Exercise tolerance testing (also known as exercise testing or exercise stress testing) is used routinely in evaluating patients who present with chest pain, in patients who have chest pain on exertion, and in patients with known ischaemic heart disease.
physiotherapy management for chronic obstructive pulmonary disease Sunil kumar
role of physiotherapy in chronic obstructive pulmonary disease, principles of physical therapy management in copd, physiotherapy assessing and treatment for copd
Exercise tolerance testing (also known as exercise testing or exercise stress testing) is used routinely in evaluating patients who present with chest pain, in patients who have chest pain on exertion, and in patients with known ischaemic heart disease.
physiotherapy management for chronic obstructive pulmonary disease Sunil kumar
role of physiotherapy in chronic obstructive pulmonary disease, principles of physical therapy management in copd, physiotherapy assessing and treatment for copd
Application of PEP devices in Cardiorespiratory physiotherapy.
It includes types of PEP devices and their uses in physiotherapy..
It stands for positive expiratory pressure.
It includes spirometry, flutter, rc cornet, acapella, etc.
useful in various cardiorespiratory disorders like COPD, asthma , cystic fibrosis, respiratory failure etc.
CHEST MOBILIZATION EXERCISES, COUNTER-ROTATION TECHNIQUE, BUTTERFLY TECHNIQUE, BREATH CONTROL DURING WALKING. These Mobilization Techniques are useful to improve Chest Wall Mobility and Expansion in Patients with Restricted Chest wall movements and also Postoperative patients
Inspiratory Muscle Training or Respiratory Muscle Training or Ventilatory Muscle Training. IMT is the physiotherapy technique, with the help of different breathing exercises.
Pulmonary rehabilitation is 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-enhancing behaviors”
The 6-minute walk test (6MWT) is an easy to perform and practical test that has been used in the assessment of patients with a variety of cardiopulmonary diseases including pulmonary arterial hypertension (PAH). It simply measures the distance that a patient can walk on a flat, hard surface in a period of 6 minutes.
Asthma is a chronic inflammatory condition associated with airway hyperresponsiveness (an exaggerated airway-narrowing response to specific triggers such as viruses, allergens and exercise).
Physiotherapy can provide relief from symptoms of uncontrolled asthma, including coughing, wheezing, tightness in the chest, shortness of breath and QOL.
Application of PEP devices in Cardiorespiratory physiotherapy.
It includes types of PEP devices and their uses in physiotherapy..
It stands for positive expiratory pressure.
It includes spirometry, flutter, rc cornet, acapella, etc.
useful in various cardiorespiratory disorders like COPD, asthma , cystic fibrosis, respiratory failure etc.
CHEST MOBILIZATION EXERCISES, COUNTER-ROTATION TECHNIQUE, BUTTERFLY TECHNIQUE, BREATH CONTROL DURING WALKING. These Mobilization Techniques are useful to improve Chest Wall Mobility and Expansion in Patients with Restricted Chest wall movements and also Postoperative patients
Inspiratory Muscle Training or Respiratory Muscle Training or Ventilatory Muscle Training. IMT is the physiotherapy technique, with the help of different breathing exercises.
Pulmonary rehabilitation is 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-enhancing behaviors”
The 6-minute walk test (6MWT) is an easy to perform and practical test that has been used in the assessment of patients with a variety of cardiopulmonary diseases including pulmonary arterial hypertension (PAH). It simply measures the distance that a patient can walk on a flat, hard surface in a period of 6 minutes.
Asthma is a chronic inflammatory condition associated with airway hyperresponsiveness (an exaggerated airway-narrowing response to specific triggers such as viruses, allergens and exercise).
Physiotherapy can provide relief from symptoms of uncontrolled asthma, including coughing, wheezing, tightness in the chest, shortness of breath and QOL.
This presentation will help physiotherapy students for their theory as well as practical purpose for measuring the exercise tolerance level of the individual.
This presentation includes maximal and sub maximal exercise testing with it's VO2 max formula
This presentation gives brief description of the treadmill test, am-strand cycle ergo-meter test, 6MWT, symptom limited testing, shuttle walk test
Exercise Testing in Cardiology : Dr. Akif Baigakifab93
The testing modality and protocol should be selected in accordance with the patient’s estimated functional capacity based on age, estimated physical fitness from the patient’s history, and underlying disease
Several exercise test protocols are available for both treadmill and stationary cycle ergometers
Patients who have low estimated fitness levels or are deemed to be at higher risk because of underlying disease (e.g., recent MI, heart failure) should be tested with a less aggressive exercise protocol
Treadmill and cycle ergometers may use stepped or continuous ramp protocols
Work rate increments (stages) during stepped protocols can vary from 1 to 2.5 METs
Ramp protocols are designed with stages that are no longer than 1 minute and for the patient to attain peak effort within 8 to 12 minutes
What does cardiac rehab involve? Cardiac rehabilitation doesn't change your past, but it can help you improve your heart's future. Cardiac rehab is a medically supervised program designed to improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty or heart surgery.
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The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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2. 1. Introduction
2. Treadmill test
3. Purpose
4. Type of exercise
5. Procedure
6. When to stop
7. Indication
8. Conditions that can be detected
9. Contra indication
3. Exercise tolerance test (ETT) is a non invasive technique used to evaluate the
cardio vascular system response to exercise .
It involve monitoring of HR,BP and ECG.
During ETT, a patient exercise’ s either on treadmill or a stationary bike & the
intensity of exercise is gradually increased untill the patient become fatigue.
This test is used in medicine to measure the heart ability to respond to external
stress.
4.
5. Treadmill test is also known as stress test.
This test involve walking on a treadmill and by increasing the level of difficulty.
This test provide information how the Heart respond to exertion.
ECG ,HR and BP is monitor
6. First switch ON the treadmill with initial Settings to 0.
Now ask the patient to stand on treadmill with both hand support .
Now change the setting progressive after 3 min.( Speed, slope)
Initial the patient will be in walking than with progress he will be in
running state.
During this period monitor HR,BP and ECG
7. Detection of CAD ( coronary artery disease)
Identification of abnormal heart rhythm.
Help in develop of safe ex program.
Assess the response to medical intervention.
Evaluation of ex related symptoms.
Evaluation of physical capacity.
8. 3 types of exercise used to stress Cardio vascular system.
1. Isometric
2. Dynamic
3. Combination of both.
9. Explain the procedure to the patient.
Instrct the patient not to eat ,drink or smoke for atleast 3 hrs before the
treatment.
Brief medical history should be taken before the test.
Walking should be demonstrated to the patient.
HR,BP AND ECG should be recorded.
Connect a 12 Lead ECG to Monitor the condition.
Area of electrode application should be shaved and rub it with alcohol saturated
pad to remove oil to reduce skin resistance .
10.
11.
12. 1. Moderate to Severe angina
2. Increase chest pain
3. Dizziness
4. Trachy cardiac
5. Drop BP
6. ST elevation ( >= 1.0mm)
7. ST depression (<2mm)
8. Hypertensive responses
9. SBP Drop ( >=10mmHg)
13. 1. Heart failure
2. Estimate functional capacity
3. Estimate prognosis of CAD
4. Extend of CVD
5. Effect of treadmill