Physiotherapy REPLICA H - ASL ROMA 4 - BRACCIANO (RM)

• Anatomy of the respiratory system, ventilatory mechanics, respiratory muscles. • Evaluation of chest mobility. • Physiology and pulmonary physiopathology: pleural, alveolar, endobronchial pressures, point of equal pressure, pulmonary elasticity. Flows volumes and relationships between them. Respiratory diseases of rehabilitative interest (difference between obstructive and restrictive pictures and hypersecretive pathologies). • Chest radiology. • Evaluation of the patient; use of scales and tests (RPE, BORG, BORG mod, MRC, VAS, walking test). • Identification of bronchial space. • Evaluation of chest mobility. • Effect of posture changes on ventilation and pulmonary re-expansion. • Identification of possible areas of disventilation or atelectasis and eventual air flaps also by viewing the radiographs. • Methods of respiratory physiotherapy and underlying physiological principles, with particular reference to indications and contraindications. • Role of flows, volumes and pressures in respiratory physiotherapy. Relationship between the flows and volumes and the exercises proposed for bronchial disengagement • Proceed to postural drainage. • ELTGOL, ACBT. • Positive and expiratory pressure aids, and, or combined with flux variations such as PEP mask, ACAPELLA, FLUTTER, CORNETT. • Differences between methods. • Incentives: flow, volume, and combined. • Stress training in patients with respiratory diseases; evaluation, workload setting and program structuring. • Parameters to be detected before, during, and after training (heart rate and respiratory rate, SPO2, blood pressure). Physiotherapy in post-surgical patient: • Evaluation of possible air leaks by observing pleural drainage. • Pulmonary elasticity and role of the exercises in the re-expansion in the post-surgical patient • Assisted cough and pain reduction methods to be adopted during physiotherapy. • Correct placements and early mobilization based on the type of surgery. • Resolution of the bronchial space and choice of the appropriate methods based on the clinical case. • Difference between air leaks and airfoils and respiratory rehabilitation goals in the event of such eventualities. • Respiratory exercises favoring the re-expansion of the lungs and the pairing of any influential postures on the elasticity of the lung with the correct use of incentives. • Precautions in case of special surgical operations (sleeve lobectomies and wedge). • Proper use of both flow and volume incentives in the process of secretion removal and pulmonary re-expansion. • Indications and contra-indications in the use of aids for respiratory physiotherapy

the projected material is available to the students

lessons with the aid of visual means

attendance is a legal obligation

oral exam with questions concerning the rehabilitative sciences program

The teacher provides frontal teaching with traditional methods, with audiovisual aids and with the scheduling of lessons as reported on the GOMP System Classrooms/Timetables and published on the web site of the CdS.