Outline:
Section 1: Obesity-Related Respiratory Disorders A. Objectives B. Knowledge Question C. Definition of Obesity D. Altered Breathing Mechanics Related to (r/t) Obesity E. Risks of Obesity F. Knowledge Question G. Obstructive Sleep Apnea H. Clinical Presentation of OSA I. Risks of OSA J. Obesity Hypoventilation Syndrome K. Pulmonary Function Tests in OHS L. Clinical Presentation of OHS M. Additional Risks of OHS N. Knowledge Question O. Connection Between Asthma & Obesity P. Impact of Improved Physical Fitness Q. Pulmonary Rehab R. Impact of Weight Loss Section 2: Self-Management Training for Obesity-Related Lung Disorders (ORLD) A. Self-Management in Obesity-Related Lung Disorders: Key Behaviors B. Other Components of Self-Management Training for ORLD C. Second Line Therapy D. Sleep Hygiene E. Oxygen Therapy F. PR Exercise Training for ORLD G. Aquatic Exercise H. Knowledge Question I. Considerations J. Resistance Training and ORLD K. Home Exercise Section 3: Pulmonary Hypertension A. Pulmonary Hypertension (PH) B. Pathophysiology of PH C. Clinical Classification of PH D. When & Why Symptoms Occur E. Knowledge Question F. Clinical Manifestations of PH Additional Potential Symptoms G. WHO Functional Classification H. Treatment Goals I. PH Treatment Algorithm J. Barriers to Treatment K. PR Evaluation of the Patient with PH Section 4: Self-Management Training For Pulmonary Hypertension A. Self-Management in Pulmonary Hypertension: Key Behaviors B. Other Components of Self-Management Training for PH C. Nutrition Considerations D. Psychosocial Issues in PH E. Benefits of Exercise Training in PH F. Exercise Evaluation G. Contraindications to Exercise Testing and Training in PH H. Clinical Considerations I. General Goals of Exercise Training J. Exercise Prescription Example using FITT K. Exercise Prescription Recommendations L. Exercise Precautions M. Summary

Kim E. Eppen, PT, PhD, is a licensed practicing Physical Therapist with over 21 years of experience. She has devoted the past 19 years to specializing in Cardiopulmonary Physical Therapy, more specifically, Pulmonary Rehabilitation, at a large Midwestern University Hospital. She is considered a Clinical Specialist in the area. Kim is also an Adjunct Clinical Assistant Professor in the Department of Physical Therapy and Rehabilitation Science in the College of Medicine at the University of Iowa with primary involvement in the Cardiopulmonary Therapeutics and Differential Diagnosis courses. Dr. Eppen routinely serves as a Clinical Supervisor for undergraduate students in the Department of Health and Human Physiology and as a Clinical Instructor for Doctoral students in Physical Therapy from various academic institutions. Kim earned multiple academic degrees from the University of Iowa including her Master’s Degree in Exercise Physiology, her Master’s Degree in Physical Therapy, and her PhD Degree in Physical Therapy and Rehabilitation Science with an emphasis in Cardiopulmonary Therapeutics. She routinely presents at continuing education seminars and courses, serves as a guest lecturer, is a published primary author in an academic, peer-reviewed publication, and has co-authored a chapter in a book on Obesity and Obstructive Sleep Apnea (2007). Kim has been involved in clinical research throughout her years of practice and has primary interest in evaluating clinical outcomes in the context of Pulmonary Rehabilitation. She is also an active member of the AACVPR and APTA. In addition to her primary professional career as a Physical Therapist, Kim has over 26 years of fitness-related experience ranging from coaching to serving as a group exercise instructor in health clubs to being a competitive athlete for most of her life in a variety of sports. Her academic, professional, and personal experience gives her a unique perspective to be able to serve as an educator. Disclosure: Kim E. Eppen, PT, PhD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.