Oct 26, 2020
We speak with physiotherapist, Rich Severin [DPT, PhD(c), CCS] about the importance of screening for cardiovascular risk factors during musculoskeletal assessments. Rich discusses a case study demonstrating the impact that screening can have, how you can screen in your practice, and the #VitalsareVital campaign.
Find out more about Rich:
00:56 Can you introduce yourself?
02:32 What made you interested in doing two specialties?
04:29 What got you started with the vitals campaign?
08:44 What is the education like in schools for cardiovascular screening in MSK?
11:24 Can you take us through a case study?
15:24 Were you screening regularly at that point or was it the history that prompted you to take blood pressure?
16:52 Do you take blood pressure in younger populations?
18:49 Is there anything that you include in your screen beyond heart rate and blood pressure?
19:35 Is there any pushback from clinicians about implementing this in an assessment?
24:50 What cutoff values do you use for blood pressure? When would you refer someone on?
27:53 Do you have a standardized method of screening that you use in your clinic?
31:35 How is high blood pressure diagnosed?
33:15 Guidelines are to measure blood pressure in both arms, what accounts for differences between arms?
34:06 How immediate are changes in blood pressure with exercise?
38:13 How long would it take to see long term changes in hypertension?
39:18 What equipment do you use for testing? With exercise?
43:49 Does hypertension have an effect on orthopedic conditions?
47:32 More on the Vitals are Vital campaign
52:38 Where can people find out more about you?