Syllabus del corso
Obiettivi
Descrittore 1 – Conoscenza e capacità di comprensione
Riconoscere e comprendere i principali quadri di disabilità respiratoria derivanti da patologie ostruttive e restrittive.
Descrittore 2 – Conoscenza e capacità di comprensione applicate
Utilizzare in modo appropriato tecniche e strumenti della riabilitazione respiratoria in base al contesto clinico.
Individuare e applicare correttamente le indicazioni al trattamento riabilitativo, seguendo le principali raccomandazioni condivise e le linee guida disponibili.
Contribuire al miglioramento della qualità della vita del paziente affetto da patologie respiratorie croniche, attraverso interventi riabilitativi mirati.
Sviluppare competenze operative nella valutazione e nel trattamento fisioterapico delle disfunzioni respiratorie acute e croniche, conseguenti a patologie ostruttive e/o restrittive.
Contenuti sintetici
Descrizione dei principali quadri fisiopatologici alla base della disabilità respiratoria acuta e cronica.
Analisi delle principali metodiche di valutazione clinica e strumentale alla base dell'intervento fisioterapico.
Approfondimento delle strategie terapeutiche per la gestione della clearance bronchiale, reclutamento del parenchima polmonare (anche con utilizzo della ventilazione di supporto), miglioramento della ventilazione, educazione alle cure e follow-up a lungo termine
Programma esteso
Fisiologia
Insufficienza respiratoria di tipo I e II
Valutazione dei principali segni e sintomi di distress respiratorio
Ossigenoterapia
Disostruzione bronchiale
CPAP/NIV
Prerequisiti
Concetti di fisiologia cardiorespiratoria
Modalità didattica
Didattica erogativa (6 ore) ed interattiva (6 ore) con presentazione discussioni di casi clinici
Materiale didattico
1. Lazzeri M. ed all. «Esame clinico e valutazione in riabilitazione respiratoria « Editor: Masson 2006.
2. Bonsignore G., Bellia V. «MALATTIE DELL'APPARATO RESPIRATORIO» Editore: McGraw-Hill
3. Levitzky M. G. «Fisiologia polmonare» Editore: McGraw-Hill
Myocardial function defined by strain rate and strain during alterations in inotropic states and heart rate Frank Weidemann, Fadi Jamal, George R. Sutherland, Piet Claus, Miroslaw Kowalski, Liv Hatle, Ivan De Scheerder, Bart Bijnens, and Frank E. Rademakers Vol. 283, Issue 2, H792-H799, August 2002
Comparison of hospital-based versus home-based exercise training in patients with heart failure: effects on functional capacity, quality of life, psychological symptoms, and hemodynamic parameters Hale Karapolat Æ Emre Demir Æ Yasemin Turan Bozkaya Æ Sibel Eyigor Æ Sanem Nalbantgil Æ Berrin Durmaz ÆMehdi Zoghi Received: 24 February 2009 / Accepted: 7 July 2009
Why patients afte acute coronary syndromes do not participate in an early outpatient rehabilitation programme? Ewa Deskur-Smielecka, Slawomira Borowicz-Bienkowska, Aleksandra Brychcy, Malgorzata Wilk, Izabela Przywarska, Piotr Dylewicz, Kardiol Pol 2009; 67: 632-638
Effects of an inspiratory muscle rehabilitation program in the postoperative period of cardiac surgeryFERREIRA, Paulo Eduardo Gomes; RODRIGUES, Alfredo José and EVORA, Paulo Roberto Barboza.. Arq. Bras. Cardiol. [online]. 2009, vol.92, n.4, pp. 275-282.
Remix: Exercise Training and Cardiac Resynchronization Therapy in Heart Failure Stanley A. Rubin MD, aAvailable online 16 June 2009
Changes in cardiorespiratory fitness, psychological wellbeing, quality of life, and vocational status following a 12 month cardiac exercise rehabilitation programme L D Dugmore,a R J Tipson,a M H Phillips,a E J Flint,b N H Stentiford,b M F Bone,c W A Littlerd 10 November 1998
Effects of cardiac rehabilitation in patients with metabolic syndrome after coronary artery bypass grafting Tomo Onishi MS accepted 14 January 2009.
Compatibility of concurrent aerobic and resistance training on maximal aerobic capacity in sedentary males. Shaw BS, Shaw I. Cardiovasc J Afr. 2009 Mar-Apr;20(2):104-6
Effect of guideline based computerised decision support on decision making of multidisciplinary teams: cluster randomised trial in cardiac rehabilitation. Goud R, de Keizer NF, ter Riet G, Wyatt JC, Hasman A, Hellemans IM, Peek N. BMJ. 2009 Apr 27;338:b1440. doi: 10.1136/bmj.b1440. Erratum in: BMJ. 2009;338:b1880
Cardiac rehabilitation programs. A statement for healthcare professionals from the American Heart Association. Balady GJ ,Fletcher BJ , Froelicher ES, et AL: Circulation 1994; 90: 1602-1610
Clinical guidelines part II. Risk stratification after myocardial infarction. Peterson Ed, Shaw Lj, Califf R: Ann Intern Med 1997; 126: 561-582.
Cardiac rehabilitation guidelines and recommendations. Monpere C: Dis Manage Health Outcomes 1998; 4: 143-156
Periodo di erogazione dell'insegnamento
secondo semestre
Modalità di verifica del profitto e valutazione
Descritto nel syllabus dell'insegnamento
Orario di ricevimento
Su appuntamento
andrea.lanza@unimib.it
Sustainable Development Goals
Aims
Dublin Descriptor 1 – Knowledge and understanding
Recognize and understand the main patterns of respiratory disability resulting from obstructive and restrictive diseases.
Dublin Descriptor 2 – Applying knowledge and understanding
Appropriately use techniques and tools of respiratory rehabilitation according to the clinical context.
Identify and correctly apply the indications for rehabilitative treatment, following the main shared recommendations and available guidelines.
Contribute to improving the quality of life of patients with chronic respiratory diseases through targeted rehabilitation interventions.
Develop operational skills in the physiotherapeutic assessment and treatment of acute and chronic respiratory dysfunctions resulting from obstructive and/or restrictive diseases.
Contents
Description of the main pathophysiological frameworks that form the basis of acute and chronic respiratory disability.
Analysis of clinical and instrumental evaluation.
In-depth analisys of therapeutic strategies for bronchial clearance management, lung parenchyma recruitment (also with support ventilation), improvement of ventilation, education and long-term follow-up
Detailed program
Physiology
Respiratory distress (I - II)
Respiratory distress evaluation
Oxygen therapy
Bronchial disobstruction
CPAP / NIV
Prerequisites
Concepts of Cardiorespiratory Physiology
Teaching form
Lectures (6 hours) and interactive teaching (6 hours), including presentation and discussion of clinical cases
Textbook and teaching resource
1. Lazzeri M. ed all. «Esame clinico e valutazione in riabilitazione respiratoria « Editor: Masson 2006.
2. Bonsignore G., Bellia V. «MALATTIE DELL'APPARATO RESPIRATORIO» Editore: McGraw-Hill
3. Levitzky M. G. «Fisiologia polmonare» Editore: McGraw-Hill
Myocardial function defined by strain rate and strain during alterations in inotropic states and heart rate Frank Weidemann, Fadi Jamal, George R. Sutherland, Piet Claus, Miroslaw Kowalski, Liv Hatle, Ivan De Scheerder, Bart Bijnens, and Frank E. Rademakers Vol. 283, Issue 2, H792-H799, August 2002
Comparison of hospital-based versus home-based exercise training in patients with heart failure: effects on functional capacity, quality of life, psychological symptoms, and hemodynamic parameters Hale Karapolat Æ Emre Demir Æ Yasemin Turan Bozkaya Æ Sibel Eyigor Æ Sanem Nalbantgil Æ Berrin Durmaz ÆMehdi Zoghi Received: 24 February 2009 / Accepted: 7 July 2009
Why patients afte acute coronary syndromes do not participate in an early outpatient rehabilitation programme? Ewa Deskur-Smielecka, Slawomira Borowicz-Bienkowska, Aleksandra Brychcy, Malgorzata Wilk, Izabela Przywarska, Piotr Dylewicz, Kardiol Pol 2009; 67: 632-638
Effects of an inspiratory muscle rehabilitation program in the postoperative period of cardiac surgeryFERREIRA, Paulo Eduardo Gomes; RODRIGUES, Alfredo José and EVORA, Paulo Roberto Barboza.. Arq. Bras. Cardiol. [online]. 2009, vol.92, n.4, pp. 275-282.
Remix: Exercise Training and Cardiac Resynchronization Therapy in Heart Failure Stanley A. Rubin MD, aAvailable online 16 June 2009
Changes in cardiorespiratory fitness, psychological wellbeing, quality of life, and vocational status following a 12 month cardiac exercise rehabilitation programme L D Dugmore,a R J Tipson,a M H Phillips,a E J Flint,b N H Stentiford,b M F Bone,c W A Littlerd 10 November 1998
Effects of cardiac rehabilitation in patients with metabolic syndrome after coronary artery bypass grafting Tomo Onishi MS accepted 14 January 2009.
Compatibility of concurrent aerobic and resistance training on maximal aerobic capacity in sedentary males. Shaw BS, Shaw I. Cardiovasc J Afr. 2009 Mar-Apr;20(2):104-6
Effect of guideline based computerised decision support on decision making of multidisciplinary teams: cluster randomised trial in cardiac rehabilitation. Goud R, de Keizer NF, ter Riet G, Wyatt JC, Hasman A, Hellemans IM, Peek N. BMJ. 2009 Apr 27;338:b1440. doi: 10.1136/bmj.b1440. Erratum in: BMJ. 2009;338:b1880
Cardiac rehabilitation programs. A statement for healthcare professionals from the American Heart Association. Balady GJ ,Fletcher BJ , Froelicher ES, et AL: Circulation 1994; 90: 1602-1610
Clinical guidelines part II. Risk stratification after myocardial infarction. Peterson Ed, Shaw Lj, Califf R: Ann Intern Med 1997; 126: 561-582.
Cardiac rehabilitation guidelines and recommendations. Monpere C: Dis Manage Health Outcomes 1998; 4: 143-156
Semester
2nd semester
Assessment method
Described in the subject's syllabus
Office hours
By appointment
andrea.lanza@unimib.it
