SYLLABUS/CONTENT

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