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University of Padova (Italy) Degree Course in Physiotherapy STANDARD PROGRAM Professor/Lecturer: Teaching: Human Anatomy and Medical Statistics ECTS: 10 lessons hours: 100 homework hours: Prerequisites Knowledge and learning targets None skills HUMAN ANATOMY AND MEDICAL STATISTICS (6 ECTS): Students will achieve knowledge about: - general organization of human body; - basis of head, trunk and limbs’ vascularization; - morphological and functional characteristics of musculoskeletal system; - anatomy of central and peripheral nervous systems; knowledge of the main nerve routes and centres. MEDICAL STATISTICS (4 ECTS): Students will achieve knowledge about basic competence to recognize which operative and organizational requirements Physiotherapy profession needs; students will be able to: - Produce statistics; - Recognize models of epidemiologic research that are used to estimate disease’s diffusion and to assess potential risk’s factors; - Process statistics with elementary descriptive methods; - Recognize basis of probability calculation and assess its limits and potentialities in medical field; - Understand basis of statistic inference. Assessment mode Evaluation criteria Contents They will be indicated by the teacher at the beginning of the course They will be indicated by the teacher at the beginning of the course HUMAN ANATOMY AND MEDICAL STATISTICS (6 ECTS): Human Anatomy In general: organs and systems. Position and movement’s anatomic vocabulary. Cardiovascular system: Pulmonary and systemic circulation. Aorta: course, collateral branches and ending. Main vessels of head, neck, thorax, abdomen, upper and lower limbs. Musculoskeletal system: In general: skeleton and fixed and mobile joints. Skeleton muscles’ shape and structure; tendons and insertion’s aponeurosis, fasciae, bursas, tendon sheaths. Trunk: - Vertebral column: vertebra and vertebral joints’ shape. - Rib cage: ribs, sternum, rib vertebral and sternocostal joints. - Pelvis: hip bone’s shape, sacroiliac joint and pubic symphysis. Pelvis in general. - Trunk’s muscles and fasciae. Spine’s muscles: general presentation. Neck muscles: general presentation of suprahyoid and infrahyoid muscles and neck’s fasciae; insertions and actions of sternocleidomastoid and scalene muscles. Thorax muscles: general presentation of thorax’s intrinsic muscles; insertions, relations and actions of diaphragm. Basis of mechanical breathing. Abdomen muscles: shape of following muscles: rectus abdominis, internal and external oblique muscles , transversus abdominis; inguinal canal. Quadratus lumborum, maior and minor psoas. Abdominal muscles’ function. Trunk’s movements. General presentation of pelvic floor: pelvic diaphragm, urogenital diaphragm and anal region. Head: general presentation of skull. Temporomandibular joint: shape and movements. Shape of masticatory muscles. Upper limb: - General presentation of skeleton. Shoulder girdle and homerus; sternoclavicular joint, acromioclavicular joint and glenohumeral joint. Movements of shoulder girdle and shoulder. - Motor muscles of shoulder girdle and shoulder: trapezius, levator scapulae, serratus anterior, rhomboidis, pectoralis minor, subclavius, deltoid, pectoralis maior, subscapularis, supraspinatus, infraspinatus, teres minor, teres maior, latissimus dorsi. - Radius, ulna; elbow joint and distal radioulnar joint. Elbow’s movements and pronation and supination. - Arm’s muscles: biceps brachii, coracobrachialis, brachialis, triceps brachii, anconeus. - Carpus in general, metacarpus and phalanxes. Radiocarpal joint, mediocarpal joint, trapeziometacarpal joint, carpometacarpal joints, metacarpophalangeal joints and interphalangeal joints. Movements of elbow and fingers. Basis of hand’s architecture. - Forearm’s muscles: pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris, flexor digitorum superficialis, flexor pollicis longus, flexor digitorum profundus, pronator quadratus, brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris, supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, extensor indicis. Tendon sheaths and retinacula. - Intrinsic hand’s muscles: palmar aponeurosis and loggias; lumbrical and interossei muscles, thenar and ipothenar and hypothenar muscles. Lower limb: - General presentation of skeleton. Femur and coxofemoral joint; thigh movements. - Motor muscles of coxofemoral joint: iliopsoas, gluteus maximus muscle, tensor fasciae latae, gluteus medius muscle, gluteus minimus muscle, piriformis, obturator internus, obturator externus, inferior gemellus, superior gemellus, quadratus femoris, sartorius, quadriceps femoris, pectineus, adductor longus, gracilis, adductor brevis, adductor magnus, biceps femoris, semitendinosus, semimembranosus. - Tibia, fibula and patella; knee’s joint, proximal and distal - - - tibiofibular joints. Leg’s movements. Tarsus in general, metatarsus and phalanxes; ankle joint, talo-crural joint, subtalar joint, joint between astragalus talus and scaphoid, midtarsal joint (Chopart), tarsometatarsal joints, metatarsophalangeal joints, interphalangeal joints. Plantar arch’s configuration. Foot’s movements. Leg’s muscles: tibialis anterior, extensor digitorum longus, fibularis anterior, extensor hallucis longus, fibularis longus, fibularis brevis, popliteus, triceps surae, flexor digitorum longus, tibialis posterior, flexor hallucis longus. Tendon sheaths and retinacula. Intrinsic foot’s muscles: extensor digitorum brevis, plantar aponeurosis and plantar loggias, muscles of medial, lateral and central plantar loggias, lumbrical and interossei muscles. Nervous system Anatomy Embryology’s basis of nervous system. General organization of nervous system. Central nervous system Anatomy: Basis of structural and macroscopic aspects of brain and spinal cord. Meninges and basis of vascularization. Main sensitive and motor routes. Autonomic nervous system anatomy: general organization; allocation and connection of sympathetic and parasympathetic ganglions. Peripheral nervous system Anatomy: Spinal nerves in general. Generation of plexuses’ method; course and landmarks, distribution’s area of collateral and ending branches. Cranial nerves in general. Fibers’ generation and distribution’s area. STATISTICS AND EPIDEMIPLOGY (4 ECTS): Health professions and statistics. Statistics’ production process: definition of statistics unity’s and population; different kinds of variables. Statistics’ description: frequency’s distribution, tables and diagrams. Diffusion’s measurements: relationship, proportion and rates, prevalence and incidence. Main epidemiological models of investigation: transversal studies, retrospective case-control studies, longitudinal studies, experimental studies. Prevalence and incidence. Risks’ measurement: relative risk and odds-ratio. Central tendency’s measurement and variability: mode, median, quartiles and percentiles, arithmetic mean; range, interquartile range, standard deviation, variation’s coefficient. Probability and casual variables: operations on events, conditioned probability, normal distribution and standardized normal, Binomial distribution and Poisson distribution. Population and sample: meaning of statistic inference. Distribution of sample mean: central statistic theorem; standard error. Estimation of population mean using confidence range. Calculation of sample’s dimension to estimate a mean. Estimation of population’s proportion using confidence range. Calculation of sample’s dimension to estimate a proportion. Hypothesis test’s logic: null hypothesis and alternative hypothesis, level of significance and power of a test; inference with one sample in quantitative and qualitative statistics; results’ interpretation. Planned learning activities They will be indicated by the teacher at the beginning of the course and teaching methods Further guidance on study They will be indicated by the teacher at the beginning of the course materials References They will be indicated by the teacher at the beginning of the course