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Physiotherapy in Internal Medicine, Rheumatology, Geriatrics
Study Course Description
Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:16.01.2024 11:50:15
| Study Course Information | |||||||||
| Course Code: | REK_060 | LQF level: | Level 6 | ||||||
| Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
| Branch of Science: | Clinical Medicine | Target Audience: | Medical Services | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Anete Pētersone | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Rehabilitation | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 26a Anninmuizas boulevard, rk rsu[pnkts]lv, +371 20271291 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 3 | Total Contact Hours of Lectures | 12 | ||||
| Classes (count) | 13 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 52 | ||||
| Total Contact Hours | 64 | ||||||||
| Part-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 3 | Total Contact Hours of Lectures | 12 | ||||
| Classes (count) | 13 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 52 | ||||
| Total Contact Hours | 64 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | In anatomy, physiology, pathological physiology and internal diseases. | ||||||||
| Objective: | To acquaint with the role of physiotherapy technologies in the treatment of internal diseases, the reduction of disease risks and recurrence, the strengthening of physical health, the primary and secondary prevention of diseases, the improvement of the body’s functional abilities in case of chronic diseases and functional impairments cause by them, as well as the improvement of quality of life. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Pulmonary rehabilitation. Clinical and physiological rationale for the use of physical exercise. Breathing techniques, characteristics thereof. Physiotherapy after acute pneumonia: objectives, methods. Physiotherapy in case of pleurisy: objectives, methods. Physiotherapy in case of bronchiectasis: objectives, methods. Physiotherapy in case of lung surgery, before and after the surgery: objectives, methods. Chronic obstructive pulmonary disease: bronchitis, pulmonary emphysema. Objectives. | Lectures | 1.00 | auditorium | |||||
| 2 | Getting acquainted with the practical class plan, objectives and requirements thereof. Specifics of examination of therapeutic patients. Physiotherapy in cardiology: 6-minute walk test training, evaluation thereof. Acute myocardial infarction. Modes of movement in the hospital. Learning the exercise programme. Participation in the cardiology group. | Classes | 1.00 | auditorium | |||||
| 3 | Physiotherapy in cardiology. Interview with the patient: taking of anamnesis, examination of the patient. Getting acquainted with medical history. Individual physiotherapy and group classes for patients. Discussions about disease risk factors, patient education. Physiotherapy in cardiac surgery: breathing exercises and patient activation in the early postoperative period. | Classes | 1.00 | auditorium | |||||
| 4 | Risk factors of coronary heart disease. Patient education. Cardiac rehabilitation, phases, objectives. Physiotherapy after acute myocardial infarction: objectives, modes of movement in the hospital, characteristics thereof. Contraindications for physiotherapy. Physiotherapy in the recovery phase after acute myocardial infarction: objectives, modes of movement. Types of classes. | Lectures | 1.00 | auditorium | |||||
| 5 | Physiotherapy in cardiology and cardiosurgery. Discussion of physiotherapy objectives, preparation of individual programmes, work with patients individually and in groups. Medical control of cardiac patients. Training in dosed walking. Discussions about patients, team discussions. | Classes | 1.00 | auditorium | |||||
| 6 | Physiotherapy in cardiology and cardiosurgery. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories. | Classes | 1.00 | auditorium | |||||
| 7 | Medical control of cardiac patients. Principles of exercise dosing for cardiac patients. Functional examinations of the cardiovascular system: 6-minute walk test, veloergometry. Using the results in the development of a rehabilitation programme. Karvonen Formula. Physiotherapy in case of a hypertensive heart disease: stages, objectives, methods. Physiotherapy in case of hypotonia: objectives, methods. Physiotherapy in cardiac surgery: preparation of patients before and after surgery. | Lectures | 1.00 | auditorium | |||||
| 8 | Physiotherapy in rheumatology. Patient examination methods. Learning physiotherapy techniques for rheumatoid polyarthritis, ankylosing spondyloarthritis. Work in groups. Discussions. | Classes | 1.00 | auditorium | |||||
| 9 | Physiotherapy in rheumatology. Interview with the patient about the anamnesis of the disease, examination of the patient’s joint functions, formulation of the main problems, objectives, drawing up programmes. Work in groups. Discussions about patients, team discussions. Rehabilitation methods in rheumatology, characteristics thereof. Physiotherapy in case of rheumatoid polyarthritis: joint clinic, objectives, methods. Physiotherapy in case of ankylosing spondyloarthritis: postural changes. | Classes | 1.00 | auditorium | |||||
| 11 | Physiotherapy in rheumatology. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories. | Classes | 1.00 | auditorium | |||||
| 12 | Physiotherapy in pulmonology and lung surgery. Learning breathing techniques. Exercises after acute pneumonia, pleurisy. Individual and group classes. Physiotherapy and patient training before lung surgery. | Classes | 1.00 | auditorium | |||||
| 13 | Physiotherapy in gastroenterology: gastritis, ulcer disease, gastroptosis, constipation. Physiotherapy in case of diabetes mellitus: objectives, methods. Patient education. Obesity as a disease. Body mass index, stages of obesity. Effect of physical exercise on weight management. Geriatrics: ageing and examination specifics, geroprophylaxis. Principles for activating the elderly. Types of physical exercise for the elderly. | Lectures | 1.00 | auditorium | |||||
| 14 | Physiotherapy in pulmonology and lung surgery. Learning drainage techniques. Physiotherapy in case of chronic obstructive bronchitis and bronchiectasis. Activating patients after lung surgery. | Classes | 1.00 | auditorium | |||||
| 15 | Physiotherapy in pulmonology and lung surgery. Learning relaxation techniques. Activating patients after lung surgery. Patient examination, discussing medical histories. | Classes | 1.00 | auditorium | |||||
| 16 | Physiotherapy in pulmonology and lung surgery. Individual and group work with patients. Team discussions. Evaluating treatment results. Drawing up a home programme. | Classes | 1.00 | auditorium | |||||
| 17 | Physiotherapy in vascular surgery. Characteristics of surgeries, principles of physiotherapy after surgery. Diabetes mellitus and physical activity. Taking anamnesis. Exercises. | Classes | 1.00 | auditorium | |||||
| 18 | Physiotherapy in geriatrics, functional assessment of the elderly, formulation of needs, objectives and requirements. Possible physiotherapy exercises. Discussions, conclusion of the cycle. | Classes | 1.00 | auditorium | |||||
| Topic Layout (Part-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Pulmonary rehabilitation. Clinical and physiological rationale for the use of physical exercise. Breathing techniques, characteristics thereof. Physiotherapy after acute pneumonia: objectives, methods. Physiotherapy in case of pleurisy: objectives, methods. Physiotherapy in case of bronchiectasis: objectives, methods. Physiotherapy in case of lung surgery, before and after the surgery: objectives, methods. Chronic obstructive pulmonary disease: bronchitis, pulmonary emphysema. Objectives. | Lectures | 1.00 | auditorium | |||||
| 2 | Getting acquainted with the practical class plan, objectives and requirements thereof. Specifics of examination of therapeutic patients. Physiotherapy in cardiology: 6-minute walk test training, evaluation thereof. Acute myocardial infarction. Modes of movement in the hospital. Learning the exercise programme. Participation in the cardiology group. | Classes | 1.00 | auditorium | |||||
| 3 | Physiotherapy in cardiology. Interview with the patient: taking of anamnesis, examination of the patient. Getting acquainted with medical history. Individual physiotherapy and group classes for patients. Discussions about disease risk factors, patient education. Physiotherapy in cardiac surgery: breathing exercises and patient activation in the early postoperative period. | Classes | 1.00 | auditorium | |||||
| 4 | Risk factors of coronary heart disease. Patient education. Cardiac rehabilitation, phases, objectives. Physiotherapy after acute myocardial infarction: objectives, modes of movement in the hospital, characteristics thereof. Contraindications for physiotherapy. Physiotherapy in the recovery phase after acute myocardial infarction: objectives, modes of movement. Types of classes. | Lectures | 1.00 | auditorium | |||||
| 5 | Physiotherapy in cardiology and cardiosurgery. Discussion of physiotherapy objectives, preparation of individual programmes, work with patients individually and in groups. Medical control of cardiac patients. Training in dosed walking. Discussions about patients, team discussions. | Classes | 1.00 | auditorium | |||||
| 6 | Physiotherapy in cardiology and cardiosurgery. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories. | Classes | 1.00 | auditorium | |||||
| 7 | Medical control of cardiac patients. Principles of exercise dosing for cardiac patients. Functional examinations of the cardiovascular system: 6-minute walk test, veloergometry. Using the results in the development of a rehabilitation programme. Karvonen Formula. Physiotherapy in case of a hypertensive heart disease: stages, objectives, methods. Physiotherapy in case of hypotonia: objectives, methods. Physiotherapy in cardiac surgery: preparation of patients before and after surgery. | Lectures | 1.00 | auditorium | |||||
| 8 | Physiotherapy in rheumatology. Patient examination methods. Learning physiotherapy techniques for rheumatoid polyarthritis, ankylosing spondyloarthritis. Work in groups. Discussions. | Classes | 1.00 | auditorium | |||||
| 9 | Physiotherapy in rheumatology. Interview with the patient about the anamnesis of the disease, examination of the patient’s joint functions, formulation of the main problems, objectives, drawing up programmes. Work in groups. Discussions about patients, team discussions. Rehabilitation methods in rheumatology, characteristics thereof. Physiotherapy in case of rheumatoid polyarthritis: joint clinic, objectives, methods. Physiotherapy in case of ankylosing spondyloarthritis: postural changes. | Classes | 1.00 | auditorium | |||||
| 11 | Physiotherapy in rheumatology. Drawing up home programmes and giving recommendations when patients are discharged from the hospital. Evaluating the effectiveness of treatment. Analysis of medical histories. | Classes | 1.00 | auditorium | |||||
| 12 | Physiotherapy in pulmonology and lung surgery. Learning breathing techniques. Exercises after acute pneumonia, pleurisy. Individual and group classes. Physiotherapy and patient training before lung surgery. | Classes | 1.00 | auditorium | |||||
| 13 | Physiotherapy in gastroenterology: gastritis, ulcer disease, gastroptosis, constipation. Physiotherapy in case of diabetes mellitus: objectives, methods. Patient education. Obesity as a disease. Body mass index, stages of obesity. Effect of physical exercise on weight management. Geriatrics: ageing and examination specifics, geroprophylaxis. Principles for activating the elderly. Types of physical exercise for the elderly. | Lectures | 1.00 | auditorium | |||||
| 14 | Physiotherapy in pulmonology and lung surgery. Learning drainage techniques. Physiotherapy in case of chronic obstructive bronchitis and bronchiectasis. Activating patients after lung surgery. | Classes | 1.00 | auditorium | |||||
| 15 | Physiotherapy in pulmonology and lung surgery. Learning relaxation techniques. Activating patients after lung surgery. Patient examination, discussing medical histories. | Classes | 1.00 | auditorium | |||||
| 16 | Physiotherapy in pulmonology and lung surgery. Individual and group work with patients. Team discussions. Evaluating treatment results. Drawing up a home programme. | Classes | 1.00 | auditorium | |||||
| 17 | Physiotherapy in vascular surgery. Characteristics of surgeries, principles of physiotherapy after surgery. Diabetes mellitus and physical activity. Taking anamnesis. Exercises. | Classes | 1.00 | auditorium | |||||
| 18 | Physiotherapy in geriatrics, functional assessment of the elderly, formulation of needs, objectives and requirements. Possible physiotherapy exercises. Discussions, conclusion of the cycle. | Classes | 1.00 | auditorium | |||||
| Assessment | |||||||||
| Unaided Work: | Patient examination and preparation of a physiotherapy protocol, summarisation of examination results, preparation of exercise programmes, description and practical demonstration. | ||||||||
| Assessment Criteria: | • In the study process: participation in student group discussions, analysis of situational tasks, compilation of patient examination protocols, presentations in seminar sessions (10%), short test works (10%). • Final examinations: theoretical exam (50%) and practical clinical case (30%). | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | Exam | ||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of completing the course, students gain knowledge about the effects of physiotherapy techniques on the body’s functional abilities: restoring and strengthening the respiratory and cardiovascular systems, improving joint mobility, principles of postoperative activation, exercise dosing in cardiac patients, changes in the body due to ageing. | ||||||||
| Skills: | As a result of completing the study course, students will be able: • to evaluate the state of health and functional status of patients: determine the body mass index; • to measure the functional indicators of lungs: vital capacity, chest excursions, breathing type; • to measure the patient’s pulse, breathing rate, blood pressure and use the readings for physical exercise dosing in bed-confined, ward and free movement modes; • to determine endurance with a 6-minute walk test, analyse the results; • to calculate and apply the training pulse rate for exercise dosing in cardiac patients; • to recognise cardiological risks, contraindications to physiotherapy; • to formulate the patient’s main problem; • to set treatment objectives and draw up an appropriate physiotherapy programme; • to assess the risk factors of heart diseases; • to practice patient education about disease risk factors and disease prevention; • to analyse recovery responses after exercise. | ||||||||
| Competencies: | Analysis and synthesis: As a result of the studies, the student will be able to assess and classify risk factors for heart disease, develop a risk factor modification and physiotherapy plan, be able to discuss and draw conclusions on further measures for the prevention of recurrent disease, rehabilitation options and application thereof. Evaluation: As a result of the studies, the student will be able to justify the modification of risk factors of cardiological diseases and the choice of treatment measures, recommend preventive physiotherapy techniques; be able to assess the patient’s condition, environmental situation and reasonably choose appropriate physiotherapy techniques. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Guccione's Geriatric Physical Therapy. 4th edition, St. Lous, Elsevier/Masby. 2020. | ||||||||
| 2 | Essentials of Cardiopulmonary Physical Therapy, ST. Lous, Elsevier/Masby 2022. | ||||||||
| 3 | Cardiorespiratory physiotherapy : adults and paediatrics, Jenifer A Pryor, S.Armani Prasad, Churchill Livingstone, 2016. | ||||||||
| 4 | Cardiovascular and Pulmonary Physical Therapy, Elsevier, 2022. | ||||||||
| 5 | Tidy’s Physiotherapy/ edited by Stuart B. Porter.- 13th ed.-Edinburg: Butterworth Heinemann, 2013. | ||||||||
| Additional Reading | |||||||||
| 1 | Andrejevs N., Praktiskā geriatrija, Rīga, 2006. | ||||||||
| 2 | Mauriņa, Lidija. Fiziskās aktivitātes kardioloģijā.Rīga, Nacionālais apgāds.2005. | ||||||||
| Other Information Sources | |||||||||
| 1 | RSU zinātniskās datu bāzes | ||||||||
