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Cardiac Rehabilitation Exercise in Korea
1Irom Visiting Exercise Center, Republic of Korea.
Physical Therapy Research
|September 22, 2025
Summary
Exercise-based cardiac rehabilitation (CR) programs in South Korea show clinical benefits and varied delivery methods. However, low participation rates persist due to accessibility and institutional barriers, requiring policy and infrastructure improvements.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Public Health
Background:
- Cardiac rehabilitation (CR) programs became eligible for National Health Insurance in South Korea in 2017.
- Understanding the landscape of exercise-based CR in Korea post-2017 is crucial for improving cardiovascular patient outcomes.
Purpose of the Study:
- To systematically review exercise-based CR programs implemented in South Korea since 2017.
- To assess the characteristics, outcomes, and challenges of these programs.
Main Methods:
- Systematic literature search of international and Korean databases for studies published after January 2017.
- Inclusion of exercise-based CR interventions for cardiac patients in South Korea.
- Methodological quality assessment using the Physiotherapy Evidence Database (PEDro) scale.
Main Results:
- Eleven studies met the inclusion criteria, revealing diverse CR delivery models (hospital-based, home-based, aquatic, forest).
- Exercise prescriptions commonly utilized the FITT principle, including aerobic and high-intensity interval training.
- Reported benefits encompass improvements in cardiopulmonary fitness, physical activity levels, and psychological well-being.
Conclusions:
- Exercise-based CR programs in Korea offer significant clinical benefits and employ diverse delivery strategies.
- Low participation rates are attributed to accessibility and institutional limitations, necessitating policy and infrastructure enhancements for wider adoption.
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