Cardiopulmonary physical therapy journal最新文献_第3页

Vital Impact 至关重要的影响

Cardiopulmonary physical therapy journal Pub Date : 2023-07-01 DOI: 10.1097/cpt.0000000000000235

A. Gurovich

引用次数: 0

Defining Dizziness: Acknowledging Vestibular Differential in Cardiopulmonary Diagnoses 定义头晕:承认心肺诊断中的前庭鉴别

Cardiopulmonary physical therapy journal Pub Date : 2023-06-09 DOI: 10.1097/cpt.0000000000000225

Kerry Lammers, Daniel Ludwig

引用次数: 1

Functional Recovery After Lung Transplantation Using a Comprehensive Rehabilitation Model 肺移植术后功能恢复的综合康复模型

Cardiopulmonary physical therapy journal Pub Date : 2023-06-05 DOI: 10.1097/CPT.0000000000000222

C. DiPerna, L. Tucker, Danielle E. Rice, Cori Shank, Abigail J. Kettler, Colin L. Terry, Linda Ulerich, D. Roe, C. Hage

{"title":"Functional Recovery After Lung Transplantation Using a Comprehensive Rehabilitation Model","authors":"C. DiPerna, L. Tucker, Danielle E. Rice, Cori Shank, Abigail J. Kettler, Colin L. Terry, Linda Ulerich, D. Roe, C. Hage","doi":"10.1097/CPT.0000000000000222","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000222","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Purpose: Functional recovery after lung transplant is crucial to long-term outcomes. Despite rehabilitation, few reach the threshold of healthy function. The purpose of this study was to assess the potential benefit of rehabilitation in the Center of Life for Thoracic Transplant (COLTT) program by (1) measuring time to functional recovery, (2) identifying factors associated with functional recovery, (3) examining program outcomes, and (4) examining COLTT impact on unplanned hospital readmission. Methods: The study retrospectively examined 105 patients in COLTT after hospital discharge. Functional measures collected at enrollment and completion included 6-minute walk distance, walking speed, 1-minute sit-to-stand test, and single-leg stance. Demographic and hospital stay data were examined for associations between time to achieve COLTT goals and readmissions. Results: The median number of visits in COLTT was 18 (9–53). Significant functional gains were made across all outcome measures and near thresholds for healthy individuals. Age, hospital and intensive care unit (ICU) length of stay (LOS), lung disease type, and ventilation time were significantly associated with COLTT visits. The 30-day hospital readmission free rate after hospital discharge was 71.4%. Conclusions: Healthy adult functional outcomes were achieved in 18 visits. Age, hospital and ICU LOS, lung disease type, and prolonged ventilation are associated with functional recovery.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"141 - 149"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41986901","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

Cannulate, Extubate, Ambulate: How the Pandemic Accelerated Development and Implementation of Early Mobility for Patients Requiring Extracorporeal Membrane Oxygenation 插管，拔管，走动:大流行如何加速需要体外膜氧合的患者早期活动能力的发展和实施

Cardiopulmonary physical therapy journal Pub Date : 2023-06-01 DOI: 10.1097/CPT.0000000000000228

PT Dpt Ccs Kari DiVito, PT Anne K. Swisher, MD Mph J.W. Awori Hayanga

{"title":"Cannulate, Extubate, Ambulate: How the Pandemic Accelerated Development and Implementation of Early Mobility for Patients Requiring Extracorporeal Membrane Oxygenation","authors":"PT Dpt Ccs Kari DiVito, PT Anne K. Swisher, MD Mph J.W. Awori Hayanga","doi":"10.1097/CPT.0000000000000228","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000228","url":null,"abstract":"Objective: Extracorporeal membrane oxygenation (ECMO) is a lifesaving modality that was in great demand for persons with severe COVID-19 infection. Although mobility of these patients has previously been safely reported anecdotally, there were no established guidelines to implement in a greatly expanded patient population, as occurred in the pandemic period. We describe the development and implementation of a program (Cannulate, Extubate, Ambulate) for team-based safe mobilization. Methods: The 3-phase protocol advances based on patient alertness/ability to actively participate. A physical therapist determined initial stage and progression and recommended mobility activities for carryover by nurses and/or ECMO specialists between skilled sessions. Results: The mobility program has been successfully implemented for 104 patients with severe COVID-19 without significant adverse events. Most patients (51%) ambulated while cannulated, and 60% were able to discharge directly home after hospitalization. Conclusions: This safe, effective program allowed extension of physical therapy goals in a highly complex patient population during a time of very high demand. Making early mobility a team goal enhanced buy-in, instead of relying exclusively on rehabilitation providers for mobilization. Utilization of the Cannulate, Extubate, Ambulate program may assist other programs to minimize complications of immobility in the ECMO population.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"164 - 170"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45390793","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

Cardiovascular and Pulmonary Research: The Year (2022) in Review 心血管和肺部研究:年度(2022)回顾

Cardiopulmonary physical therapy journal Pub Date : 2023-06-01 DOI: 10.1097/cpt.0000000000000230

Paul Ricard, Stephen Cameron Ramsey, Hannah Fernald McHugh, Benjamin Michael Carrion

引用次数: 1

Implementing Standard Physical Therapy Guidelines With Patients Acutely After Single or Bilateral Lung Transplant: A Quality Improvement Project in the Hospital Setting 对单侧或双侧肺移植后急性患者实施标准物理治疗指南:医院环境中的质量改进项目

Cardiopulmonary physical therapy journal Pub Date : 2023-05-31 DOI: 10.1097/CPT.0000000000000227

C. Connors, T. Betts, Shelby Lawrence, Homer B. Walag, Julie Buchl, V. Kaza

{"title":"Implementing Standard Physical Therapy Guidelines With Patients Acutely After Single or Bilateral Lung Transplant: A Quality Improvement Project in the Hospital Setting","authors":"C. Connors, T. Betts, Shelby Lawrence, Homer B. Walag, Julie Buchl, V. Kaza","doi":"10.1097/CPT.0000000000000227","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000227","url":null,"abstract":"Purpose: A quality initiative assessed standardized physical therapy (SPT) with lung transplant (LT) recipients in the hospital setting. The objective was to improve physical function evidenced by 6-minute walk distance (6MWD) and 30-second chair stand test (30s-CST). Methods: Standardized physical therapy was implemented with patients who underwent LT after March 8, 2021. Data were collected from July 19, 2019 to July 23, 2020 as baseline measures. Six-minute walk distance and 30s-CST were measured after hospital discharge. Results: After data collection, statistical analysis included descriptive statistics and a 2-sample t test with P-value <.05. The baseline group (BG) consisted of 19 patients that participated in traditional physical therapy (PT). The BG mean 6MWD was 891 feet, and mean 30s-CST was 4 repetitions. The SPT group consisted of 25 patients. The SPT group demonstrated a mean 6MWD of 1054 feet with a P-value of 0.0299 and mean 30s-CST of 7 repetitions with a P-value of 0.078. Conclusions: All functional outcome measures improved, with the 6MWD demonstrating statistical significance. Hospitalized LT recipients may demonstrate improved physical function with SPT; however, limited conclusions can be made.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"177 - 182"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43939199","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

Putting It All Together: An Evidence-Based Guide to High-Intensity Interval Exercise Prescription for Patients With Complex Comorbidities 综合:复杂合并症患者高强度间歇运动处方循证指南

Cardiopulmonary physical therapy journal Pub Date : 2023-05-31 DOI: 10.1097/cpt.0000000000000224

Kaelee S. Brockway, L. Ayres, M. Shoemaker

引用次数: 1

Sternal Displacement During Activities: Erratum 活动时胸骨移位:勘误

Cardiopulmonary physical therapy journal Pub Date : 2023-05-11 DOI: 10.1097/cpt.0000000000000229

引用次数: 0

Breadth and Depth 广度和深度

Cardiopulmonary physical therapy journal Pub Date : 2023-04-01 DOI: 10.1097/cpt.0000000000000226

引用次数: 0

Sternal Displacement During Activities 活动时胸骨移位

Cardiopulmonary physical therapy journal Pub Date : 2023-04-01 DOI: 10.1097/CPT.0000000000000221

J. Rodrigues, George J. Beneck

{"title":"Sternal Displacement During Activities","authors":"J. Rodrigues, George J. Beneck","doi":"10.1097/CPT.0000000000000221","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000221","url":null,"abstract":"Purpose: The purpose of this study was to determine whether sternal displacement occurs, decreases over time, and varies with adherence to sternal precautions during functional activities after median sternotomy. Methods: Seventeen subjects had ultrasound images taken at two and then six to eight weeks after median sternotomy to measure the sternal gap and displacement during five activities commonly limited by sternal precautions. The subjects were divided into two groups based on self-reported compliance with sternal precautions. Results: At the upper sternal site, displacement occurred with all activities in both sessions and decreased over time. At the lower sternal site, displacement only occurred during dynamic activities and decreased over time. Subjects who fully complied with sternal precautions had less upper sternal displacement during stand-to-sit (P = .043; ES = −1.076) and trend toward reduced displacement during sit-to-stand and horizontal abduction with large effect sizes, −.893 and −.975, respectively. Conclusion: Sternal displacement may vary with the task performed and between sternal sites. Reduced sternal displacement identified over time indicates sternal healing. Pectoralis major tension seems to be a primary mechanism of sternal displacement during common functional activities. Our findings suggest that full compliance with sternal precautions may promote sternal healing.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"97 - 106"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45532988","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