Cardiovascular diseases are among the diseases with the highest morbidity and mortality in the world. And they are very prevalent diseases in the Brazilian population. Affected people experience a loss in quality of life and often demand care, such as what can be accomplished by cardiovascular rehabilitation.
The physiotherapist in
Dwarka is an important element in regaining the well-being of people
affected by heart, coronary and cerebrovascular diseases. When prescribing
exercises, the professional must observe, among other factors, the clinical
risk of each patient.
The role of the physical therapist in the
multidisciplinary team
In cardiovascular rehabilitation, the best physiotherapist
in Dwarka works with doctors and nurses trained to address clinical
conditions. Cardiologist
in Delhi explains that the prescription of the programs is
based on a multifocal approach (exercise and physical activity, control of risk
factors, occupational, sexual counseling, education, etc.) and promoting
autonomy.
The service begins with the application of ergometric,
cardiopulmonary exercise or clinical tests, which assess the patient's
responses to physical exertion. Metabolic variables should be measured, in
addition to heart rate, blood pressure, perceived exertion and oxygen
saturation.
According to physiotherapist in
Delhi, possible physical limitations – such as osteomioarticular
injuries – should be considered when prescribing training. “Whenever
possible, we professionals should try to adapt the schedule of physical
exercises to the patient's preference”, he adds.
Psychological factors should not be
ignored. "Anxiety, depression, among other behaviors, can also be
limiting factors for the patient's evolution in cardiovascular
rehabilitation", says the postdoctoral researcher. In these cases,
the physiotherapist in
Dwarka must make the referral to a professional qualified to offer
specialized support.
In addition to gaining specific knowledge about diseases, physiotherapist in Dwarka
need to keep up to date in the use of basic life support equipment, such as the
automated external defibrillator.
Exercise prescription based on clinical risk
The exercise prescription should also consider the clinical
risk, classified as low, intermediate and high – according to each individual's
health history, limitations and training objectives.
- Low:
Long-term training can be done at home, with face-to-face or distance
supervision. The goal is to maintain overall health and make greater
gains in physical fitness.
- Intermediate:
Seeks to improve aerobic and non-aerobic physical fitness (muscular
strength, flexibility and balance). The patient can perform home
treatment with indirect professional supervision.
- High:
These patients should be constantly monitored – with checking heart rate,
blood pressure, oxygen saturation, capillary blood glucose and
electrocardiogram – during exercise to allow rapid response to any signs
of risk. Therefore, face-to-face, clinical or outpatient care, for
example, is essential to ensure patient safety. The program should
consider intensity, duration, frequency, training modality and progression
appropriate to individual clinical conditions.
It is important to emphasize the need for special care in
remote or home care. “We must always evaluate the resources that the
patient has available at home and adapt them so that he can have the greatest
benefits from the physical exercise program”, explains best physiotherapist in
Dwarka. In the physical absence of the professional, the execution
of the training must be accompanied by a family member, in case some type of
support is needed or for a quick reaction to intercurrences.
All cases must undergo reassessment. And, if necessary,
by indicating a new exercise program. Furthermore, it is essential to act
with a focus on promoting well-being, improving quality of life and reducing
the risk of clinical complications, such as smoking cessation, dietary
reeducation and body weight control.
Physiotherapist
in Najafgarh should also advise all patients to maintain the prescribed
medication administration.
Physical exercises for cardiovascular rehabilitation
Physical exercises should preferably take place in open
spaces, such as athletics tracks, multi-sport gyms and parks. Indoors used
for sessions should contain non-slip properties to minimize the risk of
accidents and falls.
For aerobic practice, the most used equipment are treadmills
and cycle ergometers for lower and upper limbs, rowing machines, ski
ergometers, elliptical trainers, among others. As for muscle
strengthening, cases of more debilitated patients demand, mainly, the use of
body weight to perform exercises such as sitting and standing – assisted by a
bench or a chair.
Other cases have a wide variety of resources, most commonly
free weights, dumbbells and shin guards with varying weights, which allow the
execution of different muscle groups. Bars, poles, weighted balls, Swiss
balls and elastic bands or bands with different degrees of resistance are also
widely used in cardiovascular rehabilitation.
Other exercises may be indicated to improve overall health,
such as manual isometric and inspiratory muscle training and to improve balance
and flexibility. Whatever the prescribed training, the physiotherapist
in Uttam Nagar has a duty to guide the proper execution of all
movements to avoid injuries, as well as when handling equipment.
