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Wednesday, March 20, 2019

Cardiopulmonary physical therapy


Cardiopulmonary physical therapy lifefitnessp.com

Cardiopulmonary Physical Therapy

Disorders of the cardiopulmonary system often occur in adults, especially
parents. Physical therapists participate in the care of patients with
cardiopulmonary disorders both in specialization and general practice. Because
the main function of the cardiopulmonary system is to deliver oxygen to
active network, the system plays an important role in the movement. In the presence of a disease or disorder, the cardiopulmonary system is often a limiting factor for carrying out functional activities. 

Physical therapist is
responsible for providing education on cardiopulmonary prevention
disease and to manage patients with primary and secondary diagnoses involving the cardiopulmonary system.

This special series is designed to provide up-to-date information on the prevention and management of patients with certain cardiopulmonary problems. This problem focuses on the cardiovascular system, including an introductory article that reviews how the heart, lungs, and vascular systems function

deliver oxygen. Two articles provide information about the importance of modifying risk factors for the development and development of coronary arteries
disease. Review of cardiovascular pharmacology including descriptions
new drugs and changes to older drug use. Review from
management of patients with heart transplants is followed by a comprehensive review of heart muscle dysfunction.

In the June issue, the focus will shift to the care of patients with disorders involving the lung system. Articles will focus on chest physical therapy at
acute care settings and the role of physical therapy in management
patients with lung transplants. An overview of the assessment of results in cardiopulmonary rehabilitation will also be included.

This special series only covers a number of challenging topics related
cardiopulmonary exercise. Each article is designed to provide in-depth information that will be useful for specialists and therapists in other fields
practice. I want to thank the authors for sharing their knowledge and
unique experience, and reviewers to improve each article with them
comments and suggestions.

What Is the Study of Cardiovascular Physical Therapy / Lung and Why Should We Care About It?

The December issue of the journal is one that I always anticipate because CSM 2010 research abstracts are published in this edition. These abstract variations and quality really make me excited about our specialties. From mechanistic studies, we can learn how the body reacts to stimuli such as exercise, stress, or nutritional status. We can learn how diseases affect different cells, tissues, and organ systems. The next step is to translate these findings into studies in humans. Experiments with participants who do not have cardiovascular or pulmonary disease help us understand how humans react to these stimuli. We can also learn important things about disease prevention from this work. Applying findings to "healthy" people to what we see in our clinical population is also an important step in the continuum of this study. Only by studying how people react in their own environment, we can use research to improve the function and quality of life for those we serve. Likewise, case reports that are systematically described and analyzed can form the basis of new studies.

I strongly believe that participation in research is very important for students I teach for two reasons. One, it makes them appreciate the work that goes into the literature they read and criticize. Criticize the study because it has a small sample size, and fully acknowledges that it is difficult to recruit 8 people for a 6-month training study! Second, participating in research helps "dispel myths" of the process. I hope my students leave school with the feeling they can participate in research once they are full-time doctors. This may be someone who recruits participants, or collects data, but may also be the person who creates research ideas and leads the team.
Cardiopulmonary physical therapy  sogdia.block.info
For doctors who are encouraged to generate more income, see more patients, and do more documents in their daily lives, the idea of ​​participating in research may seem impossible. However, I think the same two reasons (if not more) apply to doctors for entry-level students. I hope that exposure to various scholarships in our Journal (and others) can make this idea seem possible. I encourage those of you who are in this position to find a mentor or colleague who thinks the same and jumps into the discovery process. All types of studies are important for our profession and specialization. Each has its strengths and weaknesses. There are no individual doctors or researchers who are experts in all types of studies. Thus, we depend on a group of experts to help guide us. I know that is true for me. I rely heavily on my Associate Editor and Editorial Board. However, we cannot do our work without talented and diverse review cadres who carefully examine each text and provide clear and constructive comments to the author. The names of all our reviewers in 2009 are printed below and I encourage you to thank them too. Their dedication to promoting cardiovascular and pulmonary research and developing researchers is unmatched. I hope you find inspiration in the state of cardiovascular / pulmonary physical therapy research!

Cardiovascular rehabilitation (cardiac rehabilitation)
The American Heart Association says it's best: Heart rehabilitation doesn't change your past, but it can help improve your heart's future.

Cardiovascular rehabilitation can help those who have heart disease, or those at risk, to reduce the risk of future cardiovascular episodes and improve overall health. For physical therapists, collaboration between professionals is the key to success. Physical rehabilitation cardiac therapists work with family members and other professionals.
These professionals include, but are not limited to, the following:

- Doctor
- nurse
- Registered dietitian
- Psychologist
- Pharmacist
- Social worker
As you can see, physical therapists play a small but very important role in the grand scheme of cardiac rehabilitation. Physical therapists must work collaboratively with other health team members to ensure optimal physical recovery.

Apart from that - and often overlooked - cardiovascular rehabilitation is also related to the mental and emotional well-being of patients after traumatic heart events.

For example, per the Journal of the Association of Physicians of India, after myocardial infarction (MI), the goal is to mobilize patients as soon as they are clinically stable, often within 24-48 hours after the episode.

Post-MI, a patient is considered stable if he displays the following:

- There is no new or recurring chest pain in the last 8 hours
- Creatine kinase and / or troponin levels do not rise

There were no new signs of heart failure that were not compensated and there were no significant changes in rhythm or significant ECG in the last 8 hours

Heart rehabilitation is divided into several phases:
Examples of goals and activities include:

- Supine sitting on the edge of the bed
- Ambulation in the room
- Ambulation for 2-5 minutes in the hospital hallway

Cardiopulmonary physical therapy  alignable.com
The level or Perceived Exertion (RPE) must be 13 or less on the Borg 6-20 scale.

Aim
Keep your heart rate below 120 beats per minute (or no more than 20 beats above the resting heart rate if the patient has a high resting heart rate)

If you can do it safely, training and / or mobilization must be done 2-4 times a day
Phase II mainly consists of aerobic exercise; however, some programs may also include light reinforcement and stretching. Although the program and time frame can vary for each patient, Phase II usually starts 2-4 weeks after the heart event and usually lasts 3-6 weeks.

Examples of goals and activities include:

- Aerobic exercise (eg walking, running, swimming, cycling)
- 3-5 days per week
- 60-85% of maximum heart rate
- 20-60 minutes per session

Even though the patient is still being watched, vital signs are no longer closely monitored. Phase III is likely to further combine strength training and stretching. Research has shown the great benefits of strength training - both in general and after heart events - and stretching allows patients to build or maintain flexibility, which will help promote and maintain a long-term active lifestyle for years to come.

Examples of goals and activities include:

Moderate resistance training
- 2-3 days per week
- 3 sets of 10-15 repetitions
- 8-10 total different exercises for upper and lower body

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