Rehabilitation of the Musculoskeletal System: 

•    Curvature of the spine:

o    Moderate or severe kyphosis in children and adolescents; 

o    Moderate or severe scoliosis in children and adolescents; 

•    Inflammatory rheumatisms

•    Joint replacements  

o    Prosthetic shoulder surgery (hemiarthroplasty, inverted prosthesis, total arthroplasty) 

o    Rehabilitation of arthroplasty procedures of the hip and knee

o    Rehabilitation of arthroplasty procedures of other joints (ankle, elbow, basal thumb arthrosis, etc.) 

o    Rehabilitation of highly complex hip and knee prosthetic procedures (total replacements and complex/septic replacements)

•    Spine pathologies 

o    Surgical pathology of the spine

• Spinal stenosis interventions

• Vertebral instabilities

• Multiple spine interventions (failed back surgery syndrome)

• Neurological complications and pain post-surgery 

•    Tendon pathologies

o    Tendon problems in the acute and subacute phase

o    Calcified tendon problems

o    Surgery to repair traumatic tendon injuries in the upper limbs 

o    Surgery to repair traumatic tendon injuries in the lower limbs 

o    Meniscus repair surgery

o    Subacromial impingement surgery (complicated cases discussed with COT) 

•    Traumatic pathology 

o    Severe multiple trauma affecting the locomotive apparatus 

o    Surgical or complex joint fractures 

o    Surgery to repair peripheral nerve injuries 

o    Vertebroplasty 

•    Pain pathologies

o    Complex regional pain syndrome in upper and lower limbs 

o    Myofascial pain syndrome in upper and lower limbs 

o    Patients referred from the Pain Clinic (musculoskeletal pathology assessments or post-myofascial infiltration) 

o    Tendinous-muscular pathologies referred from hospital services or home care personnel 

o    Spinal pain. RAE

o    Non-surgical spinal pathologies. RAE

Cardio-Respiratory Rehabilitation Unit:

Cardiac Rehabilitation Unit

•    Heart failure:

o    Patients diagnosed with heart failure with NYHA functional class I

o    Patients diagnosed with heart failure with NYHA functional class II and III.

o    NYHA functional class IV is not recommended.

•    Myocardial Infarction

o    Patients with myocardial infarction and ischemic pathology in the hospital’s geographic catchment area 

• Low, intermediate and high risk coronary cardiac rehabilitation 

• High-risk patients are given exercise with ECG monitoring

• Moderate risk patients are monitored for the first 6-8 sessions 

•    Heart Surgery

o    Post-coronary revascularization surgery patients

o    Post-valve replacement surgery patients

Respiratory Rehabilitation Unit

•    COPD. Chronic Obstructive Pulmonary Disease

o    Stable

o    Acute (Rehabilitation programme for patients with acute COPD: physical exercise programme (aerobics and strength exercises immediately after hospital discharge)  

•    Bronchiectasis

o    Diagnosed bronchiectasis

•    Thoracic surgery

o    Pre-surgical programme for candidates for lung resection surgery with moderate to high risk stratification complications post-surgery 

o    Pre-surgical programme for candidates for lung transplants

•    Restrictive respiratory diseases 

•    Cystic fibrosis and children’s rehabilitation

•    Prosthetic, Orthotic and Amputee Unit:

•    Prescription of orthotic and prosthetic articles 

o    Braces, wheelchairs and footwear for neurological pathologies, locomotive apparatus disorders and other aetiologies in patients with very severe disabilities. 

•    Amputations of vascular, trauma and oncological origin:

o    Amputations of the upper limbs

o    Amputations of the lower limbs

o    Double-limb amputees

o    Patients with three or more amputated limbs

Neurorehabilitation Unit:

Adults: 

•    CNS pathology

•    Peripheral neurological disease 

•    Neurodegenerative diseases

•    Post-surgery orthopaedics for neurological patients

•    Spasticity 

•    Trunk or generalised dystonia

Children:

•    Neurological diseases that cause orthopaedic disorders during childhood 

•    Early neuromuscular diseases in childhood

•    Congenital torticollis 

•    Congenital deformities of the lower limbs 

•    Complex fractures in children 

Pelvic Floor Rehabilitation Unit

•    Women’s and men's urinary incontinence (in men, post-prostatectomy) 

•    Chronic pelvic pain 

Breast Cancer and Lymphedema Unit 

•    Breast cancer

•    Lymphedema

Vertigo and Balance Unit

•    Peripheral vestibular disorders

•    Central vestibular disorders

•    Equilibrium disorders due to peripheral neuropathies and polyneuropathies 

•    Head and Neck Pathologies

•    Peripheral facial paralysis

•    Orofacial deformities arising from congenital, traumatic, infectious or cancerous pathologies that have already been treated 

•    Oropharyngeal dysphagia (swallowing disorders)

Dysphonia 

Post-cochlear training

Non-instrumental procedures performed by the Rehabilitation Team:

•    Static postural assessment

•    Joint alignment

•    Muscle alignment

•    Functional assessment scales

•    Neurological examination

•    Gait assessment

•    Lung function assessment

•    Pain assessment

•    Spasticity assessment

•    Phoniatric assessment

•    Orthotic-prosthetic assessment

•    Lymphedema assessment

•    Skin assessment

•    Cognitive assessment

•    Disability and Bodily Damage assessment

•    Environmental assessment (accessibility and architectural barriers)

•    Assessment of the need to use technical aids

Procedures with instruments performed by the Rehabilitation Team:

•    Posturography

•    Gait analysis

•    Surface EMG

•    Functional capacity evaluation. Effort test or Ergometry

•    Functional capacity evaluation: respiratory pressures (PIM, PEM)

•    Soft tissue ultrasound

Therapeutic procedures involving instruments performed by the Rehabilitation Team:

•    Intra-articular and periarticular injection therapy

•    Anaesthetic nerve blocks

•    Neuromodulation of posterior tibial nerve by needle electrode

•    Focal spasticity therapy with botulinum toxin injection

•    Diagnostic ultrasound and as a guide for interventionist procedures

•    Botulinum toxin injections for facial paralysis

•    Functional bandaging

•    Indication and evaluation of personal and/or household adaptations and technical aids

•    Prescription and assessment of prosthetics

•    Prescription and assessment of orthotics

•    Prescription and assessment of spinal orthosis immobilisers 

•    Medical reports for assessing disability with social, occupational and/or legal implications

•    Myofascial trigger point needling or dry needling

•    BPPV canalith repositioning manoeuvre

•    Joint manipulation: spine and limbs

•    Indication and evaluation of physical treatments