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WHY RELAXATION IS IMPORTANT?Relaxation is a process that decreases the effects of stress on your mind and body. These re...
17/01/2021

WHY RELAXATION IS IMPORTANT?

Relaxation is a process that decreases the effects of stress on your mind and body. These relaxation techniques can help you to cope with everyday stress and with stress-related various health problems.

For many people, relaxation means flopping on the couch and zoning out in front of the TV at the end of a stressful day. But this does little to reduce the damaging effects of stress. Rather you need to activate your body’s natural relaxation response, a state of deep rest that puts the breaks on stress, slows your breathing and heart rate. You can do this by practicing relaxation techniques.

🔵 Types of Relaxation techniques

✴️ Deep breathing
✴️ Progressive muscle relaxation
✴️ Body scan meditation
✴️ Visualization
✴️ Mindfulness meditation
✴️ Rhythmic movement and
✴️ Mindful exercise
✴️ Tai chi

🔵 Finding the best relaxation technique for you

There is no single relaxation technique that works for everyone. The right technique is the one that resonates with you, fits your lifestyle, and can focus your mind to elicit the relaxation response. That means it may require some trial to find the technique (or techniques) that work best for you.

🔵 Benefits of relaxation techniques

▪️ Slowing heart rate
▪️ Lowering blood pressure
▪️ Slowing breath rate
▪️ Improve digestion
▪️ Maintain normal blood sugar levels
▪️ Reducing the activity of stress hormones
▪️ Increasing blood flow to major muscles
▪️ Reducing muscle tension and chronic pain
▪️ Improving sleep quality
▪️ Lowering fatigue
▪️ Reducing anger and frustration
▪️ Boosting confidence to handle problems

💠 Deep breathing

With its focus on full, cleansing breaths, deep breathing is a simple yet powerful relaxation technique. It’s easy to learn, can be practiced almost anywhere, and provides a quick way to get your stress levels in check. Deep breathing is the cornerstone of many other relaxation practices too. And can be combined with other relaxing elements such as aromatherapy and music. While apps and audio downloads can guide you through the process, all you need is a few minutes and a place to sit quietly or stretch out.

🔶 How to practice deep breathing?

1. Sit comfortably with your back straight. Put one hand on your chest and the other on your stomach.

2. Breathe in through your nose. The hand on your stomach should rise. The hand on your chest should move very little.

3. Exhale through your mouth, pushing out as much air as you can while contracting your abdominal muscles. The hand on your stomach should move in as you exhale, but your other hand should move very little.

4. Continue to breathe in through your nose and out through your mouth. Try to inhale enough so that your lower abdomen rises and falls. Count slowly as you exhale.

5. If you find it difficult breathing from your abdomen while sitting up, try lying down. Put a small book on your stomach, and breathe so that the book rises as you inhale and falls as you exhale.

💠 Progressive muscle relaxation

Progressive muscle relaxation is a two-step process in which you systematically tense and relaxes different muscle groups in the body. With regular practice, it gives you an intimate familiarity with what tension, as well as complete relaxation -feels like in different parts of your body. This can help you react to the first signs of the muscular tension that accompanies stress. And as your body relaxes, so will your mind.

Progressive muscle relaxation can be combined with deep breathing for additional stress relief.

Start at your feet and work your way up to your face, trying to only tense those muscles intended. Move slowly up through your body, contracting and relaxing the different muscle groups. It may take some practice at first, but try not to tense muscles other than those intended.

💠 Body scan meditation

This is a type of meditation that focuses your attention on various parts of your body. Like progressive muscle relaxation, you start with your feet and work your way up. But instead of tensing and relaxing muscles, you simply focus on the way each part of your body feels, without labeling the sensations as either “good” or “bad”.

💠 Visualization

Visualization, or guided imagery, is a variation of traditional meditation that involves imagining a scene in which you feel at peace, free to let go of all tension and anxiety. Choose whatever setting is most calming to you, whether it’s a beach, a favorite childhood spot, or a quiet wooded glen.

You can practice visualization on your own or with an app or audio download to guide you through the imagery. You can also choose to do your visualization in silence or use listening aids, such as soothing music or a sound machine or a recording that matches your chosen setting: the sound of ocean waves if you’ve chosen a beach, for example.

💠 Mindfulness meditation

Rather than worrying about the future or dwelling on the past, mindfulness switches your focus to what’s happening right now, enabling you to be fully engaged in the present moment.

Meditations that cultivate mindfulness have long been used to reduce stress, anxiety, depression, and other negative emotions. Some of these practices bring you into the present by focusing your attention on a single repetitive action, such as your breathing or a few repeated words. Other forms of mindfulness meditation encourage you to follow and then release internal thoughts or sensations. Mindfulness can also be applied to activities such as walking, exercising, or eating.

Using mindfulness to stay focused on the present might seem straightforward, but it takes practice to reap all the benefits.

🔶 A basic mindfulness meditation

1. Find a quiet place where you won’t be interrupted or distracted.

2. Sit on a comfortable chair with your back straight.

3. Close your eyes and find a point of focus, such as your breathing—the sensation of air flowing into your nostrils and out of your mouth or your belly rising and falling—or a meaningful word that you repeat throughout the meditation.

4. Don’t worry about distracting thoughts that go through your mind or about how well you’re doing. If thoughts intrude your relaxation session, don’t fight them, just gently turn your attention back to your point of focus, without judgment.

💠 Rhythmic movement and mindful exercise

The idea of exercising may not sound particularly soothing, but rhythmic exercise that gets you into a flow of repetitive movement can produce a relaxation response. Examples include: Running, Walking, Swimming, Dancing, Rowing, Climbing

For maximum stress relief, add mindfulness to your work out. While simply engaging in rhythmic exercise will help you relieve stress, adding a mindfulness component can benefit you even more.

If you’re walking or running, for example, focus on the sensation of your feet touching the ground, the rhythm of your breath, and the feeling of the wind against your face. If you’re resistance training, focus on coordinating your breathing with your movements and pay attention to how your body feels as you raise and lower the weights. And when your mind wanders to other thoughts, gently return your focus to your breathing and movement.

💠 Tai chi

Tai chi is a self-paced series of slow, flowing body movements. By focusing your mind on the movements and your breathing, you keep your attention on the present, which clears the mind and leads to a relaxed state.

Tai chi is a safe, low-impact option for people of all ages and fitness levels, including older adults and those recovering from injuries. Once you’ve learned the basics, you can practice alone or with others.

🔵 Tips for starting a relaxation practice

Learning the basics of these relaxation techniques isn’t difficult, but it takes regular practice to truly harness their stress-relieving power. Try setting aside at least 10 to 20 minutes a day for your relaxation practice.

✅ Set aside time in your daily schedule. If possible, schedule a set time once or twice a day for your practice. If your schedule is already packed, try meditating while commuting on the bus or train, taking a tai chi break at lunchtime.

✅ Make use of smartphone apps and other aids. Many people find that smartphone apps or audio downloads can be useful in guiding them through different relaxation practices, establishing a routine, and keeping track of progress.

✅ Expect ups and downs. Sometimes it can take time and practice to start reaping the full rewards of relaxation techniques such as meditation. The more you stick with it, the sooner the results will come. If you skip a few days or even a few weeks, don’t get discouraged. Just get started again and slowly build up to your old momentum.

What is a bone fracture?A fracture is when the continuity o a bone is broken. in simple words a break or a crack in a bo...
17/01/2021

What is a bone fracture?

A fracture is when the continuity o a bone is broken. in simple words a break or a crack in a bone. A bone fracture occurs when a force is exerted against a bone that is stronger than the force that the bone can bear. This disturbs the structure and strength of the bone and leads to pain, loss of function and sometimes bleeding and injury around the site.

🔵 Causes for bone fractures

▪️ Falls
▪️ Traumatic incidents such as sporting injuries, vehicle accidents and gunshot wounds.
▪️ Direct strikes to your body
▪️ Conditions such as osteoporosis and some types of cancer that cause bones to fracture more easily, meaning even minor trauma and falls can become serious.

🔵 Risk factors for fractures

Anyone can experience a fracture. but you are more likely to develop one if you have brittle bones/ low bone density. causes for brittle bones are,
🔸 Older age
🔸 Osteoporosis
🔸 Endocrine/ intestinal disorders
🔸 Physical inactivity
🔸 Drink alcohol
🔸 Smoking

🔵 Symptoms of bone fractures

✴️ Intense Pain when the initial injury occurs.

✴️ Snap/ grinding sound can be heard when the injury initially takes place.

✴️ Swelling, bruising around the injured area.

✴️ Sometimes Deformity can be seen in the injured area.

✴️ Inability to use the limb specially in weight-bearing.

The symptoms of a fracture depend on the particular bone and the severity of the injury.

🔵 Types of bone fractures

There are several types of bone fractures.

🟨 Closed (simple) fracture -
The broken bone has not pierced the skin.

🟨 Open ( compound ) fracture -
The broken bone juts out through the skin, or a wound leads to the fracture site. Infection and external bleeding are more likely.

🟨 Greenstick fracture -
A small, slender crack in the bone. it's an incomplete fracture. This occurs in children because their bones are more flexible than an adult's bones.

🟨 Hairline fracture -
The most common form is a stress fracture, often occurring in the foot or lower leg as a result of repeated stress from activities such as jogging or running.

🟨 Complicated fracture -
Structures surrounding the fracture are injured. There may be damage to the veins, arteries, or nerves, and there may also be an injury to the lining of the bone (the periosteum).

🟨 Comminuted fracture -
The bone is shattered into three or small pieces. fragments present at the fracture site. This type of complicated fracture tends to heal more slowly.

🟨 Avulsion fracture -
Muscles are anchored to the bone with tendons, a type of connective tissue. Powerful muscle contractions can wrench the tendon free and pull out pieces of bone. This type of fracture is more common in the knee and shoulder joints.

🟨 Compression fracture -
Occurs when two bones are forced against each other. The bones of the spine, called vertebrae, can have this type of fracture. Older people, particularly those with osteoporosis, are at higher risk.

🔵 Common Fractures of upper limb

🟨 Clavicle -
Commonly fractured by falling on the outstretched hand. The lateral fragment is displaced downwards.

🟨 Scapula fracture

🟨 Humeral fracture -
Common sites of fracture of the humerus are the surgical neck, shaft, and supracondylar region. The supracondylar fracture may cause injury to the median nerve. It may also lead to Volkmann's ischaemic contracture caused by occlusion of the brachial artery.
Fracture of shaft of humerus commonly causes injury to the radial nerve. This results in wrist drop.

🟨 Radius fracture

🟨 Fracture of the head of the radius

🟨 Fracture of lower end of radius -
This fracture is caused by a fall on the outstretched hand. The distal fragment is displaced upwards and backward. it is known as Colle's fracture. If the distal fragment gets displaced anteriorly it is called Smith's fracture.

🟨 Olecranon fracture

🟨 Scaphoid fracture

🟨 Bennett fracture - Fracture of the base of the first metacarpal bone.

🔵 Common Fractures of lower limb

🟨 Femoral fracture - Common sites of fracture of the femoral neck, shaft, and supracondylar fractures. A femoral neck fracture (hip fracture) is common in older people.

🟨 Tibia fracture

🟨 Fibula fracture

🟨 Patella fracture

🟨 Ankle fracture - Common injury to the bones around the ankle joint.

🟨 Calcaneal fracture

🔵 Fractures in adults/ elderly

Due to the weakening of architecture due to osteoporosis, the seniors have a unique pattern of fractures. The bones typically break in the region where they are weak.

Most common sites are,
♦️ Hip region
♦️ Vertebrae
♦️ Wrist/distal radius
♦️ Proximal humerus

Hip fractures in the elderly are typically serious fractures and could be associated with high mortality if not treated aggressively to make the patient upright.

🔵 Fractures in children

A fracture in a child can be very different from a fracture in the same location in an adult. Because children are still growing, their injuries need different evaluations and sometimes different treatment.

Fractures may occur in sports from falls, twisting, or direct blows.
The most common areas are,
♦️ Wrist
♦️ Elbow
♦️ Forearm

🔵 Complications of bone fractures

⭕ Blood loss -
Bones have a rich blood supply. A bad break can make you lose a large amount of blood.

⭕ Injuries to organs, tissues, or surrounding structures -
For example, the brain can be damaged by a skull fracture. Chest organs can be injured if a rib breaks.

⭕ Stunted growth of the bone -
If a child's long bone breaks close to the joint where the growth plates are found.

🔵 Diagnosis of bone fracture

Bone fractures are diagnosed with,
🔘 X - rays
🔘 CT scans
🔘 MRI scans

🔵 Fracture prevention

You can’t prevent all fractures. But you can keep your bones strong so they'll be less susceptible to fracture.

✅ To maintain and improve bone strength,
Get enough calcium and vitamin D, have a well-balanced diet.

✅ Engage in regular exercises, weight-bearing exercises are particularly helpful to improve bone strength.

✅ Eat foods that are good for bone health, such as fruits and vegetables.

❌ Avoid smoking and limit alcohol.

Importance of postnatal exercisesPhysiological changes during pregnancy can lead to a number of issues such as back pain...
31/12/2020

Importance of postnatal exercises

Physiological changes during pregnancy can lead to a number of issues such as back pain, perineal pain, urinary incontinence etc. Over 40% of pregnant women experience urinary incontinence in their first pregnancy with half remaining incontinent at 8 week of post partum and one third experience a new onset of incontinence after child birth. Regular exercise has numerous health benefits all of which apply equally to the new mother as at any stage of life. These benefits include,support with weight loss, increase acerbic fitness and psychological well-being. Exercises after delivery can also hasten recovery and assist with muscle strength and toning.

🔵 Main issues after child birth

🔹 Perineal pain

Perineum undergoes a lot of stretching and pressure during delivery. The intensity of pain coupled with recovery time and different on the method of delivery. It the vaginal delivery occurs without any tears, discomfort and pain might last for 3-5 weeks. But the delivery occurs with episiotomy pain and discomfort might last for 6weeks nearly.

🔹 Stress urinary incontinence

Involuntary leakage of urine due to lack of strength and pelvis floor muscles. This can occur during post natal period due to pudental nerve damage, rupture of muscle fibers and connective tissues and over stretch of supportive ligaments. If pregnant women with early urinary incontinence, high BMI, forceps delivery or third or forth degree tear have high risk of getting pelvis floor muscle dysfunction.

🔹 Re**us Abdominis Diastasis

This is the partial or complete separation of Re**us abdominis muscle which meet at the midline of your stomach. It is very common during pregnancy due to uterus stretches the muscles in the abdomen to accommodate baby.
If the fetus delivered by Caesarian section delivery instead of vaginal delivery following complications can be occur.

▪️ Risk of pneumonia
▪️ Post surgical pain
▪️ Adhesion formation
▪️ Vascular complications
▪️ Faulty posture
▪️ Pelvic floor dysfunction
▪️ Abdominal weakness

🔵 Benefits and importance of exercise after child birth

▪️ Reduction of pain, swelling in perineal area
▪️ Reduction of muscle and joint pain
▪️ Promote pelvic floor muscle function
▪️ Improve bowel and bladder habits
▪️ Correct positioning for feeding and carrying baby
▪️ Correct Re**us Abdominis Diastasis
▪️ Restore muscle strength
▪️ Promote weight loss
▪️ Improve cardiovascular fitness
▪️ Improve behavior, relieve stress and help to prevent post partum depression

🔴 Contraindications for post natal exercises

▪️ Preterm Labour
▪️ Hypertensive disorders during pregnancy
▪️ Uncontrolled type I diabetes, Thyroid disorders or other serious cardiovascular / respiratory disorders
▪️ Ruptured perineal area
▪️ Anemia (Hb < 100 g/L)

🔵 When to start post natal exercises

Gentle exercises can be started as soon as comfortable after delivery. 6 weeks after pregnancy, most of changes occur during pregnancy will have recovered to normal. But if Caesarian delivery or delivery with complications it may take much longer to feel ready to begin exercises. If the mother did not exercises during pregnancy, should start with easy exercises and slowly build up.

🔹 Post natal exercises

✅ Abdominal exercises
✅ Pelvic floor muscle exercises
✅ Lumbo - pelvic stabilization exercises
✅ Low impact aerobics
✅ Brisk walking
✅ Swimming
✅ Aqua exercises
✅ Yoga
✅ Pilates
✅ Cycling
✅ Gentle resistance exercises

🔴 Exercises and activities to avoid

It is very important that a post partum women not do any abdominal exercise or activity until she has checked her Re**us abdminis muscles for Diastasis. If diastasis has been diagnosed here are guidelines to follow :

Avoid all exercise that place a stress on the midline, that stretch or expand the abdominal wall such as,

❌ Upper body twisting
❌ Arm on that side expands away from the body
❌ Crunches
❌ Oblique curls
❌ Yoga postures that strech abdominal muscles
❌ Quaruped exercise without adequate abdominal support
❌ High impact exercises
❌ Exercises that require rapid direction changes
❌ Avoid heavy lifting and carrying objects
❌ Avoid sitting straight up from bed

🔵 Breastfeeding and exercise

Do low or moderate impact exercises (avoid high impact exercises) because high impact exercises can cause lactic acid accumulation of breast milk. It can cause sour taste in breast milk.

🔶 Safety suggestions

▪️ Seek support of the partner or family
▪️ Wear appropriate garments and footwear that provide good support
▪️ Exercise should be include warm up period and cool down period at the end of exercise session
▪️ Maintain adequate hydration during exercise
▪️ Ensure proper body mechanics
▪️ Exercises should not hurt. If someone experience pain/other unexplained symptom stop exercise and consult physiotherapist

Biomechanical changes during pregnancy periodDuring pregnancy period, a woman’s body undergoes many transformations due ...
18/10/2020

Biomechanical changes during pregnancy period

During pregnancy period, a woman’s body undergoes many transformations due to changes in endocrine system, cardiovascular system, musculoskeletal system reproductive system, respiratory system, gastrointestinal system and renal system . Among them changing spinal curvatures, balance, gait, joint laxity and pelvic tilt can be considered as biomechanical changes in pregnancy period.. This can greatly impact quality of life by increasing back pain, groin pain, sciatica( pain along the lower limbs), postural abnormalities, gait abnormalities and risk of falls.

🔵 Changes in spinal curvatures

Normally, the human spine shows both inward and outward curvature. Lordosis (inwards curvature) is observed in the lumbar and cervical regions of the spine. Kyphosis (outward curvature) is observed in the thoracic and sacral regions of the spine.

During pregnancy period, centre of gravity (COG) of the body no longer falls over the feet and it goes forward due to increasing abdominal size. Therefore overall equilibrium of the body alters. For that woman leans backward to gain equilibrium resulting increase the lumbar lordosis and thoracic kyphosis. It is lead to cause low back pain and this causes increased tension in the paraspinal muscles and reduced activity & strength of the gluteal muscles.

🔵 Changes in the pelvic

Pelvis is the bones that form a bowl-shaped structure in the area below the waist at the top of the legs, and to which the leg bones and spine are joined. Pelvic tilt has been shown to be more anterior in pregnant women in their third trimester. It is major reason for the increasing lumbar lordosis. The pelvis is connected to the lumbar spine via a group of muscles known as “hip flexors”; an anteriorly-tilted pelvis shortens the hip flexors.

Weakened abdominal muscles during pregnancy due to increased levels of Relaxing and progesterone (which relax the muscles), or as a result of the overstretching of the muscles due to increased abdominal size, are thought to be responsible for an increase in anterior pelvic tilt.

🔵 Changes in the balance

During pregnancy period, both static and dynamic balances are reduced. One of the major factors leading to balance was the shift forward of a woman’s centre of gravity as her stomach and abdomen expanded outward to account for a growing fetus and joint laxity. This unstability leads to compensate the posture and gait to maintain the stability during walking and standing.

🔵 Changes in the walking pattern

A single gait cycle (A gait cycle is the time period or sequence of events or movements during locomotion in which one foot contacts the ground to when that same foot again contacts the ground, and involves propulsion of the centre of gravity in the direction of motion) can be separated into the stance phase and the swing phase. The stance phase begins with the first moment of contact of the foot with the floor and continues while the foot remains in contact with the floor. The swing phase begins the moment the foot leaves the floor and continue while the foot touch the floor. Any point when both limbs are touching the floor is determined as ‘double support,’ and when only one limb has contact with the floor is defined as ‘single support’.

Spatially, stride length is decrease in pregnancy period. Alongside this, pregnant women display an increased step width. The increased step width is a method use by pregnant women to increase their base of support and therefore increase their stability during gait. Pregnant women also display shorter swing phases, longer stance phases, short single limb support period and long double limb support period. It’s harder to maintain balance during walking due to change in centre of gravity, weak pelvic girdle muscles and joint laxity. Body swings side to side to maintain balance. Abnormal gait pattern during pregnancy is called ‘pregnancy waddling gait’.

🔵 Joint laxity

The nature has provided a way to help create more space in and around a woman’s pelvis by loosening of the joint and ligaments of the pelvis by secreting of pregnancy hormones such as relaxin. Relaxin not only relaxes ligaments in a woman’s pelvis to prepare her labour. But it also loosens the joints and ligaments all over the body. This can lead to lots of physical deformities such as sciatica, low back pain, gait abnormalities and abnormalities in posture.

🔶 To correct biomechanical changes during pregnancy period

▪️ Should maintain the good postures
▪️ Doing regular prenatal exercises under supervision of physiotherapist
▪️ Maintain the good physical activity level
▪️ Avoiding heavy weight lifting wearing

Importance of prenatal exercise for pregnant womenMaintaining a regular exercise routine throughout your pregnancy can h...
18/10/2020

Importance of prenatal exercise for pregnant women

Maintaining a regular exercise routine throughout your pregnancy can help you stay healthy and feel your best. Regular exercise during pregnancy can improve your posture and decrease some common discomforts such as backaches and fatigue. There is evidence that physical activity may prevent gestational diabetes (diabetes that develops during pregnancy), relieve stress, and build more stamina needed for labor and delivery.

🔵 Benefits of prenatal exercise

Regular exercise (at least 3x/per week) during pregnancy is extremely beneficial as exercise leads to,

▪️ Potentially easier pregnancy and labour
▪️ Improves cardiovascular fitness
▪️ Decrease the risk of gestational diabetes
▪️ Promotes faster recovery from labour
▪️ Helps in the prevention of low back pain during pregnancy and weight gain
▪️ Also counteracts post-partum depression (Moderate – severe depression following birth; may occur soon after delivery or up to 1 year later, most commonly within the first 3 months)

🔵 Importance of prenatal exercise

▪️ Reduce the risk of developing poor postural patterns during pregnancy
▪️ Reduce stress on upper and lower extremities
▪️ Reduce the risk of developing varicose veins, oedema
▪️ Minimize pelvic floor muscle dysfunction
▪️ Reduce or prevent the development of re**us abdominis diastasis
▪️ Breathing and relaxation exercises in preparation for labour
▪️ Reduce the risk of developing musculoskeletal pathologies during/after pregnancy

🔵 Guidelines for Exercises

▪️ Avoid any vigorous exercise in hot and humid weather or during febrile illness
▪️ Avoid jerky, bouncy motions
▪️ Ensure good footwear and non-slippery surface to prevent falls
▪️ Exercise should include a warm-up period and a cool-down period at the end of an exercise session
▪️ Maintain adequate hydration levels during exercise
▪️ Ensure proper body mechanics of posture and lifting
▪️ After the first trimester of pregnancy, avoid exercise in a supine position
▪️ Women with a history of sedentary lifestyle should begin with low-intensity exercises and progress gradually
▪️ Maximum heart rate should not exceed 140-150 bpm

🔴 Contraindications to Exercise

▪️ Gestational diabetes
▪️ Multiple pregnancies
▪️ Pregnancy-induced HTN BP >140/90
▪️ Diagnosed heart disease ICH, RHD
▪️ Vaginal fluid loss/Amniotic fluid leakage
▪️ History of miscarriage or preterm deliveries
▪️ Abnormal fetal position eg breech during 3rd trimester
▪️ Intrauterine Growth Retardation (IUGR)
▪️ Abnormal placental function or position
▪️ Anaemia
▪️ Acute infection

🔵 Prenatal Exercise Class by Physiotherapist

General Sequence of Events

▪️ Warm-up exercises
▪️ Stretching exercise
▪️ Upper limb and Lowerlimb strengthening
▪️ Lumbo-pelvic stabilization exercises
▪️ Pelvic Floor Exercises
▪️ Relaxation/Cooldown exercises (eg diaphragmatic breathing)
▪️ Educational information e.g. foods to prevent constipation; avoid straining PFM

🔴 Positions to avoid

▪️After the first trimester: supine position is associated with a 9% decrease in cardiac output due to pressure on the inferior vena cava
▪️ Inferior vena cava lies on the right side, therefore, the best position is left side-lying or semi-sideline
▪️ ACOG recommends "no exercise be done in the supine position after week 16”
▪️ However, low-intensity supine exercise does not significantly affect cardiac output until after week 35.
▪️ The ACOG guideline of 16 weeks for all exercise is on the conservative side, but err on the side of caution and allow only 1-2 minutes of supine exercise at a low intensity after 16 weeks.
▪️ If dizziness or light-headed is experienced, roll onto the left side, then slowly sit up.
▪️Avoid sitting up straight from bed à preferably “log roll” to left and sit up using arms to push the weight off the bed

Pregnancy Prenatal_Exercises

COVID19 highly infectious respiratory tract disease can cause Respiratory, Physical & Psychological dysfunction in patie...
08/10/2020

COVID19 highly infectious respiratory tract disease can cause Respiratory, Physical & Psychological dysfunction in patients.and continue check his vitals such as Spo2 , heart rate , blood pressure time to time, Hence, pulmonary rehabilitation is crucial for both admitted & discharged patients of COVID19.

Corona virus is a respiratory virus and cause high damage to the lungs during Corona virus  a patients may suffer from c...
08/10/2020

Corona virus is a respiratory virus and cause high damage to the lungs during Corona virus a patients may suffer from covid pneumonia and pulmonary fibrosis that may affect the function of the lungs in future,
Getting infected with Corona virus can results in some lungs issue like pneumonia bibasilar atelectasis etc. A recovered pt can also have Breathing difficulty after returning to his House or working place.
Post covid lungs care includes post covid Rehab that include the use of two machines and some breathing exercises and acute daily living exercises such as, a spiral ball and incentive spirometry and coach 2 spirometry . Both these machines help in increasing the capacity of the lungs.
Breathing exercises are very important to improve your lungs capacity and maintain efficiency of your lungs and improve your body endurance.

Dr Puneesh Kumar (PT)
Cardio respiratory Physiotherapist
(8076206369)

ब्रीदिंग एक्सरसाइज:-रोजमर्रा की भागदौड़ भरी जिंदगी में हम कई प्रकार के तनाव से गुजरते हैं। सोते-जागते, खाते-पीते हर समय ...
07/10/2020

ब्रीदिंग एक्सरसाइज:-
रोजमर्रा की भागदौड़ भरी जिंदगी में हम कई प्रकार के तनाव से गुजरते हैं। सोते-जागते, खाते-पीते हर समय दिमाग में कोई न कोई परेशानी या तनाव चलता ही रहता है। इसके चलते सिरदर्द, गर्दन में अकड़न, कमर का दर्द, मोटापा और थकान जैसी समस्याएं अक्सर हो जाती हैं। ऐसे में ब्रीदिंग एक्सरसाइज की मदद से दिमागी तनाव और अन्य समस्याओं से छुटकारा पाया जा सकता है। जब हम सांस लेते हैं तो इसके साथ हमारे शरीर में पहुंचने वाली ऑक्सीजन खून के माध्यम से शरीर की कोशिकाओं को पोषण देती है। ब्रीदिंग का महत्व सालों पहले भी प्राणायाम के रूप में बताया गया है। केवल गहरी सांस लेने और छोड़ने से ही हमें कई तरह के फायदे होते हैं।

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Thursday 5pm - 9pm
Friday 5pm - 9pm
Saturday 5pm - 9pm
Sunday 3pm - 9pm

Telephone

+918076206369

Website

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