Knowledge and understanding:
The course aims to provide the student with theoretical and practical knowledge and methodologies regarding dysphagia and cognitive behavioral and linguistic communicative disorders in the TBI, aimed at acquiring skills related to the assessment and definition of the evidence-based speech therapy treatment plan and clinically reasoned on the basis of the most updated neurophysiological, neuropsychological and neurolinguistic models in the literature.
Ability to apply knowledge and understanding
Employ the knowledge related to the assessment and treatment of communication, linguistic, cognitive and swallowing disabilities in TBI patients by planning the times, verifying the out-comes, evaluating and organizing the rehabilitation setting appropriate to the therapy and to the patient according to a biopsychosocial approach

Neuropsychology, neurology, neurolinguistics, neuroanatomy and pathophysiology of swallowing

Definition and Classification of TBI
• The state of consciousness and its alterations
• Disorders of Counsciusness (DOCs): definitions and diagnostic criteria
• Evaluation Scales of DOCs
• Neuropsychological disorders in TBI: attention, memory, language and behavioral disturbances. Theory and Clinical Practice.
• Rehabilitation interventions and theoretical / practical approach integrated in the speech therapy management of the person with TBI: from the acute phase to the outcomes
• Dysphagia Evaluation in TBI tracheostomized patient
• Speech therapy rehabilitation in TBI tracheostomized patient: therapeutic rationale

Slides (provided by the teacher), scientific articles, LA RIABILITAZIONE DELLE GRAVI CEREBROLESIONI ACQUISITE A cura di A. Mazzucchi, 2011 – Giunti O.S; NEUROPSICOLOGIA DEI LOBI FRONTALI. SINDROMI DISESECUTIVE E DISTURBI DEL COMPORTAMENTO. SECONDA EDIZIONE. D. Grossi e L. Trojano, 2013 – Ed. Il Mulino;
LA RIABILITAZIONE NEUROPSICOLOGICA
Mazzucchi, 2020 – Ed. Edra; TRACHEOSTOMIA E DISFAGIA NEL GRAVE CEREBROLESO C. Reverberi, F. Lombardi, 2007 – Ed. Del Cerro;

• Hints of pathophysiology of head trauma
• Associated lesions in the TBI and comorbidities
• Epidemiology of head trauma
• Neurobiological recovery potential and rehabilitation prognosis in TBI
• Definition of consciousness and clinical evaluation scales: operative modalities and limits in clinical evaluation through the CRS-r scale and the GCS
• Anatomical correlates of consciousness
• Clinical conditions associated with altered state of consciousness
• Definitions and diagnostic criteria of Coma, Vegetative State, State of Minimum Consciousness
• Definitions and diagnostic criteria of Locked-in Syndrome and Acinetic Mutism
• Frontal Syndrome and its subtypes: characteristics of cognitive and behavioral disorders
• Memory disorders: retrograde amnesia, anterograde amnesia, global amnesia, post traumatic amnesia
• Theoretical and practical references of speech therapy treatment according to the neuropsychological and neurolinguistic approach: intervention proposals;
• Dysphagia in the TBE
• Tracheal cannula and impaired swallowing in the TBE: evaluation and treatment proposals

Lectures, presentation and discussion of cases, exercises with group discussion on clinical cases.

For any other information contact the teacher: fannycg130378@gmail.com

Work Group and exercises on clinical cases, final oral exam combined with the other three teaching modules.