Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf ·...
Transcript of Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf ·...
![Page 1: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/1.jpg)
Cardiopulmonary Physical Therapy
Haneul Lee, DSc, PT
![Page 2: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/2.jpg)
OBJECTIVE
1. Explain the principle physiological function of the pulmonary system
2. Outline the major anatomical components of the respiratory system.
3. List major muscles involved in inspiration and expiration 4. Discuss the respiratory system
![Page 3: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/3.jpg)
Breathing…
Process that moves air in and out of the lungs, or oxygen through other breathing organs
Called ventilation, which includes both inhalationand exhalation.
Processes that deliver oxygen to where it is needed in the body and remove carbon dioxide
![Page 4: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/4.jpg)
Steele, Joel Dorman Hygienic Physiology (New York, NY: A. S. Barnes & Company, 1888)
![Page 5: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/5.jpg)
Serves to protect major of thecardiopulmonary system
Bony thorax provides a skeletal frame work for the attachment of the muscles
Helps to keep the lungs from collapsing due to the plural cavity
http://pixshark.com/thorax-anatomy.htm
![Page 6: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/6.jpg)
http://pixshark.com/thorax-anatomy.htm
![Page 7: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/7.jpg)
https://www.studyblue.com/notes/note/n/chapter-7-axial-skeleton/deck/8056232
![Page 8: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/8.jpg)
http://antranik.org/wp-content/uploads/2011/12/organs-of-the-respiratory-system-larynx-bronchi-alveoli-diaphragm-trachea-pharynx-paranasal-sinuses.jpg
![Page 9: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/9.jpg)
http://www.abc.net.au/health/library/stories/2010/07/29/2967396.htm
3 lobes-Upper-Middle-Lower
2 lobes-Upper-Lower
![Page 10: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/10.jpg)
Conducting zone
A passage way for air
humidity and filter the air as it moves toward the respiratory zone of the lung
Respiratory zone
Exchange of gases between air and blood
http://image.slidesharecdn.com/respirationduringexercise-140620072750-phpapp02/95/fisiologi-senam-respiration-during-exercise-14-638.jpg?cb=1403267426
![Page 11: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/11.jpg)
http://gallery4share.com/r/respiratory-zone.html
![Page 12: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/12.jpg)
![Page 13: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/13.jpg)
http://www.google.co.kr/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=0CAMQjxw&url=http%3A%2F%2Fdokterayla.com%2Ftag%2Fmuscles-of
![Page 14: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/14.jpg)
Diaphragm Primary muscle
Accessory muscles Sternocleidomastoid
Scalenius
External Intercostalis
Pectoralis
Trapezius
Serrarus
![Page 15: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/15.jpg)
Rectus Abdominis
Obliquus Externus Abdominis
Obliquus Internus Abdominis
Transversus abdominis
Internal Intercostals
![Page 16: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/16.jpg)
EXPIRATION
1. Diaphragm relaxes, ribs pulled downward
2. Volume of lungs decreases
3. Intrapulmonary pressure raised
INSPIRATION
1. Diaphragm pushes downward, ribs lift outward
2. Volume of lungs increases
3. Intrapulmonary pressure lowered
www.askkatheperez.com
![Page 17: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/17.jpg)
![Page 18: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/18.jpg)
Ventilation: Movement of gas in and out of the pulmonary system
www.jonathandownham.com
![Page 19: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/19.jpg)
Tidal Volume (TV)
: volume of gas inhaled during a
normal resting breath . 500 ml
Inspiratory Reserve Volume (IRV)
: volume of gas that can be inhaled
beyond a normal resting tidal
inhalation. 3000ml
Expiratory Reserve Volume (ERV)
: volume of gas that exhaled beyond a
normal resting tidal exhalation. 1,100ml
Residual Volume (RV)
: volume of gas that remains in the lung
after ERV has been exhaled. 1,200 ml
![Page 20: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/20.jpg)
Inspiratory Capacity (IC)
: the amount of air that can be inhaled
from REEP . TV + IRV 3,500 ml
Vital capacity (VC) , Functional VC (FVC)
: the amount of air that is under volitional
control. IRV + TV + ERV
Functional Residual Capacity (FRC)
: the amount of air that resides in lungs
after a normal resting tidal exhalation.
ERV + RV 2,200ml
Total Lung Capacity (TLC)
: the total amount of air that is contained
within the thorax during a maximum
inspiratory effort. VC + RV 5,700ml
REEP: Resting End Expiratory Pressure
![Page 21: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/21.jpg)
Flow rates
Forced Expiratory Volume in 1 second (FEV1)
: The amount of air exhaled during
the first second of FVC.
In healthy person, at least 70% of
the FVC is exhaled within first second
( FEV1/FVC*100 > 70%)
![Page 22: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/22.jpg)
Question?Thank
you
![Page 23: Cardiopulmonary Physical Therapycontents.kocw.net/KOCW/document/2015/gachon/leehaneul/2.pdf · 2016-09-09 · 1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd](https://reader030.fdocuments.us/reader030/viewer/2022040506/5e3ec61cd3e3ea7ac139f054/html5/thumbnails/23.jpg)
1. National Physical Therapy Examination, O’sullivan&Siegelman, TherapyEd2. Essentials of Cardiopulmonary Physical Therapy, 3rd edition, Ellen Hillegass, Elsevi
er3. Cardiovascular and pulmonary Physical Therapy Evidence to Practice, 5th edition,
Donna Frownfelter, Elizabeth Dean, Elsevier4. Cardiopulmonary Physical Therapy Management and Case Studies, 2nd edition, W.
Darlence Reid, Frank Chung, Kylie Hill, SLACK Inc.5. Steele, Joel Dorman Hygienic Physiology (New York, NY: A. S. Barnes & Company,
1888)6. Khan Academy, www.khanacademy.org