PULMONARY REHABILITATION
Definition, aims, areas
Patient assessment: subjective and objective assessment of respiratory patient, chest exam.
Evaluation of the main respiratory symptoms (cough, dyspnea, sputum)
Bronchial deobstruction:
Physiological bases (ventilation regional distribution, PEP, collateral ventilation, easing conditions for drainage)
Techniques addredded to small airways in the deep lung:
Inspiratory: EDIC, incentive spirometer, airstaking.
Expiratory:
-with PEP: Pep mask, Pep Bottle, parted lips, Flutter, CPAP and other devices
-without PEP: ACBT, ELTGOL, autogenic drainage, postural drainage, vibrations, percussions
Tecniques addressed to upper airways:
Inspiratory: DRR
Expiratory: Cough, FET
Deobstruction tools: high-frequency oscillation of the chest wall, mechanical cough...
Ergonomics of breath:
Work on the chest wall
Effort readaptation or retraining
Restrictive/obstructive pathologies
COPD patient: rehabilitative problems
Neuromuscular patient, assisted cough, mechanical ventilation
Surgical patient
Patient with spinal cord injury
Treatment of patient in intensive care: pathways about mechanical ventilation
Tracheostomezed patient
Educational role of physiotherapist
