pulmonary rehab Flashcards

(38 cards)

1
Q

goal of pulmonary rehab

A

improve quality of life and physical function using exercise education and behaviour therapy

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2
Q

benefits of pulmonary rehab in COPD

A

training benefits
(aoerbic, endurnace, resistance)
quality of life
reduced dyspnea symptoms

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3
Q

training benefits in COPD

A

aerobic:
v02 peak imporved
6min walk proved

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4
Q

why aerobe benefits in COPD

A
improved mm function 
increase in fat free mass
decrease in mm fatigue
desensitization to dyspnea
motivation 
technique
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5
Q

training benefits in pulmonary fibrosis

A

improved 6MW test

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6
Q

training benefits in asthma

A

not well researched

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7
Q

training benefits cystic fibrosis

A

recommend training, but research not really done

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8
Q

indicators to be referred to PT

A

dyspnea that interferes with life

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9
Q

types of exercise testing in pulmonary rehab

A
max exercise test
sub max test
strength test
balance test
physical performance test
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10
Q

example exercise test maximal

A

cardiopulmonary test
stress test
incremental walking test

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11
Q

sub max test example

A

6 minute walk

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12
Q

strength test examples in pulmonary rehab

A

peripheral mm testing

respiratory mm test

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13
Q

physical performance test examples pulmonary rehab

A

gait veloicty

30 s sit to stand

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14
Q

data collected on cardiopulmonary exercise test

A
HR
RR
BP
sp02
ECG
vo2 max
vo2 peak 
max Watters
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15
Q

cardiopulmonary test usually done on what

A

bike

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16
Q

maximal stress test done on

17
Q

data from max stress test

A

HR, intensity, BP ECG

18
Q

whats a field test

A

no modialiteis
minimal equipment
inexpensive

19
Q

T/F incremental shuttle walk correlated with v02

20
Q

T/f 6 minute walk is good predictor of v02

21
Q

components of subjective assessment pulmonary rehab

A
diagnosis 
exacerbations 
PMH
meds
social historay
education needs (smoking cessation)
22
Q

whats exacerbation

A

how many times in hospital in last 12 months

how many ER visits

23
Q

why ask meds on pulmonary rehab subjective

A

fall risk and if they have inhaler if you need etc.. what your options rare

24
Q

objective assessment pulmonary rehab

A
health related quality of life
dyspnea
resting measurments
IPPA
exrcise testing
25
quesstionare you can use
Dyspnea scale Clincal COPD Modified Borg RPE
26
objective measurements
``` HR BP RR 02 saturation / supplental 02 height/wieght pulmonary function tests ```
27
6MWT absolute contraindications
unstable angine | MI within last 30 days
28
6 mwt relative contraindications
resting HR > 120 systolic BP >180 mmHG Diastoal BP >100mmHg
29
how to prescirbe aerobic exercise to pulmonary patients
50-80% of cardio test 50-80 of 6MWT helps determine speed Symtoms driven
30
FITT for aerobic training pulmonary patients
``` F - 3-5/week I- depends on symptoms T- 30-40 min contious intervall 5-10 min , 2-5 rest T: large mm groups , lower extremities ```
31
FITT for strength in pulmonary
F: 3/week I: 8-12 reps T: varies T: free weights, resistance bands, body weight
32
how to progress exercise
5-10% on treadmill / bike and in resistance
33
absolute lists for exercise in Pulmonary rehab
Sp02 below 88% BORG +5 Abnormal cardiac response pain, nauseas, dizzy, headache
34
where can pulmonary rehab happen
home exericse community programming maintenance classes
35
Pulmonary Rehab / Lung Tranplant goals
``` improve physical function improve resp mechanics facility secretion clearnace prevent commorbities educate ```
36
post transplant exercise limits
Spo02 <92% abnormal cardiac response pain, naseau, dizzzy, headache
37
T/F post lung transplant dyspnea reliable for measuring exercise tolerance
no
38
considerations of exercise in post transplant
higher HR weak resp mm's delayed healing meds w side effects