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Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation

CE Hours 3

About this course

This course is designed as a handy reference towards learning and refreshing the anatomy of diaphragm. It will also highlight the clinical relevance of strength and function of the diaphragm as a core stabilizer and its role as a thoracoabdominal pump. This course will walk through the positive effects of diaphragmatic breathing which is integral for both mental and physical recovery of a patient after mechanical ventilation. Mechanical ventilation is responsible for VIDD (ventilator induced diaphragmatic dysfunction) thus we will learn about the physical and physiological negative effects of mechanical ventilation and how we as professionals can help minimize those effects enhancing quicker positive patient recovery. We will talk briefly about systemic causes of diaphragm weakness with enhanced understanding using case studies. Professionals will demonstrate improved understanding of the importance of posture, role of diaphragm in gait and balance and its key role as a role stabilizer. The course will round off with exercises for strengthening and stretching of the diaphragm in laying, sitting, standing and ambulation through gradual stages of rehabilitation post mechanical ventilation.

Learning Objectives

  • Apply the knowledge of anatomy and physiology of diaphragm for clinical interventions.
  • Analyze the physical and physiological effects of mechanical ventilation.
  • Apply the differential diagnoses of diaphragm disorders in their clinical practice.
  • Perform strengthening and stretching exercises for diaphragm in various positions of supine, sitting, standing and ambulation through different stages of rehabilitation as related to clinical treatment.

Learning Levels

  • Intermediate

Course Instructor(s)

  • Rina Pandya, PT, DPT, FHEA, PGLTHE

    Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 23 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

    Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman. Her pocket-books are now available on Amazon titled - Orthopedic Assessments made easy.

Disclosure

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS CE Learning Systems adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity ― including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. The following relevant financial relationships have been disclosed by this activity’s planners, faculty, and the reviewer: PLANNERS AND REVIEWER The planners of this activity have reported that they have no relevant financial relationships. FACULTY The faculty of this activity have reported that they have no relevant financial relationships.

References

  • Bordoni B, Purgol S, Bizzarri A, Modica M, Morabito B. The Influence of Breathing on the Central Nervous System. Cureus. 2018 Jun 01;10(6):e2724
  • Dres M, Dubé B-P, Mayaux J, Delemazure J, Reuter D, Brochard L,et al. Coexistence and impact of limb muscle and diaphragm weakness at time of liberation from mechanical ventilation in medical intensive care unit patients. Am J Respir Crit Care Med 2017;195:57–66
  • Fayssoil A, Behin A, Ogna A, Mompoint D, Amthor H, Clair B, Laforet P, Mansart A, Prigent H, Orlikowski D, Stojkovic T, Vinit S, Carlier R, Eymard B, Lofaso F, Annane D. Diaphragm: Pathophysiology and Ultrasound Imaging in Neuromuscular Disorders. J Neuromuscul Dis. 2018;5(1):1-10
  • Goligher E, Dres M, Fan E, Rubenfeld G. Mechanical Ventilation–induced Diaphragm Atrophy Strongly Impacts Clinical Outcomes | American Journal of Respiratory and Critical Care Medicine. Atsjournals.org. https://www.atsjournals.org/doi/10.1164/rccm.201703-0536OC. Published 2017.
  • Kokatnur, L., Vashisht, R. and Rudrappa, M., 2020. Diaphragm Disorders. [online] Ncbi.nlm.nih.gov. Available at: <https://www.ncbi.nlm.nih.gov/books/NBK470172/>
  • McCool FD, Manzoor K, Minami T. Disorders of the Diaphragm. Clin. Chest Med. 2018 Jun;39(2):345-360
  • Newbury A, Dorfman JD, Lo HS. Imaging and Management of Thoracic Trauma. Semin. Ultrasound CT MR. 2018 Aug;39(4):347-354
  • Petrosyan M, Shah AA, Chahine AA, Guzzetta PC, Sandler AD, Kane TD. Congenital paraesophageal hernia: Contemporary results and outcomes of laparoscopic approach to repair in symptomatic infants and children. J. Pediatr. Surg. 2019 Jul;54(7):1346-1350.

CE Process Info

Content

  • Materials
    4 parts
    • Pre Assessment
    • Powerpoint Slides
    • Webinar Recording
    • Post Assessment

CE Approvals

  • New York State Education Department's State Board for Physical Therapy (NYSEDPT)

    CE Learning Systems dba Make an Impact, CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of continuing education for Physical Therapists and Physical Therapist Assistants.

  • Michigan Board of Physical Therapy (MIBPT)

    The Michigan Board of Physical Therapy accepts continuing education programs if approved by another state board of physical therapy. This continuing education activity is approved for the Michigan Board of Physical Therapy based on the approval by the New York State Board of Physical Therapy Approval.

  • Michigan Board of Occupational Therapy (MIBOT)

    The Michigan Board of Occupational Therapy accepts continuing education programs if approved by another state board of occupational therapy. This continuing education activity is approved for the Michigan Board of Occupational Therapy based on the approval by the Florida Board of Occupational Therapy (#50-315).

  • New York State Education Department's State Board for Occupational Therapy (NYSEDOT)

    CE Learning Systems dba Make an Impact, CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Occupational Therapy as an approved provider of continuing education for Occupational Therapists and Occupational Therapy Assistants.

  • Arkansas State Board of Physical Therapy (ARBPT)

    CE Learning Systems, LLC is approved by the Arkansas State Board of Physical Therapy to sponsor continuing education for physical therapy professionals. CE Learning Systems maintains responsibility for this program and its content. CE Broker Provider Number 50-315

FAQs

  • What do I have to do to complete the course?
    To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.
  • How do I get my certificate?
    Your certificate(s) will be available to download immediately when you pass the course exam and complete the evaluation.
  • Can I contact you for more help?
    Yes! You can use the Contact Us button to send us a message or you can give us a call at +1 888-459-1680.
Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation
You Have Completed This course
$57
You are enrolled
  • CE Hours
    3
  • Type
    Self-Paced
  • Publication Date
    Jul 6th, 2023

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