Examination/Assessment III

Basic sciences: Physiology and pathology

Teaching methodologies integrate: description of contents; analysis and discussion of concepts and demonstration / explanation of the techniques with simulated practice among students.

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1. Acquire the ability to describe and adjust the methods and concepts of the cardiovascular / pulmonary and integumentary systems, as well as mastery of terminology related thereto;

Acquire knowledge, understanding and motor skills to select and perform appropriate assessment techniques or tests;

Describe and identify the anatomical structures necessary to perform the addressed evaluation tests;

Acquire knowledge and understanding to interpret results of diagnostic procedures commonly used to evaluate the systems listed;

Interpret and record full and accurate test results / assessment process;

2. Identify and select measures of functioning, disability and health for physiotherapy and physiotherapy care measurement;

Identify and select measures of functioning, disability and health for physiotherapy research;

Critically analyze the results of care based on outcomes and impacts achieved by the care process.

1. Cardiovascular / pulmonary and integumentary systems: (40 h)

– Cardiorespiratory fitness: heart rate; maximal oxygen uptake (VO2max); anaerobic threshold; normative data;

Evaluation of aerobic and functional capacity: goals, benefits, indications, precautions and contraindications; control parameters; activity level; standard measures; laboratory and field tests.

– Cardiovascular assessment: atherosclerosis risk factors, risk stratification; heart rate; ejection fraction; blood pressure; supplementary examinations; electrocardiogram (ECG);

Heart Disease: cardinal signs and symptoms; scale of severity of angina; functional classification.

– Evaluation of respiratory function: risk factors/habits; signs and symptoms (dyspnea, cough, bronchial secretions, pain, general appearance, signs of breathing difficulty, posture, breathing pattern, chest and diaphragm expansion);

Auscultation: goals; procedures; classification and characterization of respiratory and adventitious sounds;

Respiratory function tests: forced vital capacity (FVC); forced expiratory volume in one second (FEV1); FEV1/FVC ratio; peak expiratory flow (PEF); peak cough flow; maximal static inspiratory pressure (PImax); maximal static expiratory pressure (PEmax); Arterial blood gas analysis; oximetry.

– Integumentary system: structure, function, injury, and skin assessment;

The healing process: phases, forms, complications, and factors that compromise the healing; types and evaluation of scars;

Cutaneous / subcutaneous lesions: features; classification; evaluation; ulcer of venous and arterial origin, decubitus ulcer (clinical manifestations, risk factors and evaluation), the diabetic foot; Burn (risk assessment and severity classification); systemic reaction assessment and complications in severe burn;

Edema: vascular hydrodynamics; classification and assessment of edema.

2. Measure and evaluate health outcomes; health outcome and results measurement; objectives and purposes of measurement and evaluation of health outcomes; satisfaction of patients and other consumers of health services; (20 h)

Measurement results of physiotherapy: foundations and purposes. Adequacy versus effectiveness of care. Determination of results of physiotherapy. Definition of physiotherapy treatment;

Measures for research and measurement results of physiotherapy: type of psychometric measures and requirements.

NAO

Primary Bibliography

– DeTurk W & Cahalin L P. Cardiovascular and Pulmonary Physical Therapy: An Evidence-based Approach. McGraw-Hill Professional, 2004;

 – Frownfelter D L & Dean, E W. Cardiovascular and pulmonary physical therapy: evidence and practice. Mosby/Elsevier, 2006;

– Hough A. Physiotherapy in Respiratory Care: an evidence-based approach to respiratory and cardiac management. Nelson Thornes Ltd (Cheltenham); 3rd Revised edition, 2001;

– McDowell, I. e Newell, C., (1996). Measuring Health: A Guide to Rating Scales and Questionnaires. Oxford: Oxford University Press, 2ª Ed.

– Bowling, A., (1995). Measuring Disease, Buckingham: Open University Press, 1ª Ed.

– Bowling, A., (1997). Measuring Health, A review of quality of life measurements scales, Buckingham: Open University Press, 2ª Ed.

– Stewart AL e Ware JE. Jr. (1998), Measuring Functioning and Well-Being, London, Duke University Press, 4ª Eds.

– Themudo Barata et al.. Actividade Física e Medicina Moderna. Europress, Editores e Distribuidores de Publicações, Lda, 1997;

– Queiroga MR. Testes e Medidas para Avaliação da Aptidão Física Relacionada à Saúde em Adultos. Ed. Guanabara Koogan, 2005;

– Reid WD; Chung F; Hill K. Cardiopulmonary physical therapy: management and case studies. 2nd ed. Slack Incorporated, 2014;

Secundary Bibliography

 European Society of Cardiology. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). European Heart Journal, 2017; 00: 1–60. https://doi.org/10.1093/eurheartj/ehx391;

– Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, Taylor. RS. Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. J Am Coll Cardiol 2016;67(1):1–12;

– Royal Dutch Society for Physical Therapy. Chronic obstructive pulmonary disease – Practice guidelines. Dutch Journal of Physical Therapy, 2008;Suppl.118(4):1-64.

– Sociedade Portuguesa de Cardiologia. Manual de Reabilitação cardíaca. 1ª edição, 2013;

– Royal Dutch Society for Physical Therapy. KNGF Guideline – Cardiac rehabilitation. Dutch Journal of Physical Therapy, 2011;121( 4):s1-48

– American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. Lippincott Williams & Wilkins, 9th edition, 2014

– European Society of Cardiology. European Guidelines on cardiovascular disease prevention in clinical practice. European Journal of Preventive Cardiology, 2016; 37,2315–2381.

– Moffat M & Harris KB. Fisioterapia do Sistema Tegumentar: Melhores Práticas. Traduzido de Integumentary Essentials: Applying the Preferred Physical Therapist Practice Patterns. Ed. Slack Incorporated, 1th edition, 2006. Editora Guanabara Koogan, Rio de Janeiro, 2007.

– Lymphoedema Framework. Best Practice for Management of Lymphoedema. International Consensus. London:MEP Ltd,2006.

– Farrow W. Phlebolymphedema–A Common Underdiagnosed and Undertreated Problem in the Wound Care Clinic. Journal of the American College of Certified Wound Specialists, 2010;2:14–23.

– Postiaux G. Kinésithérapie Respiratoire de l’Enfant. Editors De Boeck & Larcier s.a., 2e édition. Bruxelles, 2000;