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Conditioning program for amputees with significant heart disease.

L S Miller, F Naso

    Archives of Physical Medicine and Rehabilitation
    |May 1, 1976
    PubMed
    Summary
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    This study shows that amputees with heart disease can safely participate in rehabilitation programs. Proper exercise physiology and cardiac pathophysiology principles enable improved cardiovascular function and ambulation.

    Area of Science:

    • Cardiology
    • Rehabilitation Medicine
    • Exercise Physiology

    Background:

    • Amputees with significant heart disease often face limitations in participating in rehabilitation programs.
    • Assessing cardiac functional capacity is crucial for safe and effective exercise interventions in this population.

    Purpose of the Study:

    • To evaluate the safety and efficacy of a training program for amputees with significant heart disease.
    • To assess cardiac functional capacity and heart rate response using invasive and noninvasive methods.
    • To determine if a structured conditioning program can improve cardiovascular function in this patient group.

    Main Methods:

    • Seven amputee patients with significant heart disease underwent stress testing (invasive and noninvasive) to assess cardiac function.

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  • A tailored conditioning program was implemented post-stress testing.
  • Patient ambulation distance, pulse rate, and cardiac symptoms were monitored at discharge and follow-up.

    • Main Results:

    • All seven patients successfully completed the rehabilitation program.
    • Patients demonstrated the ability to ambulate at least 90 feet (27.4 meters) without excessive pulse rise or cardiac symptoms at discharge and six-week follow-up.
    • The program effectively improved cardiovascular function.

    Conclusions:

    • Rehabilitation programs incorporating principles of exercise physiology and cardiac pathophysiology are beneficial for amputees with heart disease.
    • Significant heart disease should not be an absolute contraindication for participation in physical rehabilitation.
    • This approach allows disabled patients with cardiac conditions to engage in beneficial rehabilitation.