Cardiopulmonary physical therapy journal最新文献

{"title":"Acute Rehabilitation in the COVID-19 Pandemic: A Case Report of Physical Therapy Perspectives From the Front Line","authors":"G. Sweeney, Jodi M. Herbsman, W. Chan, Helen Chae, M. Fischer, P. Laverty, Alicia Pierre, William Finley, J. Corcoran","doi":"10.1097/CPT.0000000000000155","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000155","url":null,"abstract":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) or COVID-19 has grown to become a global pandemic. Although much has been learned about the virus, the complete impact is still not fully understood. This highly infectious pathogen can cause multiple complications in infected individuals, leading to impairments and functional limitations. To date, there has been limited literature available to describe the rehabilitation needs of patients with COVID-19. New York City (NYC) was initially identified as the United States epicenter, where various health system faced unique considerations when managing patients with COVID-19. The purpose of this article was to share the clinical perspectives of the acute physical therapy (PT) team working in one of the large health system in NYC. The report will describe the role PT played in the evaluation, assessment, and treatment of patients with COVID-19 as they navigated the acute hospital setting. (Cardiopulm Phys Ther J. 2021;32:S8–S14)","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44299814","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":"Accompaniment as a Form of Patient Care","authors":"S. Evans","doi":"10.1097/CPT.0000000000000175","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000175","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 1","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44146060","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":"Cardiopulmonary Exercise Testing Using the Modified Balke Protocol in Fully Ambulatory People With Multiple Sclerosis.","authors":"Coery D Feasel,&nbsp;Brian M Sandroff,&nbsp;Robert W Motl","doi":"10.1097/cpt.0000000000000141","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000141","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the application, outcomes, and validity of cardiopulmonary exercise test (CPET) outcomes using a modified Balke protocol on a motor-driven treadmill in fully ambulatory people with multiple sclerosis (MS).</p><p><strong>Methods: </strong>Fully ambulatory people with MS (N = 20) underwent assessments of disability (Expanded Disability Status Scale, EDSS), walking endurance (6-minute walk distance, 6MWD), and cognition (Symbol Digit Modalities Test, SDMT), and completed a maximal CPET (modified Balke protocol) on a motor-driven treadmill while expired gases were collected with indirect calorimetry. Serious adverse events (AEs) and AEs, defined by National Institutes of Health guidelines, and provision of a \"maximal\" effort test using standard criteria for a maximal effort were documented. The physiological outcomes derived from the CPET included oxygen uptake (V̇o₂), carbon dioxide production, ventilation (VE), respiratory exchange ratio, and heart rate (HR). Other outcomes were calculated using standard guidelines, including V̇o₂/HR slope and oxygen uptake efficiency slope (V̇o₂/log10VE). Descriptive statistics were summarized with mean ± SD and descriptively compared with normative data from apparently healthy individuals using a similar CPET protocol. Spearman's rho rank-order correlations (ρ) were performed among peak V̇o₂ and SDMT, 6MWD, and EDSS scores.</p><p><strong>Results: </strong>There were no AEs, and 17 of 20 tests were characterized as yielding a maximal effort and therefore interpretable. V̇o₂ peak derived from the modified Balke protocol was predictably different in MS (25.8 ± 6.3) than normative values for healthy samples men (43.4 ± 9.3) and women (35.0 ± 7.2). V̇o₂ peak positively correlated with SDMT (<i>ρ</i> = 0.53, <i>P</i> = .01) and 6MWD (ρ = 0.73, <i>P</i> = .0003), and negatively correlated with disability (ρ = -0.51, <i>P</i> = .02).</p><p><strong>Conclusions: </strong>Cardiopulmonary exercise test using a modified Balke protocol on a motorized treadmill is safe, feasible, and valid for the measurement of aerobic power in fully ambulatory people with MS.</p>","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 2","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645798/pdf/nihms-1821683.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40465175","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":"Role of Respiratory Buffering in the Relationship Between Recovery and Performance Fatigability Following Aerobic Exercise Training: A Longitudinal, Observational, Pilot Study.","authors":"Liana C Wooten,&nbsp;Brian T Neville,&nbsp;Andrew A Guccione,&nbsp;Lisa M K Chin,&nbsp;Randall E Keyser","doi":"10.1097/cpt.0000000000000151","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000151","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425857/pdf/nihms-1917261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10394568","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":"Special Issue Guest Editorial: Basic and Applied Physiology Research","authors":"A. Gurovich, R. Severin","doi":"10.1097/cpt.0000000000000169","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000169","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44736776","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":"Acute inpatient rehabilitation of two post-covid presentations: A case series","authors":"V. A. Nastav, B. Peterson","doi":"10.1097/cpt.0000000000000172","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000172","url":null,"abstract":"BACKGROUND AND PURPOSE: The rehabilitation of post-intensive care syndrome and critical illness myopathy has been well documented.1,2 However, the recent wave of individuals recovering from COVID-19 demonstrate unique treatment considerations based on their presentation. While there is some research regarding acute care for post-COVID patients, there is a need for information later in the recovery process.3Most of those in the post-acute phase have cardiopulmonary complications, but there is increased evidence of neurological and orthopedic components.4 This case series aims to discuss the physical therapy treatment of two post-COVID patients based on NYU's categorizations 'debility with COVID-19,' or 'neurological with COVID-19' and highlight their differences.5 CASE DESCRIPTION: Two subjects admitted to an acute inpatient rehabilitation (AIR) facility after hospital stay of 42 (subject A) and 64 days (subject B), due to COVID- 19. The latter being longer due to development of a lacunar stroke. Both are male with an average age of 54.5 years. Each received symptom specific physical therapy 2-3hrs, 6-7 days/week. Subject A received cardiopulmonary therapy, nightly CPAP, standard balance and strengthening exercises. Limitations were O2 desaturation and orthostatic hypotension. Patient B received functional strengthening, balance and blocked motor control exercises to promote neural plasticity. AIR length of stay was 17 days for patient A and 28 days for patient B. OUTCOMES: Outcome measures included the Berg Balance Score (BBS), 6 min walk test, and 10m walk test. O2 saturation levels and heart rate were monitored with activity. For patient A, BBS improved by 19 points, 6 min walk improved by more than 100ft, limited primarily by O2 desaturation. No significant change in gait speed was made, but he transitioned from rolling walker to cane. For patient B, BBS improved by 36 points, 6 min walk improved by over 800ft, and gait speed by .32 m/s. Patient B received a right ankle-foot orthotic and required a rolling walker. Neither subject required O2 at discharge. Patient A was at an independent level, but had decreased cardiovascular endurance and activity tolerance. Patient B was largely independent but required intermittent supervision with some higher level activities, primarily due to motor control deficits. DISCUSSION: By the end of their inpatient rehabilitation stay, both patients made statistically significant improvements in all measured outcomes. This suggests while a primary focus will be on treatment of pulmonary impairments, there should also be adjustments made based on their individual presentation of COVID and neuromuscular deficits. In conclusion, the outcomes of this case series demonstrate the efficacy of treating post-COVID patients with variable presentations in the acute inpatient rehabilitation physical therapy setting.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61664605","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":"Editorial","authors":"S. Collins","doi":"10.1097/cpt.0000000000000170","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000170","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49247907","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":"Imaging Ultrasound Assessment of Exercise-Induced Endothelial Shear Stress of the Brachial and Carotid Arteries","authors":"A. Gurovich, Lisa Rodriguez, M. Gómez, Paulina Caraveo, Luis Ochoa, Francisco Morales-Acuna","doi":"10.1097/CPT.0000000000000167","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000167","url":null,"abstract":"Alvaro N. Gurovich, PT, PhD, FACSM; Lisa Rodriguez, Manuel Gomez, BS; Paulina Caraveo, BS; Luis Ochoa, MS; Francisco Morales-Acuna, MD, PhD Clinical Applied Physiology (CAPh) Lab, The University of Texas at El Paso, El Paso, TX Doctor of Physical Therapy Program, College of Health Science, The University of Texas at El Paso, El Paso, TX Department of Mechanical Engineering, College of Engineer, The University of Texas at El Paso, El Paso, TX","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61664550","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":"Carbon Dioxide Expiration and Performance Fatigability Following Aerobic Exercise Training: A Longitudinal, Observational, Pilot Study.","authors":"Liana C Wooten,&nbsp;Brian T Neville,&nbsp;Andrew A Guccione,&nbsp;Lisa M K Chin,&nbsp;Randall E Keyser","doi":"10.1097/cpt.0000000000000162","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000162","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the influence of aerobic exercise training (AET) on components of carbon dioxide expiration (VCO₂), cardiorespiratory function, and fatigability.</p><p><strong>Methods: </strong>Twenty healthy adults completed peak cardiopulmonary exercise (CPX) and submaximal tests before and after a vigorous, 4-week AET regimen. Each test was followed by a 10-min recovery and endurance test at 70% of peak wattage attained during CPX. Fatigability was assessed using testing durations and power output. Respiratory buffering (excess VCO₂) and non-buffering (metabolic VCO₂) were calculated. Data were analyzed for significance (p<0.05) using regressions and paired t-tests.</p><p><strong>Results: </strong>Significant improvements in all measures of fatigability were observed after AET. A significant increase in excess VCO₂ was observed, though not in metabolic VCO₂. Excess VCO₂ was strongly predictive of fatigability measures.</p><p><strong>Conclusion: </strong>Significant decreases in fatigability are often observed in clinical populations such as obstructive or restrictive lung disease or pulmonary hypertension following AET, even when peak cardiorespiratory function does not appear to adapt. Decreases in fatigability appear to predict longevity with no yet identified mechanism. These results suggest that respiratory buffering and metabolic components of VCO₂ may adapt independently to AET, introducing foundational plausibility for an influence of respiratory buffering adaptation to AET on fatigability status.</p>","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"32 1","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445408/pdf/nihms-1917262.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10458646","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":"Platform Abstracts","authors":"","doi":"10.1097/cpt.0000000000000171","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000171","url":null,"abstract":"","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44099023","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}