Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation
Live Event

Diaphragm Rehabilitation for Cardiopulmonary Patients After Mechanical Ventilation

Fri, Aug 19th, 2022
11:00am – 2:15pm US Eastern Time
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About the Event

This course is designed as a handy reference towards learning and refreshing the anatomy of diaphragm. It will also highlight the clinical relevance of strength and function of the diaphragm as a core stabilizer and its role as a thoracoabdominal pump. This course will walk through the positive effects of diaphragmatic breathing which is integral for both mental and physical recovery of a patient after mechanical ventilation. Mechanical ventilation is responsible for VIDD (ventilator induced diaphragmatic dysfunction) thus we will learn about the physical and physiological negative effects of mechanical ventilation and how we as professionals can help minimize those effects enhancing quicker positive patient recovery. We will talk briefly about systemic causes of diaphragm weakness with enhanced understanding using case studies.

Professionals will demonstrate improved understanding of the importance of posture, role of diaphragm in gait and balance and its key role as a role stabilizer. The course will round off with exercises for strengthening and stretching of the diaphragm in laying, sitting, standing and ambulation through gradual stages of rehabilitation post 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 is intended for Behavioral Health professionals. It is appropriate for all levels of knowledge.

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. The Influence of Breathing on the Central Nervous System. Cureus. 2018 Jun 01;10(6):e2724

Dres M, Dubé B-P, Mayaux J, Delemazure J, Reuter D, Brochard L,et al. Coexistence and impact of limb muscle and diaphragm weakness at time of liberation from mechanical ventilation in medical intensive care unit patients. Am J Respir Crit Care Med 2017;195:57–66

Fayssoil A, Behin A, Ogna A, Mompoint D, Amthor H, Clair B, Laforet P, Mansart A, Prigent H, Orlikowski D, Stojkovic T, Vinit S, Carlier R, Eymard B, Lofaso F, Annane D. Diaphragm: Pathophysiology and Ultrasound Imaging in Neuromuscular Disorders. J Neuromuscul Dis. 2018;5(1):1-10

Goligher E, Dres M, Fan E, Rubenfeld G. Mechanical Ventilation–induced Diaphragm Atrophy Strongly Impacts Clinical Outcomes | American Journal of Respiratory and Critical Care Medicine. Atsjournals.org. https://www.atsjournals.org/doi/10.1164/rccm.201703-0536OC. Published 2017.

Kokatnur, L., Vashisht, R. and Rudrappa, M., 2020. Diaphragm Disorders. [online] Ncbi.nlm.nih.gov. Available at: https://www.ncbi.nlm.nih.gov/books/NBK470172/

McCool FD, Manzoor K, Minami T. Disorders of the Diaphragm. Clin. Chest Med. 2018 Jun;39(2):345-360

Newbury A, Dorfman JD, Lo HS. Imaging and Management of Thoracic Trauma. Semin. Ultrasound CT MR. 2018 Aug;39(4):347-354

Petrosyan M, Shah AA, Chahine AA, Guzzetta PC, Sandler AD, Kane TD. Congenital paraesophageal hernia: Contemporary results and outcomes of laparoscopic approach to repair in symptomatic infants and children. J. Pediatr. Surg. 2019 Jul;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.

Florida Board of Physical Therapy

3 CE credit hours
Eligible until Aug 19th, 2022
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 Aug 19th, 2022
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 Aug 19th, 2022
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 York State Education Department's State Board for Physical Therapy

3 CE credit hours
Eligible until Aug 19th, 2022
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 Aug 19th, 2022
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 Aug 19th, 2022
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 8:00am US Pacific Time.

11:00am - 12:30pm ET - Lecture 12:30pm - 12:45pm ET - Break 12:45pm - 2:15pm ET - Lecture and Q&A

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