Cardiac Rehab is a customized outpatient program of exercise and education. Cardiac rehabilitation is designed to help you recover from a heart attack, other forms of heart disease or surgery to treat heart disease.
Building the strengthCardiac rehabilitation is often divided into phases that involve monitored exercise, nutritional counseling, emotional support, and support and education about lifestyle changes to reduce your risks of heart problems. The goals of cardiac rehabilitation are to establish an individualized plan to help you regain strength, to prevent your condition from worsening, to reduce your risk of future heart problems, and to improve your health and quality of life. Cardiac rehabilitation programs increase your chances of survival.
Cardiac Rehab is needed for someone who is at risk for heart attack, heart conditions such as coronary artery disease (CAD), angina or heart failure, heart procedure or surgery, including coronary artery bypass graft (CABG) surgery, percutaneous coronary intervention (PCI), including coronary angioplasty (balloon angioplasty) and stenting, valve replacement, or a pacemaker or implantable cardioverter defibrillator (ICD).
There are 3 (though some facilities offer a 4 option) “Phases” of Cardiac Rehabilitation programs. Placement in the programs depend on the patient’s condition, the date of the cardiac event and a physician’s order. Generally, Phase I and Phase II always require a physician’s order before you can participate.
Phase I starts in the hospital. Ideally, your Cardiac Rehabilitation program starts while you're still in the hospital. You may begin with non-strenuous activities, such as sitting up in bed, range-of-motion exercises and self-care, such as shaving. You then progress to walking and limited stair climbing. You'll engage in the kinds of activities you'll encounter once you're back at home.
Phase II begins after you leave the hospital and is often done in an outpatient setting; meaning you'll travel back and forth from your home to a rehabilitation center for this portion of your recovery.
This phase is a structured, medically supervised, outpatient program for patients with heart disease that incorporates regular exercise along with other services that may include nutritional counseling, stress management, and smoking cessation. A standard Cardiac Rehabilitation program generally includes 36 sessions over the course of three months, with three sessions weekly. Each session lasts about one hour, with about a 30 minute exercise period incorporated between instructor led warm-up and cool-down sessions. Exercise levels on each piece of equipment are adjusted regularly by an exercise physiologist, based on heart rate performance, the patient's level of comfort and their physician’s directions to provide maximal safe progress in exercise capacity.
During this phase, you gradually increase your activity level, usually under the close supervision of your cardiac rehabilitation team. Your team might suggest exercises you can safely do at home, such as walking and gentle calisthenics. You also learn about eating a healthy diet, quitting smoking, coping with your condition, resuming sexual activity and finding social support
Phase III and Phase IV is a long-term maintenance program — something to follow for the rest of your life. By this point, you probably will have developed your own exercise routine at home or at a local gym. You may also continue to exercise at a cardiac rehab center. You may remain under medical supervision during this time, particularly if you have special health concerns. Education about nutrition, lifestyle and weight loss may continue, as well as counseling. For best success, make sure your exercise and lifestyle practices become lifelong habits.
Therapists at FYZICAL, Burbank/Bridgeview, IL have knowledge and skills to prescribe you physical activity and exercise as needed and keep close supervision and keep your Cardiac Physician informed in writing.
Exercise training in pulmonary rehabilitation should encompass both upper- and lower-extremity endurance training, strength training, and possibly respiratory muscle training. Duration, frequency, mode, and intensity of exercise should be included in the patient’s individualized exercise prescription, based on disease severity, degree of conditioning, functional evaluation, and initial exercise test data.
Focus is on Aerobic endurance training with high or low intensity exercises, strengthen respiratory muscles, correct breathing technique educate patient with COPD about energy conservation. Oxygen saturation and Pulse is constantly monitored during the exercise and activities.