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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