Cardiopulmonary Rehabilitation: Cardiopulmonary Rehabilitation-II

Multidisciplinary Cardiac Rehabilitation

• Background 
• Cardiac rehabilitation 
• Does cardiac rehabilitation work? 
• Recent evidence for the efficacy of cardiac
• Comprehensive cardiac rehabilitation

Psychology and Cardiac Rehabilitation

• Psychological factors 
• Anxiety and depression 
• Illness perceptions and cardiac events 
• Illness perceptions and CR 
• Applying psychological theory in CR 
• Anxiety at assessment 
• Illness perceptions at assessment 
• Returning home 
• The CR group

The Exercise Program

• Risk stratification for exercise 
• Using the information 
• Supervision following exercise 
• Exercise practical sessions 
• Calculating heart-rate training ranges

Exercise Practical

• Exercise set-up 
• Warm-up
• Circuit exercise 
• Cool-down 
• Use of music 
• Gym Programs 
• Seated exercises

Coronary Heart Disease, Psychology and Exercise

Introduction to the Cardiac Rehabilitation Program

Coronary Heart Disease and its Risk Factors

• Coronary heart disease 
• Angina 
• Angioplasty and stents 
• Coronary artery bypass graft (CABG) 
• Heart attack (or myocardial infarction) 
• The risk factors for coronary heart disease

The Exercise Program

• Monitoring the intensity of exercise 
• Heart rate 
• Breathing rate 
• Rate of Perceived Exertion/Exercise Scale 
• Exercise diaries

Aerobic Exercise and Stress

Exercise: What Sort and How Much?

• Session set-up 
• Exercise—what sort and how much? 
• Activity and exercise

The Cardiac Rehabilitation Continuum of care

• Contemporary cardiac rehabilitation secondary prevention 
• The future of cardiac rehabilitation

Outpatient Cardiac Rehabilitation and Secondary Prevention

• Structure of Secondary prevention 
• Assessment of Risk Factors for disease
• Stratification of Risk for events during exercise 
• Medical supervision and electrocardiogram monitoring of patients during exercise 
• Implementation of Secondary prevention

Special Considerations

• Older patients 
• Young Adults 
• Women 
• Racial and cultural diversity 
• Revascularization and Valve surgery 
• Ventricular Arrhythmias, Pacemakers and ICDs 
• Heart Failure 
• Patient with left ventricular assistive devices 
• Cardiac Transplantation 
• Diabetes
• Pulmonary disease 
• Peripheral Arterial Disease

Modifiable Cardiovascular Disease Risk Factor

• Smoking 
• Abnormal Lipids 
• Hypertension 
• Physical Inactivity 
• Psychosocial Concerns 
• Obesity 
• Emergency Risk Factor

Management of Medical Problem and Emergencies

• Potential Risk in outpatient cardiac rehabilitation 
• Advance Directives 
• Patient Assessment and Screening 
• Documentation of Emergencies 
• Emergency Equipment 
• Staff training and site preparation 
• Transtelephonic ECG monitoring 
• Home Health 
• Community site programming

General Principle of Exercise Prescription

An introduction to the principles of Exercise prescription

General consideration of exercise prescription

Components of exercise training session

Aerobic (Cardiorespiratory endurance) Exercise

• Frequency of Exercise 
• Intensity of Exercise 
• Exercise Time (Duration) 
• Exercise Volume (Quantity) 
• Type (Mode) 
• Rate of Progression

Muscular Fitness

• Frequency of Resistance Exercise 
• Types of Resistance Exercise 
• Volume of Resistance Exercise (Sets and Repetitions) 
• Resistance Exercise Technique 
• Progression/Maintenance
• Flexibility Exercise (Stretching)
• Types Flexibility Exercise 
• Volume Flexibility Exercise (Time ,Repetitions and Frequency)

Exercise program Supervision

Exercise Prescription for patients with Cardiovascular and Cerebrovascular Disease

• Outpatient Exercise Programs
  • Exercise prescription 
  • Type of Outpatient programs 
  • Special Consideration
• Resistance Training for cardiac patients
• Exercise Training for Return to Work
• Exercise Prescription for patients with Stroke

Exercise Testing, Exercise Prescription and special Consideration for population with other Chronic Disease and Health Conditions

• Diabetes Mellitus 
• Dyslipidemia 
• Hypertension 
• Kidney disease 
• Metabolic Syndrome 
• Overweight and Obesity 
• Osteoporosis 
• Arthritis

Pulmonary rehabilitation

• Definition and aims of pulmonary rehabilitation 
• Benefits of pulmonary rehabilitation 
• Setting up pulmonary rehabilitation 
• Resources 
• Selection of patients 
• Patient assessment for pulmonary rehabilitation 
• Structure of pulmonary rehabilitation 
• Pulmonary rehabilitation team 
• Exercise component 
• Outcome measures 
• Pulmonary Disease Exercise Testing, Exercise Prescription and special Consideration
  • Asthma 
  • Chronic Obstructive Pulmonary Disease

This course covers the organization and understanding of prescription for and delivery of non invasive interventions in the comprehensive management (diagnosis, assessment, treatment, and follow up) of patients with primary and secondary cardiopulmonary dysfunction resulting from acute and chronic conditions and the cardiopulmonary manifestation of systemic diseases.

1. The students will be able to determine appropriate type of cardiopulmonary rehabilitation for chronic lung disease patients

2. The students will be able to define concept of cardiopulmonary rehabilitation.

3. The students will be able to list the disease states that should be considered as appropriate for cardiopulmonary rehab

4. The students will be able to explain the consequence of exercise and increase ventilatory demand on pulmonary Mechanics.

5. The student will be able to write exercise prescription related to cardiopulmonary conditions