Cardiopulmonary physical therapy journal最新文献_第10页

Physical Therapy Interventions for a Patient Requiring Prolonged Intubation Due to Severe COVID-19: A Case Study 重症COVID-19患者需要长时间插管的物理治疗干预:一个案例研究

Cardiopulmonary physical therapy journal Pub Date : 2020-10-19 DOI: 10.1097/CPT.0000000000000153

K. Black, Carly Walters

引用次数: 0

Rehabilitation of Patients Presenting With Coronavirus Disease-19 and Hemiparesis: A Case Series 冠状病毒病-19和偏瘫患者的康复：一系列病例

Cardiopulmonary physical therapy journal Pub Date : 2020-10-15 DOI: 10.1097/CPT.0000000000000154

J. Jordan, J. Rice, Shane Bassett, Jessica Lazore, D. Weeks

{"title":"Rehabilitation of Patients Presenting With Coronavirus Disease-19 and Hemiparesis: A Case Series","authors":"J. Jordan, J. Rice, Shane Bassett, Jessica Lazore, D. Weeks","doi":"10.1097/CPT.0000000000000154","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000154","url":null,"abstract":"Introduction: The novel coronavirus disease-19 (COVID-19) has many unique features in its presentation. One increasingly noted symptom is the incidence of hypercoagulability which may lead to ischemic stroke. Physical therapists (PTs) are an integral component of the medical team and contribute to the early identification of stroke-like symptoms in patients with COVID-19. Case Presentation: This case series will describe the rehabilitation process of 3 patients who survived critical illness due to COVID-19 and had secondary complications including right hemiparesis while in critical care. Patients received rehabilitation by PTs and occupational therapists on average 6 times per week with interventions focused on recovery of strength, functionalmobility, neurological re-education, and cognition. Themobility status was assessedwith the Perme Intensive Care Unit Mobility Score. Conclusion: Patients who present with COVID-19 need careful screening for neurological impairment. Conventionalmeans to diagnose stroke, such as radiological imaging, canbe difficult to obtain in these unique circumstances because of infection control measures. Physical therapists can assist in early identification of neurological impairment in the absence of traditional diagnostic methods through identification of deficits in abilities such as mobility and balance. (Cardiopulm Phys Ther J. 2021;32:S22–S27)","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44972503","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}

引用次数: 0

Safety and Efficacy of Early Ambulation on an Alternative Oxygen Delivery Device for Patients Receiving Bedside Heated Humidified High-Flow Nasal Cannula Therapy 床边加热加湿高流量鼻插管治疗患者早期可选供氧装置的安全性和有效性

Cardiopulmonary physical therapy journal Pub Date : 2020-10-15 DOI: 10.1097/CPT.0000000000000147

Shane Bassett, J. Jordan, D. Weeks

{"title":"Safety and Efficacy of Early Ambulation on an Alternative Oxygen Delivery Device for Patients Receiving Bedside Heated Humidified High-Flow Nasal Cannula Therapy","authors":"Shane Bassett, J. Jordan, D. Weeks","doi":"10.1097/CPT.0000000000000147","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000147","url":null,"abstract":"Purpose: Patients in the intensive care unit (ICU) receiving heated humidified high-flow nasal cannula (HHFNC) therapy for acute respiratory failure have limited ambulation distance due to restrictions in supplying HHFNC away from bedside. This study investigated the safety and efficacy of transitioning patients requiring HHFNC to a portable high-flow oxygen (HFO2) device for ambulation. Methods: Twenty-three patients with acute respiratory failure participated in this prospective longitudinal observational study. Three diagnostic groups were formed (cardiac n = 8; pulmonary n = 11; and other n = 4). Initial aerobic tolerance was established through bedside marching on HHFNC, then participants transitioned to HFO2 for ambulation. During each phase, vital signs were monitored. Results: No differences were found among diagnostic groups or sexes during ambulation for blood pressure, heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2), or the Borg dyspnea scale (BDS) (all P > .05). Outcomes during marching and ambulation differed from outcomes at rest and during recovery for HR, RR, SpO2, and BDS (all P < .001). Transitory adverse events during ambulation included anxiety (n = 2), hypotension (n = 1), and arrhythmia (n = 2). Conclusions: Results indicate it is safe and efficacious for patients in the ICU with acute respiratory failure requiring HHFNC to ambulate on HFO2 under the supervision of a physical therapist.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 1","pages":"97 - 105"},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42757483","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}

引用次数: 2

Metabolic and Cardiovascular Effects of Body Weight Support Treadmill Walking in Healthy Adults 体重支持在跑步机上行走对健康成人代谢和心血管的影响

Cardiopulmonary physical therapy journal Pub Date : 2020-10-01 DOI: 10.1097/cpt.0000000000000137

R. Zant, W. Colchagoff, M. Kunish, Tamara Kunz, Mark Marshall, S. McDermott, Trevor Myers, Byron Sunga

{"title":"Metabolic and Cardiovascular Effects of Body Weight Support Treadmill Walking in Healthy Adults","authors":"R. Zant, W. Colchagoff, M. Kunish, Tamara Kunz, Mark Marshall, S. McDermott, Trevor Myers, Byron Sunga","doi":"10.1097/cpt.0000000000000137","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000137","url":null,"abstract":"PURPOSE: The use of body weight support treadmill (BWST) training for rehabilitation of patients with brain injuries, as well as musculoskeletal and neuromuscular impairments, is an emerging clinical treatment method. Because of the limited evidence of physiological stress of BWST training, the purpose of this study was to describe the metabolic and cardiovascular response to varying levels of BWST walking in healthy adult subjects. METHODS: A total of 21 subjects (10 females; 34+6.7 yr; 74.6+14.3 kg; 170.8+6.9 cm; 26.1+5.3 kg/m) provided their informed consent to participate in three 5-minute walking trials at a self-selected treadmill speed, with body weight support (BWS) of 0, 15, and 30%. Test order was randomized for each subject. Subjects rested for a minimum of 5 minutes between each trial, and did not begin a subsequent trial until HR was verified to be < 5 bpm of HR rest. Mean HR (12-lead ECG), BP (auscultation), oxygen uptake (continuous indirect calorimetry), and RPE (Borg ratio scale) were determined from the last 3 minutes of each trial. Mean values for all variables were assessed for difference between trials using repeated measures analysis of variance (SPSS ver. 24, New York, NY). RESULTS: At rest, HR was 78.2+11.5 bp and BP was 121.2+7.9 / 76.9+8.0 mmHg. Mean walking speed of subjects was 64.2 m/min. HR and systolic BP significantly (p<0.05) increased from rest to exercise at all BWS levels, with no significant difference in diastolic BP seen from rest to exercise at all BWS levels. There was no statistical difference among levels of BWS for HR, BP, RPE, oxygen uptake, respiratory exchange ratio, respiratory rate, tidal volume, and METs. CONCLUSIONS: Metabolic and cardiovascular responses to treadmill walking at 3 levels of BWS (0, 15, 30%) were similar in apparently healthy adult subjects.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"31 1","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/cpt.0000000000000137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42389861","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}

引用次数: 1

Validity of the Global Physical Activity Questionnaire in Older Adults With Chronic Obstructive Pulmonary Disease: Results From the National Health and Nutrition Examination Survey 全球体育活动问卷在老年慢性阻塞性肺病患者中的有效性：来自全国健康和营养检查调查的结果

Cardiopulmonary physical therapy journal Pub Date : 2020-10-01 DOI: 10.1097/cpt.0000000000000127

S. Gore, A. Goldberg, M. Huang, M. Shoemaker, J. Blackwood

{"title":"Validity of the Global Physical Activity Questionnaire in Older Adults With Chronic Obstructive Pulmonary Disease: Results From the National Health and Nutrition Examination Survey","authors":"S. Gore, A. Goldberg, M. Huang, M. Shoemaker, J. Blackwood","doi":"10.1097/cpt.0000000000000127","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000127","url":null,"abstract":"the design, analysis, drafting, and revisions of this manuscript. Purpose: The Global Physical Activity Questionnaire (GPAQv2) is widely used and one of the only national surveillance measures recommended by the World Health Organization for physical activity (PA) assessment globally. No studies to date have examined the validity of GPAQv2 in older adults with chronic obstructive pulmonary disease (COPD). This observational study examined its construct validity using population-based data. Methods: Individuals aged 65 years and older with COPD, interviewed in the National Health and Nutrition Examination Survey (NHANES) between years 2007 and 2012 were included. GPAQv2-derived PA was compared with constructs of lung function, shortness of breath, and the diagnosis of COPD. Results: The GPAQv2 was not found to be a significant predictor of COPD status (odds ratio 5 1.00, 95% confidence interval: 0.99, 1.00) when controlling for relevant covariates. Age and smoking status emerged as the strongest predictors of COPD. Total PA was neither significantly associated with shortness of breath nor lung function. Conclusions: Older adults with chronic conditions such as COPD represent a unique subset of population discrete from the healthier counterparts. Given the importance of GPAQv2 as the only widely accepted population surveillance tool, future studies exploring its validity in this subset of individuals with COPD using different constructs and objective reference standards are needed. (Cardiopulm Phys Ther J. 2020;31:159 – 166)","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41306325","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}

引用次数: 2

Use of AM-PAC “6 Click” Scores to Predict Discharge Location Post-hospitalization in Adults With Cardiovascular Disease: A Retrospective Cohort Study 使用AM-PAC“6点击”评分预测成人心血管疾病患者住院后出院地点:一项回顾性队列研究

Cardiopulmonary physical therapy journal Pub Date : 2020-10-01 DOI: 10.1097/cpt.0000000000000128

N. Fernandez, S. Gore, Samantha K. Benson, J. Blackwood

引用次数: 4

Sit Less for Successful Aging Pilot Study: Feasibility of an Intervention to Reduce Sedentary Time in Older Adults in Independent Living Communities. 少坐对成功衰老的初步研究:减少独立生活社区老年人久坐时间干预的可行性。

Cardiopulmonary physical therapy journal Pub Date : 2020-10-01 DOI: 10.1097/cpt.0000000000000126

Andrea L Hergenroeder, Bethany Barone Gibbs, Mary P Kotlarczyk, Subashan Perera, Tyler Quinn, Valerie Shuman, Jennifer S Brach, Robert J Kowalsky

引用次数: 0

Editorial 编辑

Cardiopulmonary physical therapy journal Pub Date : 2020-10-01 DOI: 10.1097/cpt.0000000000000150

S. Collins

引用次数: 0

Optimizing Outcomes With Physical Therapy Treatment for IndividuALs Surviving an Intensive Care Units Admission for COVID-19 (OPTImAL)—A Protocol for a Single Center Prospective Study 优化新冠肺炎重症监护病房住院IndividuAL患者的物理治疗结果（OPTIAL）-单中心前瞻性研究方案

Cardiopulmonary physical therapy journal Pub Date : 2020-09-10 DOI: 10.1097/CPT.0000000000000156

K. Mayer, Angela K. Steele, Rajan R. Joshi, Melissa K. Soper, E. Dupont-Versteegden, P. Morris, Ashley A. Montgomery, S. Parry

引用次数: 4

Editorial 社论

Cardiopulmonary physical therapy journal Pub Date : 2020-07-01 DOI: 10.1097/cpt.0000000000000146

S. Collins

引用次数: 0