Download Free Medical TECHNIQUES OF CHEST PHYSIOTHERAPY PowerPoint Presentation

TECHNIQUES OF CHEST PHYSIOTHERAPY PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Physiotherapy and Physical Rehabilitation, which is titled "TECHNIQUES OF CHEST PHYSIOTHERAPY", to know about the techniques of chest physiotherapy.

Tags : Physiotherapy, Physical Rehabilitation, techniques, chest physiotherapy

Published on : Aug 02, 2021 | Views : 3417 | Downloads : 15

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

TECHNIQUES OF CHEST PHYSIOTHERAPY
Slide 2-

WHAT IS CHEST PHYSIOTHERAPY…??
Slide 3-

TYPES OF TECHNIQUES Airway clearance techniques Facilitating airway clearance technique with effective coughing techniques Technique to facilitate ventilation pattern Mobilization and Exercises
Slide 4-

AIRWAY CLEARANCE TECHNIQUE Postural drainage Percussion Vibration/shaking Manual hyperinflation Active cycle of breathing technique Autogenic drainage Positive expiratory pressure High frequency chest compression Exercises for airway clearance
Slide 5-

POSTURAL DRAINAGE
Slide 6-

ppt slide no 6 content not found
Slide 7-

PERCUSSION
Slide 8-

VIBRATION/SHAKING
Slide 9-

MANUAL HYPERINFLATION
Slide 10-

ACTIVE CYCLE OF BREATHING TECHNIQUE Breathing control Thoracic expansion FET
Slide 11-

AUTOGENIC DRAINAGE
Slide 12-

POSITIVE EXPIRATORY PRESSURE
Slide 13-

HIGH FREQUENCY CHEST COMPRESSION
Slide 14-

EXERCISES FOR AIRWAY CLEARANCE Borg’s scale
Slide 15-

INDICATIONS AND CAUTIONS Cystic fibrosis Atelectasis Asthama Respiratpry muscle weakness Bronchiectasis Mechanical ventilation Neonatal respiratory distress syndrome
Slide 16-

CONTRAINDICATIONS Intracranial pressure (ICP) > 20 mm Hg Head and neck injury until stabilized Active hemorrhage with hemodynamic instability Recent spinal surgery (e.g .• laminectomy) or acute spinal injury Active hemoptysis Empyema Bronchopleural fistula Large pleural effusions Pulmonary embolism Aged, confused, or anxious patients Rib fracture. with or without flail chest Surgical wound or healing tissue
Slide 17-

Trendelenburg Position is Contraindicated for the Following: . Patients in whom increased ICP is to be avoided Uncontrolled hypertension Distended abdomen Esophageal surgery Recent gross hemoptysis related to recent lung carcinoma Uncontrolled airway at risk for aspiration
Slide 18-

Subcutaneous cmphysema Recent epidural spinal infusion or spinal anesthesia Recent skin grafts, or flaps, on the thorax Burns. open wounds. and skin infections of the thorax Recently placed pacemaker Suspected pulmonary tuberculosis Lung contusion Bronchospasm Osteomyelitis of the ribs Osteoporosis Coagulopathy Complaint of chest-wall pain
Slide 19-

TREATMENT PRESCRIPTION. Motivation Patient’s goals Physician/caregiver’s goals Effectiveness ( of considered technique Patient’s age Ease (of learning and of teaching) Skill of therapist/teachers Fatigue or work required Need for assistants or equipment Limitations of technique based on disease type and severity Costs (direct and indirect) Desirability of combing methods
Slide 20-

FACILITATING AIRWAY CLEARANCE WITH EFFECTIVE COUGHING TECHNIQUE What is cough….??? Stages of cough Techniques of teaching effective coughing self assisted coughing manual coughing
Slide 21-

SELF ASSISTED COUGHING TECHNIQUE
Slide 22-

ppt slide no 22 content not found
Slide 23-

MANUAL COUGHING TECHNIQUE
Slide 24-

ppt slide no 24 content not found
Slide 25-

ppt slide no 25 content not found
Slide 26-

TECHNIQUE TO FACILIATE VENTILATION PATTERN Body positioning Breathing technique Mobilizing the thorax Facilitating the accessory muscles of respiration
Slide 27-

BODY POSITIONING Standing upright position Erect sitting (self supported or with assist) with feet moving (e.g., active, active assisted or passive cycling motion) Erect silting (self-supported or with assist) with feet dependent Lean forward sitting with arms supported and feet dependent 24S degree sitting with legs dependent Erect long sitting (legs non dependent) < 4S degrees sitting (legs non dependenl) Prone and semi prone/side lying Supine
Slide 28-

BREATHING TECHNIQUES Diaphragmatic breathing pattern Segmental expansion Glossopharyngeal breathing technique Pursed lip breathing
Slide 29-

DIAPHRAGMATIC BREATHING
Slide 30-

ppt slide no 30 content not found
Slide 31-

SEGMENTAL BREATHING
Slide 32-

ppt slide no 32 content not found
Slide 33-

PURSED LIP BREATHING
Slide 34-

FACILITATING THE ACCESSORY MUSCLES OF RESPIRATION Pectoralis Major Sternocleido mastoid Trapezius Serratus anterior
Slide 35-

INDICATIONS To increase ventilation Respiratory muscle weakness
Slide 36-

MOBILIZATION AND EXERCISES What is mobilization.? Mobilization is defined as the therapeutic and prescriptive application of low-intensity exercise in the management of cardiopulmonary dysfunction usually in acutely ill patients. Primarily, the goal of mobilization is to exploit the acute effects of exercise to optimize oxygen transport. Even a relatively low intensity mobilization stimulus can impose considerable metabolic demand on the patient with cardiopulmonary compromise.
Slide 37-

In addition, mobilization is performed in the upright position, that is the physiologic position, whenever possible, to optimize the effects of being upright on central and peripheral hemodynamics and fluid shifts. Thus mobilization is prescribed to elicit both a gravitational stimulus and an exercise stimulus
Slide 38-

EXERCISE What are the exercises given Exercise is the term used to describe the therapeu tic and prescriptive application of exercise in the management of subacute and chronic cardiopul monary and cardiovascular dysfunction. Primarily, the goal of exercise is to exploit the cumulative ef fects of and adaptation to long-term exercise and thereby optimize the function of all steps in the oxy gen transport pathway.
Slide 39-

TREATMENT PRESCRIPTION FOR MOBILIZATION AND EXERCISES It depends on the patient’s condition Whether the patient is in patient or in out patient department Also it depends on the functionality of the patient at the present stage It is decided on the basis of the exercise testing protocol Also on the basis of METs
Slide 40-

ppt slide no 40 content not found
Slide 41-

Step 1 Identify all the factors underlying the pathology causing deficits in oxygen supply. Step 2 Determine whether mobilization and exercise are indicated and if so, which form of either will specifically address the oxygen transport deficits identified in Step I. Step 3 Match the appropriate mobilization or exercise stimulus to patient's oxygen transport capacity. Step 4 Set the intensity within therapeutic and safe limits of the patient's oxygen transport capacity. Step 5 Combine the various body positions especially in the erect position with the following maneuvers:
Slide 42-

Step 6 Set the duration of the mobilization sessions based on the patient's responses (i.e., changes in measures and indices of oxygen transport) rather than time. Step 7 Repeat the mobilization session as often as possible based on its beneficial effects and on is being safely tolerated by the patient. Step 8 Increase the intensity of the mobilization stimulus. duration of the session, or both comml!l1surate with the patient's capacity to maintain optimal oxygen transport when confronted with an increased mobilization stressor, and in the absence of distress; monitored variables to remain within predetermined threshold range.
Slide 43-

HEIARCHY OF TREATMENT FOR OXYGEN SUPPLY TREATMENT PREMISE: Position of optimal physiological function is being upright and moving. Mobilization and Exercise Body Positioning Breathing Control Maneuvers Coughing Maneuvers To minimize the work of breathing. of the heart. and oxygen demand overall ROM Exercises (Cardiopulmonary indications) Postural Drainage Positioning Manual Technique Suctioning
Slide 44-

PARAMETERS FOR TREATMENT PRESCRIPTION IN THE MANAGEMENT OF CARDIOPULMONARY PATIENTS Define parameters of treatment based on history, laboratory investigations, tests, and assessment Treatment type Intensity (if applicable) Duration Frequency Instruct patient in "between treatment" treatment, and if applicable the nurse. a family member. or both Reassessment every treatment Modify as necessary within each treatment Progress between treatments as indicated
Slide 45-

Define treatment outcomes Determine when treatment is to be discontinued Request for additional supportive information. tests, and investigations as indicated Predict time course for optimal effects and course of treatment to determine treatment efficacy; modify as necessary In conjunction with other interventions (e.g., medical, surgical, nursing, respiratory therapy (weaning oxygen supplementation. sympathomimetic drugs, ADLs, balance with sleep and rest periods. peak of nutrition and feeds. Peak energy times. pea k of drug potency and effects (e.g., pain, reduced sedation. reduced neuromuscular blockade)
Slide 46-

..\Desktop\748.full.pdf ..\Desktop\pep on cystic fibrosis.pdf ..\Desktop\S231.full.pdf ..\Desktop\The active cycle of breathing techniques.docx
Slide 47-

REFERENCES Principles and practice of cardiopulmomary physical therapy 3rd edition Donna Frownfelter Tidy’s physiotherapy Physiotherapy for respiratory and cardiac problems 3rd edition by Jenifer A Pryor
Slide 48-

Thank you