Archives

Pulmonary Embolism: Warning Signs and Screening for Clinicians

June 1, 2022 by Ashley Zhinin.
A pulmonary embolism (PE) can be easily missed and can have devastating consequences. It is important for all clinicians to be aware of the signs/symptoms of PE so they can refer out appropriately when suspected. This resource outlines screening guidelines for clinicians.
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Chronic Obstructive Pulmonary Disease and Dysphagia: What Have We Learned So Far and What Do We Still Need to Investigate? (2021)

January 31, 2022 by Megan Berg.
Chronic obstructive pulmonary disease (COPD) is a serious respiratory disorder that causes persistent airflow obstruction, inflammatory response, and systemic manifestation. Before the COVID-19 pandemic, COPD was projected to be the third leading cause of death internationally by 2021. This article reviewed various clinical questions about dysphagia and COPD with current research available. The team wanted to […]
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Management of the Client with Compromised Respiratory Function

January 22, 2022 by Megan Berg.
Respiratory disease is one of the leading causes of death and disability in the United States. With the emergence of COVID-19, Physical Therapists (PTs) will be treating even greater numbers of clients with compromised lung function. As a result, PTs must be prepared to provide effective rehabilitation for their clients with respiratory deficits. This seminar […]
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Diaphragm Pacing and a Model for Respiratory Rehabilitation After Spinal Cord Injury (2021)

January 17, 2022 by Megan Berg.
After acute cervical spinal cord injury (CSCI) individuals frequently require mechanical ventilation (MV) due to impairment of the phrenic nerve, the nerve that is responsible for innervation of the diaphragm. Mechanical ventilation undoubtedly saves many lives, however, the use of MV is associated with diaphragm disuse and inflammation. Over time the use of MV can […]
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Airway Clearance Techniques for Cystic Fibrosis: An Overview of Cochrane Systematic Reviews (2019)

January 17, 2022 by Megan Berg.
Six Cochrane systematic reviews were compared in this study with articles ranging from 1985 to 2018. All articles included people with cystic fibrosis. There was little restriction on age, disease severity, or exacerbation status.Interventions assessed included conventional chest physiotherapy which was defined as postural drainage, percussion, and vibration; positive expiratory pressure treatment or bottle therapy; […]
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Occupational Competence and Activities of Daily Living Performance in Bronchial Asthma (2021)

January 17, 2022 by Megan Berg.
Twenty individuals diagnosed with bronchial asthma (14 women and six men) and 20 healthy age-and gender-matched individuals were enrolled. The London Chest Activity of Daily Living Scale (LCADL) was developed as an instrument for the assessment of dyspnea during ADL in individuals with obstructive pulmonary diseases. It is a simple and standardized questionnaire consisting of […]
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Occupational Therapy-Led Pulmonary Rehabilitation: A Practice Analysis (2019)

January 16, 2022 by Megan Berg.
Pulmonary rehabilitation (PR) is defined as: a comprehensive intervention based on a thorough patient assessment followed by patient tailored therapies that include, but are not limited to, exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health- […]
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Respiratory Muscle Training in Stroke Patients with Respiratory Muscle Weakness, Dysphagia, and Dysarthria – A Prospective Randomized Trial (2020)

January 13, 2022 by Megan Berg.
After a stroke, people frequently have difficulties with swallowing, respiratory muscle weakness, impaired voluntary cough, decreased peak expiratory flow, reduced fitness abilities, and dysarthria. Inspiratory muscle training (MIT) is known to improve inspiratory muscle strength and endurance within eight weeks to achieve >90% expected maximal inspiratory pressure (MIP) for people with chronic stroke. Expiratory muscle […]
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