Exercise referral Flashcards
(67 cards)
What is an exercise referral?
Specific and formalised programme whereby a medical professional refers a patient to a fitness programme
How long do exercise referral programmes last?
Usually around 12 weeks of supervision
What specificities should be thought about for the programme?
Specific to the needs of the client
Specific to the desired health outcome
What are the different types of referral programmes?
Cardiac rehab Falls prevention Exercise after stroke Pulmonary rehab Mental health and wellbeing Cancer rehabilitation Weight management
Other than exercise, what other areas might be included in referral programmes?
Nutrition Education Cognitive Exercise Smoking cessation Counselling Home exercise Telephone/home visits
What are the main purposes of exercise referral classes?
To: increase PA behaviours Reduce sedentarism Create sustained health behaviour change Improve health and quality of life Reduce problems associated with inactivity
What are the benefits of exercise referral?
Supervised exercise
Exercise is tailored to needs
Exercise can alleviate symptoms
Allows similar individuals to exercise together
Increase confident and adherence
Instructors have specialised knowledge
- to design programmes
- to educate patients to produce positive change
- educate patients on their condition/medication
What occurs in phase 1 of cardiac rehab (CR)?
Treatment, medication, reassurance, information, family support (in the hospital)
What occurs in phase 2 of CR?
Support from health professionals, possible counselling, and begin focus on lifestyle and behaviour change (at home)
What occurs during phase 3 of CR?
A 12 week hospital based exercise programme (physio/cardiac nurse), health talks, nutrition, smoking cessation,
Adaptation and maintenance of lifestyle changes
What is phase IV CR?
A community based exercise programme which focuses on returning to normal living and the individual takes responsibility for their exercise
Long term maintenance of PA and lifestyle change
What types of exercise can be completed at phase IV?
Aerobic, LI - MI resistance training
How is exercise intensity monitored in phase IV?
Borg scale
What types of exercises are undertaken at cardiac rehab?
Shuttle walks, bicep curls, leg swings, hamstring curls, lateral raises, front raises, upright row, twists, step ups, knee drives
What is the goal for a CR warm up?
To prevent arrhythmias and ischaemia
What pre activity assessment is undertaken before CR?
HR and BP
What is the main goal of the exercise component of CR?
To improve functional and endurance capacity and improve BP and blood lipids
What is the main goal for the cool down component in CR?
To reduce risk of arrhythmias and hypotension
Why should floor exercises be avoided in CR?
Can be difficult to get up (risk of falls)
Postural hypotension
What types of exercise should be avoided in CR?
Floor exercises, HI, Valsalva (lifting heavy weights), intensive isometric exercises, competitive exercises,
What factors would stop a patient being referred to phase IV CR?
Unstable angina BP >180/100 Resting HR >100 Uncontrolled atrial/ventricular arrhythmias Unstable diabetes
How can you be referred to phase IV?
Graduation for phase III or GP referral
What is BACPR?
British association for cardiovascular prevention and rehabilitation
What cardiac conditions have people experienced at CR classes?
MI
Stable angina
Heart failure
Valve replacements
