Info Cardiac Rehabilitation: Endurance, Describe Or Interval Training?
I direct maintain already posted the cardiac rehabilitation. What is interesting to regime annotation hither is the type of do that is recommended past times these guidelines.
Let's recall begin how this guideline defines cardiac rehabilitation:
"These KNGF clinical guidelines direct maintain been devised for the implementation of physical therapy inward patients who direct maintain had an (acute) myocardial infarction, or who direct maintain undergone a coronary artery bypass operation, percutaneous transluminal coronary angioplasty, a pump valve operation, or operative correction of a congenital pump disorder".
Cardiac rehabilitation involves a broad attain of activities, such every bit practicing basic skills together with daily life activities, and sports training. Therapy tin give the axe direct maintain the aeroplane of fitness or aerobics exercises, swimming, or exercises inward water. The therapeutic approach chosen must render the most appropriate together with specific agency of increasing the patient’s daily activities. If therapy is focused on physical training, work of an ergometer together with sports preparation are involved. ECG together with blood pressure level monitoring are carried out if indicated past times the rehabilitation team.
Examples of preparation variables are the intensity, frequency together with duration of training, together with the length of the residuum intervals. However, preparation construction is besides important. General indications of preparation variable values are:
1. Practicing specific functions, skills together with activities spell encouraging the patient to bask exercise: preparation frequency should live 2–3 times a week.
2. Aerobic exercise: preparation intensity should live at 40–85% of maximum oxygen uptake together with at 11–16 on the Borg scale; preparation should consist of a warm-up period, aerobic training, together with a cooling downwards period, together with should final 20–60 minutes; preparation frequency should live 3–7 days a week.
Effects of aerobic preparation on the cardiorespiratory system. Source: Jongert et al.(52)
• lowers pump rate;
• increases pump pump output volume;
• increases pump infinitesimal book during maximum-intensity exercise;
• increases blood book together with hemoglobin level;
• increases artery-vein oxygen differential;
• lowers blood pressure;
• increases VO2-max;
• increases anaerobic threshold;
• increases maximum respiratory infinitesimal volume;
• increases ventilation;
• increases lung diffusion capacity;
• increases lung book together with capacity.
3. Strength together with aerobic exercise: preparation intensity should live at 40–50% of maximum strength; each preparation session should incorporate 1–3 sequences of 10–15 repetitions alongside pauses lasting 1–2 minutes; resistance should increment alongside time, both relatively together with absolutely; preparation frequency should live 2–3 times a week. Circuit preparation should final for 20–30 minutes together with should consist of a warm-up period, pull training, together with a cooling-down period.
Effects of pull preparation on skeletal muscle. Source : Jongert et al.(52)
• functional hypertrophy;
• increased mitochondrial numbers (mitochondrial hypertrophy);
• increased capillary circulation;
• increment inward musculus enzymes;
• increased energy-rich phosphate level.
4. Reduction of direct chances factors: exercises that direct maintain a longer duration, lower intensity together with higher frequency are recommended for patients alongside obesity, hypertension, diabetes mellitus (type-II), together with lipid disorders.
Individual do programs are devised using the results of tests of maximum symptom-limited aerobic capacity.