COURSE/ SUBJECT UNIT DESCRIPTION - SPECIFIC METHODS IN CARDIO-RESPIRATORY DISEASES.
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COURSE/SUBJECT UNIT DESCRIPTION SPECIFIC METHODS IN CARDIO-RESPIRATORY DISEASES. THIRD YEAR/ FIRST SEMESTER DEGREE IN PHYSIOTHERAPY MODALITY ATTENDANCE IS REQUIRED ACADEMIC YEAR 2021/2022 FACULTY OF MEDICINE
Subject Description / Academic year 2021-2022
1. COURSE/SUBJECT IDENTIFICATION
1. - COURSE/SUBJECT:
Name: Specific Methods in Cardio-Respiratory Diseases
Code: d325 / 16473
Year (s) course is taught: Third Semester (s) when the course is taught: First
Type: Compulsory ECTS of the course: 3,5
Language: English Modality: On campus
Degree (s) in which the course is taught: Physiotherapy
School which the course is taught: Faculty of Medicine
2. - ORGANIZATION OF THE COURSE:
Department: Physiotherapy
Area of knowledge: Physiotherapy
2. LECTURERS OF THE COURSE/SUBJECT
1. - LECTURERS:
Responsible of the Course,
CONTACT
Theoretical and Practical Classes
Name: Begoña Jiménez Reguera
Phone (ext): Tfno.: 913724700 Ext.: 14693
Email: bjreguera@ceu.es
Office: D 1.1.4 EPS
Teaching and Research profile Full University School Professor
Research Lines
Theoretical and Practical Classes CONTACT
Name: Raúl Escudero Romero
Phone (ext): Tfno.: 913724700 Ext.: 14679
Email: raul.escuderoromero@ceu.es
Office: D 1.1.4 EPS
2. - TUTORIALS:
For any queries students can contact lecturers by e-mail, phone or visiting their office during the
teacher’s tutorial times published on the students’ Virtual Campus.
2Subject Description / Academic year 2021-2022
3. COURSE DESCRIPTION
• This subject will enable the student to acquire the necessary knowledge and management to
establish an adequate physiotherapeutic diagnosis of acute and chronic respiratory and cardiac
pathologies. This will allow the student to design and establish a program of intervention in
physiotherapy with preventive, curative or palliative purposes in the processes related to the
cardiorespiratory system.
• It is important to jointly carry out this subject with the subject Physiotherapy in Cardio-respiratory
Diseases because they are complementary.
4. COMPETENCIES
1. - COMPETENCIES
Code Basic and General Competencies
BS.T.2. Understanding the sciences, models, techniques and instruments upon which
physiotherapy is based, organized and developed.
BS.T.3. Understanding the physiotherapeutic methods, procedures and actions directed at both
therapeutics in itself to be applied clinically for functional rehabilitation and re-education
and the performance of activities directed at the promotion and maintenance of health.
BS.T.4 Acquisition of adequate clinical experience that provides intellectual abilities and
technical and manual skills, that facilitates the incorporation of ethical and professional
values, and that develops the capacity to integrate the knowledge acquired so that, by
the end of the degree studies, students will know how to apply them to both specific
clinical cases in hospital and out-of-hospital environments and to actions in primary and
community care.
BS.T.15 Participating in the preparation of physiotherapy care protocols based on rigorous
scientific evidence, encouraging professional activities that give impetus to and scope to
research in physiotherapy.
BS.T.5 Assessment of the functional condition of the patient, considering physical,
psychological and social aspects.
BS.T.17 Understanding the importance of refreshing and updating the knowledge, skills, abilities
and attitudes comprising the professional competencies of the physiotherapist.
GS.FE.3 Understanding and applying theoretical fundamentals in the development of
physiotherapeutic methods and procedures.
GS.FE.4 Capacity to assess, from the perspective of physiotherapy, the functional condition of
the patient/user, considering the physical, psychological and social aspects of said
patient/user.
GS.FE.5 Understanding and applying manual and instrumental assessment methods and
procedures in physiotherapy and physical rehabilitation as well as the scientific
assessment of their use and effectiveness.
GS.FE.7 Encouraging user and family participation in the rehabilitation process.
GS.FE.8 Identifying the most appropriate physiotherapeutic treatment in the different processes
of alteration, prevention, and promotion of health, as well as in the processes of growth
and development.
GS.FE.9 Identifying the patient/user situation through diagnosis of physiotherapy care, planning
3Subject Description / Academic year 2021-2022
the physiotherapy action, and assessing its effectiveness in a cooperative work
environment with other health sciences professionals.
GS.FE.10 Understanding and applying the guidelines for good clinical practice.
GS.FE.11 Understanding and performing the specific methods and techniques in regard to the
musculoskeletal system (including manual therapies, joint manipulative therapy,
osteopathy, and chiropractic), neurological processes, the respiratory system, the
cardiovascular system, and other static and dynamic alterations. Specific methods and
techniques that take into account the implications of orthopedic physiotherapy and
reflex therapy techniques, as well as other alternative and/or complementary methods
and techniques whose safety and efficacy is demonstrated according to the
development of the science.
GS.FE.13 Analyzing, programming and applying movement as a therapeutic measure, promoting
patient/user participation in the process.
GS.FE.19 Understanding and applying quality mechanisms in the practice of physiotherapy
according to the criteria, indicators, and quality standards recognized and validated for
proper professional practice.
Code Specific Competencies
SS.1. MET Understanding the fundamentals and physiological effects of the different specific
methods of applying cardiorespiratory physiotherapy.
SS.2. MET Understanding and applying the exploration and assessment methods pertinent to the
specific methods of applying cardiorespiratory physiotherapy.
SS.3. MET Design of the physiotherapy care plan based on preventive and/or therapeutic
objectives according to the needs of each situation and patient.
SS.4. MET Application of specific care methods in cardiorespiratory physiotherapy.
SS.5. MET Making decisions, integrating individual clinical competency with the best external
clinical evidence available from systematic research.
2.- LEARNING OUTCOMES:
Code Learning outcomes
To know the physiological and structural changes that can occur as a consequence of the
application of specific methods in Physiotherapy.
To clarify, resolve doubts and guide the patient and his / her family throughout the entire
therapeutic process
To design and apply therapeutic exercises, with special methods, for diseases of the
cardiorespiratory system.
To understand and perform specific methods and techniques referred to the
cardiorespiratory system.
4Subject Description / Academic year 2021-2022
5. LEARNING ACTIVITIES
1. - DISTRIBUTION OF STUDENTS` ASSIGNMENT:
Total hours of the course 105
Code Name On-campus
hours
Theoretical Classes 15
Practical Classes 36
TOTAL Presence Hours 51
Code Name Not on-
campus hours
AF7 Self-student work 54
2.- DESCRIPTION OF LEARNING ACTIVITIES:
Activity Definition
The professor will expose certain aspects of introduction to the different
Theoretical Classes theoretical blocks of the subject, as well as the integration of them,
according to the program of the subject. Supportive teaching materials will
be used (documents that will be distributed in class and digitized, which will
be disseminated through the student's portal).
This activity takes place in a laboratory of practices adapted to the subject. It
mainly deals with the contents and practical skills of the subject and it will be
Practical Classes done, among others, the following learning activities: work between pairs;
handling of instruments and / or equipment; practice notebooks…
6. ASSESMENT OF LEARNING
1. - CLASS ATTENDANCE:
In the theoretical classes attendance controls will be carried out.
The attendance to the practical classes is mandatory in a 100%. The student who loses a
practice will have to recover it in another group, previously presenting an official receipt and
filling in the document of recovery of attendance to practices that must be signed by both
teachers.
5Subject Description / Academic year 2021-2022
2. - ASSESMENT SYSTEM AND CRITERIA:
ORDINARY EXAMINATION (continuous assessment)
Code Name Percentage
SE2 Final Theoretical Exam (Theoretical classes) 25%
THEORETICAL CLASSES FINAL PERCENTAGE 25%
SE1 Continuous Assessment Activities (Practical classes) 25%
SE4
SE3 Final Practical Exam (Practical classes) 50%
PRACTICAL CLASSES FINAL PERCENTAGE 75%
FINAL PERCENTAGE THEORY / PRACTICE 25% / 75%
ORDINARY EXAMINATION (Students with no continuous assessment evaluation)
Code Name Percentage
SE2 25%
Final Theoretical Ordinary Exam
SE3 Final Practical Ordinary Exam 75%
EXTRAORDINARY EXAMINATION
Code Name Percentage
SE2 25%
Final Theoretical Extraordinary Exam
SE3 Final Practical Extraordinary Exam 75%
3. - DESCRIPTION OF ASSESSMENT CRITERIA:
Assessment Definition
criteria
It will be held on the dates of the ordinary call. This exam includes a multiple choice
test and/or written exam questions “essay type”.
Theoretical
Ordinary Exam
To apply the percentages corresponding to the continuous assessment, the theoretical
exam must be approved with a minimum score of 5 points.
There will be a practical oral exam at the end of the practical classes accompanied by a
written exam with multiple choice questions and/or short questions. In this exam, the
Practical
practical part will have a value of 70% and the theoretical part 30%.
exam
To apply the percentages corresponding to the continuous assessment, each of the
parts of the practical exam must be approved with a minimum score of 5 points.
Students who do not pass the subject during the ordinary exam will be able to submit
to a final theoretical extraordinary exam covering all the lessons included in the
Theoretical subject. This exam may include a multiple choice test and/or written exam questions
Extraordinary Exam “essay type”.
Students must obtain a final grade equal to 5 or above in order to pass the theoretical
(which counts for 40% of the final total score).
Students who do not pass the subject during the continuous assessment exam will be
Practical Ordinary &
able to submit to a final practical ordinary and extraordinary exam covering all the
Extraordinary Exam
lessons included in the subject. These tests will consist of a practical exam of the
same characteristics as that performed in continuous assessment.
6Subject Description / Academic year 2021-2022
7. COURSE PROGRAMME
1. - COURSE PROGRAMME:
THEORETICAL CLASSES:
Historical evolution of Respiratory Physiotherapy. Introduction. General notions about
Respiratory Physiotherapy
Respiratory mechanics.
Physical properties of the cardio-pulmonary system.
Physical / mathematical explanation of the techniques in Respiratory Physiotherapy: Rohrer
Equation.
PRACTICAL WORK PROGRAMME:
1. Breathing techniques:
Diaphragmatic breathing.
Thoracic Expansion Exercices.
Guided Ventilation.
2. Airway Clearance Techniques:
Active Cycle of Breathing Techniques (ACBT)
Accesory manual techniques: vibrations, pressures, percussions (clapping).
Cough
Autogenic Drainage.
ELTGOL
Instrumental techniques:
- PEP systems
- IPPB
- HFCWO
- IPV
- In-exsufflation
3. Techniques for improving Lung Volumes
EDIC
Incentive spirometry
Air Stacking
IPPB
4. Respiratory muscles training techniques:
Threshold.
P-flex
Spirotiger
5. Paediatric respiratory physiotherapy techniques:
ELPr
DRR
Nasal irrigation
Cough stimulation
6. Complementary techniques:
Oxygen therapy
Humidification
Inhaled therapy
Mechanical Ventilation
Tracheotomies: types and management.
7Subject Description / Academic year 2021-2022
7. Exercise Testing:
6MWT
Shuttle test
Sit to stand test
8. Theoretical and practical lecture of cardiopulmonary resuscitation.
8. RECOMMENDED READING
1. - ESSENTIAL BIBLIOGRAPHY:
Eleanor Main, Linda Deneley. Cardiorespiratory physiotherapy. Adults and paediatrics. Elsevier.
2016
West JB. Fisiología y fisiopatología pulmonar. Estudio de casos. 2ª ed., Lippincot Williams &
Wilkins; 2008.
Hyatt RE, Scanlon PD, Nakamura M. Guía práctica para la interpretación de las pruebas de la
función pulmonar. 3ª ed., Lippincot Williams & Wilkins; 2009.
Salas Hernández J, Vázquez Gracía JC, Fernández Vega M, Aguirre Pérez, T. Manual de medicina
respiratoria. Lippincot Williams & Wilkins; 2012.
Seco J. Sistema Respiratorio: Métodos, fisioterapia clínica y afecciones para fisioterapeutas.
Editorial Médica Panamericana; 2018.
2. - ADDITIONAL BIBLIOGRAPHY:
Pryor JA. Cuidados respiratorios. Masson-Salvat; 1993
Giménez M. Prevención y rehabilitación en patología respiratoria crónica. Panamericana, 2009.
Smith M. Rehabilitación cardiovascular y respiratoria. Elsevier; 2000.
Postiaux G.Fisioterapia Respiratoria en el niño. Mc. Graw- Hill. Interamericana; 2001.
West, John B. Fisiopatología pulmonar. Panamericana; 2005.
Giraldo Estrada H. Diagnóstico y manejo integral del paciente con EPOC. Panamericana; 2003.
Serra G, Díaz Petit J. Fisioterapia en Neurología, Sistema Respiratorio y Aparato
Cardiovascular. Masson; 2005.
Antonello M, Delplanque D. Fisioterapia respiratoria. Del diagnóstico al proyecto terapeútico.
Masson; 2002.
Antonello M, Delplanque D. Fisioterapia y reanimación respiratoria. De la reanimación a la
8Subject Description / Academic year 2021-2022
vuelta al domicilio. Masson; 1989.
Mercado R. Manual de Fisioterapia Respiratoria. 2ª ed., Ergon; 2002.
Hall. Desarrollo y administración de programas de rehabilitación cardiaca. Paidotribo; 1995
Höfler. Terapia y Gimnasia Respiratoria Paidotribo; 1994.
Chanussot. JC. Kinesitherapie respiratoire. Masson; 1988.
Downie PA, Cash. Kinesioterapia para trastornos torácicos, cardiacos y vasculares. 2ª ed.,
Panamericana; 1983.
3. - WEB RESOURCES :
USP- CEU. Portal del alumno.
https://portalalumno.ceu.es/XPdaExec/XPda.dll?ORG=CEU. Todo el material necesario
para el desarrollo y coordinación del programa teórico-práctico de la asignatura estará
disponible en él, por lo que es recomendable su visita periódica.
USP-CEU. Biblioteca.
http://www.bibliotecaceu.es Recursos web de la página de Biblioteca de la USP CEU, con
acceso al catálogo de libros, motores de búsqueda como EBSCO y OVID, además de otras
bases de datos como Science Direct y revistas.
MEDLINE: www.ncbi.nlm.nih.gov/pubmed/
OVID: http://www.ovid.com
HEALTHSTAR. Accesible previo registro en http://www.ovid.com
EBSCO: http://www.ebscol.com
Science Direct: http://www.sciencedirect.com
WOK. http://www.accesowok.fecyt.es
Dialnet. http://www.edialnet.unirioja.es
Teseo. http://www.educacion.es/teseo/
IME: http://www.bbdoc.csic.es:8080/index.jsp
SciELO: http://www.scielo.org
CINAHL. http://www.cinahl.com
Freemedicaljournals. http://www.freemedicaljournals.com
PEDro. www.pedro.org.au/
SEPAR Sociedad Española de Neumología y Cirugía Torácica www.separ.es
American Thoracic Society www.thoracic.org
9Subject Description / Academic year 2021-2022
European Respiratory Society www.ersnet.org
9. ATTITUDE IN THE CLASSROOM
1. - REGULATIONS
Any irregular act of academic integrity (no reference to cited sources, plagiarism of work or
inappropriate use of prohibited information during examinations) or signing the attendance
sheet for fellow students not present in class will result in the student not being eligible for
continuous assessment and possibly being penalized according to the University regulations.
The use of electronic devices during the classes, both theoretical and practical, is not
allowed, except when they are used for teaching purposes.
It is likewise restricted use of the documentation provided by the teacher through the student
portal (presentations, questions, exercises, seminars, notebooks practices, etc.) to the
preparation of the subject. Teachers reserve the right to make use of the measures contained
in the legislation on Intellectual Property, in cases where use and / or unauthorized disclosure
of such material is detected reserved.
10. EXCEPTIONAL MEASURES
Should an exceptional situation occur which prevents continuing with face-to-face teaching
under the conditions previously established to this end, the University will take appropriate
decisions and adopt the necessary measures to guarantee the acquisition of skills and
attainment of learning outcomes as established in this Course Unit Guide. This will be done in
accordance with the teaching coordination mechanisms included in the Internal Quality
Assurance System of each degree.
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