PHYSIOTHERAPY IN CARDIO-THORACIC CONDITIONS

Paper Code: 
BPT 402
Credits: 
8
Max. Marks: 
100.00
Objective: 

Identify discuss and analysis of various cardiothoracic dysfunction and arrive at appropriate functional diagnosis.
Acquire knowledge of evaluation and physiotherapeutic treatment for various cardiothoracic physiotherapy.
Select strategies for cure, care and prevention, adopt rehabilitative measure for maximal possible functional independence.

Unit I: 
Respiratory

Review of respiratory anatomy and physiology.
Respiratory system history taking and assessment.
Chest examination, including auscultation, percussion, knowledge of various investigative procedures (invasive & non-invasive) use in the diagnosis of various respiratory disorders.
Techniques of physical treatment: Breathing exercise, Chest mobilization exercises Postural drainage, Huffing, Coughing, Percussion, Vibration & Chest Shaking.

Unit II: 
Review of the Pathological and principles of management by physiotherapy to the following conditions:

1. COPD, Asthma, Lung abscess, Bronchiectasis.
2. Pleurisy and Empyema, Pneumonia, restrictive and obstructive respiratory disease .
3. Bacterial Disease.
4. Rheumatic fever, Carcinoma of respiratory tract.
5. Paralysis of diaphragm.
6. Chest wall deformities.
7.ICU, principles of Intensive Care Physiotherapy and ventilators, Aerosol Therapy, Humidification, Oxygen therapy and nebulizers .
8.Pulmonary Rehabilitation Postural drainage & respiratory 9.Physiotherapy in CTVS Physiotherapy in patients on ventilators and pulmonary rehabilitation

Unit III: 
Cardiovascular

1). Review of anatomy and physiology of the cardiovascular system.
2) Cardiovascular system history taking and assessment.
3) Knowledge of various investigative procedures, Physical assesment (invasive & non invasive) used in the diagnosis of 'various cardio vascular disorders.
3). Review of pathological changes, Clinical presentation, Principle of management by Physiotherapy of
the following conditions:
∙ Hypertension.
∙ Hypotension.
∙ Aneurysm.
∙ Congestive Cardiac failure.
∙ Peripheral Vascular Disordes:
a. Atherosclerosis.
b. Arteriosclerosis.
c. Thrombosis.
d. Embolism.
e. Burger's diseases.
f. Thrombophlebitis.
g. Phlebitis,Gangrene, Lymphedema.
h. Deep vein thrombosis
i. Cardiac rehabilitation, MET, Exercises for diabetes and obesity

Unit IV: 
Cardio -Thoracic Surgery.

Review of pathological changes and principle of pre and post-operative management by physiotherapy of the
following conditions:
1). Lobectomy, Pneumonectomy, Thoracotomy, Thoracoplasty, Endoscopy & Eye Hole surgeries, lung transplant.
2). Corrective surgeries of congenital heart defects, Angioplasties, Blood vessel grafting, Open heart surgeries& Heart transplant and cardiac rehabilitation.

Unit V: 
Practical

1.Various physiotherapy modalities and treatment techniques for the above-mentioned conditions to be demonstrated and practiced by the students in clinical setup.
2.Assessment planning and management of cardio-thorarcic conditions
3.General viva
4.Practical record

References: 

Cash Textbook of general medical and surgical conditions for physiotherapists- Donnie Jaypee Brothers.
Essential of Cariopulmonary physical therapy- Hillegass & Sadowsky- W,B. Saunders.
Cash textbook of Chest, Heart and Vascular Disorders for physiotherapists- Downie- J.P. Brothers.
The Brompton Guide to chest physical therapy
Cardiopulmonary Physical Therapy- Irwin and Tecknin, Mosby.
Cardiovascular/Respiratory physiotherapy- Smith & Ball- Mosby
ACSM Guidelines for exercise testing and prescription- ACSM- Williams and Wilkins.
Chest physiotherapy in intensive care unit- Mackenzie et al – Williams and Wilkins.
Hough’s Cardiorespiratory Care an evidence-based, problem-solving approach
5th Edition - November 23, 2017

Academic Year: