10 Questions
What is the primary goal of pulmonary rehabilitation?
To achieve and maintain the individual's maximum level of independence and functioning in the community
Which of the following is NOT a component of pulmonary rehabilitation?
Surgical interventions
What is the purpose of exercise and functional training in pulmonary rehabilitation?
To improve muscle strength and endurance
Which of the following is used to assess the activity of daily living of a patient in pulmonary rehabilitation?
London Chest Activity Of Daily Living Scale
What is the role of a physiotherapist in pulmonary rehabilitation?
To provide techniques to reduce the work of breathing and improve disability
What is the primary component of improving mechanical efficiency in exercise?
Improvement in stride length and gait coordination
What is the result of endurance training on muscle fibers?
Transformation from type IIb to type IIa fibers
What is the primary goal of pulmonary care in exercise?
Removal of excessive secretions
What is the purpose of laboratory tests in exercise?
To measure exercise tolerance
What is the purpose of field tests in exercise?
To measure exercise tolerance
Study Notes
Pulmonary Rehabilitation
- Pulmonary rehabilitation is a multi-disciplinary continuum of services directed to persons with pulmonary disease and their families, aiming to achieve and maintain the individual's maximum level of independence and functioning in the community.
Goals and Aims
- Reduce dyspnoea
- Increase muscle endurance (peripheral and respiratory)
- Improve muscle strength (peripheral and respiratory)
- Ensure long-term commitment to exercise
- Remove fear and anxiety
- Increase knowledge of lung condition and promote self-management
- Improve nutritional status and health status
Assessment
- Activity of daily living using London Chest Activity Of Daily Living Scale
- Health-related quality of life using Chronic Respiratory Questionnaire and St George's Respiratory Questionnaire
- Dyspnoea using Baseline and Transition Dyspnoea Index, Medical Research Council Breathlessness Score, and Borg Scale Of Perceived Dyspnoea
Components of Pulmonary Rehabilitation
- General care
- Pulmonary care
- Exercise and functional training
- Education
- Psychosocial management
- Physical therapy management
General Care
- Evaluation for medical and physical diagnosis
- Prescription of medicine and oxygen support
- Preventive care (smoking cessation, adequate hydration, proper nutrition)
Pulmonary Care
- Respiratory treatment techniques for clearing accumulated pulmonary secretions
- Bronchial drainage
- Breathing techniques
- Cough facilitation
- Postures to improve breathing
- Relaxation techniques
- Respiratory assistance devices
Exercise and Functional Training
- Instructions for energy conservation, activity pacing, and use of adaptive equipment
- Exercise prescription based on frequency, intensity, time, and type
Education
- Providing knowledge and instruction to patients and their families regarding disease, its effects, and treatment
Psychosocial Management
- Providing coping strategies, stress reduction, management techniques, behavioral strategies, and financial assistance to patients and their families
Physical Therapy Management
- Conducting exercise sessions and providing education on smoking cessation, weight control, stress management, and relaxation techniques
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