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

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 applied  Conceptual approach  Mechatronic process applied JC JEULIN C FAUSSER

I. The health care position  Physiotherapy care is normally not a subject intended for instruction JC JEULIN C FAUSSER

I. The health care position  The duration of periods of epidemic limits the number of cases  Fragility of infants JC JEULIN C FAUSSER

II. Simulators in health practice  Training  Simulators in health practice  Health care safety  Restating the intellectual approach  Repeat movements  Positive results for the patient. JC JEULIN C FAUSSER

II. Simulators in health practice Simulator’s objective: To transform a working situation into a forum for learning in physiotherapy JC JEULIN C FAUSSER

III. Professional case analysis JC JEULIN C FAUSSER

III. Professional case analysis Modelling from areas of expertise Presciption exogenous Problem area Presciption endogenous Theoretical Professional Clinical references model reasoning Professional references Area satisfaction JC JEULIN C FAUSSER

IV. Learning methodology applied Learning conditions and cognitive parameters are established by instruction JC JEULIN C FAUSSER

IV. Learning methodology applied: professional skills  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. JC JEULIN C FAUSSER

IV. Learning methodology applied: Scientific knowledge  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. JC JEULIN C FAUSSER

IV. Learning methodology applied: Scientific knowledge 7th generation bronchus obstructed 75% of the air velocity in the trachea: 5m/S JC JEULIN C FAUSSER

IV. Learning methodology applied: Scientific knowledge 7th generation bronchus obstructed 75% of the air velocity in the trachea: 10m/S JC JEULIN C FAUSSER

IV. Learning methodology applied: Scientific knowledge  Below a certain threshold the airflow is insufficient to mobilize secretions JC JEULIN C FAUSSER

IV. Learning methodology applied:  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. JC JEULIN C FAUSSER

V. Conceptual Approach : clarification  « 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 » JC JEULIN C FAUSSER

V. Conceptual Approach : Relevant factors  Research into dynamic space  Localisation of secretions and clinical efficiency of the mobilisation of secretions.  Tolerance threshold of bronchial compression  Infant safety JC JEULIN C FAUSSER

V. Conceptual approach: Dynamic examination of the system Four invariables Two indicators:  Research space allowed  Sounds  Localisation and clinical  Haptic senses efficiency of mobilisation of secretions  Tolerance threshold of bronchial compression  Infant safety JC JEULIN C FAUSSER

V. Conceptual Approach : Knowledge transfer  Concept of invariables  Management of their relationships  Focal point of the training  Core physiotherapy knowledge in this discipline JC JEULIN C FAUSSER

V. Conceptual Approach Physiotherapy: Clinical situation: Pharynx clearance and Lower Airways clearance Exhalation flow increase Upper airways clearance small airways Obstruction of upper airways Obstruction of lower airway Input secretions secretions Clinical group Safety group Location Inhalation noises Exhalation noises Invariables Localisation Exhalation noises VC-VRE; Mobilisation airflow maintained; Sputum Thoracic and few or no secretions; interrupted airflow bronchial structure Vibrations, Increase in wet noises Output Upper airways clearance or no change: appropriate medication JC JEULIN C FAUSSER

VI. Mechatronic process applied: First prototype Pressure measurement Natural breathing generation system JC JEULIN C FAUSSER

VI. Mechatronic process applied: Tests  Final tests by expert physiotherapists JC JEULIN C FAUSSER

VI. Mechatronic process applied: Torso simulator Torso simulator Application of a simulator could facilitate this process Association des Réseaux Bronchiolite Ile de France JC JEULIN C FAUSSER

VI. Mechatronic process applied: The Health Authority states: This is an important methodology for use in future programs of Continuous Professional Development JC JEULIN C FAUSSER

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 of 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 JC JEULIN C FAUSSER

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 JC JEULIN C FAUSSER