RT Book, Section
A1 Brooks, Gary
A1 Cahalin, Lawrence P.
A2 DeTurk, William E.
A2 Cahalin, Lawrence P.
SR Print(0)
ID 1148786221
T1 Physical Therapy Associated With Primary Prevention, Risk Reduction, and Deconditioning
T2 Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259837951
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1148786221
RD 2024/04/23
AB Physical  therapists  are  often  called  on  to  treat  patients/clients  with  one  or  more  chronic  medical  conditions,  which  are  inherent  causes  of  impairments,  dysfunctions,  and  disabilities,  and/or  increase  the  risk  of  other  pathologic  conditions.  Consider,  for  example,  diabetes  and  coronary  artery  disease  (CAD).  Diabetes  is,  itself,  a  cause  of  considerable  dysfunction  and  disability,  and  it  is  also  a  risk  factor  for  CAD,  which  is  the  number  one  killer  in  the  United  States.1  Both  diabetes  and  CAD  and  other  cardiopulmonary  diseases  are  highly  prevalent  and  may  be  present  in  medically  complex  patients/clients  who  are  seen  by  physical  therapists  in  a  wide  range  of  practice  settings.  CAD  is  also  associated  with  other  medical  conditions  (hypertension,  hyperlipidemia,  and  obesity)  and  behaviors  (cigarette  smoking  and  physical  inactivity)  that  are  considered  to  be  risk  factors.  These  risk  factors,  too,  are  often  encountered  by  physical  therapists  in  clinical  practice.  Physical  therapy  (PT)  interventions  can  help  to  prevent  cardiopulmonary  diseases  from  developing,  even  among  individuals  with  risk  factors.  This  process  is  called  primary  prevention,  and  an  individual  referred  to  physical  therapists  for  risk-factor  management  may  be  best  referred  to  as  a  client.  Physical  therapists  can  also  intervene  in  the  presence  of  known,  overt  cardiopulmonary  disease.  These  interventions  are  aimed  at  reducing  symptoms  and/or  slowing  the  progression  of  the  disease.  This  process  is  termed  secondary  intervention  and  these  people  are  usually  referred  to  as  patients.  Regardless  of  whether  clients  or  patients  seek  PT  services,  these  individuals  may  be  restricted  in  their  activities  due  to  deconditioning.  Some  have  chronic  medical  conditions,  including  cardiopulmonary  disease,  and  may  restrict  their  activities  because  of  symptoms,  illness,  or  hospitalization.  This  deconditioning  causes  impairment  due  to  reduced  aerobic  capacity,  which  can  lead  to  disability  and  dependency.