Cardiovascular profile of adult recipients of chest physiotherapy

Naylor, Justine; Chow, Chin Moi; Heard, Robert

doi:10.1002/pri.313

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…Second, age significantly affects resting cardiovascular function. The prevailing literature predominantly reports the response to head-down positioning in young subjects, yet the average age of adult patients requiring chest physiotherapy has been observed to be 61 years (95% CI 59-63 years) ( n = 471) (Naylor et al, 2004). Third, studies involving patients with cardiovascular disease have tested the patients in the absence of their cardiovascular medication.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular responses to short‐term head‐down positioning in healthy young and older adults

Naylor

Chow

McLean

et al. 2005

Physiotherapy Res Intl

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Section: Introductionmentioning

confidence: 99%

Cardiovascular responses to short‐term head‐down positioning in healthy young and older adults

Naylor

Chow

McLean

et al. 2005

Physiotherapy Res Intl

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A modified postural drainage position produces less cardiovascular stress than a head-down position in patients with severe heart disease: A quasi-experimental study

Naylor¹,

McLean²,

Chow³

et al. 2006

Australian Journal of Physiotherapy

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Modified positioning is associated with less cardiovascular stress than head-down positioning, yet for most patients with severe heart disease, both positions are generally well tolerated. For a subset of these patients, either position may be inappropriate. This suggests that modified positioning should be attempted first but that a head-down position may be attempted if the modified position proves ineffective.

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Physiotherapist attitudes and practices regarding head-down and modified postural drainage in the presence of heart disease

Naylor

Heard

Chow

2005

Physiotherapy Theory and Practice

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Modification of chest physiotherapy interventions is recommended for patients with concomitant respiratory and cardiac diseases. What modifications are necessary and for whom, and what strategies physiotherapists adopt when heart disease is present, have not been investigated. Consequently, few guidelines exist. A questionnaire survey was conducted to identify attitudes and practices of senior cardiopulmonary physiotherapists (SCPP) and "other" physiotherapists (OP) regarding modified and head-down postural drainage (HDPD) when heart disease is present. The overall response rate was 44% (178/407); the response rate from SCPP (78%, 50/64) was higher than from OP (37%, 128/343). Major findings included that: postural modification in the presence of heart disease is common and is not reserved for patients with severe disease; the most commonly adopted modified position is the horizontal; and that the rationale for modification is commonly based on the assumptions that the cardiovascular load is less and, thus, adverse outcomes will be avoided. In the main, the response patterns for both groups were similar, but some between-group differences were found. The findings overall suggest physiotherapists adopt a cautious approach to HDPD when heart disease is present. Whether this approach is justified remains to be investigated.

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Cardiovascular profile of adult recipients of chest physiotherapy

Cited by 4 publications

References 10 publications

Cardiovascular responses to short‐term head‐down positioning in healthy young and older adults

Cardiovascular responses to short‐term head‐down positioning in healthy young and older adults

A modified postural drainage position produces less cardiovascular stress than a head-down position in patients with severe heart disease: A quasi-experimental study

Physiotherapist attitudes and practices regarding head-down and modified postural drainage in the presence of heart disease

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