Neurological Rehabilitation Medicine

The activities relevant to Neurological and Rehabilitation Medicine of Auxologico are focused on the treatment of motor, cognitive and orthopaedic disabilities.

According to the clinical case, rehabilitation can be performed in hospital (inpatient) or in outpatient facilities, i.e. in the different Auxologico locations in Lombardy and in Piedmont.

The usage of advanced techniques and methods, the personalized approach and the integration of different competencies ensure a comprehensive care and high quality in the rehabilitation activities.

The neurological rehabilitation is focused on disabilities due to acute neurological diseases (such as, for example, hemiplegia due to a stroke), sequelae of neurosurgical procedures (e.g. related to cerebrovascular cancers or malformations), chronic neurological diseases (e.g. multiple sclerosis, amyotrophic lateral sclerosis (ALS), Parkinson’s Disease and other neurodegenerative diseases) and is targeted to the rehabilitation treatment of motor, speech-language, cognitive function, swallowing and bladder and sphincter control disorders.

This activity is carried out in Milan at the Unit of Neurological Rehabilitation of Auxologico Capitanio and at the Unit of Rehabilitation Medicine of Auxologico Mosé Bianchi.
In Piedmont, this activity is performed by the Unit of Neurology and Neurorehabilitation of Auxologico Piancavallo (VB).

Motor-orthopaedic rehabilitation is focused on all motor disabilities due to osteoarticular traumas or orthopaedic operations and to the treatment of the osteo-arthro-muscular system pain; it uses treatments based both on manual physiotherapy and therapeutic exercise and on the application of physical energies.
This activity is carried out in Milan at the Unit of Neurological Rehabilitation of Auxologico Capitanio and at the Unit of Rehabilitation Medicine of Auxologico Mosé Bianchi.
In Piedmont, this activity is performed by the Unit of Osteoarticular Rehabilitation of Auxologico Piancavallo (VB).

Pneumology or respiratory rehabilitation is addressed to patients suffering from respiratory diseases with the objective of solving or minimizing the consequences of bronchopulmonary diseases (reduced oxygenation, reduced ventilation, bronchial hypersecretions) while improving the physical performance and the quality of life.
In Milan, this activity is carried out at the Unit of Rehabilitation Medicine at Auxologico Mosè Bianchi.
In Piedmont, this activity is performed by the Pneumology and Pneumology Rehabilitation Unit of Auxologico Piancavallo (VB) with specific expertise in respiratory pathologies related to obesity.

ACCESS TO SERVICES

Both national (Servizio Sanitario Nazionale) and private health insurance schemes entitle people to access the services and treatments provided.

CLINICAL ACTIVITY

Pathologic Conditions

  1. Stroke.
  2. After-effects of brain and spinal cord surgery.
  3. Multiple Sclerosis.
  4. Inflammatory and degenerative diseases of the Nervous System.
  5. After-effects of orthopaedic surgery.
  6. Parkinson's disease and Parkinsonism.
  7. Spino-cerebellar ataxias.
  8. Myopathies
  9. Aphasias and other neurocognitive disorders.

Advanced Techniques/Procedures

  1. Balance assessment and rehabilitation through dynamic posturography and sensory conflicts.
  2. Brain transcranial stimulation with direct current (tDCS) or repetitive magnetic stimulation (rTMS).
  3. Training of bladder continence through neuromodulation (percutaneous tibial nerve stimulation, PTNS), biofeedback (BFB), electrostimulation, intravescical botulinum toxin
  4. Novel exercise techniques for recovery of gait and balance (forced-use, split-belt treadmill training, functional electrical stimulation, EMG-assisted electrostimulation, dynamic EMG biofeedback)
  5. Treatment of spasticity and focal dystonias with botulinum toxin.
  6. “Virtual Reality” motor-cognitive techniques.
  7. Customized rehabilitation programmes for Parkinson's disease and for Parkinsonism.
  8. Neuropsychological evaluation and training for cognitive disorders.
  9. Psychological evaluation and psychological counseling

RESEARCH TOPICS

  1. Neuromechanics. Control of gait, posture,balance and voluntary movements , through the study of the motion of body segments (electromyography, kinematics, dynamics) and of the body centre of gravity.
  2. Brain mapping of muscles through neuronavigation; study of mental effort during force generation.
  3. Testing and rehabilitation of manual ability
  4. Outcome assessment and psychometrics. Development and validation of quantitative questionnaires through Rasch analysis. Statistics and trial designs in rehabilitation medicine.
  5. Development of tracer systems and instrumental evaluation of movement disorders (“Computer Vision” and “Body Sensor Networks” techniques), also applicable to Tele-rehabilitation platforms combined with “Virtual Reality” techniques.
  6. Study of biological factors which influence neuroplasticity.