This course is designed as 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 as PT, OT and nursing professionals we 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. PT’s and OT’s 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. (Intermediate Level)
Dr. Rina Pandya, PT, DPT has an extensive physical therapy career that spans over 20 years, through the UK, the USA and the Middle East. She has worked in NHS (National Health Service), American health care providing PT 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 a Physical Therapy department as Department Head in premier private hospital in Oman. Rina graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. She has also been an educator with Summit Professional Education conducting live seminars. Rina is a member of the APTA, HCPC-UK and OAP-Oman.
Upon completion of this course, the participant will be able to:
1. Identify Anatomy and physiology of diaphragm.
2. Explain the physical and physiological effects of mechanical ventilation.
3. Determine best practice case studies and differential diagnoses of diaphragm disorder for evaluation and applications.
4. Perform 3 strengthening and stretching ex’s for diaphragm in various positions of supine, sitting, standing and ambulation through different stages of rehabilitation.
Pre-Study: 30 Minutes Plan to read the course materials, references and review the post test before the start time. Please be prepared to share patient case study and related question during the discussion time.
30 min: Anatomy, physiology and function of diaphragm.
30 min: Effects of mechanical ventilation, differential diagnoses.
30 min: Role of diaphragm in posture, gait mechanics, core stabilization.
30 min: Strengthening and stretching exercises of the diaphragm.
Post-test: Research, identify, and submit your post test question answers on the online form. This is an open book test you can take multiple times if needed to obtain the 70% score. Complete course evaluation survey to offer your ratings and comments on the course