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Cardiopulmonary Rehabilitation: Cardiopulmonary Rehabilitation-I

course code: CPTCR-783 &793

Course content

Optimizing Treatment Prescription:

Relating Treatment to the Underlying

Pathophysiology

  • Clinical decision making 
  • Extrinsic factors 
  • Intrinsic factors 
  • Oxygen transport deficits 
  • Oxygen transport threats 
  • Pathophysiological factors 
  • Problem definition 31 
  • Problem list 
  • Restricted mobility and recumbency factors 
  • Treatment prescription

Mobilization and Exercise 

  • Exercise 
  • Metabolic demand 
  • Mobilization 
  • Oxygen transport 
  • Prescription 
  • Recumbency factors 
  • Restricted mobil i ty 
  • port

Body Positioning

  • Cardiopulmonary function 
  • Gravity 
  • Oxygen transport 
  • Prescriptive body positioning 
  • Routine body positioning

Clinical Application of Airway Clearance Techniques

  • Active cycle of breathing technique (ACBT) 
  • Manual hyperventilation 
  • Airway clearance techniques (ACTs) 
  • Autogenic drainage (AD) 
  • Post ve expiratory pressure (PEP) 
  • Dynamic air therapy bed 
  • Postural drainage (PD) 
  • Flutter™ 
  • Shaking 
  • Percussion 
  • Forced expiratory technique (FET) 
  • Trendelenburg 
  • High frequency chest compression (HFCC) Vibration 
  • Suctioning Techniques

Facilitating Airway Clearance with Coughing Techniques

  • Airway clearance deficits 
  • Assisted cough 
  • Complications with coughing
  • Cough 
  • Cough pump 
  • Cough stages 
  • Mucous blanket 
  • Reflex cough 
  • Smokers cough 
  • Swallowing disturbance 
  • Throat clearing

Facilitating Ventilation Patterns and Breathing Strategies

  • Controlled breathing 
  • Diaphragmatic breathing pattern 
  • Jacobsen's progressive relaxation 
  • Ventilatory strategies 
  • Work of breathing

Course Description

This course is designed to provide the cardiopulmonary physical therapy students an introduction to the cardiopulmonary interventions and home care of patients with chronic cardiopulmonary diseases. The use of evidence-based physical therapy intervention for cardiovascular, pulmonary, and lymphatic systems disorders is emphasized. Topics will focus on comparing contemporary and traditional interventions and the impact of evolving technology in this area.

Course content

Exercise Testing and Training Secondary Cardiopulmonary

Dysfunction

  • Exercise blood gases 
  • Nocturnal ventilation 
  • Oxygen desaturation 
  • Respiratory muscle endurance 
  • Respiratory muscle fatigue 
  • Respiratory muscle strength

Respiratory Muscle Weakness and Training

  • Inspiratory muscle training 
  • Muscle endurance 
  • Muscle strength 
  • Respiratory muscle fatigue 
  • Respiratory muscle weakness 
  • Work of breathing

Patient Education

  • Education 
  • Effecti veness 
  • Health behaviors 
  • Learning theory 
  • Methods 
  • Needs assessment 
  • Resources

Course Objective

1. The students will be able to identify the benefits and expected outcomes of exercise therapy in cardiopulmonary rehabilitation.

2. The students will be able to determine appropriate cardiopulmonary interventional prescription for patients with various types of lung disease including frequency (times per week or session), intensity, time (duration) and type (mode of exercise).

3. The students will be able to discuss ways to properly monitor patients during cardiopulmonary rehabilitation including cardiac, vital signs, oxygenation and work of breath.

4. The students will be able to explain the appropriate use and benefit of long term oxygen therapy.

5. The students will be able to identify strategies for patient education.