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Unformatted text preview: 4/16/2009 1 Exercise Prescriptions in Clinical Exercise Prescriptions in Clinical Populations: Populations: Cardiac, Hypertension, Cardiac, Hypertension, Pulmonary, Obesity, and Diabetes, Pulmonary, Obesity, and Diabetes, Special Populations Special Populations Fall 2002: Chapters 8 - 11 Cardiac Rehabilitation (History) Cardiac Rehabilitation (History) z Galen (131B.C.) exercise strengthens the body z 1800-1900 Fick equation for cardiac output developed; athletes heart described z 1900 1950 Einthoven ECG; start seeing recommendation of exercise to patients z 1970s ACSM and AHA develop guidelines Cardiac rehabilitation today Cardiac rehabilitation today (AACVPR) (AACVPR) z Includes: Exercise Tolerance Strength Training Exercise Habits Psychological Well-Being Social Adjustment and Functioning Return to Work Morbidity and Safety Issues Mortality and Safety Issues Pathophysiologic Measures Adherence to cardiac rehabilitation 4/16/2009 2 Core components of cardiac Core components of cardiac rehabilitation rehabilitation Psychosocial/ vocational Exercise training Cardiac Rehabilitation Services vocational counseling training Medical surveillance/ Emergency support Risk Factor modification Phases of cardiac rehabilitation Phases of cardiac rehabilitation z Phase I Inpatient z Phase II (outpatient z Phase II (outpatient) Up to 12 weeks of supervised exercise and/or education following hospital discharge z Phase III (outpatient) Variable length program of intermittent or no ECG monitoring under supervision z Phase IV (outpatient) No ECG, limited monitoring Exercise Prescription for the Exercise Prescription for the Cardiac Patient Cardiac Patient z Phase I Phase I exercise pres....
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