Specific 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
Sem.2 | TU | 11:00 15:00 | ||
Sem.2 | TH | 11:00 15:00 | ||
Sem.2 | FR | 11:00 14:00 |
Head instructor
Dra. Marta AMOR - mamor@uic.es
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
Theoretical block:
This block will be done with the whole group.
There will be master exhibitions with audiovisual tools, videos and the theoretical content will be combined with real case studies.
Students will have to write articles or other documents in order to complete their training and continue with the professor's lectures.
Students will solve during the theoretical block various activities related to the contents of the subject.
Practical block:
This block will be held in small groups.
Thanks to a theoretical explanation and a practical demonstration by the teacher, students will be able to put into practice the cardiorespiratory physiotherapy techniques that make up the block.
Student participation through interventions during the course will be highly valued.
TRAINING ACTIVITY | METHODOLOGY | COMPETENCES | ECTS CREDITS |
---|---|---|---|
lectures | oral presentation / master class case method | 01 02 05 30.1 43 48 48.2 | 1.2 |
theoretical and practical workshops | cooperative learning oral presentation / master class problem-solving exercises | 09 10 49 50 50.1 | 0.8 |
self-learning activities | apprenticeship contract | 15 17 29.1 53 | 1 |
student's independant work-study | 43 55 | 2 |
Theoretical block (60%):
Written tests (40%)
Individual or group work (20%)
Practical block (40%):
Performance tests of real tasks and assignments (35%):
Exercises of guided independent study (5%):
Attendance to the seminar is mandatory. The student must attend at least 80% of the sessions in order to be evaluated.
The student will have to overcome both the theoretical block and the practical block to pass the cours. If one of the blocks is failed, the student must submit to the recovery of all the content of the failed block, keeping the note of the approved block. In the event that the student does not pass the cours, even if he has one of the approved blocks, he will fail the whole subject and repeat all the blocks.
The grading system is in accordance with the regulations in force. Presently, according to RD 1.125/2003 of September 5:
0 to 4.9: Fail/F (Suspenso in Spanish)
5.0 to 6.9: Pass/C (Aprobado in Spanish).
7.0 to 8.9: B (Notable in Spanish)
9.0 to 10: A (Sobresaliente in Spanish)
The mention of "Honors" can be granted to students whose grade has been equal or higher than 9.0. Their number may not exceed 5% of students enrolled in a subject in the corresponding academic year, unless the number of students is less that 20, in which case it may be granted only to one student.
To pass the subject it is necessary to pass each of the blocks with a 5 or more.
Attendance Regulations
The subjects in the Physiotherapy Degree present theoretical and practical content in which the main objective is the acquisition and development of procedures and technical skills that are directly related to the professional practice These classes are structed in small groups where there is direct and continuous supervision of the teacher. Therefore, attendance to seminars is considered essential and necessary to ensure the acquisition of these skills. Based on what has been presented above, absences will only be excused to those who have missed class due to major causes and even under these circumstances, if they miss more than 20% of the training work, students will have to retake the subject in the next academic year, without the possibility of a resit.The consequences derived from non-compliance with this regulation can have very negative effects directly related to the registration process (overlapping and / or academic incompatibilities), as well as the corresponding expectations in the completion of the Degree.
Bibliografía Recomendada (disponible en la Biblioteca Campus Sant Cugat):
Recursos:
E: exam date | R: revision date | 1: first session | 2: second session: