Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation
Live Event

Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation

Thu, Jan 25th, 2024
6:00pm – 9:10pm US Eastern Time
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About the Event

This live interactive continuing education course is designed to provide therapists with practical knowledge and skills related to the diaphragm. Therapists will gain a better understanding of the diaphragm's anatomy, clinical relevance as a core stabilizer and thoracoabdominal pump, and its implications for patient care. The course focuses on applying this knowledge in real-world scenarios, particularly in the context of patients recovering from mechanical ventilation. Therapists will learn strategies to minimize ventilator-induced diaphragmatic dysfunction (VIDD) and enhance positive patient outcomes, supported by case studies that explore systemic causes of diaphragm weakness.

The live interactive course also addresses practical challenges faced by therapists. Therapists will gain insights into the importance of posture, the role of the diaphragm in gait and balance, and its significance as a core stabilizer. Through specific exercises and techniques, therapists will learn diaphragm strengthening and stretching methods suitable for various positions such as lying, sitting, standing, and ambulation. By the end of the course, therapists will be equipped with practical tools to integrate diaphragm rehabilitation into their treatment plans, optimizing the recovery of patients who have undergone mechanical ventilation.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructors

Rina Pandya, PT, DPT, FHEA, PGLTHE

Rina Pandya, PT, DPT, FHEA, PGLTHE

Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 25 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman.

Rina Pandya

Rina Pandya

Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 25 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, and Nurses (PT, PTA, OT, COTA, RN).

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Apply the knowledge of anatomy and physiology of diaphragm for clinical interventions.
  2. 2 Analyze the physical and physiological effects of mechanical ventilation.
  3. 3 Apply the differential diagnoses of diaphragm disorders in their clinical practice.
  4. 4 Perform strengthening and stretching exercises for diaphragm in various positions of supine, sitting, standing and ambulation through different stages of rehabilitation as related to clinical treatment.

Bordoni, B., Purgol, S., Bizzarri, A., Modica, M., & Morabito, B. (2018). The influence of breathing on the central nervous system. Cureus, 10(6).

Dres, M., Dubé, B. P., Mayaux, J., Delemazure, J., Reuter, D., Brochard, L., ... & Demoule, A. (2017). Coexistence and impact of limb muscle and diaphragm weakness at time of liberation from mechanical ventilation in medical intensive care unit patients. American journal of respiratory and critical care medicine, 195(1), 57-66.

Fayssoil, A., Behin, A., Ogna, A., Mompoint, D., Amthor, H., Clair, B., ... & Annane, D. (2018). Diaphragm: pathophysiology and ultrasound imaging in neuromuscular disorders. Journal of neuromuscular diseases, 5(1), 1-10.

Goligher, E. C., Dres, M., Fan, E., Rubenfeld, G. D., Scales, D. C., Herridge, M. S., ... & Ferguson, N. D. (2018). Mechanical ventilation–induced diaphragm atrophy strongly impacts clinical outcomes. American journal of respiratory and critical care medicine, 197(2), 204-213.

Kokatnur, L., Vashisht, R., & Rudrappa, M. (2023). Diaphragm Disorders. In StatPearls. StatPearls Publishing.

McCool, F. D., Manzoor, K., & Minami, T. (2018). Disorders of the Diaphragm. Clinics in chest medicine, 39(2), 345-360.

Newbury, A., Dorfman, J. D., & Lo, H. S. (2018, August). Imaging and management of thoracic trauma. In Seminars in Ultrasound, CT and MRI (Vol. 39, No. 4, pp. 347-354). WB Saunders.

Petrosyan, M., Shah, A. A., Chahine, A. A., Guzzetta, P. C., Sandler, A. D., & Kane, T. D. (2019). Congenital paraesophageal hernia: Contemporary results and outcomes of laparoscopic approach to repair in symptomatic infants and children. Journal of Pediatric Surgery, 54(7), 1346-1350.

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty

There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

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Florida Board of Physical Therapy

3 CE credit hours
Eligible until Jan 25th, 2024
CE Learning Systems, LLC is approved by the Florida Board of Physical Therapy to sponsor continuing education for Physical Therapists and Physical Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. CE Broker Provider Number 50-315. FLBPT Approval Number:
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Florida Board of Occupational Therapy (FBOT)

3 CE credit hours
Eligible until Jan 25th, 2024
CE Learning Systems, LLC is approved by the Florida Board of Occupational Therapy to sponsor continuing education for Occupational Therapists and Occupational Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. CE Broker Provider Number 50-315
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Michigan Board of Physical Therapy

3 CE credit hours
Eligible until Jan 25th, 2024
Impact CE, a service of CE Learning Systems, is approved by the Michigan Board of Physical Therapy (Provider # 50-315).
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New Jersey State Board of Physical Therapy Examiners (NJTPTE)

3 CE credit hours
Eligible until Jan 25th, 2024
This activity has been approved by the New Jersey Board of Physical Therapy Examiners for credit hours for PTs and PTAs. Approval Number
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New York State Education Department's State Board for Physical Therapy

3 CE credit hours
Eligible until Jan 25th, 2024
CE Learning Systems (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of continuing education for Physical Therapists and Physical Therapist Assistants.
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Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board - Physical Therapy (OTPTAT)

3 CE credit hours
Eligible until Jan 25th, 2024
This course is approved by the Ohio Physical Therapy Association for PTs and PTAs. OPTA approval number #####.
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Texas Board of Physical Therapy Examiners

3 CE credit hours
Eligible until Jan 25th, 2024
This activity has been approved by the Texas Board of Physical Therapy Examiners for 3 CCUs for PTs and PTAs. APS # 2805075TX. Accreditation Period: 6/1/25-5/31/28
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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 3:00pm US Pacific Time.

6:00 pm - 6:45 pm: Introduction, overview of diaphragm dysfunction, common causes and consequences of diaphragm dysfunction, and diagnostic methods for assessment. 6:45 pm - 7:30 pm: Diaphragm rehabilitation techniques including, diaphragmatic strengthening exercises, breathing exercises and techniques to improve diaphragm function. 7:30 pm - 7:40 pm: 10 minute break 7:40 pm - 8:30 pm: Practical applications including discussion of challenges and considerations when implementing diaphragm rehabilitation techniques. 8:30 pm - 9:10 pm: Case studies, review, Q&A and closing remarks.

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