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Cardiopulm Phys Ther J. 2010 December; 21(4): 35–37.
PMCID: PMC3004763

Cardiovascular and Pulmonary Section Programming Combined Sections Meeting 2011

Please note the schedule is not finalized. Please refer to APTA's Web site for updated information.

Preconference Course:

Wednesday, February 9, 2011

8:00 AM – 5:00 PM

TITLE: The Achy Breaky Heart: The Components of a Comprehensive Examination, Evaluation, and Exercise Prescription in Older Adults with Heart Failure

SPEAKERS: Donna Frownfelter, Gail Huber, Jennifer M. Ryan, and H Steven Sadowsky

DESCRIPTION: Congestive heart failure is the leading cause of hospitalization among Medicare's 2.4 million enrollees. Physical therapist's knowledge, skills, and abilities related to examination and intervention of older patients with heart failure has to be comprehensive in order to meet the expectations of a doctoring profession.

This course will address:

  1. the physiologic changes in the cardiovascular and pulmonary system that occur naturally with aging and pathologically from HF,
  2. how exercise can impact these age and HF related changes,
  3. the positive and negative effects of the pharmaceutical management of blood pressure and heart function on the patient's activity tolerance, and
  4. rationale for and performance of a detailed examination of older patients with HF to allow for safe and effective rehabilitation.

The interpretation of the data explored in the lecture and laboratory will be explained in relation to all potential factors that can cause an inappropriate vital sign response and illustrated in case presentations. To achieve best practice in this population physical therapists need to understand the primary and secondary changes that occur in an older patient with HF, the role exercise plays in the management of these symptoms and the components of a thorough examination.

Thursday February 10, 2011

10:30-12:30

TITLE: “Getting Rid of Homan's: Differentiating Deep Venous Thrombosis (DVTs) with Clinical Guidelines and Clinical Prediction Rules”

SPEAKERS: John Heick and James Farris

DESCRIPTION: The subject matter of this session will include: (1) incidence and risk factors for a deep venous thrombosis (DVT), (2) differential diagnosis of a DVT, and (3) current practice in determining the possibility of a DVT. We will discuss the current standards of practice when examining or providing interventions for a patient with a DVT. We will present 2 case studies of patients with a DVT along with a local/regional survey of clinicians assessing current physical therapy practice related to DVT.

OBJECTIVES

Upon completion of this course, you will be able to:

  1. identify the incidence and risk factors for the development of a DVT;
  2. discuss the morbidity and mortality related to DVT;
  3. compare signs and symptoms related to differential diagnosis of a DVT;
  4. discuss the model of assessment for identifying a DVT as advocated by Wells;
  5. introduce the AUTAR DVT Risk Assessment Scale for clinicians;
  6. critically evaluate the use of Homan's sign;
  7. discuss current practice related to interventions of a patient with a DVT;
  8. advocate for the use of a clinical prediction rule as an integral part of the examination, evaluation, and provision of interventions for patients with DVTs.

Thursday February 10, 2011

12:30-2:30

TITLE: Oxygen Use: Recommendations for all Practice Settings

SPEAKERS: Ellen Hillegass

DESCRIPTION: Oxygen use recommendations will be provided from a Task Force of the Cardiovascular and Pulmonary Section to develop an understanding of the real and potential role of the physical therapist in providing oxygen therapy. This session will provide a review of the current literature on oxygen therapy as well as instructions in use of oxygen, methods for titration of oxygen, legal issues related to the use of oxygen, and practical tips.

OBJECTIVES

Upon completion of this course, you will be able to:

  1. discuss current evidence of use of oxygen in practice including benefits, precautions, and populations that benefit from use of oxygen;
  2. discuss indications and contraindications for titration of oxygen and populations that should be used with caution;
  3. determine appropriate modes of delivery of oxygen to be used with different populations;
  4. discuss legal issues with use of oxygen including any limitations in state practice acts; and
  5. identify practical tips with the use of oxygen in the clinic or when patients travel.

Thursday February 10, 2011

3:00-4:00

Linda Crane Memorial Lecture

TITLE: Leading Leaders: A Vision for Our Centennial Years

INVITED SPEAKER: Venita Lovelace-Chandler, PT, PhD, PCS

DESCRIPTION: At 90 years of age, the APTA may be facing some of the greatest national and global challenges of its history. Membership has grown from 238 in 1921 to over 70,000 in 2011, but the expansion of the APTA may be restrictive to individual participation. A leadership gap appears imminent in practice and education. Fostering every member to understand the APTA and its great work is essential to ensuring a profession that lives its core values and meets societal needs. Come celebrate a vision of the APTA's100th birthday with every member serving as a “professional centenarian” who stewards the organization to continued greatness.

Friday, February 11, 2011

TITLE: New and Emerging Issues in Heart Failure VAD Therapies: When Your Patient Doesn't Look Like the Evidence

SPEAKERS: Jennifer Carter & Chris Wells

DESCRIPTION: With the shift in technology to less bulky left ventricular assist devices (VADs), populations shut out of this option by virtue of smaller stature, are now receiving these devices in greater numbers. Specifically, women are receiving these devices in greater numbers, although the overall percentages are still heavily skewed towards males. Additionally, in growing urban-based mechanical circulatory support programs, increased numbers of minorities are receiving these devices, bringing additional psychosocial and cultural issues to the table.

As is the case with much of the scientific research body of evidence, the studies involving heart failure patients, those receiving VADs and potentially heart transplants, do not match the reality of patients being treated by physical therapists. This requires the ability to synthesize research results and apply to a unique population.

OBJECTIVES

Upon completion of this course, you will be able to:

  1. identify advances in medical therapy for the heart failure patient with emphasis on the populations studied versus treated by Physical Therapists;
  2. identify current best practice for patients undergoing rehabilitation during all stages of heart failure with recognition of gender specific issues and potential cultural issues; and
  3. incorporate best practice recommendations, current research, and known gaps in the evidence to create a complete treatment plan for all patient groups encountered.

Saturday, February 12, 2011

8:00-10:30

TITLE: Diagnosis Dialog for Cardiovascular & Pulmonary Physical Therapists

SPEAKERS: Tamara Burlis, Ethel Frese, Cynthia Zadai, and Barbara Norton

DESCRIPTION: Our profession's success in achieving at least three aspects of Vision 2020: Autonomous Practice, Direct Access, and Doctor of Physical Therapy, is dependent upon a thorough understanding of issues related to diagnosis and on widespread, consistent use of commonly understood terminology for describing the conditions that affect the movement system of our patients. Cardiovascular & Pulmonary physical therapists need to embrace the practice of making diagnoses that are within the scope of our practice and are related to the focus of our profession on human movement. The purpose of this session is to: (1) briefly summarize issues that have been discussed in a series of 6 conferences on diagnosis, (2) provide examples of diagnoses that are relevant to section members, and (3) engage in a conversation with the audience about the process of developing diagnoses based on syndromes, that is, collections of signs and symptoms related to the human movement system.

OBJECTIVES

Upon completion of this course, you will be able to:

  1. understand the history of diagnosis in PT, the diagnosis dialog discussions, and the dilemmas related to the development of movement system-based diagnoses;
  2. recognize the need for widespread, consistent use of commonly understood terminology for diagnosing dysfunction of the human movement system;
  3. appreciate how the use of a common diagnostic scheme will impact clinical practice of cardiovascular & pulmonary physical therapists; and
  4. understand a process for developing a diagnosis for patients with movement problems related to cardiovascular & pulmonary conditions.

Saturday, February 12, 2011

1:00-4:00

TITLE: How to Help Patients Who Are Sick and Tired of Being Sick and Tired: Physical Therapist Management of Chronic Fatigue Syndrome

SPEAKERS: Todd Davenport, J. Mark Van Ness, Christopher R. Snell, Staci Stevens

DESCRIPTION: Fatigue is one of the most common reasons patients consult a health care provider. Chronic Fatigue Syndrome (CFS) is one cause of clinically debilitating fatigue. CFS may present a spectrum of symptoms and thus provide multiple reasons for entry to physical therapy settings. Recent research indicates the symptoms and disability in CFS appear related to aerobic system impairment, autonomic dysregulation, and immune dysfunction. These issues place physical therapists in a unique position in the health care system to identify CFS, to advocate for patients/clients with possible CFS, and to direct its appropriate management through both physical therapist interventions and referral to other health care providers for consultation.

This session will provide leading edge information about physical therapy management of patients with CFS from a panel of recognized group of clinicians and researchers. In this session, we will: (1) summarize the clinical features and pathoetiology of CFS with respect to optimal identification, differential diagnosis, and clinical management by physical therapists; (2) discuss the current evidence for the use of exercise in CFS; and (3) present a conceptual framework for clinical management of individuals with CFS by physical therapists that is based on current scientific evidence.

OBJECTIVES

Upon completion of this course, you will be able to: Define CFS/ME according to current classification models:

  1. discuss the evidence regarding the physical and cognitive pathophysiological processes that underlie the clinical presentation of CFS;
  2. appraise a patient's/client's case for the diagnostic features of CFS, including potentially under-represented or under-served demographic risk groups that are based on gender and sociocultural background;
  3. compare and contrast the clinical presentation of CFS with other health conditions that cause persistent pain and fatigue;
  4. analyze the physiological and psychological characteristics of post-exertional malaise which commonly serves as a barrier to patients' and clinicians' optimal clinical outcomes in a physical therapy setting; and
  5. design and implement an evidence-based physical therapy management program for patients with CFS, based on patient education, activity modification, and anaerobic exercise.

Articles from Cardiopulmonary Physical Therapy Journal are provided here courtesy of Cardiopulmonary Physical Therapy Section of the American Physical Therapy Association