Annexure ‘AAB-CD-01’

COURSE CURRICULUM
Course Title : Physiotherapeutics in Cardiothoracic Conditions
L T P/ SW/ PS TOTAL
Credit Units :3 S FW DA CREDIT
Course Level : UG UNITS
2 0 2 0 0 3
Course Code : PT411

Course Objectives: On completion of this course the student shall be able to apply, and the knowledge of PT for cardiothoracic conditions.

Pre-requisites: Knowledge of cardiopulmonary - anatomy, physiology, pathology, and pharmacology.

Course Contents/Syllabus:
Weightage (%)
Module I- Assessment of the cardiopulmonary patient, techniques and technologies for assessment. 20%
-Review of applied Cardiopulmonary anatomy and Physiology- Including Oxygen transport.
-History taking in cardiac and pulmonary disorders.
-Subjective and Objective Assessment in Cardiac and Pulmonary disorders.
-Common Investigations for cardiac and Pulmonary Disorders
-Physiotherapeutic Evaluation and clinical reasoning and Documentation for cardiac and pulmonary Disorders.
Module II- Common Cardiovascular Disorders & PT for them. 20%
Introduction, Etiology, Clinical features and Management and Physiotherapy for them.
-Hypertension
-Coronary Artery Disease, Angina Pectoris, Myocardial Infarction.
-Cardiac failure
-Cor-pulmonale
-Congenital Heart Disease
-Rheumatic Heart Disease & other Valvular disorders.
-Thromboembolic Phenomenon and DVT
-Varicose veins and Ulcers
-Peripheral Arterial Diseases.
Module III- Common Pulmonary Disorders & PT for them. 20%
Introduction, Etiology, Clinical features and Management and Physiotherapy for them.
-COPD, including chronic Bronchitis and Emphysema
-Asthma, ACOS
-Bronchiectasis, Pneumonia, Respiratory infections
- Pulmonary Tuberculosis
- Pleurisy & Pleural effusion Pneumothorax
- Chest PT for Restrictive lung disorders like Kyphoscoliosis & Ankylosing Spondylitis & Spinal Cord Injury and chest
trauma Patients. Atelectasis and Bronchopulmonary fistula.
- Occupational Lung Diseases and their prevention
- Sleep Apnea Syndrome
Module IV-Physiotherapy in Intensive care unit for Cardiopulmonary Patients including Pre and Post-operative PT 20%
for Cardiothoracic Surgery
-Monitoring in ICU/CCU/ICCU.
-Precautions in ICU including universal precautions.
-Physiotherapy in ICU- Bronchial hygiene therapy, Lung Expansion Therapy, -
Mobilization and Exercise therapy.
-Oxygen therapy
-Mechanical Ventilation
-CPR and emergency procedures
-Principles and techniques of PT management for various traumatic and other surgical conditions of chest, lung, pleura, heart and
mediastinum highlighting PTfor adverse effects of incisions, anesthesia and cardiopulmonary bypass used during surgery.
Module V-Rehabilitation for Cardiovascular and pulmonary Patients & related technological advancements. 20%
-Cardiac Rehabilitation –Aims, Objectives, core components, Principles, Phases, PT Techniques, outcome measures .
-Pulmonary Rehabilitation. -Aims, Objectives, principles, techniques including biofeedback. ----Outcome measures.
-Disruptive technologies, telemedicine, IOT and other robotic techniques for cardiopulmonary PT.

Course Learning Outcomes: After completing the course students will be able to:
• Analyze the cardiopulmonary disorder by taking detailed history and identifying the vital clinical signs & symptoms of an cardiopulmonary
patient
• Define and describe various cardiopulmonary disorders
• Distinguish between various presentations of many conditions of the cardiopulmonary system
• Recognize the probable diagnosis for cardiopulmonary system.
• Write the medical & surgical management of the specific condition.
• Plan & Apply basic cardiothoracic PT techniques.
 • Interpret the cardiopulmonary disorder by taking detailed history and identifying and monitoring the vital clinical signs & symptoms of an
orthopedic patient.
• Define and describe various cardiopulmonary disorders.
• Distinguish between various presentations of many conditions of the cardiopulmonary system. Evaluation of the cardiopulmonary patient.
• Perform assessment & recognize the probable diagnosis for cardiopulmonary system..
• Write the medical & surgical management of the specific condition.
• Demonstrate & Apply basic cardiothoracic PT techniques

Pedagogy for Course Delivery:

The course to be covered using lecture, tutorial and practical based method. In addition to assigning the presentations on case studies, the course
instructor will spend considerable time in understanding the concept of patient assessment history taking & examination. The instructor will cover the
ways to differentially diagnose using clinical, diagnostic & examination techniques. Hospital and department based learning to be emphasized.

List of Professional Skill Development Activities (PSDA): NA

Lab/ Practical details, if applicable:

List of experiments:
- Surface Anatomy
- Auscultation
- Diagnostic percussion
- Palpation of the chest
- Demonstration of investigations and assessment procedures
- Demonstration of various techniques

Assessment/ Examination Scheme:

Theory L/T (%) Lab/Practical/Studio (%)

67% 33%

Assessment/ Examination Scheme for Theory (L&T):

Theory L/T (%) Lab/Practical/Studio (%) End Term Examination (%)

40% Nil 60%

Theory Assessment (L&T):
Continuous Assessment/Internal Assessment End Term
Examination

Components Mid Term Exam Home Assignment Quiz Attendance Theory Paper
(PSDA)

Weightage (%) 15 10 10 5 60

Assessment/ Examination Scheme for Lab/Practical/Studio (P):

Theory L/T (%) Lab/Practical/Studio (%) End Term Examination (%)

Nil 40% 60%

Lab/Practical/Studio Assessment (P):

Continuous Assessment/Internal Assessment End Term Examination

Components Mid Term Case Discussion Practical Attendance Practical Viva Voice
Exam (Case Presentation/ Record Demonstration
Critical Analysis)
(PSDA)

Weightage (%) 15 15 5 5 40 20

Text:
1. Zipes Douglas, Braunwald Eugene Braunwald’s Heart Disease W B Saunders
2. Davidson A Textbook of Medicine Churchill Livingstone
3. Fishman Alfred P Pulmonary Rehabilitation Marcel Dekker
4. Cheriak Neils, Murray D. Altose, Ikuo Homma Rehabilitation of the Patient with Respiratory Disease McGraw-Hill Companies
5. Hillegass & Sadowsey Essentials of Cardio Pulmonary Physical therapy W.B. Saunders Company, 2nd Edition
6. Tecklin, S. J. (ed) (2004) Cardiopulmonary physical therapy: a guide to practice. (4th edition).St Louis, Mosby. Pryor, J.A. and Prasad, S.A. (eds.) (2008)
7. Physiotherapy for Respiratory and Cardiac Problems. Adults and Paediatrics. (4th edition). Edinburgh ; New York : Elsevier/Churchill Livingstone.
8. Paz JC, West MP. Acute Care Handbook For Physical Therapists. 4th ed. St. Louis: Elsevier Saunders; 2014.
9. Frownfelter D, Dean E, editors. Cardiovascular and Pulmonary Physical Therapy: Evidence to Practice. (5th ed.). St. Louis: Elsevier Mosby; 2012.
10. Reid D, Chung, F. Cardiopulmonary Physical Therapy: Management and Case Studies. 2nd ed. Thorofare: Slack; 2013.
 11. Finch E, Brooks D, Stratford PW, Mayo NE. Physical Rehabilitation Outcome Measures: A Guide to Enhanced Clinical Decision Making. 2nd ed.
Toronto: Canadian Physiotherapy Association; 2002.
12. Pryor, J. and Prasad, A. (Editor) (2008) Physiotherapy for Respiratory and Cardiac Problems (4th Ed). Edinburgh: Churchill Livingstone
13. Ayliffe, G., Babb, J. and Taylor, L.J. (2001) Hospital-acquired Infection: Principles and Prevention (3rd Ed). London: Arnold Publishers
14. Come, J., Carroll, M., Delany, D. and Brown, I. (2002) Chest X-Ray Made Easy. Churchill Livingstone
15. American College of Sports Medicine (2014) ACSM’s Guidelines for Exercise Testing and Prescription. 9th edition .Philadelphia, Lippincott, Williams &
Wilkins

Online resoources-

1- http://www.cardiopt.org/resources-general.php
2- https://ecglibrary.com/ecghome.php
3- https://geekymedics.com/
4- https://www.physio-pedia.com/home/