Respiratory PRM

Question 1

What is the DEFINITION of Pulmonary Rehab?

Answer 1

• It’s an evidence-based multidisciplinary for patients with chronic respiratory diseases who are symptomatic

Question 2

What’s the AIM of Respiratory PRM?

Answer 2

• To REDUCE Symptoms
• Optimise Functional Status
• INCREASE the Participation of the Px
• DECREASE Healthcare Costs £££

Question 3

What are the BENEFITS of Resp PRM?

Answer 3

• Improves exercise tolerance ll Muscle Strength + Mass
• DECREASES feeling of Dyspnoea / Anxiety + Depression / Exacerbations
• REDUCES N.O of Hospital Stays

Question 4

What are the COMPONENTS of Resp PRM?

Answer 4

• Dyspnoea Management
• Exercise Training
• Nutrition / Body Composition
• Patient Education
• Cognitive Behavioural Therapy

Question 5

What is the ASSESSMENT for Resp PRM?

Answer 5

STRESS Testing = Physical performance test to measure activity limitation

• By doing a 6-minute walk test

Question 6

What are the COMPONENTS of Exercise Training?

Answer 6

1) ARM Exercises = Strengthen UPPER Limbs

2) LOWER Extremity = Walking treadmill / stationary bicycle / stair-master / sit + stand

3) VENTILATORY MM Training =** Spirometer** / Resistance to flow-training

Question 7

What are the 2 FORMS of Exercise?

Answer 7

1) Endurance / aerobic

2) Strength / resistance

Question 8

What are the Types of CHEST PT & Breathing Retraining Exercises?

Answer 8

• Pursed-lip Breathing
• Posture Techniques
• Diaphragm Breathing
• *Postural Drainage**
• Coughing Techniques

Question 9

What are the INDICATIONS of Resp PRM?

Answer 9

• Obstructive PD = COPD / Emphysema / Asthma / Bronchiectasis
• Restrictive PD = Interstitial Fibrosis / Sarcoidosis
• Restrictive Chest Wall D = Ankylosing Spondylitis
• Cystic Fibrosis
• Lung Resection / Transplantation
• Occupational Lung Diseases
• Lung Cancer

Question 10

What are the CONTRAINDICATIONS of Resp PRM?

Answer 10

• Severe Orthopaedic / Neurological Disorders
• Pulmonary Arterial HT
• Exercise-Induced Syncope
• Unstable Angina / Recent MI

Question 11

What are the Bronchial Hygiene Techniques??

Answer 11

• Inhalation w/ Bronchodilators / Mucolytics / Mineral Water
• Postural Drainage
• Percussion / Vibration on Chest Massage = Cough the expel mucus
• Coughing Techniques

Question 12

What’s the PRM Method to STIMULATE the Immune System?

Answer 12

• UV Light at Sub-erythemal Doses on the Whole Body
• Sauna Therapy

Question 13

What’s the PRM Method to RELIEVE Inflammation?

Answer 13

• Infrared Radiation / Paraffin = Gives out exogenous heat

ULTRA-HIGH Frequency = Gives out endogenous heat + has anti-inflammatory effect

• LOW Frequency Pulsed Magnetic Field
• UV Erythemas = For the Blocking Effect

Question 14

What other Specialised PRM helps with Breathing?

Answer 14

• Climatotherapy
• Resort Therapy

Question 15

What is the PRM Programme for CYSTIC FIBROSIS?

Answer 15

1) INHALATION Therapy

• Mucolytics = To loose mucus
• Nebulisers

2) ACTIVE Kinesiotherapy = Breathing Exercises

3) PASSIVE Kinesiotherapy = Chest Massage + Postural Drainage

4) THERMOTHERAPY - Using a Paraffin Wax / IR

5) ELECTROTHERAPY

• HIGH-Frequency Current = For Anti-inflammatory effect
• LOW-Frequency Pulsed Magnetic Field
• Microwaves + Laser = For Focused Areas