Samenvatting 1MA cardiorespiratory physiotherapy 2 - Cardiac Rehabilitation

1MA
REVAKI




Cardiorespiratory Physiotherapy 3
REHABILITATION AT CARDIAC REHABILITATION CENTERS – L. DE COCK
YORICK VAN HULST

,Cardiorespiratory Physiotherapy 3 1e master jaar Revaki UA


1 INHOUDSOPGAVE
2 introduction.......................................................................................................................... 3
2.1 Goals of CR............................................................................................................................... 3
2.2 Cr in Belgium ........................................................................................................................... 3
3 Principles of Exercise Training ............................................................................................... 5
3.1 Training modalities .................................................................................................................. 5
3.1.1 Strength Training ............................................................................................................. 5
3.1.2 Aerobic (endurance) training .......................................................................................... 6
3.1.3 Anaerobic (interval) training ........................................................................................... 6
3.2 Constant load and constant pulse rate ................................................................................... 7
3.3 Determination aerobic/anaerobic threshold .......................................................................... 9
3.4 General training principles .................................................................................................... 12
3.5 Effects CR ............................................................................................................................... 14
3.5.1 Patients with coronary heart disease ............................................................................ 14
3.5.2 Patients with chronic heart failure ................................................................................ 14
3.5.3 Patients with ventricular assist device .......................................................................... 15
3.5.4 After heart transplantation ........................................................................................... 15
4 Rehab at CR centres ............................................................................................................ 16
4.1 Goals of Phase 2 rehab .......................................................................................................... 16
4.1.1 Education ....................................................................................................................... 16
4.1.2 Improvement of exercise capacity ................................................................................ 16
4.1.3 Secondary and tertiary prevention ............................................................................... 16
4.2 Additional training to exercise training ................................................................................. 17
4.2.1 Mucus clearance............................................................................................................ 17
4.2.2 Inspiratory muscle training............................................................................................ 17
4.3 Exercise training and contraindications ................................................................................ 18
4.3.1 Parameters that should be monitored .......................................................................... 18
4.3.2 Contraindications for training ....................................................................................... 18
4.3.3 Evaluation Blood pressure before starting a training session ....................................... 19
4.3.4 Evaluation Heart Rate before starting a training session .............................................. 19
4.4 Rehab of patients with low/medium risk .............................................................................. 20
4.5 Rehab of patients with high risk ............................................................................................ 20
4.5.1 CHF................................................................................................................................. 21
4.5.2 Pre transplantation........................................................................................................ 25
4.5.3 Post transplantation ...................................................................................................... 27



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, Cardiorespiratory Physiotherapy 3 1e master jaar Revaki UA




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