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Basic movements for postoperative exercise in patients with left ventricular assist devices.

Massimiliano Polastri¹, Giulia Zagnoni, Antonio Loforte

¹Medical Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, University Hospital St. Orsola-Malpighi. gbptap1@gmail.com.

Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace

|April 11, 2019

Summary

This study presents a guide to supervised physical exercises for patients with left ventricular assist devices (LVADs). These basic movements prepare patients for intensive rehabilitation, improving recovery after advanced heart failure treatment.

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Area of Science:

Cardiology
Rehabilitation Medicine
Biomedical Engineering

Background:

Advanced heart failure often necessitates left ventricular assist devices (LVADs) to support cardiac function.
Postoperative complications like infection, bleeding, and neurological events can delay rehabilitation for LVAD patients.
Current literature lacks illustrated guides for early-stage LVAD patient physiotherapy.

Purpose of the Study:

To describe a series of supervised physical exercises for LVAD patients.
To provide an illustrated guide for basic movements in early postoperative recovery.
To prepare patients for more complex rehabilitation programs post-discharge.

Main Methods:

Development of a supervised exercise regimen with daily routines.
Inclusion of exercises in lying, sitting, and standing postures.
Focus on basic movements for all body parts.

Main Results:

An illustrated guide detailing preparatory physical exercises for LVAD patients.
Exercises designed to be manageable in the early postoperative phase.
A structured approach to initiating physiotherapy post-LVAD implantation.

Conclusions:

Supervised exercise is crucial for LVAD patient recovery and prepares them for advanced rehabilitation.
This guide offers foundational movements to facilitate early patient engagement in physiotherapy.
Illustrated basic exercises can bridge the gap in current rehabilitation resources for LVAD recipients.