PHTY304 Lecture Notes - Lecture 4: Bronchospasm, Atelectasis, Multi-Stage Fitness Test
Document Summary
Dyspnoea: children usually don"t have a robust concept of breathlessness, use appropriate scales such as the pictorial children"s effect rating (pcert) Exercise tolerance testing: functional activities, beep test / shuttle test, 2 or 6 or 12 minute walk, step up test. Impaired airway clearance: positioning, manual techniques, (cid:494)breathing(cid:495) exercises, airway clearance devices, forced experience technique (fet) More prone to airway obstruction: why: oedema/ secretions / bronchospasm / malacia / pulm sling, have very different management approaches. Consider role of b2 agonists - ? stability of bronchial tone. Progressive neuromuscular disease insufficient muscular support: associated with low lung volumes reduced mechanical efficiency weak cough reduced chest wall mobility associated with joint and soft tissue contractures. Some evidence for inspiratory muscle training in neuromuscular disease and spinal injuries. Reduced lung volume: high prevalence of airway closure atelectasis, (r) ul collapse common with aspiration, breathing exercises - >2yrs, positive pressure devices, raise lung volume in conjunction with airway clearance e. g. suction.
