BFLT0352c Exercise Therapy Programme in Internal Medicine - practice

Faculty of Medicine
autumn 2024
Extent and Intensity
0/2/0. 2 credit(s). Type of Completion: z (credit).
In-person direct teaching
Teacher(s)
doc. Mgr. Ladislav Baťalík, Ph.D. (seminar tutor)
doc. PhDr. Filip Dosbaba, Ph.D., MBA (seminar tutor)
Mgr. Michal Úlehla (seminar tutor)
Mgr. Lucie Vymazalová, Ph.D. (seminar tutor)
Guaranteed by
Mgr. Lucie Vymazalová, Ph.D.
Department of Physiotherapy and Rehabilitation – Departments of Non-medical Branches – Faculty of Medicine
Contact Person: Mgr. Leona Dunklerová
Supplier department: Department of Physiotherapy and Rehabilitation – Departments of Non-medical Branches – Faculty of Medicine
Timetable of Seminar Groups
BFLT0352c/Sk_I: Fri 8. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Fri 15. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Fri 22. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Fri 29. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Fri 6. 12. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Fri 13. 12. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Fri 20. 12. 7:00–10:30 Pekařská FNUSA Obecná vývěska, M. Úlehla, L. Vymazalová
BFLT0352c/Sk_II: Tue 5. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Tue 12. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Tue 19. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Tue 26. 11. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Tue 3. 12. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Tue 10. 12. 7:00–10:30 Pekařská FNUSA Obecná vývěska, Tue 17. 12. 7:00–10:30 Pekařská FNUSA Obecná vývěska, M. Úlehla, L. Vymazalová
Prerequisites (in Czech)
BFLT0251c Bases of therap. exer.-p && BFLT0251p Bases of therap. exer.- l
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
The student knows the theoretical foundations of therapeutic rehabilitation in internal diseases, with accompanying practical experience at the bedside in clinical settings.
Learning outcomes
Upon completion of the course, the student will be able to: Define general indications and contraindications for each internal diagnosis. Develop a therapeutic rehabilitation plan during hospitalization, including initial and final assessments. Evaluate the patient's functional status from a physiotherapist's perspective. Assess subjective and objective symptoms. Create short-term and long-term rehabilitation plans, establish criteria for discontinuing activity, and provide education on physical activity post-hospitalization.
Syllabus
  • Practical Lesson – Coronary Unit, Dept. 33 Cardiovascular rehabilitation for patients after direct PTCA for acute myocardial infarction, post-angioplasty of coronary arteries (PTCA) in patients with ischemic heart disease (IHD), patients after catheter-based aortic valve replacement (TAVI), post-CPR states due to cardiac causes, and patients with hypertension. The practical lesson focuses on the indications and examination of cardiology patients from the physiotherapist’s perspective, monitored parameters, general principles, and contraindications for therapeutic physical exercises (TPE). Practical Lesson – Arrhythmology (Dept. 31) Therapeutic rehabilitation in patients with rhythm disorders—elective electrical cardioversion for atrial fibrillation, atrial flutter, and other supraventricular tachyarrhythmias; patients with indications for permanent pacemaker implantation (principles of TPE post-implantation according to recommended guidelines); patients post-CPR and heart failure indicated for ICD (implantable defibrillator) or CRT (cardiac resynchronization therapy) implantation; and patients undergoing alcohol septal ablation. Practical Lesson – Heart Failure (Dept. 32) Practical lesson focused on the possibilities of therapeutic physical exercises for patients with acute and chronic heart failure (dilated cardiomyopathy, ischemic heart disease), including patients before and after heart transplantation. Rehabilitation options, including exercise indication and recommendations for diagnosis and treatment according to the Czech Society of Cardiology (ČKS) guidelines. Practical Lesson – ICU (Anesthesiology and Resuscitation Dept.) Critically ill patients with respiratory and cardiac failure or organ system failure (multi-organ failure, post-CPR states, severe trauma cases, post-major surgeries). The practical lesson focuses primarily on passive therapeutic physical exercises, positioning, respiratory physiotherapy, and the use of aids (flutter, triflow, acapella, manual respiratory physiotherapy). Practical Lesson – Metabolic Unit (Dept. 64 ICU) Practical lesson focused on rehabilitation for patients with acute and chronic kidney failure (including dialysis), acute complications of diabetes mellitus, acute intoxications, patients with late complications after kidney transplantation, patients with pancreatitis, and liver cirrhosis. Practical Lesson – Nephrology (Dept. 67) and Diabetology (Dept. 69) Treatment of patients with renal insufficiency—permanent kidney function replacement by all available methods: hemodialysis, peritoneal dialysis, kidney transplantation. Diabetology, endocrinology, and obesity treatment—type 2 diabetes mellitus (including valid guidelines), diabetes complications, comprehensive care for endocrine diseases in indicated patients, autoimmune thyroid diseases, pituitary disorders, obesity, metabolic complications, insulin resistance, and metabolic syndrome. Practical Lesson – Dept. 49, 70, 71 (Standard Wards of I. Internal Cardiovascular Clinic, II. Internal Clinic) Patients with gastrointestinal diseases (diseases of the esophagus, stomach, duodenum, small intestine, large intestine, liver, bile ducts, and pancreas); acute respiratory diseases in patients with COPD, bronchial asthma. Therapeutic rehabilitation in patients with peripheral arterial disease (PAD), thrombophlebitis, deep vein thrombosis, and varicose veins.
Literature
    required literature
  • VYMAZALOVÁ, Lucie and Leona MÍFKOVÁ. 4.1.10 FYZIO/10 - Kardiovaskulární rehabilitace. Standardy léčebných postupů a kvalita ve zdravotní péči online (eds. FORÝTKOVÁ, L., A. BOUREK, J. SIEGELOVÁ). 2016. ISSN 2336-4580. URL info
    recommended literature
  • DOSBABA, Filip, Ladislav BAŤALÍK, Kateřina FILÁKOVÁ, Marián FELŠŐCI, Anežka GOMBOŠOVÁ, Martin HARTMAN, Jakub HNATIAK, Robert CHARVÁT, Lenka CHVOJKOVÁ, Jan JANOUŠEK, Tereza KAHÁNKOVÁ, Karolína KALINOVÁ, Patrik MICA, Lucie NÁROŽNÁ, Andrea POKORNÁ, Jiří RADVANSKÝ, Eliška SOVOVÁ, Tereza VÁGNEROVÁ, Jiřina VEČEŘOVÁ, Petra VYSOČANOVÁ and Petr WINNIGE. Kardiovaskulární rehabilitace a prevence (Cardiovascular rehabilitation and prevention). 1st ed. Praha: Grada Publishing, a.s., 2023, 376 pp. ISBN 978-80-271-1376-7. info
  • 3. Chwalková I., Kožešníková L. FYZIO/9 Kriticky nemocný pacient. Standard UNIFY ČR, 2016.
  • 1. Fried M., Svačina Š. Moderní trendy v léčbě obezity a diabetu. Axonite, 2018. ISBN 978-80-88046-15-8
  • Neumannová K. et al. Doporučený postup plicní rehabilitace. Standard UNIFY ČR, 2016
  • Léčebná rehabilitace ve vybraných oborech. 2. vydání. Praha: Raabe, 2022, 234 stran. ISBN 9788074964947. info
  • SOUČEK, Miroslav and Petr SVAČINA. Vnitřní lékařství v kostce. 1. vydání. Praha: Grada, 2019, 463 stran. ISBN 9788027122899. info
  • PODĚBRADSKÁ, Radana. Komplexní kineziologický rozbor. Funkční poruchy pohybového systému. (Kinesiology analysis. Functional disorders of musculoskeletal system.). 2018th ed. Praha: GRADA Publishing, 2018, 176 pp. 1. vydání. ISBN 978-80-271-0874-9. info
  • KNOPPOVÁ, Tereza, Miloš MÁČEK and Libuše SMOLÍKOVÁ. Léčebná rehabilitace v interním lékařství. Praha: Nakladatelství Dr. Josef Raabe, 2017, 158 stran. ISBN 9788074963117. info
  • JANDOVÁ, Dobroslava and Tomáš MIXA. Léčebná rehabilitace ve vybraných oborech. Praha: Nakladatelství Dr. Josef Raabe, 2017, 134 stran. ISBN 9788074963155. info
  • NAVRÁTIL, Leoš. Vnitřní lékařství pro nelékařské zdravotnické obory. 2., zcela přepracované a d. Praha: Grada Publishing, 2017, 559 stran. ISBN 9788027102105. info
    not specified
  • Ševčík P. et al. Intenzivní medicína. Galén, 2014.
  • ŠPINAR, Jindřich and Ondřej LUDKA. Propedeutika a vyšetřovací metody vnitřních nemocí. 2., přeprac. a dopl. vyd. Praha: Grada, 2013, 336 pp. ISBN 978-80-247-4356-1. URL info
  • ŠEVČÍK, Pavel, Vladimír ČERNÝ and Jiří VÍTOVEC. Intenzívní medicína. 2. rozš. vyd. Praha: Galén, 2003, xxi, 422. ISBN 807262203X. info
Teaching methods
exercise
Assessment methods
theoretical and practical exam
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 30.
The course is also listed under the following terms Autumn 2000, Autumn 2001, Autumn 2002, Autumn 2003, Autumn 2004, Autumn 2005, Autumn 2006, Autumn 2007, Autumn 2008, Autumn 2009, Autumn 2010, Autumn 2011, Autumn 2012, Autumn 2013, Autumn 2014, Autumn 2015, Autumn 2016, Autumn 2017, autumn 2018, autumn 2019, autumn 2020, autumn 2021, autumn 2022, autumn 2023.
  • Enrolment Statistics (recent)
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