Department of Physical Therapy, Grand Valley State University, 301 Michigan NE, Suite 200, Grand Rapids, MI 49503 (USA). Dr Shoemaker is a board-certified clinical specialist in geriatric physical therapy.
Physical Therapy Program, Maryville University of St Louis, St Louis, Missouri. Dr Dias is a board-certified clinical specialist in cardiovascular and pulmonary physical therapy.
Phys Ther. 2020 Jan 23;100(1):14-43. doi: 10.1093/ptj/pzz127.
The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular and Pulmonary Section of APTA, have commissioned the development of this clinical practice guideline to assist physical therapists in their clinical decision making when managing patients with heart failure. Physical therapists treat patients with varying degrees of impairments and limitations in activity and participation associated with heart failure pathology across the continuum of care. This document will guide physical therapist practice in the examination and treatment of patients with a known diagnosis of heart failure. The development of this clinical practice guideline followed a structured process and resulted in 9 key action statements to guide physical therapist practice. The level and quality of available evidence were graded based on specific criteria to determine the strength of each action statement. Clinical algorithms were developed to guide the physical therapist in appropriate clinical decision making. Physical therapists are encouraged to work collaboratively with other members of the health care team in implementing these action statements to improve the activity, participation, and quality of life in individuals with heart failure and reduce the incidence of heart failure-related re-admissions.
美国物理治疗协会（APTA）与 APTA 的心血管和肺部科合作，委托制定本临床实践指南，以帮助物理治疗师在管理心力衰竭患者时做出临床决策。物理治疗师在整个护理连续体中治疗患有与心力衰竭病理相关的不同程度的活动和参与障碍的患者。本文件将指导物理治疗师对已知心力衰竭诊断的患者进行检查和治疗。本临床实践指南的制定遵循了一个结构化的过程，并产生了 9 项关键行动声明，以指导物理治疗师的实践。根据特定标准对现有证据的水平和质量进行分级，以确定每项行动声明的强度。制定了临床算法，以指导物理治疗师进行适当的临床决策。鼓励物理治疗师与医疗保健团队的其他成员合作，实施这些行动声明，以提高心力衰竭患者的活动、参与和生活质量，并降低心力衰竭相关再入院的发生率。
