MiscellaneousA New Paradigm for Post-Cardiac Event Resistance Exercise Guidelines
Section snippets
Methods
Current resistance training recommendations from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and the American College of Sports Medicine (ACSM) for patients who have undergone each of these cardiac events are listed in Table 1. As can be seen, these recommendations address only the weights of dumbbells to be used and the timing of resistance exercise, without considering which exercises might be safe on the basis of surgical site or clinical condition or
Results
The most common restriction cardiovascular rehabilitation patients reported receiving from surgeons or cardiologists from 1995 to 1997 (at Baylor Medical Center, Garland, Texas) and in 2005 (at Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas) was “do not lift anything >5 pounds.” Other restrictions recalled by the Baylor Medical Center patients are listed in Table 2.
Pull forces for 1-, 3-, 5-, and 10-pound weights and 32 common daily activities are reported in Table 3.
Discussion
Similar to the AACVPR and ACSM guidelines, we found that the activity advice physicians gave patients after surgery involving sternotomy was vague and/or overly restrictive, not taking into account which muscle groups patients could safely use without risking damage to the surgical site. Furthermore, following the common physician recommendation of not lifting >5 pounds would preclude patients from all but 4 of the 32 common daily activities we investigated. Following the AACVPR or ACSM
Acknowledgment
We thank Briget da Graca, MS, for writing and editorial support in preparing this report, Suzette Hall for professional support, and Barbara Bullock for the chart illustrations. We also thank the Minnie L. Maffett Fellowship Fund and Jose Vega for assistance in procuring a Chatillon medical dynamometer for use in this study, and Nancy Vish, RN, PhD, CCRN, for the catalytic idea of measuring the strength required to perform common activities of daily living.
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