23022 - RESPIRATORY CARDIO PHYSIOTHERAPY

Subject type: Mandatory

Coordinator: Esther Wall Gimeno

Trimester: First term

Credits: 6

Cardiorespiratory physiotherapy is one of the branches within physiotherapy that, through the application of different therapeutic agents, is responsible for the prevention, stabilization and treatment of conditions that affect the respiratory and cardiac system. We are currently at a time of growth and expansion of cardiorespiratory physiotherapy due to the increase in the incidence of many respiratory and cardiovascular diseases and also thanks to the recognition and acceptance of this therapy by other health specialties. It should be remembered that with the current Covid19 pandemic, respiratory physiotherapists have been at the forefront of the hospital performing their tasks.

In this subject, students must deepen their knowledge of respiratory physiology as a basis for understanding the operation of the treatment techniques used in cardiorespiratory physiotherapy as well as to know the mechanisms involved in the pathophysiology of the different respiratory and cardiovascular diseases. It is a subject with a high practical content (4 ECTS) where the student will have the opportunity to learn the basic skills to assess, diagnose and treat a patient with respiratory pathology according to current trends based on the scientific evidence.

Adaptation COVID19

This subject has methodological and digital resources to make possible its continuity in non-contact mode in the case of being necessary for reasons related to the Covid-19. This will facilitate the achievement of the knowledge and skills specified in this teaching plan. However, in relation to those practical contents of the subject in which the acquisition of procedural and attitudinal skills by students is essential, it can be considered, if the health situation requires it, the partial and temporary suspension of this with the consequent postponement in its continuity until the health situation allows it.

• Assess the patient's physical and mental condition. It determines the level of severity, dysfunctions, disabilities and limitations on both an individual and social scale.
• Apply technologies for patient assessment. It incorporates new measuring instruments that facilitate the objectification of interventions. Participates in the validation of assessment tools for incorporation into clinical practice.
• Perform the specific physiotherapy diagnosis for each of the clinical specialties in order to determine the dysfunctions and disabilities that will require a physiotherapy intervention.
• Establishes the intervention protocol based on the joint negotiation between therapist and patient.
• It analyzes the patient's expectations for each of the clinical specialties with respect to their evolution, demands and needs.
• Identifies the main respiratory, cardiac and neurological pathologies. Learn medical-surgical interventions, effects and results. Contribution of physiotherapy in the treatment and improvement of medical and / or surgical interventions. 
• Identifies the main treatments used in physiotherapy interventions by each of the clinical specialists. Classify them according to their effect and importance and establish the order of priorities in their therapeutic application.
• Analyze the effects produced by the interventions. Evaluate the benefits and risks and establish an intervention criterion based on the priorities and effects pursued.

The subject of cardiorespiratory physiotherapy is divided into a theoretical block and a practical block.

In the theoretical block we will address the following contents:

Topic 1. Physiology of the cardiorespiratory system

Item 2. Functional and clinical assessment

Item 3. Respiratory physiotherapy techniques

Item 4. Cardiopulmonary rehabilitation

Item 5. Cardiorespiratory physiotherapy applied to different populations

Item 6. Update of COVID19 and respiratory physiotherapy

In the practical block, we will address in depth the contents taught in the theoretical block according to the schedule of the subject.

MD1. Expository method or master class: to transmit knowledge and to activate the cognitive processes of the student by means of a unidirectional learning

MD2. Case study: acquiring learning through the analysis of real or simulated cases

MD3. Solving exercises and problems: exercising, rehearsing and putting into practice previous knowledge

MD4. Problem-based learning (PBL): developing active knowledge through problem solving

MD5. Project-oriented learning: carrying out a project to solve a problem, applying skills and knowledge acquired

MD6. Cooperative learning: fostering active and meaningful knowledge in a cooperative way

This subject will be evaluated as follows:

Theoretical block (40%):

Practical block (60%):

The final grade of the course will consist of the two blocks with the following weighting: 40% the theoretical block, 60% the practical block. It will be compulsory to take the final exam of each block and pass the exam with a mark equal to or higher than 5. To pass the subject, it is necessary to pass the two specific blocks separately. It is mandatory to attend 80% of the classes in the practical block. The total or partial copy in any of the learning activities will mean a "Not Presented" in the subject, without option to present in the proof of recovery and without prejudice of the opening of a file for this reason. ”

Recovery period.

Students will have the option to retake the subject when they have taken the final exam in each of the blocks and have not passed the subject.

Continuous assessment (SE1, SE2, SE4, SE5) cannot be retrieved.

The grades obtained in the continuous assessment will be kept as part of the final grade of the subject, both passed and not passed, in order to preserve the criteria of continuous assessment, maintaining the same weighting as in the first. call.

Rules of conduct

Class attendance without respecting the basic rules of hygiene and uniformity in dress may be sanctioned. Given the situation caused by the pandemic, the indications related to security and protection in the practical spaces, included in a document of the School and which will be available to students in the virtual classroom, must be considered and respected. All teachers will be aware of this information and will ensure compliance.

If, due to the COVID-19 pandemic, classes must be held in hybrid or online format, the video must be turned on and behave in the same way as in class.

During the class practices and especially during the assessment tests, students will not be able to wear objects that may interfere with the execution of the techniques, such as rings, watches, bracelets, long earrings, etc. Also, hand hygiene will be paramount, with short, clean, unpainted cut nails.

John B. West, Andrew M Luks (2016). Respiratory physiology: fundamentals (10th edition). Editorial Lippincot Williams and Wilkins. Wolters Kluwer Health

Seco Calvo, J (2018). Respiratory System: Methods, clinical physiotherapy and conditions for physiotherapists. Editorial Panamericana.

Martí Romeu JD, Vendrell Relat M (2013). SEPAR Procedures Manual. Manual and instrumental techniques for the drainage of bronchial secretions in the adult patient. Barcelona, ​​Spain. Publisher: Respira. Available at: http://www.fisioterapeutes.cat/comunicacio/pdf/Manual_SEPAR.pdf

Abraham Bohadana, MD, Gabriel Izbicki, MD, and Steve S. Kraman, MD Fundamentals of Lung Auscultation. N Engl J Med 2014; 370: 744-51

Main E, Denehy L. (2016) Cardiorespiratory Physiotherapy: Adults and Paediatrics. (5th Edition). Ed: Elsevier

Antonello M, Delplanque D (2002). Respiratory physiotherapy: from diagnosis to therapeutic project (1st edition). Barcelona, ​​Spain. Published by Masson

Lopez Chicharro J, Lopez Morales LM (2008). Clinical physiology of exercise. Editorial Panamericana

Postiaux G (2000). Respiratory physiotherapy in children: treatment techniques guided by pulmonary auscultation. Madrid, Spain. Editorial McGraw-Hill Panamericana

Hodgking Celli, Connors (2009), Pulmonary rehabilitation guideliness to success (4th edition). Pennsylvania. Published by Lippicont Williams