Cardiothoracic Surgery Precautions vs Optimising Rehabilitation: Future Directions for Patient Management Across Practice Settings

Brief outline (Detailed outline)

Patients recovering from cardiothoracic surgery are particularly vulnerable to impaired functional status because in addition to the direct effects of disease, many surgical factors may contribute to loss of function. The purposes of this course are to provide the audience with an overview of cardiothroacic surgical (1) procedures (2) potential complications and associated risk factors, (3) activity precautions/limitations, (4) effects on function and quality of life, and (5) optimal rehabilitation and role of the physical therapist. An open forum discussion of best practice guidelines will be facilitated between the course participates and speakers, with integration of clinical physical therapy assessment and treatment strategies.

Objectives

• Understand cardiothoracic surgery (CTS) procedures, potential complications, and subsequent connective tissue healing/remodeling.
• Appraise the effects of CTS on breathing, function, and quality of life.
• Consider the application of current evidence in developing best practice clinical guidelines for rehabilitation following CTS.

Organiser

Tanya LaPier (United States of America)

Appointments: Distinguished Professor, Physical Therapy, Eastern Washington University, Spokane, WA USA (2003-present); Physical Therapist, Holy Family Hospital, Spokane, WA USA (2008-present).  University Teaching: Graduate Physical Therapy Program, Eastern Washington University (2003-present), State University of New York at Buffalo (2001-2003), Idaho State University (1993-2001).  Recent National Invited Presentations: “Sternal Precautions - What Do They Mean?” San Diego, CA; 2010. “Functional Status and Factors that Influence Exercise Adherence in Older Adults Recovering from Coronary Artery Bypass (CAB) Surgery.” Las Vegas, NV; 2009. “Management of the Patient Recovering from CAB Surgery- Emerging New Roles for Physical Therapists” Nashville, TN; 2008.  Recent Publications: Exercise self-efficacy, habitual physical activity, and fear of falling in patients with coronary heart disease. Cardiopulm Phys Ther J. 2009;20(4):5-11.  Analysis of activities of daily living performance in patients recovering from CAB surgery. J Phys Occupational Ther Geriatrics. 2008;27(1):16-35.  Prevalence and severity of symptoms in patients recovering from CAB surgery. Acute Care Perspectives. 2007;16(3):10-15.  Functional status in patients during the first two months following hospital discharge for CAB surgery.  Cardiopulm Phys Ther J. 2007;18(2):13-20.  Indicators of functional deficits after CAB surgery.  J Cardiopulm Rehabil Prevent. 2007;27:161-165.  Functional status of patients during subacute recovery from CAB surgery: cross-sectional analysis of multiple domains.  Heart Lung. 2007;36(2):114-24.  Research Information: Peer-reviewed Journal Articles: 61.  Published Abstracts: 63 National/International Presentations: 73.  Professional Practice: 20 years physical therapy experience in acute care, wellness, cardiac rehabilitation.  Memberships/Honours: Certified Cardiopulmonary Clinical Specialist (American Physical Therapy Board of Specialties).

Speakers

Andrew Hirschhorn (Australia)

Appointments: Senior Associate Physiotherapist, Westmead Private Physiotherapy Services, Westmead, NSW, Australia; Assistant Professor, Bond University, Queensland, Australia University Teaching:  Graduate Physiotherapy Program, Bond University, Queensland , Australia.  Recent National/International Presentations: “Stationary cycling is as effective as walking in phase I cardiac rehabilitation: a randomized controlled trial” Adelaide, Australia; 2010.  “Effects of repeated administration of a perceptually regulated six-minute walk test in patients awaiting coronary artery bypass graft surgery” Sydney, Australia; 2007.  “Physiotherapy in cardiac surgery. The pre-operative period to hospital discharge” Noosa, Australia; 2008.  “Physiotherapy supervised walking program immediately following coronary artery bypass graft surgery results in earlier return of functional capacity. A randomized controlled trial” Vancouver, British Columbia; 2007.  Recent Publications: Supervised moderate intensity exercise improves distance walked at hospital discharge following coronary artery bypass graft surgery - a randomised, controlled trial. Heart Lung Circ 2008;17:129-138. Physiotherapy supervised walking program immediately following CABG results in earlier return of functional capacity. A randomized controlled trial. Physiotherapy 2007;93(S1):S304-5. Physiotherapy outcome measurement in coronary artery bypass surgery. Heart Lung Circ 2005;14:S15. Research Information: Peer-reviewed Journal Articles: 1  Published Abstracts: 8  National/International Presentations: 8.  Professional Practice:  14 years of professional physiotherapy experience focusing on the management of the surgical patient and clinical research.  Memberships/Honours: Appointed the sole physiotherapist with Operation Open Heart, an outreach cardiac surgical program to Fiji twice (2003 and 2004) and was responsible for leading and educating a team of Fijian physiotherapists.

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Programme subject to change.