Blood Pressure Screening by Outpatient Physical Therapists: A Call to Action and Clinical Recommendations

作者: Richard Severin , Ahmad Sabbahi , Ali Albarrati , Shane A Phillips , Sara Arena

DOI: 10.1093/PTJ/PZAA034

关键词:

摘要: Hypertension (HTN) is among the leading global preventable risk factors for cardiovascular disease and premature mortality. Early detection effective management of HTN have demonstrated significant reductions in mortality, morbidity rate, health care costs. Furthermore, screening by nonphysician providers improves rates medical management. As physical therapist practice advances to a more independent model, therapists may serve as first point contact into system, thereby necessitating need routine blood pressure (BP) monitoring. This especially relevant outpatient setting, where there evidence elevated BP measures patients, yet omission this setting well documented. Leading therapy professional organizations include statements their guidelines that suggest duty provide standard protects safety optimizes overall patients under care. Therefore, it imperative not only examination protocols but knowledge skills accurately measure interpret at rest during exercise be integrated The authors profession proactively embrace potential address national worldwide epidemic through assessment BP, appropriate referral measures, exploration therapists.

参考文章(83)
Yazen Joudeh, Chad S Kessler, Evaluation and treatment of severe asymptomatic hypertension. American Family Physician. ,vol. 81, pp. 470- 476 ,(2010)
Daniel J. Green, Exercise Training as Vascular Medicine Exercise and Sport Sciences Reviews. ,vol. 37, pp. 196- 202 ,(2009) , 10.1097/JES.0B013E3181B7B6E3
Ethel M. Frese, Ann Fick, Steven H. Sadowsky, Blood pressure measurement guidelines for physical therapists. Cardiopulmonary physical therapy journal. ,vol. 22, pp. 5- 12 ,(2011) , 10.1097/01823246-201122020-00002
Linda S. Pescatello, Deborah Riebe, Ross Arena, Paul D. Thompson, ACSM's Guidelines for Exercise Testing and Prescription ,(2020)
William C. Cushman, Karen M. Cooper, Richard A. Horne, Edward F. Meydrech, Effect of back support and stethoscope head on seated blood pressure determinations. American Journal of Hypertension. ,vol. 3, pp. 240- 241 ,(1990) , 10.1093/AJH/3.3.240
Alissa Stevens, Elizabeth Courtney-Long, Cathleen Gillespie, Brian S. Armour, Hypertension among US adults by disability status and type, National Health and Nutrition Examination Survey, 2001-2010. Preventing Chronic Disease. ,vol. 11, ,(2014) , 10.5888/PCD11.140162
R T Netea, J W M Lenders, P Smits, Th Thien, Both body and arm position significantly influence blood pressure measurement Journal of Human Hypertension. ,vol. 17, pp. 459- 462 ,(2003) , 10.1038/SJ.JHH.1001573
Olivier de Senarclens, François Feihl, Vittorio Giusti, Rolf P. Engelberger, Frédérique Rodieux, Patrick Gomez, Lucas Liaudet, Bernard Waeber, Brachial or wrist blood pressure in obese patients: which is the best? Blood Pressure Monitoring. ,vol. 13, pp. 149- 151 ,(2008) , 10.1097/MBP.0B013E3282FD16E3
Martin G. Schultz, James L. Hare, Thomas H. Marwick, Michael Stowasser, James E. Sharman, Masked hypertension is "unmasked" by low-intensity exercise blood pressure. Blood Pressure. ,vol. 20, pp. 284- 289 ,(2011) , 10.3109/08037051.2011.566251
Brittain McJunkin, Brandon Rose, Om Amin, Nirmita Shah, Sachin Sharma, Sujal Modi, Suzanne Kemper, Muhammad Yousaf, Detecting initial orthostatic hypotension: a novel approach Journal of The American Society of Hypertension. ,vol. 9, pp. 365- 369 ,(2015) , 10.1016/J.JASH.2015.02.006