Learning objectives The Polmunary Rehabilitation Course is intended to provide the basis for evaluating and treating patients with respiratory disease based on international guidelines in line with Evidence Base Medicine (EBM). During the course, the assessment scales and the methods of administration will be explained; how and with what tests to evaluate the patient with respiratory disease; the rationale for endurance training and resistance training and how to structure a rehabilitation treatment. The rationale for the training of respiratory muscles and how to implement the training program. The basics of mechanical ventilation and oxygen therapy will be provided. It will be explained how to structure and implement an educational intervention. During lessons clinical cases will be shown and discussed. At the end of the course the student will be able to: 1. Evaluate the patient with respiratory deseases 2. Perform a reconditioning training for patient with respiratory deseases; 3. Identify signs and symptoms of the patient with respiratory failure; 4. Identify the most appropriate treatment methods for the respiratory patient; 5. Know how to identify the correct outcome indexes; 6. Know how to give assessment and test scales
Course Prerequisites
Knowledge of anatomy, cardio-respiratory physiology
Teaching Methods
The course consists of 14 hours of frontal lessons. Lessons are supported by PPT slide projection. Slide files will be provided to each student. The attendance rate is with maximum absences of 25% of the program.
Assessment Methods
Oral examination
Contents
The front lessons will address the following topics: 1. Indicators of results in Respiratory Rehabilitation, guidelines and current recommendations (4h) (ppt. 01-02) 2. Strength training: Upper and lower limb strength assessment, upper and lower limb muscle training (aerobic and stenic), evaluation and training of respiratory muscles (6h) (ppt. 03-04-05) 3. Non Invasive Mechanic Ventilation (NIMV) and Oxygen Therapy (LTOT): general information about physiopathology, medical devices and their use, interfaces; long-term oxygen therapy: the key aspects in patient management with respiratory desease (2h) (ppt. 07-08) 4. Educational interventions: the importance of educational intervention; structuring and essential elements (1h) (ppt. 06) 5. Interactive discussion of clinical cases: clinical reasoning, formulation of rehabilitation goals and treatment plan. (1h)
Course Language
Italian
More information
Lessons slides and other insights materials will be provided by the teacher during lessons. The followingtexts are recommended Il ricondizionamento all’esercizio fisico del paziente con patologia respiratoria. Autori: ARIR – Lazzeri, Brivio, Carlucci, Piaggi. 2014 Editore: EDRA Esame clinico e valutazione in riabilitazione respiratoria Autore: ARIR (Associazione Riabilitatori dell'Insufficienza Respiratoria) - Lazzeri - Cl, Editore: Elsevier – Masson. Volume Unico Riabilitazione respiratoria di Luigi Sala. Piccin editore Progressioni in riabilitazione respiratoria di C. Pizzi, 2009, GLM edizioni Marrapese Manuale dei metodi e delle procedure fisioterapiche in riabilitazione respiratoria di Luca Bianchi, Stefano Nava, Elisabetta Zampogna edito da Pime, 2002 La ventilazione meccanica non invasiva – Come, quando e perché di Stefano Nava, Francesco Fanfulla edito da Springer, 2010 Holland, Anne E., Simone Dal Corso, and Martijn A. Spruit, eds. Pulmonary Rehabilitation: ERS Monograph 93. Vol. 93. European Respiratory Society, 2021.
