Cardiopulmonary physical therapy journal最新文献

{"title":"Shared Medical Appointments to Improve Equitable Access to Rehabilitative Care for Long COVID.","authors":"Abby L Cheng, Amy R DeFranco, Michelle Furman, Sarah M Hackert, Devyani M Hunt, Jonas Marschall, Amy McQueen","doi":"10.1097/cpt.0000000000000266","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000266","url":null,"abstract":"<p><p>Long COVID is an infection-associated chronic condition that can cause a wide variety of symptoms and long-term functional impairments. While investigation into curative treatment is ongoing, current standard management of Long COVID relies heavily on rehabilitative care by physical, occupational, and speech therapists. Unfortunately, many persons with Long COVID encounter financial barriers to receiving rehabilitative care, especially because some state Medicaid programs and safety net health insurance plans do not cover one-on-one rehabilitation visits. Shared Medical Appointments (SMAs) are group visits which can deliver multidisciplinary care, and they are widely reimbursed by health insurance plans. SMAs also offer the added benefit of peer support and camaraderie, and they are an efficient method for clinicians to deliver care to many patients at once. SMAs can serve as an innovative method of delivering rehabilitative care for persons with Long COVID who cannot access individual appointments with a physical, occupational, and/or speech therapist. The purpose of this clinical perspective is to present the rationale, development, and organization and content of a six-session curriculum of SMAs that was created to deliver rehabilitation principles for Long COVID management. The curriculum covers physical activity, daily living activities, and thinking and speaking. It includes identification of functional concerns and goals, instruction in rehabilitative strategies and tools, and troubleshooting challenges that are encountered as patients implement strategies. The content in this clinical perspective is intended to be easily adapted and delivered by other clinicians in order to facilitate more equitable access to Long COVID rehabilitative care.</p>","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"36 1","pages":"50-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wearable Devices Enable Long COVID Patients to Decrease Symptom Severity: A Case Series From Pilot User Testing.","authors":"Andrea Goosen, Romina Foster-Bonds, Julia Moore Vogel","doi":"10.1097/CPT.0000000000000268","DOIUrl":"10.1097/CPT.0000000000000268","url":null,"abstract":"<p><strong>Purpose: </strong>Long COVID is a debilitating condition that is estimated to affect over 65M individuals across the world after a Coronavirus Disease 2019 (COVID-19) infection and has no broadly effective treatments. People with Long COVID have reported that pacing helps manage their symptoms, but it is difficult to implement. Based on experiences in the Long COVID community, we hypothesized that wearable devices can help individuals pace and reduce their Long COVID symptom severity.</p><p><strong>Methods: </strong>To inform the design of a larger study, we performed user testing by distributing Garmin® devices, the study surveys and pacing educational materials to 11 individuals with Long COVID, and conducting interviews to learn about their experience.</p><p><strong>Results: </strong>Eight of the 9 (89%) individuals reported that the information provided was helpful for their symptom management, and 2 testers did not complete the final survey. Four (44%) users had not used a wearable device before and none had trouble setting up their device. Due to the limited sample size and lack of control group, generalizability is unknown.</p><p><strong>Conclusions: </strong>The most user testers reported that the study materials were helpful for their symptom management. These results are a promising indication of the potential for wearable devices and educational materials to help individuals with Long COVID, and potentially other chronic conditions such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), decrease symptom severity.</p>","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"36 2","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Patient-Level Factors and Physical Function in Lung Transplant Recipients.","authors":"Maryam Alemairi, Andrea Hergenroeder, Dianxu Ren, Annette DeVito Dabbs","doi":"10.1097/cpt.0000000000000253","DOIUrl":"10.1097/cpt.0000000000000253","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the dramatic improvement in pulmonary function after lung transplantation, lung transplant recipients often have reduced physical function. The purpose of this study was to investigate the associations between physical function and a wide range of patient-level factors among lung transplant recipients to allow researchers and healthcare providers to identify and better understand contributors to poor physical function.</p><p><strong>Methods: </strong>A cross-sectional study of lung transplant recipients enrolled in Lung Transplant Go (LTGO), a randomized, controlled trial evaluating the efficacy of a telerehabilitation behavioral exercise intervention on physical function. Data were collected at the time of study enrollment for physical function using 30-second sit-to-stand test (STS-30), and patient-level factors: discharge destination, time since transplant, hospital length of stay, participation in exercise program outside the study, comorbidities, psychological distress, and symptoms. Regression analysis was performed to identify the association between physical function and patient-level factors.</p><p><strong>Results: </strong>A total of 72 lung transplant recipients with a mean age of 56 (13), 58% male, and 88% white, completed the STS-30. The bivariate analysis identified factors associated with STS-30, which are age, marital status, time since transplant, Questionnaire for Lung Transplant Patients' activity intolerance subscale, and psychological distress. Factors significantly predicted STS-30 using the regression analysis were age, time since transplant, and psychological distress (p< 0.05).</p><p><strong>Conclusion: </strong>Age, time since lung transplantation, and psychological distress significantly predicted poor physical function. Interventions to prevent poor physical function post-lung transplantation should consider these factors. Research is needed to better understand patient-level factors on other physical function measures.</p>","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"35 4","pages":"135-143"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between Physical Activity, Systemic Inflammation, and Hospital Admissions in Adults with Heart Failure.","authors":"Shweta Gore, Victoria Beyer, Joseph Collelo, Chloe Melton","doi":"10.1097/cpt.0000000000000254","DOIUrl":"10.1097/cpt.0000000000000254","url":null,"abstract":"<p><strong>Background and purpose: </strong>Among individuals with diagnosed heart failure (HF), the impact of physical activity on systemic inflammation and risk of hospital admissions remains unclear. This study examines the associations between physical activity and 1) systemic inflammation measured through C-reactive protein (CRP) levels and 2) frequency of hospital admissions in those with HF.</p><p><strong>Methods: </strong>We utilized data from the National Health and Nutrition Evaluation Survey in this observational cross-sectional study to include 377 community-dwelling adults with HF. Demographic, clinical, and functional variables were extracted from the data and included in the regression models as covariates during analysis. Associations between activity and hospital admissions were examined using Poisson regression. Multivariable logistic regression analysis was used for association between CRP and physical activity.</p><p><strong>Results: </strong>We found a direct linear relationship between CRP levels and hospital admissions with higher levels of CRP significantly associated with greater number oof hospital admissions in HF (IRR = 1.18, <i>p</i> < 0.001). Similarly, participating in vigorous activity was significantly associated with decreased expected rate of hospital admissions (IRR = 0.38, <i>p</i> = 0.013 (C.I. = 0.18-0.80) and with a significant decrease in the CRP levels (B = -0.44, <i>p</i> = 0.018 (C.I. = -0.80 - -0.83).</p><p><strong>Discussion: </strong>To our knowledge, this is the first study using population-level data to examine the association between physical activity level, systemic inflammation, and hospitalizations in individuals with HF.</p><p><strong>Conclusions: </strong>The findings of this study demonstrate that irrespective of sex, engagement in physical activity at higher intensity levels is strongly associated with favorable health outcomes in older adults with HF.</p>","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"35 4","pages":"163-173"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the Swimming Pool to Precision Cardiovascular Physical Therapy: What a Journey!","authors":"Alvaro N Gurovich","doi":"10.1097/CPT.0000000000000260","DOIUrl":"10.1097/CPT.0000000000000260","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"35 4","pages":"126-134"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Community","authors":"Alvaro N. Gurovich","doi":"10.1097/cpt.0000000000000256","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000256","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"271 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on “Diagnosis of Deep Vein Thrombosis in Outpatients With Musculoskeletal Disorders: A Survey of Orthopedic and Sports Academies”","authors":"Michael J. Shoemaker, Crystal J. Gluch, Katelyn Preston, Ashley Van Dam, Molly Fagan","doi":"10.1097/cpt.0000000000000248","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000248","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-Based Cardiopulmonary Examination Skills Checklist: Assessment of Inter-rater Reliability","authors":"Rachel Pata, Sara O'Sullivan, Danielle Peterson, Laura Superchi, Richard Feinn","doi":"10.1097/cpt.0000000000000251","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000251","url":null,"abstract":"\u0000 \u0000 Experiential learning using high-fidelity simulation is a valuable tool for teaching Doctor of Physical Therapy (DPT) students the cardiopulmonary examination. There are currently no standardized assessment tools to evaluate student performance and provide feedback on these skills. The cardiovascular and pulmonary section of the American Physical Therapy Association recently published recommended competency levels for entry-level physical therapists including examination skills. The primary aim of this study was to create and assess inter-rater reliability of a cardiopulmonary examination skills checklist that aligns with these recommendations and can be used in the simulation environment.\u0000 \u0000 \u0000 \u0000 A skills checklist with 6 sections was developed to assess student performance on the cardiopulmonary examination within a high-fidelity simulation experience. Training videos on the cardiopulmonary examination and checklist use were created and given to 3 graders. Seventy-three DPT students performed the cardiopulmonary examination within simulation while being recorded. Three graders then assessed the same 25 randomly selected videos using the checklist. Inter-rater reliability, item % agreement and student performance were analyzed.\u0000 \u0000 \u0000 \u0000 The overall interclass correlation coefficient (ICC) of the checklist was calculated to be 0.858, demonstrating strong agreement between graders. The ICC for individualized checklist sections ranged from 0.659 to 0.960, demonstrating good to near perfect agreement. The average percent correct achieved by students was 80.48 (6.91%), R = 65% to 93.33%. There were >80% agreement for 55/60 items and >90% agreement for 44/60 items.\u0000 \u0000 \u0000 \u0000 The checklist provided an effective tool to assess student performance on the cardiopulmonary examination and demonstrated consistent scoring between graders.\u0000","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of Deep Vein Thrombosis in Outpatients With Musculoskeletal Disorders: A Survey of Orthopaedic and Sports Academies","authors":"R. Manske, J. Heick, Brian A. Young","doi":"10.1097/cpt.0000000000000245","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000245","url":null,"abstract":"\u0000 \u0000 Venous thromboembolism can present as either a deep vein thrombosis (DVT) or a pulmonary embolism. The purpose of this study was to determine if there was a difference in physical therapists' estimation of the probability of a patient having a DVT in patient vignettes as compared with the modified Wells criteria prediction.\u0000 \u0000 \u0000 \u0000 Members of the American Academy of Orthopaedics, Academy of Orthopaedic Physical Therapists (AOPT), and American Academy of Sports Physical Therapy (AASPT) completed patient vignettes. Descriptive statistics were calculated, and sign tests assessed for differences between responses of the presence of DVT (likely or unlikely) and whether referral was necessary.\u0000 \u0000 \u0000 \u0000 Six hundred and seventy consented, and 521 completed the survey of 24,028 members from the AOPT and AASPT. In total, 7.2% did not feel competent to screen for DVT. Descriptive statistics revealed difficulty in determining whether a DVT was likely or unlikely in 4/5 vignettes as compared with the modified Wells criteria, with only vignette 2 having 95.9% correctly answering as DVT being unlikely. In the other 4 vignettes, approximately 60% to 70% of respondents estimated DVT to be likely, despite 2 of these being unlikely. Across the vignettes, between 2.3% and 19.2% more respondents chose to refer when they determined if a DVT was likely. Across vignettes, statistically significant differences between DVT being likely or unlikely and decision to refer were present. Respondents consistently chose to refer even when a DVT was unlikely (P < .001 for vignettes 1, 3–5. P = .038 for vignette 2).\u0000 \u0000 \u0000 \u0000 Venous thromboembolisms are potentially life-threatening conditions seen by physical therapists. Members of the AOPT and AASPT have difficulty in determining the presence or absence of DVT in clinical case vignettes, with some demonstrating a conservative management decision to refer despite low probability of DVT. Efforts to educate members should be considered to improve the understanding of DVT assessment.\u0000 \u0000 \u0000 \u0000 Members of the AOPT and AASPT appear to have difficulty in determining the presence of a DVT in clinical patient vignettes. Respondents chose to refer patients perhaps with conservative caution. Efforts to educate therapists should be considered to improve the understanding of DVT assessment.\u0000","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Inpatient Pulmonary Rehabilitation on Pulmonary Outcomes in Individuals With COVID-19: A Systematic Review and Meta-Analysis","authors":"N. Pathare, Helen Harrod Clark, Kara Marks","doi":"10.1097/cpt.0000000000000250","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000250","url":null,"abstract":"\u0000 \u0000 Guidelines advocate the use of pulmonary rehabilitation (PR) in individuals with COVID-19. However, there is a lack of concrete information on inpatient PR. Therefore, we synthesized literature on the efficacy of inpatient PR on pulmonary outcomes in individuals with COVID-19.\u0000 \u0000 \u0000 \u0000 Using PubMed, Web of Science, Cochrane Library and Embase, three researchers screened 474 articles for eligibility with the search terms: (covid-19 or coronavirus or 2019-ncov or sars-cov-2 or cov-19 *) AND (respiratory or pulmonary) AND (physical therapy or physiotherapy or rehabilitation). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses was used. Nine articles were finalized using the inclusion criteria: diagnosis of COVID-19, age >18 years and inpatient PR. Reviewers extracted relevant information and appraised using the Robins-I tool and the Newcastle Ottawa Scale.\u0000 \u0000 \u0000 \u0000 The pooled sample consisted of 718 participants (F = 35.2%, age = 36-71 y). Study quality for non-randomized trial was moderate, while cohort studies had a mean score of 7/9. The pooled estimate showed that inpatient PR could improve the exercise capacity with clinical importance for individuals with COVID-19. Within group changes were noted in FEV1 and FVC values (n = 4) and HR-QoL (n = 3). Inpatient PR was reported to be safe (n = 4).\u0000 \u0000 \u0000 \u0000 Current review suggests that inpatient PR was safe, feasible and induced large improvements in exercise capacity in individuals with COVID-19. Given the high heterogeneity, sample sizes and quality of designs of the included studies, findings should be interpreted with caution. Our study provides valuable evidence that inpatient PR is safe and may accelerate improvement in exercise capacity in individuals with COVID-19.\u0000","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"97 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140695075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}