Transcript Exercise Prescription (exrx

Exercise Prescription
Cardiac Rehabilitation
WHY EXERCISE?
Hypertension
Dyslipidemia
Smoking
Obesity
Diabetes
Stress
CONTRAINDICATIONS
TO EXERCISE
 Unstable angina
 systolic/diastolic
hypertension
 orthostatic drop > 20mm Hg
with symptoms
 critical aortic stenosis
 acute systemic illness or
fever
 uncompensated CHF
 active pericarditis,
myocarditis
 recent embolism
 Uncontrolled atrial or
ventricular arrhythmias
 uncontrolled sinus
tachycardia > 120 bpm
 3rd degree AV block
 resting ST displacement > 2
mm
 uncontrolled diabetes (BG >
15)
 severe orthopedic problems
 other acute metabolic
problems
Exercise is Medicine
“the art of exercise prescription is successful integration
of exercise science with behavioural techniques that
result in long-term program compliance and the attainment
of the individual’s goal”
Exercise Prescription
Exercise is prescribed taking into account 4
different factors:
F-frequency-how often
I-intensity- using RPE scale or heart rate
T-type - aerobic exercise
T-time - number of minutes per session
RPE scale
Rate of Perceived Exertion
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6
7 very,very light
8
9 very light
10
11 fairly light
12
13 somewhat hard
14
15 hard
16
17very hard
18
19 very,very, hard
Exercise Prescription
Post Discharge
Frequency - every day, once or twice
Intensity - easy, comfortable pace
Type - walking
Time- start at 5 minutes and increase by
5 minutes per week if tolerated
Exercise Prescription
Recovery Program
F - every day
I - 10-30 beats above resting heart rate or
RPE between 11 and 13
T - walking, cycling, arm ergometer
T - increasing by 5 minutes per week to 30
to 40 minutes of exercise
Exercise Prescription
Maintenance
F - 5 to 6 times per week
I - moderate intensity, 11-13 on the RPE scale,
talk test – best values obtained from a stress
test: 60%-80% of heart rate reserve
(Karvonen’s Equation)
T - walking, jogging, cycling, swimming,
paddling, rowing, cross country skiing,
snowshoeing,skating
T - 30 -60 minutes
Resistance Training
Light weight training for muscle endurance
is appropriate for cardiac patients:
3 months post event
start with light weights and increase
gradually
does not replace an aerobic workout
increases muscle tone and maintains mass
to maintain muscular power