functional effects of robotic-assisted locomotor treadmill thearapy in children with cerebral palsy. J Rehabil Med. 2013. Apr;45(4):358-63. Niu X, Varoqui D, Kindig M, Mirbagheri MM. Prediction of gait recovery in spinal cord injured individuals trained with robotic gait orthosis. J Neuroeng Rehabil. 2014 Mar 24;11:42. Wallard L, Dietrich G, Kerlirzin Y, Bredin J. Effects of robotic gait rehabilitation on biomechanical parameters in the chronic hemiplegic patients. Neurophysiol Clin. 2015 Sep;45(3):215-9. Klamroth-Marganska V et al. Three-dimensional, task-specific robot therapy of the arm after stroke: a multicentre, parallel-group randomised trial. Lancet Neurol. 2014 Feb;13(2):159-66. doi: 10.1016/S1474-4422(13)70305-3. Epub 2013 Dec 30. PMID: 24382580 Zariffa J et al. Effect of a robotic rehabilitation device on upper limb function in a sub-acute cervical spinal cord injury population. IEEE Int Conf Rehabil Robot. 2011;2011:5975400. doi: 10.1109/ICORR.2011.5975400. PMID: 22275603 Zariffa J et al. Feasibility and efficacy of upper limb robotic rehabilitation in a subacute cervical spinal cord injury population. Spinal Cord. 2012 Mar;50(3):220-6. doi: 10.1038/sc.2011.104. Epub 2011 Sep 13. PMID: 21912402 Class J. Oncology rehabilitation Alfano CM, Ganz PA, Rowland JH, Hahn EE. Cancer Survivorship and Cancer Rehabilitation: Revitalizing the Link. J Clin Oncol 2012: 30 (9): 904-6. Almeida EMP, Andrade RG, Cecatto RB, Brito CMM, Camargo FP, Yamaguti W, Battistella LR. Exercise for oncological patients: rehabilitation. Acta Fisiatrica 2012, v. 19, p. 82-89. Cohen EE, LaMonte SJ, Erb NL, Beckman KL, Sadeghi N, Hutcheson KA, Stubblefield MD, Abbott DM, Fisher PS, Stein KD, Lyman GH, Pratt-Chapman ML.CA American Cancer Society Head and Neck Cancer Survivorship Care Guideline. Cancer J Clin. 2016 Mar 22. doi: 10.3322/caac.21343. de Boer AG, Taskila TK, Tamminga SJ, Feuerstein M, Frings-Dresen MH, Verbeek JH. Interventions to enhance return-to-work for cancer patients. Cochrane Database Syst Rev. 2015 Sep 25;9:CD007569. doi: 10.1002/14651858.CD007569.pub3. DeLisa JA. A history of cancer rehabilitation. Cancer 2001; 92: 970-4. Khan F, Amatya B, Ng L, Drummond K, Galea M. Multidisciplinary rehabilitation after primary brain tumour treatment. Cochrane Database Syst Rev. 2015 Aug 23;8:CD009509. doi: 10.1002/14651858.CD009509.pub3. Loughney L, West MA, Kemp GJ, Grocott MP, Jack S. Exercise intervention in people with cancer undergoing adjuvant cancer treatment following surgery: A systematic review. Eur J Surg Oncol. 2015 Dec;41(12):1590-602. doi: 10.1016/j.ejso.2015.08.153. Epub 2015 Aug 29. Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C. Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev 2012 Aug 15; 8:CD007566. doi: 10.1002/14651858. Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Exercise interventions on health-related quality of life for people with cancer during active treatment. Cochrane Database Syst Rev 2012 Aug 15; 8:CD008465. doi: 10.1002/14651858 Singh B, Disipio T, Peake J, Hayes SC. Systematic Review and Meta-Analysis of the Effects of Exercise for Those With Cancer-Related Lymphedema. Arch Phys Med Rehabil. 2016 Feb;97(2):302-315.e13. doi: 10.1016/j.apmr.2015.09.012. Epub 2015 Oct 9 Class K. Differential diagnosis and therapeutic interventions for musculoskeletal pain, central pain and fibromyalgia GLEITZ, Markus. Myofascial Syndromes and Trigger Points. Shock Wave Therapy in Practice. Level10 Publishing House, Heilbronn. First ed., 2011. Germany. Class L. Pain management in amputees, stroke and spinal cord injury Harrison RA, Field TS. Post stroke pain: identification, assessment, and therapy. Cerebrovasc Dis. 2015; 39(3-4):190-201. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil 2014; 95(5):986-95. Mehta S, McIntyre A, Janzen S, Loh E, Teasell R; Spinal Cord Injury Rehabilitation Evidence Team. Systematic Review of Pharmacologic Treatments of Pain After Spinal Cord Injury: An Update. Arch Phys Med Rehabil 2016. pii: S0003-9993(16)00011-3. Raffin E, Richard N, Giraux P, Reilly K T. (2016). Primary motor cortex changes after amputation correlate with phantom limb pain and the ability to move the phantom limb. NeuroImage 2016:130: 134-44. Class M: Children’s rehabilitation: Children with spinal cord injury and cerebral palsy Freeman Miller, Steven J. Bachrach. Cerebral Palsy: A Complete Guide for Caregiving. 2nd Edition. Johns Hopkins Press Health Book, ISBN: 9780801883552, 2006. Maureen R. Nelson, Ralph Buschbacher (org). Pediatrics: Rehabilitation Medicine Quick Reference, 2010. Demos Medical Publishing. Michael A. Alexander, Dennis J. Matthews. Pediatric Rehabilitation, Principles and Practice. Fifth Edition. Demos Medical Publishing. Robert Palisano, Peter Rosenbaum, Doreen Bartlett, Michael Livingston. GMFCS E&R (Gross Motor Function Classification System – Extended and Revised). https://www.cerebralpalsy.org.au/what-is-cerebral-palsy/severity-of-cerebral-palsy/gross-motor-function-classification-system/ Thomas N. Bryce, Ralph Buschbacher (org). Spinal Cord Injury: Rehabilitation Medicine Quick Reference, 2010. Demos Medical Publishing. Class N: Toxin applications in rehabilitation Daniel Tuong, Dirk Dressler, Mark Hallett (org). Manual of Botulinum Toxin Therapy. Cambridge University Press, 2009. Delagi EF, et al. Anatomy Guide for the Electromyographer, Thomas C, Springfield, USA, 1981 Platzer W. Atlas of Human Anatomy. Locomotor System. 6th edition, Thieme, Stuttgart, 2009. Troung D, Dressler D, Hallett M. Manual of Botulinum Toxin Therapy. Cambridge University Press, 2009. Chung TM, Bothelho AA, Tumas V. Guia de Aplicação Toxina Botulínica. 3 vol. Omnifarma, 2016. |
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| Carga Horária: |
60 horas |
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| Tipo: | Obrigatória | ||||
| Vagas oferecidas: | 10 | ||||
| Ministrantes: |
Ana Beatriz Nobrega Boratino André Tadeu Sugawara Arquimedes de Moura Ramos Carla Paschoal Corsi Ribeiro Christina May Moran de Brito Denise Rodrigues Tsukimoto Elizabete Tsubomi Saito Guiotoku Fernanda Martins Gilson Tanaka Shinzato Glaucia Somensi de Oliveira José Augusto Fernandes Lopes Linamara Rizzo Battistella Marcel Simis Marcelo Hideki Fujino Mariane Tateishi Marta Imamura Patrícia Neuman Bronstein Roberto Del Valhe Abi Rached Tae Mo Chung Vinícius Delgado Orellana Vivian Daniella Barboza Vicente |
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