Cardiovascular and Pulmonary Physical Therapy - A Clinical Manual

439 Pages·2009·6.942 MB·English

by  Watchie, Joanne

C P
ARDIOVASCULAR AND ULMONARY
P T
HYSICAL HERAPY
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CARDIOVASCULARANDPULMONARYPHYSICALTHERAPY,SECONDEDITION 978-0-7216-0646-0
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Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperiencebroaden
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LibraryofCongressCataloging-in-PublicationData
Watchie,Joanne.
Cardiovascularandpulmonaryphysicaltherapy:aclinicalmanual/JoanneWatchie.--2nded.
p.;cm.
Rev.ed.of:Cardiopulmonaryphysicaltherapy/JoanneWatchie.c1995.
Includesbibliographicalreferencesandindex.
ISBN978-0-7216-0646-0(pbk.:alk.paper)1.Cardiopulmonarysystem--Diseases--Physicaltherapy--Handbooks,
manuals,etc.I.Watchie,Joanne.Cardiopulmonaryphysicaltherapy.II.Title.
[DNLM:1.CardiovascularDiseases--rehabilitation--Handbooks.2.LungDiseases--rehabilitation--Handbooks.
3.PhysicalTherapyModalities--Handbooks.WG39W324ca2010]
RC702.W382010
616.1’2062--dc22
2009008630
VicePresidentandPublisher:LindaDuncan
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SeniorDevelopmentalEditor:MelissaKuster
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PrintedinUnitedStatesofAmerica
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This book is dedicated to all physical therapists who
appreciate the importance of the pulmonary and
cardiovascular systems in designing treatment plans that
not only achieve the treatment goals they establish
for their patients, but also return them to optimal health.
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CONTRIBUTORS
Jeffrey Rodrigues, PT, DPT, CCS
Instructor of Clinical Physical Therapy
Division of Biokinesiology and Physical Therapy
University of Southern California
Los Angeles, California
Chapter7:Cardiovascular andPulmonaryPhysicalTherapy Treatment
Robin J. Winn, PT, MS, PCS
Head Physical Therapist
Morgan Stanley Children’s Hospital of New York
Presbyterian Hospital/Columbia University Medical Center
Instructor in Clinical Rehabilitation Medicine (Physical Therapy)
Columbia University
College of Physicians and Surgeons
Program in Physical Therapy
New York, New York
Chapter8:Pediatrics
Joel D. Hubbard, PhD, MT (ASCP)
Associate Professor
Clinical Laboratory Science
School of Allied Health Sciences
Texas Tech University
Lubbock, Texas
Chapter9:Laboratory Medicine
vii
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PREFACE
The first edition of Cardiopulmonary Physical Therapy: A Clinical Manual came about as
the result of discussions within the Executive Committee of the Cardiopulmonary Section
of the American Physical Therapy Association in 1988. At that time, several members
expressed frustration over the amount of time and effort required to find appropriate mate-
rials to use in the orientation and instruction of staff and students who would rotate onto
services that served patients with cardiopulmonary diseases or dysfunction. In addition,
some members received frequent requests for reference materials and bibliographies from
practicing physical therapists interested in developing more expertise in cardiopulmonary
physical therapy. Cardiopulmonary Physical Therapy: A Clinical Manual was created to
address these needs.
Thefirsteditionofthebookservedasareadyreferenceforphysicaltherapistsandother
care providerswhose patientshaveprimary orsecondary cardiovascularor pulmonarycon-
ditions. Itwasdesignedtoprovidevaluableinformation quickly andconciselyforclinicians
who require immediate understanding of a particular pathology, diagnostic test or proce-
dure, therapeutic intervention, medication, or cardiopulmonary problem, as well as the
important clinical implications of participation in exercise and rehabilitation activities.
Theresponsetothebookhasbeenverypositive,andtheneedformorecurrentinforma-
tion has prompted the publication of a second edition. The title change to Cardiovascular
and Pulmonary Physical Therapy: A Clinical Manual reflects the inclusion of pathologies
and clinical manifestations involving the vascular system among the conditions affecting
patients served by this area of clinical practice.
Like the first edition, this book is a quick and convenient resource, offering a clinical
overview of a wide variety of diseases and disorders that affect the pulmonary and cardio-
vascular systems and the physical therapy management of patients with these conditions.
It integrates information related to anatomy and physiology, diagnostic tests and relevant
findings, significant pathophysiological features and clinical manifestations, and medical
and surgical interventions, while offering important clinical implications for exercise and
physicaltherapyinterventions.Crossreferences torelatedinformationfoundinotherchap-
ters and bulleted lists make finding information quick and easy.
Thiseditionincludesanintroductiontotheoxygentransportpathwayasitactuallyfunctions
intheclinicalsettingandtheimplicationsofdefectsinthepathway.Updatedmaterialisprovided
on diagnostic tests and procedures, therapeutic interventions, pharmacology, and laboratory
valuesandprofilesusedinthemanagementofpatientswithcardiovascularandpulmonarydys-
function.Therearemanynewandupdatedillustrations,includingdepictionsofthepathophysi-
ology and associated clinical manifestations of obstructive and restrictive lung disease and
systolicanddiastolicventriculardysfunction.Inaddition,informationonobesityanddiabetes
hasbeenexpanded,andmaterial onmetabolicsyndromeandanthropometricmeasurements
fordeterminingobesityandassociatedlevelofhealthriskhasbeenadded.
Cardiovascular and Pulmonary Physical Therapy: A Clinical Manual is a unique and
valuable resource for physical therapists practicing in all clinical settings, including acute
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