The specialized course given by Guy Postiaux teaches the PT to:
1° Auscultate, meaning gather objective stethacoustic parameters
|The set up of a strategy in chest physiotherapy and the choice of a technique depends on the appreciation of various clinical signs, under which auscultation is the principal tool. And yet the majority of schools and universities don't provide sufficient teaching in auscultation. We demonstrate here that a precise auscultation, based on an objective nomenclature helps the choice making of a technique and the evaluation of an accomplished task.|
2° Properly pose the indications and counter-indications of a physical treatment
Let us insist on the fact that it is not the purpose of the PT to pose a diagnosis, but rather to identify a precise physioacoustic signal that can orient the specific therapeutic choice and to control its effects. This reasoning does not accept PT based on recipes. The richness of this nVPT lies in its semiologic basement : the specific physiotherapic assessment of the bronchopulmonary obstruction, rather than the nosological one.
The individual, specific type of each disease escapes any systematization.
3° Learn new techniques
From new therapeutic concept, new techniques are proposed. They present the major advantages of a more distal or peripheral action in the bronchial tree and also to be better tolerated than conventional techniques.
4° Acquire the basements for a specialisation in pediatric CPT
It can't be denied that teaching of pediatric CPT remains quite empirical, and often even absent from schedules in schools and universities. This, despite the increasing demand from praticians, as CPT is the main component of the treatment of the infant bronchiolitis. These reasons can explain the need for a rigorous therapeutic methodology and their curiosity towards pneumo-pediatric medical sciences that they did'nt study in high schools and universities.
Our ambition would be the recognition of what is already considered as a specialisation of PT: CPT of the infant and the child.
An update in nebulized therapy in accordance with the State of The Art of this topic, specially in asthma.
SCHEME OF THE LECTURE
Part 1. Some epidemiological data, differed morbidity
- Environmental elements justifying an early recourse to CPT
- Physiopathology of lung diseases in childhood.
- Risk factors
Part 2. Obstruction and hyperinflation
- Mechanisms of the obstruction and hyperinflation
- Obstruction and bronchospasm
Part 3. Objectives and principles of CPT
- Rôhrer's driving pressure equation
- Classification of the techniques
- 2 years and 8-12 years: two important transitional steps
Part 4. Respiratory sounds of adult and child
- Methodology of lung sounds analysis
- Systematic training of auscultation
Part 5. Bronchial clearance
- Decision trees in adult and child
- CPT methodology guided by respiratory sounds
- Theory and training of new CPT maneuvers.
Teaching rests on many audio-visual means and techniques: hearing of audio cassette and CD of pulmonary sounds, video cassettes illustrating the CPT techniques, slides.
The course includes theoretical and pratical parts. Work is interactive, the participants learn the respiratory sounds and the CPT maneuvers under the direction of the instructor. The number of participants is limited to a maximum of 20 in order to ensure an effective individual monitoring.
The formation is one duration 20 hours, divided into two days and a half.
Contact Guy Postiaux:
Groupe d'étude Pluridisciplinaire Stéthacoustique-GPS: Boulevard Joseph II, 4 bte 72, B-6000 Charleroi, Belgique.
tél/fax: 00 32 (0)71 45 38 79, tél: 0032 (0)496 230492
Laboratoire de fonction pulmonaire et d'acoustique médicale: Grand Hôpital de Charleroi, site Reine Fabiola, 73 avenue du Centenaire, B-6061 Montignies-sur-Sambre, Belgique.