PTReviewer provides perspectives on research & clinical practice. Founded by Rich Severin PT, DPT, PhD, CCS | Physiotherapist| Physiologist| Professor.
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I try to measure TIRE via PrO2 and I am not sure, that I can get the value of MIP. When I measure the value of MIP separate during comon test for MIP the value is higer than the value during TIRE protocol. What do you thing about it?
Hi! Could this posture also be used for Apical Superior segment? Please correct me if I'm wrong - but would this Steth position correspond well to Right Side Apical Superior? Thanks!
Hi! First of all great job. I am recommending your channel on my facebook groups. I have a query. As I was viewing my notes from the NPTE handbook, I was wondering if this was a substitute for Ascultation (using a Steth as opposed to the hands) to detect abnormal/ adventious vocal sounds like Egophony/ Bronchophony and Whispered Petriloquy? Or is this something seperate that must be done apart from Ascultation of vocal/ breath sounds using a Steth? Sorry - Just a bit confused.
Just another option to assess for impairments in airway clearance. I would follow up with auscultation of breath sounds though since while fremitus is a very sensitive test it is not specific.
I think you probably have the best educational resources for Cardio-Pulmonary Physio Assessment on YT. If you could expand more on Acute Care Cardio-Respiratory Assessment & Techniques including Suctioning, CPAP, O2 delivery, Breathing Exercises etc - that would be great. Great Work & Kudos. Just outta curiosity - are you an American or Canadian based channel? Because the PT protocols might alter a bit.
you guys know your stuff, thank you for this video and explaining concepts that are hard to grasp in papers. I know that your threshold trainer device is set to only 30% cm/water of Joe's MIP but still would be good if he could describe the sensations of respiratory effort felt while breathing through that resistance. I'd love if you could make a video on the different types of training devices (I particularly like the expiratory ones) and the different types of respiratory loads (flow resistive vs elastic) to model the different types of respiratory disease.
Hey Rich, where can I find the filter with the spacer for this unit? Not having luck finding it. The manufacturer only states to clean with tablets that aren't available in the US secondary to no FDA approval.
Really great stuff thanks for this series Rich. My main concern here is balancing lifestyle elements - avoiding exercise within 3 hrs of bed is very difficult for most people - my kids go to bed at 730, so I would basically only be able to work out at the weekend, which isn't what I want. Sometimes I think we need to know how these things interact - should we get less than recommended exercise in order to optimise sleep, or should we have slightly worse sleep to enable activity and so forth.
To be fair these are really on recommendations according to the evidence. They aren't designed to be "protocols". The utility in these recommendation is perhaps identifying and modifying certain elements of life for patients reporting disturbed sleep.
