Academic Year 2023/2024 - Teacher: GIUSEPPE MUSUMECI

Expected Learning Outcomes

The course aims to introduce and make students understand the functional and clinical evaluation of the subject and the prescription of physical exercise as a tool for well-being, preventive and therapeutic in the treatment of the main pathologies related to hypomobility. Learn the guidelines of Adapted physical activity (AFA) drawn up by the main scientific organizations and apply them to subjects with stabilized chronic diseases. The course also aims to provide knowledge and skills related to kinesiopostural assessment (static, dynamic and bioinformatics), to be able to recognize and analyze the para-dysmorphisms of the human body through classical and technological methods and techniques of movement analysis.

Course Structure

Lectures, theoretical-practical exercises (Movement Analysis Laboratory), in-depth seminars, cooperative teaching (student-teacher) through sharing of teaching material and multimedia supports.

If the teaching is given in a mixed or remote mode, the necessary changes with respect to what was previously stated may be introduced, in order to respect the program envisaged and reported in the syllabus.

Required Prerequisites

Knowledge of anatomy, physiology and theory of human movement.
Prerequisites as per study plan.

Attendance of Lessons


Detailed Course Content

Course contents

· The importance of adapted physical activity on chronic non-communicable diseases (MCNT)

· The benefits of physical activity

· WHO guideline on the administration of physical activity in all age groups

· Physical activity and obesity

Physical activity and Coronaviris

Physical activity and immune defense

Physical activity and tumors

· Morphological classification of the subject

· RPE scale, Borg scale

· HRmax in the various age groups and heart training thresholds

· VO2 max and reference values ​​for age groups and gender

Metabolic Equivalent of Task (METS)

Cardiorespiratory Fitness (CRF)

Pain intensity scales (VAS, VRS, VDS)

Body Mass Index (BMI), WHR and Plicometry

· Barthel index

Range of Motion (joint, active and passive ROM)

· Force capacity and its evaluation (MRC scale) with manual and electronic dynamometer

Muscle Stretch Test (sit and reach test)

30 second sit to stand test (STS)

Timed up and go (TUG) test

Schober test

Single Leg Balance Test

Long jump test

· Functional re-education

·      Postural gymnastics

· Cardio-Fitness activities

· Corrective Gymnastics

· Antalgic gymnastics

Metabolic fitness

· Key words definitions of the trends of interest

· Exercises with closed and open kinetic chain

· Plyometric training

· Inertial training

· Proprioceptive training

· Neuromuscular Taping and Cupping Therapy application

Vibration plate and neuromuscular systems involved

Muscle cramps, muscle contractures, distractions and muscle tears

· Terminology, definition and classification of the different morpho-structural alterations

· Evaluations and measurements of vertebral disharmony, stiffness and postural defects

· The curves of the rachis on the various harmonic and disarmanic planes

· Kyphosis, hyperkyphosis, back pain

Lordosis, hyperlordosis, low back pain

· Neck pain, musculotensive headaches and back pain

· Different types of Scoliosis

Knee valgus, varus

Flat, hollow foot

Radiological tests (Risser test, Cobb angle, Nash and Moe method)

· Clinical and kinesitherapy examination of the spine

Postural evaluation on the three planes of space in upright position (anterior, lateral and posterior), reclining and sitting

Adams test

· Bassani maneuver

· Lasegue's maneuver

Thomas test

· FABER Test

· Wasserman test

· Fukuda test

· The plumb line and the Barrè vertical

Measurement of the arrows (cervical, dorsal, lumbar, sacral)

· Analysis of the Way and the Run

· Podoscope and Varopodometric analysis

· Stabilometric bipodalic examination

· 6 minutes walking test, Cooper's test and modified Balke's test

The correct practical use of the tools for home, study, work, locomotion and ergonomics that we use every day in a global and sectorial preventive way

· Acquisition of a correct sitting and standing posture

· Specific terminology of motor activity

Postural, mobilization, stretching, strengthening, static and dynamic, proprioceptive, isometric, isotonic and analgic exercises

· Anamnesis

·      Informed consent

· Kinesiology card

Laboratory activities

Setting up a personalized work plan (anamnesis, informed consent, kinesiology sheet)

Muscle strength assessment (Handgrip, BioFet)

· Plicometry

Pain rating scale (VAS score)

Articular Range of Motion (ROM) assessment (goniometer, bobo motion)

· Postural Bioinformatics Analysis

· Spinometry with 3D Spine

· Postural Kinesio exam

· Walk and Run Analysis with Walker View

· Vibrating platform

Flycon Power

· Cycle ergometer with VO2 max rating

· Thermal imaging camera

· Reaction test

Further knowledge

Adapted Physical Activity (AFA) for: Hypertension; Cardiovascular Pathologies; Stroke, Overweight and Obesity, Type 2 Diabetes; Osteoarthritis; Rheumatoid arthritis; Multiple sclerosis; Spinal cord injuries; Chronic Obstructive Pulmonary Disease; Osteoporosis; Depression; Fibromyalgia; Parkinson's Low back pain; Solid organ transplant; Breast cancer; Cancer; Covid infection; Wheelchair overuse disorders; Pregnancy.

Adaptive Physical Activity (AFA) for: autism, juvenile obesity, Down syndrome, attention deficit hyperactivity disorder (ADHD), specific learning disorders (ASD), ICT disorders, epilepsy, eating disorders (anorexia, bulemia ), anxiety disorders, juvenile depression, psychosis, developmental phases of the child and

Textbook Information

  1. - Rieducazione della scoliosi e delle lombalgie. Vincenzo Pirola. Casa Editrice Edi-Ermes
  2. - Autore: Pivetta S. Pivetta M. “TECNICA DELLA GINNASTICA MEDICA - SCOLIOSI”. Casa Editrice Edi-Ermes
  3. - Autore: Pivetta S. Pivetta M. “TECNICA DELLA GINNASTICA MEDICA - Cifosi - Lordosi - Arti Inferiori". Casa Editrice Edi-Ermes
  4. - Esercizio Funzionale. Bartolucci. ATS. Giacomo Catalani Editore.
  5. - Esercizio Correttivo. Russo et al. ATS. Giacomo Catalani Editore.
  6. - La Valutazione Posturale. Johnson. Calzetti & Mariucci editori.
  7. - Ergonomia, Postura, movimento nell'uomo. Molfetta, Massara, Canepa, Cabella. Calzetti & Mariucci editori.
  8. - Attività motoria adattata. Marin. Calzetti & Mariucci editori.
  9. - ACSM - linee guida per la valutazione funzionale. Marin. Calzetti & Mariucci editori.

Course Planning

 SubjectsText References
1Adapted physical activity
2Scoliosis Rieducation 
3Postural Evaluation 
4ACSM guide lines 

Learning Assessment

Learning Assessment Procedures

Two theses on topics chosen by the student in the program.

Laboratory test in progress.

Final oral exam.

The test begins with an interview in which questions concerning at least n. 5 different topics of the program. The test allows to verify: I) the level of knowledge of the subject; II) clarity of presentation; III) the property of medical-scientific language.

For the attribution of the final grade, the following parameters will be taken into account:

Grade 29-30 with honors: the student has an IN-DEPTH knowledge of the subject, has excellent communication skills and masters the medical-scientific language.

Grade 26-28: the student has a GOOD knowledge of the subject and explains the arguments clearly using an appropriate medical-scientific language;

Grade 22-25: the student has a DISCREET knowledge of the subject, even if limited to the main topics and exposes the topics quite clearly with a fair property of language;

Mark 18-21: the student has the MINIMUM knowledge of the subject and exposes the arguments in a sufficiently clear way although the property of language is not very developed;

Failed exam: the student DOES NOT HAVE THE MINIMUM KNOWLEDGE required of the main course contents. The ability to use specific language is very little or no and she is unable to independently apply the acquired knowledge.

Examples of frequently asked questions and / or exercises

Description of AFA in subjects with osteoarthritis.

How Neuromuscular Taping is applied.

Description of a kinesiological examination.

Talk about walking or running analysis.