Week 9 - Cardiac/ Pulmonary Rehab

Question 1

What is the MRC dyspnoea scale?

Answer 1

1 - only breathless with strenuous exercise
2 - SOB when hurrying on level or walking up slight hill
3 - Walk slower than people of same age due to SOB
4 - Stop for breath after walking 100yd
5 - To breathless to leave house/ wash/dress

Question 2

What are some exclusion criteria?

Answer 2

Unstable angina
Unstable diabetes
Acute LVF
Uncontrolled BP
Uncontrolled arrhthmia
History of MI in last 6 weeks
Mobility limited by MSK or neuro
Cognitive problems
Compliance issues
Aortic aneurysm

Question 3

Describe the structure of a programme

Answer 3

Minimum of 2x week supervised
6-12 week
Progressive muscle resistance and aerobic training
Individualised

Question 4

What assessments can be used?

Answer 4

Generic - e.g O2 sats
SF-36
Hospital anxiety and depression scale
Nottingham extended activities of daily living
Disease specific - e.g. LINQ (lung info)
6 minute walk
incremental shuffle
endurance shuttle