Physiotherapy in Cardiovascular and Respiratory Conditions

Anatomy and physiology of respiratory and cardiovascular systems.

Clinical reasoning oriented to maximize functioning.

Teaching methodologies include:

Presentation: to present the issues / content, raise problems and guide the approach of students; Use of different cases to illustrate the topics under study; Discussion in small groups (4-5 students), common or various tasks. To this end, students will have to resort to research, reading and problem solving to critically analyze and select the methods and techniques of assessment and physiotherapy intervention appropriate for patients with cardiovascular and respiratory pathologies.

Practical-instrumental (psychomotor performance);

Cognitive: reflective mental performance and knowledge;

Affective: growth of emotional/behavioral and attitude areas.

After completing the curricular unit, the student should know, understand and be able to:

Apply the principles of assessment, diagnosis, programming and intervention in conditions and problems associated with the cardiovascular and respiratory system, as well as to elaborate adequate records, based on Functionality/Disability;

Organize the elements associated to Physiotherapy procedures according to the components Structures, Functions, Activities/Participation and Contextual Factors

Develop strategies centered in the education/counselling of patients/patients and relatives and of the knowledge of the contribution of the different members of the health team so that the physiotherapist has a global vision of the patient/user

Critically analyze the models and practical strategies in the different contexts where the physiotherapist works

Evaluate the evidence of practice in the context of cardiovascular and respiratory conditions.

1. Examination and assessment of Functionality and Disability components (body structures and functions, activities and participation) and Contextual Factors in cardiovascular and respiratory conditions (12h)

2. Identification of patterns/diagnosis in cardiovascular and respiratory conditions (1h)

3. Determination of prognosis in cardiovascular and respiratory conditions (3h)

                 Definition of expected goals;

                 Frequency and duration of sessions;

                 Factors that may influence the sessions and intervention plan;

4. Approaches based on evidence and focused on the patient/client with cardiovascular and respiratory conditions (14h)

NAO

Principal Bibliography

American Physical Therapy Association. Guide to Physical Therapist Practice 3.0. Third Edition, 2014;

APFisio. “Registo, logo existo!”: Registo Clínico de Fisioterapia, 2018. Disponível em: http://www.apfisio.pt/wp-ontent/uploads/2018/10/RLE__2018_008_31__Registo_logo_existo.pdf

Grupo de Interesse em Fisioterapia Cardiorrespiratória da Associação Portuguesa de Fisioterapeutas.
INSTRUMENTOS DE MEDIDAEMFISIOTERAPIA CARDIORRESPIRATÓRIAPublicado: 25 de Junho de 2019. Disponível em:

http://www.apfisio.pt/wp-
content/uploads/2019/07/INSTRUMENTOS_MEDIDA_FISIOTERAPIA_CARDIORRESPIRATORIA.pdf
– American Physical Therapy Association. Guide to Physical Therapist Practice 3.0. Third Edition, 2014;
– Reid WD; Chung F; Hill K. Cardiopulmonary physical therapy: management and case studies. 2nd ed. SlackIncorporated, 2014;
– Sociedade Portuguesa de Cardiologia. Manual de Reabilitação cardíaca. 1ª edição, 2013;

Secondary Bibliography:

– Cavalheri V, Straker L, Gucciardi DF, Gardiner PA, Hill K. Changing physical activity and sedentary behaviour in people with COPD. Respirology. 2016 Apr;21(3):419-26
– Casaburi R. Pulmonary Rehabilitation: Where We’ve Succeeded and Where We’ve Failed. COPD. 2018 Jun;15(3):219-222.
–
– Chartered Society of Physiotherapy. Inspire Respiratory Guidelines. 2015;
– American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. LippincottWilliams & Wilkins, 9th edition, 2014;
– Goodman CC & Snyder TEK. Differential Diagnosis for Physical Therapists. Elseviers Saunders, 4ª ed, 2007;
– 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
– DeTurk WE & Cahalin LP. Cardiovascular and pulmonary physical therapy: an evidenced-based approach.The McGraw-Hill Companies, Inc, 1th edition, 2004;
– DGS, Orientação nº 014/2019 de 07/08/2019
– Dowman L, Hill CJ, May A, Holland AE. Pulmonary rehabilitation for interstitial lung disease. Cochrane Database Syst Rev. 2021 Feb 1;2(2):CD006322.
–
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10.1177/2047487320913379. Epub ahead of print. PMID: 32223332.

American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. Lippincott Williams & Wilkins, 10th edition, 2018;

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

Anderson L, Nguyen TT, Dall CH, Burgess L, Bridges C, Taylor RS. Exercise-based cardiac rehabilitation in heart transplant recipients. Cochrane Database of Systematic Reviews 2017, Issue 4. Art. No.: CD012264. DOI: 10.1002/14651858.CD012264.pub2. Accessed 13 May 2021.

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Bott J, Blumenthal S, Buxton M, Ellum S, Falconer C, Garrod R, et al. Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax. 2009;64(SUPPL. 1).

Calabrese M, Garofano M, Palumbo R, Di Pietro P, Izzo C, Damato A, Venturini E, Iesu S, Virtuoso N, Strianese A, Ciccarelli M, Galasso G, Vecchione C. Exercise Training and Cardiac Rehabilitation in COVID-19 Patients with Cardiovascular Complications: State of Art. Life (Basel).2021 Mar 21;11(3):259. doi:10.3390/life11030259. PMID: 33801080; PMCID: PMC8004041.

Chartered Society of Physiotherapy. Inspire Respiratory Guidelines. 2015 

Chatwin M, Toussaint M, Gonçalves MR, Sheers N, Mellies U, Gonzales-Bermejo J, et al. Airway clearance techniques in neuromuscular disorders: A state of the art review. Respir Med [Internet]. 2018;136
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eviCore healthcare. SMART Goals in Physical and Occupational Therapy: Overview, Writing Tips, and Resources. 2018. Disponível em: https://www.securityhealth.org/-/media/Provider/S-M-A-R-T-GoalsOverview-Writing-Tips-and-Resources_PT-OT-FINAL.pdf.

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Holland AE, Cox NS, Houchen-Wolloff L, Rochester CL, Garvey C, ZuWallack R, et al. Defining Modern Pulmonary Rehabilitation. An Official

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