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Diaphragm Rehabilitation for Cardiopulmonary Patients: After Mechanical Ventilation

Rina Pandya, PT. DPT
1 Hour 58 Minutes
Feb 03, 2021
Product Code:
Media Type:
DVD - Also available: Digital Seminar


For many patients, recovering from COVID is just the beginning.

“I just can’t believe how hard it is for me to do simple things now.”

Many of these patients find the path to full recovery is more difficult than expected. The lingering shortness of breath, weakness and musculoskeletal pain all take a toll. As patients recover, many will need your help getting back to a healthy and normal life.

Do you have the necessary skills to appropriately address diaphragmatic rehabilitation? Dr. Rina Pandya will walk you through the new techniques and protocols that you need to successfully help this growing patient population. With this specialized training, you’ll be able to confidently address these timely challenges that rehab professionals are facing today:

  • Improve posture and function
  • Strengthen diaphragm while on bedrest or reduced mobility
  • Minimize complications from immobilization
  • Faster recovery

You’ll also learn strategies for utilizing teletherapy – allowing your patients to reduce the reduce the energy cost of physically getting to the clinic. Dr. Pandya will make evidence-based and cutting-edge resources available to you in a way that is instantly applicable to your work.



Save time and money off other submission methods – purchase & take the CE test online for $19.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 1.75 continuing competency hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 1.75 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists & Physical Therapist Assistants

This self-study course consists of 1.75 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 1.5 CE credit hours.

Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 1.75 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 

New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 2.3 contact hours.

Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 1.75 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 1.75 clock hours of continuing education instruction.

Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 1.75 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 1.75 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 

Other Professions

This self-study activity qualifies for 1.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Rina Pandya, PT. DPT's Profile

Rina Pandya, PT. DPT Related seminars and products

Physiotherapy Online

Dr. Rina’s physical therapy career spans over 20 years, through the UK, the USA and the Middle East. She has worked in nationalized healthcare, American health care and self-pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician, she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan in 2018, with a Doctor of Physical Therapy degree. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA. HCPC-UK and OAP-Oman. She authored a series of pocketbooks titled – Orthopedic Assessments Made Easy – that offer an illustrated, quick reference to conduct efficient orthopedic special tests, with a detailed bullet point review on the anatomy of muscles.


Speaker Disclosures:
Financial: Dr. Rina Pandya is the owner of Physical Therapy Online, LLC., and has an employment relationship with the University of West of England. She receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Rina Pandya is a member of the American Physical Therapy Association.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Evaluate anatomy and physiology of diaphragm.
  2. Determine physical and physiological effects of mechanical ventilation.
  3. Utilize case studies and differential diagnoses of diaphragm disorders.
  4. Integrate strengthening and stretching exercises for diaphragm in various positions of supine, sitting, standing and ambulation through different stages of rehabilitation.


  • Strength and function
  • Role as a thoracoabdominal pump
  • Diaphragmatic breathing
Mechanical Ventilation
  • Differential diagnoses
  • Ventilator induced diaphragmatic dysfunction (VIDD)
  • Respiratory Distress
  • Ventilator settings – what you need to know
  • Precautions
Stabilization: Posture, Gait Mechanics and Core
  • Before you begin: initiation criteria
  • Mobility and muscular deconditioning
  • Exercise therapy
  • Resistance training
  • Sitting and standing balance training
Beyond the Vent: Exercises for the Diaphragm
  • Active cycle of breathing techniques
  • Abdominal breathing and diaphragm training
  • Telemedicine techniques
  • Contraindications for mobilizing patients

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Exercise Physiologists


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