Universitat Internacional de Catalunya - BarcelonaSpecific Methods of Intervention in Cardiorespiratory and Vascular Physiotherapy
Module: Specific methods of intervention in Physiotherapy
Matter: Specific methods of intervention in cardiorespiratory Physiotherapy and vascular
Main language of instruction: Spanish
Other languages of instruction: Catalan
| TU | 11:00 15:00 | |||
| TH | 11:00 15:00 |
Head instructor
Office hours
Theoretical block:
PhD. María Antonia Ramon Belmonte
maramon@uic.es
Practical block:
Mrs.Marta Amor
Mr. Raúl Carrión
The cardio-respiratory physical therapy is a discipline that uses physical techniques, based on knowledge of respiratory pathophysiology, in order to prevent, cure or stabilize disorders affecting thoraco-pulmonary system.
The course is divided into two blocks, a theoretical one and a practical one. The theoretical block is dedicated to the various theoretical aspects of cardio-respiratory physiotherapy. The practical block consists of a cardio-respiratory evaluation seminar.
Theoretical block: Cardio-respiratory Physiotherapy
This block is intended to facilitate the student to acquire the knowledge necessary to face the physical therapy of major cardio-respiratory diseases.
It is therefore essential the knowledge of anatomy, biomechanics and physiology of the respiratory system, that will make possible to understand how certain diseases may disrupt the normal functioning of this system. The most important aspects will also be addressed for a complete evaluation (clinical, physical and functional) of cardio-respiratory patients and will teach the student to interpret the results from these evaluations. The physiological properties of the main techniques of respiratory physiotherapy will be examined. The student will be introduced into children's respiratory physiotherapy and effort retraining of the patient. Finally, the major cardio-respiratory diseases suitable to physiotherapy treatment will be reviewed. This block is closely related to the cardio-respiratory evaluation seminar and "physiotherapy matter applied to respiratory dysfunction".
Practical Block: Cardio-respiratory evaluation Seminar
The practical part of the course is intended to train students in the evaluation of patients with cardio-respiratory disease. Students will study and work on practical aspects of topographic anatomy of the chest, physical examination in respiratory therapy (with special emphasis on lung auscultation) and functional evaluation of cardiorespiratory patient.. The acquisition of this knowledge will guide the diagnosis in physiotherapy and thereby define the objectives of our treatment. This block is closely related to the theoretical part of the course and with the subject of physical therapy for respiratory dysfunctions, in which the main techniques of respiratory physiotherapy will be reviewed in a practical way.
Not specified
Students:
Theoretical block: Cardiorespiratory Physiotherapy
1. Anatomy and biomechanics of the respiratory system (SR)
1.1 Upper and lower airway
1.2 Ribcage
1.3 Respiratory muscles
2. Physical properties of SR
2.1. Compliance
2.2. Elasticity
2.3. Resistance
2.4. Time constant
2.5. Respiratory work
2.6. Muscular strength
2.7. Resistance and fatigue of the respiratory muscles
2.8. Equal pressure point (EPP)
2.9. Röhrer Equation
2.10. Pulmonary volume, ventilation and perfusion
2.11. Diaphragmatic movement
3. Self-defense mechanisms of the respiratory system
3.1. Physical barriers of the upper airway
3.2. Lower airway muco-ciliary system
3.3. Reflex mechanical systems
3.4. Immune system
4. Chest physiotherapy Evaluation
4.1. Clinical evaluation
4.2. Physical examination
4.3. Respiratory functional evaluation
4.4. Assessment of effort capacity
5. Respiratory physiotherapy techniques (physiological properties and indications / counterindications)
5.1. Breathing re-education techniques.
5.1.1. Proper use of the diaphragm
5.1.2. Guided breathing
5.1.3. Pursed-lip breathing
5.1.4. EDIC
5.2. Bronchospasm reduction techniques
5.2.1. Fragmented breathing
5.2.2. Staggered breathing
5.3. Bronchial hygiene techniques
5.3.1. Gravitational techniques: Autogenic Drainage
5.3.2. Shock waves
5.3.2.1. Percussion
5.3.2.2. Vibration
5.3.3. Airflow Modification
5.3.3.1. Low flow: ELTGOL, Prolonged Slow Expiration
5.3.3.2. High Flow: Cough, Forced Expiration Technique, Increased Expiratory Flow
5.4. Instrumental techniques
5.4.1. Incentive spirometer
5.4.2. Positive expiratory pressure (PEP-mask, flutter)
5.4.3. Assisted coughing (in-exsuflator)
6. Effort retraining of respiratory and cardiac patients
6.1. Factors limiting effort capacity
6.2. Effort retraining indications
6.3. Assessment of effort capacity
6.3.1. Maximum tests (incremental effort exercises)
6.3.2. Submaximal exercise (six minute walk)
6.3.3. Muscle strength tests (Upper Extremitiess, Lower Extremitiess, Respiratory M)
6.3.4. Quality of life Test
6.4. Training methods
6.4.1. Constant-load training
6.4.2. Interval training load
6.4.3. Muscle strength training (limbs and respiratory m.)
6.5. Training variables
6.5.1. Intensity
6.5.2. Duration
6.5.3. Frequency
6.5.4. Modality
6.6. Parts of a retraining session
6.7. Retraining of respiratory patients
6.8. Retraining of heart patients
7. Child Respiratory Physiotherapy (RP)
7.1. Lung development
7.2. Children RP Considerations
7.3. Evaluations in RP for children
7.4. Specific techniques of child FR
7.4.1. Prolonged Slow Expiration
7.4.2. Autogenous drainage
7.4.3. Provoked coughing
7.4.4. Glosso-pulsion retrograde
7.4.5. Désobstruction Rhinopharyngée Rétrograde
7.4.6. Periodic insufflation with cylinder
7.4.7. Pressures / Vibrations
8. Main pathologies
8.1. COPD
8.2. Asthma
8.3. Pneumonia
8.4. Bronchiectasis
8.5. Cystic fibrosis
8.6. Atelectasis
8.7. Pneumothorax
8.8. Pleural effusion
8.9. Bronchiolitis
8.10. Alterations of the ribcage
8.11. Neuromuscular diseases
8.12. Abdominal and thoracic surgery
Practical Block: Cardiorespiratory evaluation Seminar
1. Topographic anatomy of the chest.
1.1 Reference lines
1.2 Thoracic Regions
1.3 Airway
1.4 Ribcage
1.5 Lung Topography
1.5.1 Projections of the lung parenchyma in the chest
1.5.2 Lobes and sulci
1.5.3 Bronchial tree and pulmonary segments
1.5.4 Pleura
1.6 Respiratory muscles
1.7 Cardiac Topography
2. Physical examination
2.1 Inspection
2.2 Palpation of structures involved (extra-thoracic airway and rib cage)
2.3 Breathing rate
2.4 Heart rate
2.5 Blood Pressure
2.6 Thoracic perimeter
2.7 Percussion
2.8 Lung auscultation
3. Respiratory functional evaluation
3.1 Measurement and monitoring of peak flow
3.2 Evaluation of the effectiveness of cough (peak cough flow)
3.3 Gas analysis and pulse oximetry
4. Evaluation of effort functional capacity
4.1 Incremental exercise test
4.2 6 minute walking test
4.3 Shuttle test
4.4 Muscular strength test
4.5 Activities questionnaires of daily living and breathing quality life
Bibliografía Recomendada (disponible en la Biblioteca Campus Sant Cugat):
Recursos:
E: exam date | R: revision date | 1: first session | 2: second session: