Ateneo - UPO

Respiratory rehabilitation.
The assessment of the respiratory patient and the choice of rehabilitation techniques.
Cardiological rehabilitation.
The evaluation of the cardiological patient and the choice of rehabilitation techniques.
Similarities and differences.

La Disostruzione Bronchiale dalla teoria alla pratica- autori diversi-Arir Masson
Il Ricondizionamento all'Esercizio Fisico del paziente con patologie respiratorie- Arir
Esame Clinico e Valutazione in riabilitazione respiratoria-Arir
Linee guida ANMCO - SIC - GICR IACPR sulla Riabilitazione cardiologica
Riabilitazione Cardiologica - Galati e Vigorito-EdiErmes

The module aims to review cardio-respiratory pathologies of rehabilitation interest in order to give the student the most suitable approach, assessment and treatment indications for the patient.
Starting from the most appropriate elements for the administration of the initial assessment scales and learning how to use the information related to the clinical course of the disease, it addresses the choice of the most suitable pathway for the rehabilitation programme.
The most suitable aids are indicated and among the various treatment methods learned, the student is directed to understand and decide on the best pathway to the final outcome.

The student must have knowledge of the anatomy, physiology and pathology of the cardio-respiratory system

Power Point presentations.

There will be moments of practical exercises in the classroom with the presentation of exercises to be proposed to patients and discussion of clinical cases of treatments already carried out.
Students are asked to prepare a reasoned and shared rehabilitation pathway for some pathologies treated during the course and discuss together the choices made.

The examination consists of a written test with multiple-choice questions relating to the topics covered.

Respiratory Rehabilitation:
The pathologies of rehabilitation interest: COPD, Bronchial Asthma, Bronchiectasis, Cystic Fibrosis, Pneumothorax, Pleurisy, Atelectasis, Post-surgical pathologies in the thoracic and abdominal cavities, etc.
Evaluation of the respiratory patient, evaluation of signs, introduction to rehabilitation techniques and tools to be used.
Presentation of respiratory aids for bronchial unblocking and respiratory incentive devices
Practical demonstrations of the use of the incentive and disostruction aids.
Practical demonstrations of physiotherapeutic breathing techniques: Etgol, Fet, Oxygen therapy, Re-exercise training, Mechanical ventilation.
Communication with the patient, couselling and compliance techniques.
Final evaluation, compilation of the physiotherapy record and instructions to the patient at discharge.
Practical tips for continuing the exercises learnt during rehabilitation at home.
Cardiological rehabilitation:
Cardiac pathologies of rehabilitation interest: ischaemic heart disease, heart attack, heart failure.
Cardiac surgery: AO_CO by-pass, heart valve replacements, TAVI, Aorta surgery, Pace Maker, ICD.
Presentation and interpretation of cardiological examinations.
Assessment of physical efficiency and the role of the physiotherapist.
Administration of physiotherapy assessment scales.
Presentation of the cardiological patient with comorbidity and frailty. The problem of falls: evaluation, prevention and treatment.
The rehabilitation of the cardio-operated patient, postoperative complications. Treatment in the acute phase, rehabilitation techniques, incentives.
Continuation of physical training programme in in-patient and/or out-patient rehabilitation facilities.
Presentation of calisthenic and respiratory exercises.
New types of cardiac surgery. cardiac transplantation and Vad (Ventricular Assist Devise) implantation.
Electrocardiographic monitoring, interpretation and execution.
Training in the recognition of the main cardiac arrhythmias, atrial fibrillation, atrial flutter.
The patient with AOCP and its treatment.
Communication with the patient, couselling and compliance techniques.
The final evaluation, the compilation of the physiotherapy record and instructions to the patient at discharge.
Practical tips for continuing the exercises learned during rehabilitation at home.

The student must demonstrate that he/she has acquired knowledge and understanding of the pathologies treated, that he/she is able to choose the instruments/tools to be used.
to be able to independently apply which type of exercise to choose for the different rehabilitation requirements.