Live Event

Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation

Sat, Mar 1st, 2025

11:00am – 2:10pm US Eastern Time

$57 Included free with an Ignite membership!

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Event Details

Sat, Mar 1st, 2025

11:00am – 2:10pm US Eastern Time

(8:00am – 11:10am US Pacific Time)

3 CE Hours

Live Event

Profession Group

Behavioral Health

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.

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 Instructor

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, and Occupational Therapy Assistants. (PT, PTA, OT, COTA)

Learning Objectives

After taking this activity, you should be able to:

1 Discuss the anatomy and physiology of the diaphragm as it relates to clinical interventions.
2 Describe the physical and physiological effects of mechanical ventilation.
3 Explain the differential diagnoses of diaphragm disorders in their clinical practice.
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.

Dong, Z., Liu, Y., Gai, Y., Meng, P., Lin, H., Zhao, Y., & Xing, J. (2021). Early rehabilitation relieves diaphragm dysfunction induced by prolonged mechanical ventilation: a randomised control study. BMC pulmonary medicine, 21, 1-8.

Liu, Z. B., Wang, L. Y., Zhao, L., Pang, Y. T., Liu, Y. S., Xu, W., & Li, H. L. (2022). Clinical effect of pulmonary rehabilitation combined with diaphragm pacemaker therapy in the treatment of severely ill patients with mechanical ventilation. International Journal of Rehabilitation Research, 45(3), 195-200.

Bissett, B., Gosselink, R., & Van Haren, F. M. (2020). Respiratory muscle rehabilitation in patients with prolonged mechanical ventilation: a targeted approach. Annual Update in Intensive Care and Emergency Medicine 2020, 595-609.

Huang, D., Zhao, W., Chen, Y., Shen, B., Wang, Y., Guan, H., & Luo, W. (2021). Effect of mechanical ventilation and pulmonary rehabilitation in patients with ICU-acquired weakness: a systematic review and meta-analysis. Annals of Palliative Medicine, 10(9), 9594606-9599606.

Huang, H. Y., Huang, C. Y., & Li, L. F. (2022). Prolonged mechanical ventilation: outcomes and management. Journal of Clinical Medicine, 11(9), 2451.

Yang, Y., Zhang, R. J., Yuan, X. N., Gu, Y. Q., Li, Y. N., Wu, S. P., & Cheng, Y. S. (2024). Clinical effect of pulmonary rehabilitation in patients with mechanical ventilation: A meta-analysis. The International Journal of Artificial Organs, 47(2), 96-106.

Pearson, S. D., Lin, J., Stutz, M. R., Lecompte-Osorio, P., Pohlman, A. S., Wolfe, K. S., ... & Patel, B. K. (2022). Immediate effect of mechanical ventilation mode and sedative infusion on measured diaphragm thickness. Annals of the American Thoracic Society, 19(9), 1543-1550.

Myerholtz, L. (2023). Take a Deep Breath. Family Medicine, 55(4), 284.

Balban, M. Y., Neri, E., Kogon, M. M., Weed, L., Nouriani, B., Jo, B., ... & Huberman, A. D. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1).

Bains, K. N. S., Kashyap, S., & Lappin, S. L. (2018). Anatomy, thorax, diaphragm.

Wu, H., & Chasteen, B. (2024). Rapid review of ventilator-induced diaphragm dysfunction. Respiratory Medicine, 223, 107541. https://doi.org/10.1016/j.rmed.2024.107541

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.

Course Creator

Rina Pandya, PT, DPT, FHEA, PGLTHE – None to report.

Commercial support

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

Use our CE Approvals tool to look up your state requirements and how can help you meet them, or log in to your member account to show approvals relevant to your licensure.

American Occupational Therapy Association (AOTA)

3 CEU hours

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 8:00am US Pacific Time.

11:00 AM - 11:45 AM: Introduction, overview of diaphragm dysfunction, common causes and consequences of diaphragm dysfunction, and diagnostic methods for assessment.

11:45 AM - 12:30 PM: Diaphragm rehabilitation techniques including diaphragmatic strengthening exercises, breathing exercises, and techniques to improve diaphragm function.

12:30 PM - 12:40 PM: 10-minute break

12:40 PM - 1:30 PM: Practical applications including discussion of challenges and considerations when implementing diaphragm rehabilitation techniques.

1:30 PM - 2:10 PM: Case studies, review, Q&A, and closing remarks.

Policies

If a grievance arises pertaining to your participation in our continuing education activities, please contact our support team immediately. See our full grievance policy for more information.

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If you need to cancel your registration for a webinar, please contact our support team for assistance prior to the event. Please note our refund policy, above.

If the activity must be cancelled by the provider, all attendees will receive an email notifying them of the cancellation. The email will also provide details about transferring the registration to another educational activity or receiving a refund of the registration fee. As always, you can contact our support team if you have questions or concerns.

Frequently Asked Questions

Once you register, you'll receive an email with the link and instructions to join the live event. The event will be hosted via Zoom. You may test your Zoom connection prior to the event at the Zoom Test page We recommend logging in 10-15 minutes early to be sure your connection is ready.

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If you need to withdraw 30 or more days before the event, you can do this your self from your current courses tab.

Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation

About the Event

Live Event Instructor

Rina Pandya

Target Audience

Learning Objectives

Disclosure to Learners

Planners and Reviewers

Faculty

Course Creator

Commercial support

American Occupational Therapy Association (AOTA)

Physical Therapy Board of California (PTBC)

Florida Board of Physical Therapy

Florida Board of Occupational Therapy (FBOT)

Michigan Board of Physical Therapy

New Jersey State Board of Physical Therapy Examiners (NJTPTE)

New York State Education Department's State Board for Physical Therapy

New York State Education Department's State Board for Occupational Therapy (NYSED BOT)

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board - Physical Therapy (OTPTAT)

Texas Board of Physical Therapy Examiners

Event Agenda

Policies

Frequently Asked Questions

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