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Subject: LOCOMOTOR DISORDERS (A.A. 2022/2023)


Course year 2
Teaching units Unit Malattie dell'apparato locomotore
Clinical Interdisciplinary Studies (lesson)
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/33 CFU: 2
Teachers: Luigi TARALLO, Giuseppe PORCELLINI
Unit Reumatologia
Clinical Interdisciplinary Studies (lesson)
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/16 CFU: 1
Teachers: Gilda SANDRI
Unit Medicina fisica e riabilitazione
Clinical Interdisciplinary Studies (lesson)
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/34 CFU: 1
Teachers: Chiara DONETTI
Unit SITNR Legislazione ed adattamenti domiciliari
Occupational Therapy (lesson)
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 1
Teachers: Maria Lucia CAMPANI
Unit SITNR T.O. in ortopedia
Occupational Therapy (lesson)
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 2
Teachers: Sara BARBIERI, Margherita SCHIAVI
Unit SITNR T.O. in reumatologia
Occupational Therapy (lesson)
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 1
Teachers: Margherita SCHIAVI
Exam type oral
Evaluation final vote
Teaching language Italiano
Contents download pdf download


Maria Lucia CAMPANI
Margherita SCHIAVI


At the end of the course, the student should be able to know the etiology, pathogenesis, epidemiology and clinical framing of the main pathologies of the musculoskeletal system.
Know signs and symptoms of the main pathologies referred to the musculoskeletal system.
Understanding of the role of rehabilitation and aspects concerning disabilities
Knowing the methods of recovery following pathology and being able to identify typical gestures after injury

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Admission requirements

Possess basic knowledge of anatomy, structure and normal function of the body, with special reference to the musculoskeletal system.

Course contents

Educational Credits (CFUs)
Orthopedics 2
Rheumatology 1
Movement Analysis (LAM) 1
Rehabilitation in orthopedics 1
Physiotherapy in orthopedics (I) 2
Physiotherapy in peripheral injuries 1

Objective examination: musculoskeletal system upper and lower limb
Rx examination in Orthopedics
Etiopath. pathophysiology, investigations and orthopedic treatment referred to: congenital dislocation/arthrosis of the hip, arthrosis of the knee; carpal tunnel syndrome.
Definition of traumatic injury to muscles, tendons, joints, bones; meniscus and ligament injuries of the knee and related treatments.
Clinical, diagnostic, therapeutic and rehabilitative framing of adolescent idiopathic scoliosis, major spinal disorders and muscle injuries in the sportsman
Osteopathies and genotypic chondrodysplasias
Growth alterations: Scoliosis, Kyphosis, Flatfoot, Spondylolysis and spondylolisthesis, Epiphysiolysis, Osteochondrosis
Infantile neuro-muscular alterations: Obstetric trauma and paralysis, Hollow foot
Circulatory-based alterations: Osteonecrosis, Algodystrophies
Degenerative-based alterations: Arthrosis, Hallux valgus, metatarsalgia, Dupuytren's disease, Dequervain's disease, Acquired trigger toe. Rheumatoid Arthritis, Ankylosing Spondyloarthritis,
Infectious and metabolic alterations
Pseudotumor tumors and lesions: primary skeletal and soft tissue (Benign and Malignant)
Upper and lower limb Canalicular Syndromes, Upper limb (radial, median, ulnar and musculo-cutaneous) course and innervation, Lower limb and pathologies (various syndromes)
Traumatology: Definition of fracture, dislocation and reparative bone callus of the upper limb: - fractures and dislocations of shoulder, elbow, hand, lower limb and foot. Miscellaneous treatments
Anterior and posterior cruciate ligament injuries of the knee. Single-compartment and total knee prostheses.
Shoulder, elbow, hip and knee prosthetic surgery.
Etiopathogenesis, pathophysiology, investigation and treatment of rheumatic diseases: rheumatoid arthritis, spondyloarthritis, scleroderma. Rating scales, use of aids and orthoses.
Definition and role of Rehabilitation, epidemiological aspects, costs of disability citing disability rights, Rehabilitation Settings, rehabilitation planning and the stages of its development, WHO model of health and the International Classification of Functioning, concepts of therapeutic education, empowerment, engagement.
Vertebral fractures and their treatment. Hints of pediatric orthopedics.
Tibiotarsal sprains, plantar fasciitis and bandages.
Definition and role of rehabilitation, epidemiological aspects, clinical aspects concerning upper, lower limb and spine, costs of disability hints on disability rights, rehabilitation settings, rehabilitation project and phases of its elaboration, WHO model of health.
Assessment scales and tests of the main diseases of the locomotor system, protocols, manual medicine sockets.
Etiopathogenesis of peripheral nervous system injuries and sensitivity assessment with focus on brachial plexus, 7th cranial nerve, Guillan Barré syndrome. Rehabilitation treatment of an SNP injury.
Identification of architectural barriers, aids to cope with them, Italian legislation about them.

Translated with (free version)
Orthopedic assessment tests, updated rating scales and protocols, administration, Manual medicine holds, mobilization of hand wrist elbow shoulder districts, correct therapist and patient postures according to 2008/81.

Teaching methods

The teaching is delivered through face-to-face lectures, which are conducted with the help of audiovisual media (PPT presentation) Attendance at face-to-face lectures is mandatory for 75% of the lecture hours. Teaching is delivered in the Italian language. Attendance tracking is implemented by signature register or latri methods that may be made available by the University.

Assessment methods

- Oral examination. The exams will be conducted in presence and in accordance with the guidelines issued by the University. To participate in the exam, the student must register on Esse3 before the date set for the test. For the other subjects: Examinations will be held at the end of the teaching according to the official schedule of appointments examination. The student will be able to register via Esse3 platform. The examination will be joint for the 5 lecturers and will be in the form of an in-person written test. In case of a pandemic situation instead, it will be held online between lecturers and examinee on a special platform. The approximate duration of the exam will be 70-80 minutes within which the following will be asked 50 closed multiple choice questions (10 for each lecturer) on the different areas of the programs. Finally 2 open questions randomly chosen from the lecturers' programs will be asked. The grade will be expressed in thirtieths. The threshold for sufficiency is 18/30. The weight of multiple choice questions is. 25/30, while open-ended questions will affect the final result by 5/30.The grade will be posted within 1 week on Esse3 platform and will be overall for the 5 modules. The student has one week from publication to accept or reject the grade. The final grade will be published on Esse3 and subsequently verbalized. Translated with (free version)

Learning outcomes

Upon completion of the course, it is hoped that the student will be able to:
- Knowledge and understanding skills
- Explain the main physiological and pathological processes related to the health and disease status of people in different ages with respect to orthopedic/traumatologic diseases;
- Ability to apply knowledge and understanding
- Use a body of theoretical knowledge derived from the nursing sciences to recognize the needs of persons cared for at various ages with respect to orthopedic/traumatologic diseases
- Conduct a comprehensive and systematic assessment of the person who is a victim of traumatic injury;
- Recognize signs, symptoms and complications of major diseases inherent to the musculoskeletal system;
- Recognize and apply concepts of rehabilitation medicine; and
- Autonomy of judgment
- Analyze and evaluate information gathered in order to make care decisions;
- Decide priorities on groups of patients;
- Communication skills
- Use appropriate communication skills (verbal, nonverbal, and written) with users of all ages and their families and/or other health care professionals;
- use teaching and learning principles for specific informational or educational interventions aimed at individual users and families;
- collaborate with the care team to apply and develop protocols and guidelines.
- Learning skills
- demonstrate independent study skills;
- demonstrate ability to cultivate doubt and tolerate uncertainty from study and practice;
- develop ability to ask questions about practice;
- demonstrate ability to learn collaboratively and share knowledge within work teams;
- demonstrate ability and autonomy in seeking the information needed to resolve problems or uncertainties in professional practice by critically selecting evidence from the scientific literature.


- S. Giannini, C. Faldini. Manuale di ortopedia e traumatologia Ed. Minerva Medica, 2008
- V. Denaro, L. Pietrogrande, A. Sponton, S.A. Barnaba, Infermieristica Clinica in ortopedia e traumatologia, Hoepli, 2006
- Rheumatology: evidence-based practice for physioterapists and occupational therapists. Dziedzic K & Hammond A. 2010 Elsevier
- Una casa su misura – D. Trioschi- centro regionale ausili Emilia Romagna
- White book of physical and rehabilitation medicine in Europe
- Medicina Riabilitativa, Nino Basaglia, Idelson-Gnocchi, 2° edizione
- Kinesiology of the musculoskeletal system – Donald Newmann. Elsevier
- Anatomia funzionale – A.I. Kapandji. Ed Monduzzi
- La riabilitazione in ortopedia – S. Brotzman
- Chinesiologia – S. Boccardi, A. Lissoni
- Fisiologia articolare – A.I. Kapandji.
- Materiale del docente pubblicato su piattaforma Moodle 2022.