Phase II Exercise Prescriptions

Question 1

When should you initiate resistance training for MI in phase 2 cardiac rehab?

Answer 1

Minimum of 5 weeks after date of MI

Question 2

When should you initiate resistance training for cardiac surgery in phase 2 cardiac rehab?

Answer 2

4 weeks of consistent participation in a supervised CR program

Question 3

When should you initiate resistance training p transcatheter procedures in phase 2 cardiac rehab?

Answer 3

Minimum of 3 weeks p procedure including 2 weeks of consistent participation in a supervised CR program

Question 4

When can a patient with sternal precautions initiate resistance training of moderate to heavy weights?

Answer 4

3 months

Question 5

What are contraindications for resistance training?

Answer 5

CHF

Uncontrolled arrhythmias

Severe valvular dz (precautions post aortic valve repair/replacement)

Uncontrolled HTN (SBP > 160 mmHg, DBP > 100 mmHg)

Unstable symptoms

Question 6

When can you progress the patients load with resistance training?

Answer 6

Progress by 5% when pt can comfortably lift 12-15 reps

Large mm groups before small mm groups

Question 7

Low risk pts start resistance training at rate of perceived exertion (RPE) of __________, when can you progress?

Answer 7

RPE of 13 @ 40-50% of 1 RM

After 4-6 weeks progress to RPE of 17 @ 20%

Question 8

Moderate risk pt progression

Answer 8

Start as above, after 4-6 weeks progress to 15%

As pt strength improves (8 weeks) progress 2-5 lbs for UE, 5-10 lbs for LE

Question 9

Repetitions UE vs LE

Answer 9

8-12 repetitions at 1 RM 30-40% for UE, 50-60% for LE

Question 10

What is the 1 RM?

Answer 10

Desired number of repetitions using correct form reaching RPE of 11 to 13

Question 11

How should you dose your number of sets?

Answer 11

1 set per exercise with 8 to 10 exercises incorporating all major mm groups

Question 12

Resistance training should be performed how many times per week?

Answer 12

2-3 times per week

Question 13

Progressing HR% modified program

Answer 13

Weeks 1-2 (50%)

Weeks 3-4 (55%)

Weeks 5-6 (60%)

Weeks 7-8 (65%)

Weeks 9-10 (70%)

Weeks 11-12 (75%)

Question 14

Progressing HR% unmodified program

Answer 14

Weeks 1-2 (60%)

Weeks 3-4 (65%)

Weeks 5-6 (70%)

Weeks 7-8 (75%)

Weeks 9-10 (80%)

Weeks 11-12 (85%)

Question 15

HEP Modified program

Answer 15

Start after 4 weeks of monitored program

2 days/week consisting of walking or stationary bike

Question 16

When can someone in a modified program join a gym?

Answer 16

By week 10

Question 17

HEP Unmodified program

Answer 17

Start after 2 weeks of monitored program

2-3 days/week consisting of walking or stationary bike to start

Can add weights after week 6

Question 18

When can someone in an unmodified program join a gym?

Answer 18

By week 8