Veneto

Neurorehabilitation Hospital Centers of Conegliano-Pieve di Soligo (Treviso)

The activities of the Conegliano and Pieve di Soligo Center of "La Nostra Famiglia" Association in the Veneto Region take place at two operational locations:
Conegliano (TV) - Via Costa Alta, 37
Pieve di Soligo (TV) - Via Monte Grappa, 96

The activity is structured in:

  • Neurorehabilitation hospital activity
  • Research activity
  • Teaching activity

The Conegliano facility stands on an area of over 1,200 square metres and a green space of 10,000 square metres, and the Pieve di Soligo facility stands on an area of 4,490 square metres and a green space of 27,000 square metres. These two integrated hubs perform different but complementary functions. The hospital inpatient facility includes two operational units: the Unit for Severe Disabilities in Developmental Age in Conegliano, and the Unit for the Rehabilitation of Acquired Neuropsychological Disorders in Pieve di Soligo. These Units have specialised clinics, clinical and research laboratories, support services and rehabilitation centres. These offer rehabilitation services and day care center integrated with the school and the Professional Training Centre accredited with the Veneto Region, as well as classrooms for ongoing professional education and university degree courses.

Our professionals work sinergically to meet the needs of people with disabilities, not only in developmental age but also in young adulthood. Currently, the Institute can provide comprehensive care for adults with complex disabilities with childhood onset, thanks to structured evaluations and treatment proposals specifically designed for patients in an age of transition (a period during which care continuity is often interrupted).

The Neurorehabilitation Hospital center of Conegliano and Pieve di Soligo is accredited by the National Health Service for high-specialty (third-level) neurorehabilitation activity (code 75) for inpatient admission and day care.

The Conegliano and Pieve di Soligo Centre is acknowledged as a Scientific Institute for Hospitalisation and Care (IRCCS) for the Conegliano site.

It is also involved in the training network for the School of Specialisation in Child Neuropsychiatry and Physical and Rehabilitation Medicine at the University of Padua.

In the area of training, the Centre of Conegliano and Pieve di Soligo operates in partnership with the University of Padua's Faculty of Medicine and Surgery for Bachelor's degree programmes in Physiotherapy and Occupational Therapy.

Services and clinics

Both inpatient and day hospital admission can take advantage of the following services and clinics:

  • Child and adolescent neuropsychiatry
  • Physiatry
  • Neurology
  • Paediatrics
  • Psychiatry
  • Phoniatrics
  • Neuroradiology
  • Medical Genetics
  • Neuropsychology
  • Ophtalmology
  • Psychology

Access

To access evaluation and rehabilitation programs, a referral for inpatient admission has to be made by the pediatrician or the general pratictioner, specifying the reason of the request.

Hospital activities

Scientific Institute - Neurorehabilitation

  • Day Hospital Admission
  • Inpatient admission

Request: a referral on the “red form” of National Health Service is essential, with a request for inpatient admission.

For questions about referrals, please write to: This email address is being protected from spambots. You need JavaScript enabled to view it.

Units in Conegliano and Pieve di Soligo (Treviso):

Hospital neurorehabilitation activities are organised into two Units and one Subunit, representing three main clinical areas:

  • Neuromotor Rehabilitation Unit
  • Epilepsy and Clinical Neurophysiology Unit
  • Developmental Age Psychopathology Subunit

The Units are focused on the different pathology areas (regardless of age) while remaining “structurally” distinct in the two original units:

• Unit for Severe Disabilities in Developmental Age (UDGE)
• Unit for Acquired Neuropsychological Disorders (URNA)

The Unit for Severe Disabilities in Developmental Age deals with complex diagnostic, evaluation and rehabilitation issues in patients of developmental age with complex disability frameworks. These subjects come from Units for Acute (Paediatrics, Units for Severe Brain Injuries, Neurosurgical Spinal Units, etc.) or from the Veneto Region and other regions.

The Unit for Acquired Neuropsychological Disorders deals with complex diagnostic, evaluation and rehabilitation issues in patients coming from Severe Brain Injury Units, Spinal Units and Neurosurgery Units, or who come from the Veneto Region and other regions.

Young-adult patients with cardio-respiratory and medical conditions of compensation and stability who present complex or rare neuropsychopathological conditions are admitted through ordinary inpatient and day-hospital admission.

These areas define the nature of the Hospital Hub of Neurorehabilitation (code 75) and are complemented by the Units of Neuromotor Rehabilitation, Epilepsy and Clinical Neurophysiology, and the Subunit of Psychopathology.

Neuromotor Rehabilitation Unit

Head: Elena Carraro

The Unit takes care of patients with the following pathologies: Cerebral Palsies and other perinatal encephalopathies, neuromuscolar and musculoskeletal disorders, motor disorders, severe acquired cerebral injuries in developmental age (trauma, vascular damage, tumors, inflammatory encephalopathies), rheumatic pathologies.

The activity of the Neuromotor Rehabilitaton Unit mainly includes the study of innovative approaches to the rehabilitation of Cerebral Palsies, the intensive rehabilitation of acquired brain injuries (in particular, the complications of child cancer), the neurosurgical functional treatment of spasticity or dystonia, the functional approach to rare diseases as hereditary spastic paraparesis (HSP), heredoataxia (i.e. Friedreich ataxia) hereditary peripheral polyneurophaties (Charcot Marie Tooth) and muscular storage diseases (glycogenosis, lipidosis).

In these areas the Center performs an ongoing epidemiological monitoring, contributing and sometimes promoting the creation of Pathology Registries. The results of our treatments are analyzed in an innovative and objective way, thanks to the availability of modern systems of movement analysis and bioenergetic measurement, as well as an advanced neuroimaging system. These systems identify sensitive and specific biomarkers (e.g. for evaluation of the efficacy of super selecive rhizotomy or of chemodenervation in CP, or for the genotype-phenotype characterization in HSP, or as evolution/response marker in the treatment of FRDA).

Technologies

  • EMG ed ENG
  • Gait Analysis
  • Surface EMG
  • Muscle ecography
  • Bioenergetic evaluation (Cosmed K5)
  • OEP
  • Static stabilometry
  • Systems for movement analysis and upper limb rehabilitation (ARMEO)
  • Chemodenervation with Botulinum toxin diagnostic-therapeutic protocols
  • Evaluation in many areas: psychology, educational psychology, psychomotricity, kinesiology, speech therapy, neuropsychology, neurovisual evaluation, occupational therapy;
  • Neurophysiology, radiology and neuroradiology examinations;
  • Planning and carrying out of intensive and specific rehabilitation programs;
  • Psycho-educational intervention, familiar counselling for specific problems
  • Planning of extensive and integrated rehabilitation programs and subsequennt monitoring
  • Planning and coordination of a familiar and social reintegration path
Epilepsy and Clinical neurophysiology Unit

Head: Paolo Bonanni

We host both patients in developmental age and adult age, in order to promote the continuity of care in the taking charge of patients with epilepsy. The sophisticated diagnostic equipment and the close collaboration with the main centers for the Epilepsy surgery, allow the Unit to apply the best procedures for the treatment of drug-resistant epilepsies, also in view of surgical treatment and il cooperation with the surgery Unit. The Center is a reference point for the clinical selection of pre-surgical cases. The Unit also takes care of the rehabilitation programs, proposing specific and individualized rehabilitation treatments that can really improve the patients and families quality of life.

The Epilepsy and Clinical neurophysiology Unit is identified as a Regional reference Center in the Veneto Region and is recognized as a LICE Center (Italian League Against Epilepsy).

Technologies

  • 2 rooms for long-term video-EEG monitoring
  • Video-EEG-polygraphy awake or asleep
  • Processing of the EEG-EMG signal (i.e. back averaging)
  • Visual, auditory, somato-sensory evoked potentials
  • Transcranial magnetic stimulation
  • Blink reflex
  • C-reflex

Diagnostic, therapeutic and research protocols

  • Epilepsy (first diagnosis and follow up);
  • Epileptic and non-epyleptic paroxysmal disorders;
  • Pre- and post-surgical evaluation of patients with drug-resistant epilepsy;
  • Drug-resistant epilepsy not susceptible to surgery;
  • Familial epilepsy;
  • Brain malformations;
  • Sleeping disorders;
  • Paroxysmal and non- paroxysmal movement disorders;
  • Dysmorphic syndromes of neuropsychiatric interest.
Psychopathology Unit

The Psychopathology Unit focuses on the diagnosis, treatment, rehabilitation and scientific research on the following pathologies:

NEURODEVELOPMENTAL DISORDERS

  • Autistic Spectrum Disorder (ASD)
  • Attention Deficit and Hyperactivity Disorder - ADHD
  • Tic disorders

PSYCHOPATHOLOGICAL DISORDERS:

  • Behavioral disorders, oppositional defiant disorder
  • Anxiety disorders
  • Obsessive compulsive disorder
  • Mood disorders
  • Psychotic disorders

The inpatient activity allows to produce a diagnosis but is also functional to setting up individualized paths for the patients and their families. Moreover, the availability of instrumental tests allows an etiological study which is essential to identify potential pediatric and neurological causes of neurodevelopmental and psychical disorders.

The Center of Conegliano of the Scientific Institute E. Medea was recognized by Veneto Region as Reference Center for ADHD diagnosis; the clinical approach to this pathology follows the international guidelines and is multimodal: it combines psychological interventions, parent training and pharmacological therapies.

The Unit of Psychopathology identifies drug therapies in a peculiar population of children affected by mental illness in comorbidity with epilepsy, cognitive disabilities and neuromuscular pathologies.

Another area of interest is neuropsychology in preschool children.

In addition to these clinical, therapeutic and rehabilitation activities the Unit carries out, locally, training courses for teachers, parents and health professionals.

The team of this Unit is multidisciplinary and includes many professionals involved in the diagnostic and therapeutic process: child neuropsychiatrists, psychiatrists, psychologists/psychotherapists, speech therapists, neuro psychomotor therapists, occupational therapists, educationalists.

The Center also relies on the advice of specialized professionals, such as epileptologists, neurologists, physiatrists, pediatricians.

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