Respiratory PRM Flashcards
What is the DEFINITION of Pulmonary Rehab?
- It’s an evidence-based multidisciplinary for patients with chronic respiratory diseases who are symptomatic
What’s the AIM of Respiratory PRM?
- To REDUCE Symptoms
- Optimise Functional Status
- INCREASE the Participation of the Px
- DECREASE Healthcare Costs £££
What are the BENEFITS of Resp PRM?
- Improves exercise tolerance ll Muscle Strength + Mass
- DECREASES feeling of Dyspnoea / Anxiety + Depression / Exacerbations
- REDUCES N.O of Hospital Stays
What are the COMPONENTS of Resp PRM?
- Dyspnoea Management
- Exercise Training
- Nutrition / Body Composition
- Patient Education
- Cognitive Behavioural Therapy
What is the ASSESSMENT for Resp PRM?
STRESS Testing = Physical performance test to measure activity limitation
- By doing a 6-minute walk test
What are the COMPONENTS of Exercise Training?
1) ARM Exercises = Strengthen UPPER Limbs
2) LOWER Extremity = Walking treadmill / stationary bicycle / stair-master / sit + stand
3) VENTILATORY MM Training =** Spirometer** / Resistance to flow-training
What are the 2 FORMS of Exercise?
1) Endurance / aerobic
2) Strength / resistance
What are the Types of CHEST PT & Breathing Retraining Exercises?
- Pursed-lip Breathing
- Posture Techniques
- Diaphragm Breathing
- *Postural Drainage**
- Coughing Techniques
What are the INDICATIONS of Resp PRM?
- Obstructive PD = COPD / Emphysema / Asthma / Bronchiectasis
- Restrictive PD = Interstitial Fibrosis / Sarcoidosis
- Restrictive Chest Wall D = Ankylosing Spondylitis
- Cystic Fibrosis
- Lung Resection / Transplantation
- Occupational Lung Diseases
- Lung Cancer
What are the CONTRAINDICATIONS of Resp PRM?
- Severe Orthopaedic / Neurological Disorders
- Pulmonary Arterial HT
- Exercise-Induced Syncope
- Unstable Angina / Recent MI
What are the Bronchial Hygiene Techniques??
- Inhalation w/ Bronchodilators / Mucolytics / Mineral Water
- Postural Drainage
- Percussion / Vibration on Chest Massage = Cough the expel mucus
- Coughing Techniques
What’s the PRM Method to STIMULATE the Immune System?
- UV Light at Sub-erythemal Doses on the Whole Body
- Sauna Therapy
What’s the PRM Method to RELIEVE Inflammation?
- Infrared Radiation / Paraffin = Gives out exogenous heat
ULTRA-HIGH Frequency = Gives out endogenous heat + has anti-inflammatory effect
- LOW Frequency Pulsed Magnetic Field
- UV Erythemas = For the Blocking Effect
What other Specialised PRM helps with Breathing?
- Climatotherapy
- Resort Therapy
What is the PRM Programme for CYSTIC FIBROSIS?
1) INHALATION Therapy
- Mucolytics = To loose mucus
- Nebulisers
2) ACTIVE Kinesiotherapy = Breathing Exercises
3) PASSIVE Kinesiotherapy = Chest Massage + Postural Drainage
4) THERMOTHERAPY - Using a Paraffin Wax / IR
5) ELECTROTHERAPY
- HIGH-Frequency Current = For Anti-inflammatory effect
- LOW-Frequency Pulsed Magnetic Field
- Microwaves + Laser = For Focused Areas