Day 1 :
Charles University, Czech Republic
Dagmar Pavlu is an Associate Professor at Charles University, Faculty of Physical Education and Sport and is a Guarantor of study programs in Physiotherapy at the faculty. She was a President of the professional organization - Physiotherapists of the Czech Republic (till 2014) and during 2004-2008 she was a Vice Chairman of European Region of World Confederation for Physical Therapy (ER WCPT). She is a Member of Executive Board of Association of Rehabilitation and Physical Medicine in the Czech Republic. She is the author of two monographs and more than 150 special articles in journals. She is the Head of one part of the Progres research project at UK FTVS. Her current research interests include analysis of the effect of physiotherapeutical methods.
In early 1950s Swiss neurologist Brügger developed a concept of “Diagnostic and treatment of functional disorders of locomotor system”. His approach is widely used in Europe, particularly in German-speaking countries. Many of the principles of Brügger’s work are now considered part of the modern “standard care”. The milestones of Brügger’s concept: (1) Central motor regulation as the main cause of the impaired function of the musculoskeletal system; (2) complexity of any movement; (3) interplay between body segments and cog wheel model; (4) trigger factors and their overlay as basic principle of the assessment . Areas in which can be used today Brügger concept or therapeutical elements from this concept and documented by examples of research. Focus will be done on demonstration of various procedures and/or exercises to improve function of musculoskeletal system.
VSPM’s College of Physiotherapy, India
Maneesha S Deshpande is currently working as a Physiotherapist in Dharampeth, India. She has completed her BPTh/BPT from Government Medical College and Hospital, Nagpur and MPTh/MPT in Cardiovascular and Pulmonary Physiotherapy from Government Medical College and Hospital, Nagpur and also a Member of Indian Association of Physiotherapist.
Cardiovascular Disease (CVD) remains a major cause of health loss for all region of the world. In 2015, there were an estimated 422.7 million cases of cardiovascular disease and 17.92 million cardiovascular deaths. There were 110.55 million prevalent cases of Ischemic Heart Disease (IHD) with 8.92 million deaths. Rheumatic Heart Disease (RHD) was the fifth highest ranked CVD cause of DALY (Disability-AdjustedLife-Years). In India, with an estimated population of 1.3 billion people, deaths due to CVD are 28.1% with 14.1% of DALY. DALY rates for IHD increased nine times while for RHD increased four times in just 25 years. CABG is the most commonly offered treatment for IHD while valve repairs/ replacement for RHD. The pulmonary complications such as atelectasis are seen on postoperative chest radiographs in approximately 50% to 90% of patients with incidence of postoperative pneumonia being 3.1%. The role of physiotherapist is significant in preventing post-operative pulmonary complications. Preoperative physiotherapy education has shown many advantages like anxiety reduction, good rapport with the patient leading to early recovery and reduction in postoperative pulmonary complications. Deep Breathing and Coughing (DB&C) Sustained Maximal Inspiration (SMI), Incentive Spirometer (IS), Manual Therapy (MT) and early mobilization are the commonest modalities used while addition of Intermittent Positive Pressure Breathing (IPPB), Continuous Positive Airway Pressure (CPAP) in high risk cases (Prolonged ventilatory support, elderly and patients with high frailty index, pre-operative pulmonary complications, Low Ejection Fraction (EF), poor nutritional state, re-intubation and difficult-to-wean from ventilator cases). Physiotherapist is an integral member of the perioperative cardiac surgical team which facilitates smooth recovery after cardiac surgery. A sound knowledge of pulmonary physiology and its derangement due to pre-operative valvular disease or IHD with reduced EF need to be understood. A vigilant watch by the physiotherapist on any adverse pre-operative and perioperative events helps to modify the post-operative physiotherapy program.