Textbook of Physiotherapy For Cardio-Respiratory Cardiac Surgery and Thoracic Surgery Conditions

Textbook of
Physiotherapy for
Cardio-respiratory
Cardiac Surgery and
Thoracic Surgery Conditions
Textbook of
Physiotherapy for
Cardio-respiratory
Cardiac Surgery and
Thoracic Surgery Conditions
GB Madhuri MPT (Orthopaedics), PGDPC, DYT

Assistant Professor
DCMS College of Physiotherapy
Owaisi Hospital and Research Center
Hyderabad, Andhra Pradesh
India
JAYPEE BROTHERS
MEDICAL PUBLISHERS (P) LTD
——————————————————————————
New Delhi • Ahmedabad • Bengaluru • Chennai • Hyderabad
• Kochi • Kolkata • Lucknow • Mumbai • Nagpur
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, +91-11-43574357 (30 lines)
Registered Office
B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021,
+91-11-23245672, Rel: +91-11-32558559 Fax: +91-11-23276490, +91-11-23245683
e-mail: [email protected], Visit our website: www.jaypeebrothers.com
Branches
 2/B, Akruti Society, Jodhpur Gam Road Satellite
Ahmedabad 380 015 Phones: +91-79-26926233, Rel: +91-79-32988717
Fax: +91-79-26927094 e-mail: [email protected]
 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East
Bengaluru 560 001 Phones: +91-80-22285971, +91-80-22382956, +91-80-22372664
Rel: +91-80-32714073, Fax: +91-80-22281761 e-mail: [email protected]
 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road
Chennai 600 008 Phones: +91-44-28193265, +91-44-28194897,
Rel: +91-44-32972089 Fax: +91-44-28193231 e-mail: [email protected]
 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road
Hyderabad 500 095 Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929
Fax:+91-40-24758499 e-mail: [email protected]
 No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road
Kochi 682 018, Kerala Phones: +91-484-4036109, +91-484-2395739, +91-484-2395740
e-mail: [email protected]
 1-A Indian Mirror Street, Wellington Square
Kolkata 700 013 Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415
Rel: +91-33-32901926, Fax: +91-33-22656075, e-mail: [email protected]
 Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira Nagar
Lucknow 226 016 Phones: +91-522-3040553, +91-522-3040554
e-mail: [email protected]
 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel
Mumbai 400012 Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896
 “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road
Nagpur 440 009 (MS) Phone: Rel: +91-712-3245220,
USA Office
1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA, Ph: 001-636-6279734
e-mail: [email protected], [email protected]
Textbook of Physiotherapy for Cardio-respiratory Cardiac Surgery and Thoracic Surgery Conditions
© 2008, GB Madhuri
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any
form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission
of the author and the publisher.
This book has been published in good faith that the material provided by author is original. Every effort is made to
ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent
error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition: 2008

ISBN 978- 81-8448-392-5
Typeset at JPBMP typesetting unit
Printed at Rajkamal Press

To
My Father
G Ananda Rao
Mother
GA Laxmi
and
Brother
GB Sudhakar
PREFACE
The book titled Textbook of Physiotherapy for Cardio-respiratory Cardiac

Surgery and Thoracic Surgery Conditions has been design to cater to
the needs of the bachelor students of physiotherapy especially in
their third and final years. This book is also useful to the
professionals of physiotherapy, rehabilitation and other paramedics.
The book has been prepared as per the curriculum and
requirement of degree course in India and also abroad. Books on
this subject are yet not abundantly available. Very few textbooks are
existing in the market which are written by foreign authors.
Physiotherapy is an essential and basic subject for the
undergraduate as well as postgraduate courses. The book has been
written in a systemic manner and opts a very simple approach in
presenting the text. Recently, lots of advances have taken place in
cardio-thoracic field. Utmost efforts have been made to cover all the
necessary aspects of this subject. All the chapters have been written
in a very simple and clearly expressed style.
Physiotherapy is an ever advancing field. The recent advances
have made this subject very interesting and it is playing an important
role in health care world. I have tried my best to make this book
updated starting from introduction to recent advances. To make
more informative, Glossary and Bibliography are given at the end of
the book.
Any suggestions from the teachers and students will be highly
appreciated for the further improvement which can be made in next
edition.
GB Madhuri
[email protected]
ACKNOWLEDGEMENTS
I am indebted to my father, Shri G Ananda Rao for inspiring and

encouraging me at every step of my life.
I am thankful to my husband, Mr G Ramesh for always
supporting me and motivating for writing this book and endured
two years of emotional stress while I was deeply engrossed in
preparing this book.
In preparing this book, I have utilized the knowledge of many
consulting books and their authors whom I wish to express my
appreciation and gratitude for their valuable suggestions in this
venture.
My special thanks to Murali and Ramana who helped me a lot
in setting and printing out the material.
I owe my special thanks to Shri JP Vij, CMD of M/s Jaypee
Brothers Medical Publishers (P) Ltd. and his whole team for
publishing this book in such a nice manner.
CONTENTS
1. Cardio-respiratory System .................................................... 1

• Anatomy
• Anatomy of respiratory system
• Variation in bony cage
• Movements of the thorax
• Muscles of respiration
• Anatomy of heart
• Physiology
• Respiratory centers
• Control of respiration
• Blood pressure
• Cough reflex
• Lung compliance and airway resistance
• Diffusion, ventilation and perfusion
• Energy expenditure on ADL
• Pulmonary function assessment and blood gas analysis
• Cardiovascular stress testing
• Arrhythmia and syncope
• ECG
2. Cardiac Surgery ....................................................................69
• Closed heart surgery
• Acquired heart diseases
• Mitral stenosis
• Aortic stenosis
• Congenital heart disease
• Patent ductus arteriosus
• Coarctation of aorta
• Open heart surgery
• Congenital
• Atrial septal defect
• Ventricular septal defect
viii TB of Physiotherapy for CRCS & TS Conditions
• Pulmonary stenosis
• Tetralogy of Fallot
• Transposition of great vessels
• AV malformation
• Acquired
• Mitral stenosis
• Mitral regurgitation
• Aortic stenosis
• Aortic regurgitation
• Coronary artery disease or ischaemic heart disease
• Physiotherapy rehabilitation programme for cardiac
surgery
3. Thoracic Surgery ................................................................ 105
• Fracture ribs
• Flail chest
• Stove in chest
• Pneumothorax
• Haemothorax
• Haemopneumothorax
• Lung contusion and laceration
• Injury to heart, great vessels and bronchus
• Empyema—intercostal drainage
• Rib resection
• Decortication
• Window operation
• Pulmonary tuberculosis
• Tuberculoma
• Bronchiectasis sicca
• Bronchostenosis
• Massive haemoptysis
• Bronchiectasis
• Lung abscess
• Broncho-pneumonia
• Aspergillosis
• Carcinoma lung
Contents ix
• Thoracic incisions
• Postoperative management
• Ventilators
• Cardio-pulmonary resuscitation
• Physiotherapy management for thoracic incisions
• Preoperative physiotherapy
• Postoperative physiotherapy
4. Miscellaneous .................................................................... 192
• Myocardial infarction
• Chronic obstructive airway disease
5. Physiotherapy Rehabilitation Programme .................... 220
• Cardiac rehabilitation
• Pulmonary rehabilitation
Bibliography ......................................................................... 319
Glossary ................................................................................ 321
Index ..................................................................................... 325

Textbook of Physiotherapy For Cardio-Respiratory Cardiac Surgery and Thoracic Surgery Conditions

Uploaded by

Copyright:

Available Formats

Textbook of Physiotherapy For Cardio-Respiratory Cardiac Surgery and Thoracic Surgery Conditions

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Textbook of Physiotherapy For Cardio-Respiratory Cardiac Surgery and Thoracic Surgery Conditions

Uploaded by

Copyright:

Available Formats

Textbook of

GB Madhuri MPT (Orthopaedics), PGDPC, DYT

First Edition: 2008

Typeset at JPBMP typesetting unit

Printed at Rajkamal Press

The book titled Textbook of Physiotherapy for Cardio-respiratory Cardiac

I am indebted to my father, Shri G Ananda Rao for inspiring and

1. Cardio-respiratory System .................................................... 1

You might also like