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[Growing complexity of cardiologic intensive rehabilitation: motor rehabilitation resources and programs of physical
E Michelis1, E Capurro, C Remaggi
1Unità Operativa Cardiologia Riabilitativa Ospedale La Colletta Arenzano. cardiocolletta@libero.it
Insights
Physiotherapists are adapting motor rehabilitation programs for cardiac patients with complex needs. This paper details standard and complication-specific rehabilitation procedures for improved patient recovery and outcomes.
Area of Science:
- Cardiology
- Physical Therapy
- Rehabilitation Medicine
Context:
- Cardiac rehabilitation populations are evolving, with more acute cardiac event survivors and elderly patients with comorbidities.
- Increased complexity in managing physical training programs requires adapted approaches.
Purpose:
- To present and discuss motor rehabilitation procedures for cardiac patients, both standard and complication-specific.
- To analyze assessments, training programs, and outcome verification methods.
Summary:
- The paper outlines motor rehabilitation strategies for uncomplicated and complicated cardiac recovery.
- It details interventions for specific complications like respiratory issues, musculoskeletal impairment, and neurological deficits.
Impact:
- Highlights the evolving role of physiotherapists in active cardiac recovery management.
- Provides a framework for adapting rehabilitation to diverse patient needs and recovery phases.
Abstract:
In the last few years the population referred to cardiac rehabilitation centers has changed profoundly: the number of survivors of acute cardiac events has increased and heart surgery is being proposed to ever greater numbers of elderly patients with frequent and greater comorbidities, which make the management of physical training programs more complex. Consequently, just as rehabilitation cardiologists have had to expand their field of analyses and professional skills and nurses have had to integrate their care protocols, physiotherapists too have had to adapt the management of motor rehabilitation programs to the various needs and problems of each patient in the different phases of recovery. The aim of this paper is to present and discuss the procedures followed in our center concerning both the mode and contents of a standard course of motor rehabilitation for patients without complications and those for patients with complications. The paper analyzes the various assessments, the training program, the instruments of control and verification of the results, and discusses the instruments of intervention in patients affected by complications such as respiratory disturbances, musculoskeletal impairment, complications arising from injury, neurological deficit and severe deconditioning. Finally, the role of the physiotherapist in the active, propositive management of a recovery program is discussed.
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