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Knowledge transfer The concept of respiratory decongestion for - - PowerPoint PPT Presentation

Jul 30, 2023 179 likes •450 views

Knowledge transfer The concept of respiratory decongestion for infants in physiotherapy JC JEULIN C FAUSSER Plan The health care position Simulators in health practice Professional case analysis Learning methodology

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JC JEULIN C FAUSSER

Knowledge transfer

The concept of respiratory decongestion for infants in physiotherapy

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  • The health care position
  • Simulators in health practice
  • Professional case analysis
  • Learning methodology applied
  • Conceptual approach
  • Mechatronic process applied

Plan

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  • Physiotherapy care is normally not a subject

intended for instruction I. The health care position

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  • The duration of periods of epidemic limits the

number of cases

  • Fragility of infants

I. The health care position

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  • Training
  • Health care safety
  • Restating the intellectual approach
  • Repeat movements
  • Positive results for the patient.
  • Simulators in health practice

II. Simulators in health practice

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Simulator’s objective:

To transform a working situation into a forum for learning in physiotherapy II. Simulators in health practice

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  • III. Professional case analysis
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Modelling from areas of expertise

  • III. Professional case analysis

Presciption exogenous Presciption endogenous Problem area Professional model Theoretical references Clinical reasoning Professional references Area satisfaction

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Learning conditions and cognitive parameters are established by instruction

  • IV. Learning methodology applied
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  • Autogenous draining technique or slow prolonged

exhalation or increased exhalation flow

  • Limitation on the increase of flow has been well

documented

  • The precise details of this limitation inside the lung

remain outside the scope of researchers in fluid mechanics.

  • IV. Learning methodology applied: professional skills
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  • B. Mauroy et coll. have modelled the draining-off of

mucus and recommend approaches for better understanding the movements of secretions within the digitized bronchial system.

  • IV. Learning methodology applied: Scientific knowledge
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7th generation bronchus obstructed 75%

  • f the air velocity in the trachea: 5m/S
  • IV. Learning methodology applied: Scientific knowledge
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  • IV. Learning methodology applied: Scientific knowledge

7th generation bronchus obstructed 75%

  • f the air velocity in the trachea: 10m/S
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  • Below a certain threshold the airflow is insufficient

to mobilize secretions

  • IV. Learning methodology applied: Scientific knowledge
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  • Instructive learning in physiotherapy consists of

writing research references in order to build a common knowledge base.

  • It doesn’t mean that everyone necessarily agrees.
  • IV. Learning methodology applied:
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  • « After taking into account all aspects of a complex

and diverse subject matter, the aim is to extract all the relevant facts and figures from the case being treated »

  • V. Conceptual Approach : clarification
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  • Research into dynamic space
  • Localisation of secretions and clinical efficiency of the

mobilisation of secretions.

  • Tolerance threshold of bronchial compression
  • Infant safety
  • V. Conceptual Approach : Relevant factors
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Four invariables

  • Research space allowed
  • Localisation and clinical

efficiency of mobilisation of secretions

  • Tolerance threshold of

bronchial compression

  • Infant safety

Two indicators:

  • Sounds
  • Haptic senses

V. Conceptual approach: Dynamic examination of the system

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  • Concept of invariables
  • Management of their relationships
  • Focal point of the training
  • Core physiotherapy knowledge in this discipline
  • V. Conceptual Approach : Knowledge transfer
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Physiotherapy: Clinical situation: Pharynx clearance and Lower Airways clearance

Clinical group

Upper airways clearance Exhalation flow increase small airways

Safety group

Input

Obstruction of upper airways secretions Obstruction of lower airway secretions

Invariables Location

Inhalation noises Exhalation noises

Localisation Mobilisation Thoracic and bronchial structure

Sputum Exhalation noises VC-VRE; airflow maintained; few or no secretions; interrupted airflow

Output

Upper airways clearance Vibrations, Increase in wet noises

  • r no change: appropriate

medication

  • V. Conceptual Approach
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Natural breathing generation system Pressure measurement

  • VI. Mechatronic process applied: First prototype
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  • Final tests by expert physiotherapists
  • VI. Mechatronic process applied: Tests
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Torso simulator Application of a simulator could facilitate this process

Association des Réseaux Bronchiolite Ile de France

  • VI. Mechatronic process applied: Torso simulator
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The Health Authority states: This is an important methodology for use in future programs of Continuous Professional Development

  • VI. Mechatronic process applied:
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References

Maréchal L., Barthod C., Gautier G., Lottin J., Jeulin J.-C., Instrumentation and Labview Based Continuous Processing for Chest Physiotherapy, Biodevices 2008, International Joint Conference on Biomedical Engineering Systems and Technologies, INSTICC - Institute for Systems and Technologies

  • f

Information, Control and Communication, 2008, 2, 41-46 Barthod C., Maréchal L., Ensemble d’apprentissage et simulateur de torse de nourrisson pour l’apprentissage du geste en kinésithérapie respiratoire, 2009, FR 2945656, WO 2010130754 Maréchal L., Barthod C., Goujon L., Büssing T., Design and development of a mechatronic infant torso simulator for respiratory physiotherapy learning, Mechatronics 22, 1 (2012) pp. 55-64 Maréchal L., Barthod C., Jeulin J.-C., First characterization of the expiratory flow increase technique: method development and results analysis, Physiological Measurement, (2009) 30 12 1445-1464

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Jeulin J-C, Fausser C, Gatto F, Transposition didactique :Le Concept de kinésithérapie respiratoire de désencombrement du nourrisson. A Paraître. Jeulin JC., Gatto F., Maréchal L., Barthod C. Analyse de pratiques professionnelles en kinésithérapie respiratoire pédiatrique en vue de la conception d'un simulateur en santé.

  • Kinesither. Rev., 2009, 92-93: 48-55

Mauroy B, Fausser C, Pelca D, Merckx J and Flaud P, Toward the modeling of mucus draining from the human lung: role of the geometry of the airway tree