KNGF Guideline Cardiac rehabilitation

KNGF Clinical Practice Guideline for physical therapy in patients undergoing cardiac rehabilitation
Supplements
Physical therapy exercise test (6-minute walk test or shuttle walk test)
Purpose of test:
Main test requirements:
Test results:
Conclusion regarding the use of the test results or evaluation:
Analysis
◦ 1. Patient’s health status (in terms of impairments / limitations / participation problems)
◦ 2. Are there any physical impediments against improving the patient’s physical condition?
- limited cardiac capacity
- other diseases or disorders, such as musculosketelal problems
◦ 3. Are there any other factors that affect the patient’s natural ability to improve their physical condition?
- psychological impediments: anxiety, depression, perceived disability, sleeping problems
- stress, fatigue
- lifestyle, smoking, lack of physical activity, dietary habits
- use of medication
- social functioning
◦ 4. What is the intended future status as regards ADL, leisure, work and hobbies? (Patient’s presenting problem and goals)
◦ 5. Is the target status feasible (in view of points 2 and 3); in other words, can the impediments be reduced?
◦ 6. What are the options for physical therapy to reduce the patient’s health problem?
Screening questions
◦ 1. Is the patient’s exercise capacity objectively reduced?
◦ 2. Is the patient’s exercise capacity subjectively reduced due to anxiety or high degree of perceived disability?
◦ 3. Is there a gap between patient’s current and optimal psychological functioning?
◦ 4. Is the patient’s social functioning affected or threatened?
◦ 5. Does the patient engage in modifiable unhealthy behavior?
Treatment plan
The treatment plan sets out the patient’s individual rehabilitation goals.
The physical therapy has the following objectives for the patient:
◦ 1. exploring one’s own physical limits
◦ 2. learning to cope with physical limitations
◦ 3. optimizing exercise capacity
◦ 4. diagnostic: evaluating the patient’s exercise capacity and its correlation with objectifiable defects
◦ 5. overcoming fear of physical exertion
◦ 6. developing and maintaining a physically active lifestyle
Therapeutic process for cardiac rehabilitation
◦ information / advice
◦ individual exercise program
◦ relaxation program
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