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Molino-Lova R.,Cardiac Rehabilitation Unit
American journal of physical medicine & rehabilitation / Association of Academic Physiatrists | Year: 2010

Older patients who receive postacute cardiac rehabilitation improve their physical performance in terms of distance walked at the 6-min walk test. However, the slower and more complicated recovery, along with age-related chronic comorbidities, remarkably limits the intensity of aerobic training, which actually represents the core of cardiac rehabilitation. The aim of this study was to verify whether postacute cardiac rehabilitation also improves the cardiovascular adjustment to exercise, despite low-intensity aerobic training. Using a portable gas analyzer, we assessed the O(2) uptake kinetics during the 6-min walk test at the beginning and at the end of the rehabilitation in 84 patients aged 65 yrs and above. All patients significantly improved the distance walked at the 6-min walk test. The comparison of the time constants of O(2) uptake kinetics showed that 40% of patients also significantly improved the hemodynamic response to exercise. This improvement was independently associated with the report of sedentary lifestyle or low-intensity physical activity in the year before surgery and with longer time constants before physical training. Low-intensity aerobic training improves the cardiovascular adjustment to exercise selectively in patients with physical deconditioning. This confirms the notion that elderly frail patients are those who benefit most from cardiac rehabilitation. Source


Villella M.,Cardiac Rehabilitation Unit | Villella A.,Masselli Mascia Hospital
Kidney and Blood Pressure Research | Year: 2014

Exercise is a physiologic stressor that has multiple beneficial effects on cardiovascular system. Currently exercise training is a class I intervention as part of a multifactorial long-term process that includes: clinical assistance, assessment of global cardiovascular risk, identification of specific objective for each cardiovascular risk factor, formulation of an individual treatment plan with multiple intervention aimed at reduction of the risk, educational programs, planning of long term follow-up. This paper reviews the evidences of benefit of exercise in the most common heart diseases and describes the role of exercise training in the cardiac rehabilitation programs. © 2014 S. Karger AG, Basel. Source


Wise F.M.,Cardiac Rehabilitation Unit | Wise F.M.,Epworth Monash Rehabilitation Medicine Unit | Harris D.W.,Aspex Consulting | Olver J.H.,Epworth Monash Rehabilitation Medicine Unit
Journal of Allied Health | Year: 2014

OBJECTIVE: Negative attitudes toward obese individuals can affect the quality of healthcare and health outcomes. This study examined the attitudes and beliefs of rehabilitation health professionals in Victoria, Australia, toward obesity. Additionally, potential predictors of anti-fat attitudes (or "fat phobia") were explored. METHODS: A cross-sectional, anonymous, self-report survey of rehabilitation health professionals employed in public and private health sectors was performed. Measures included demographic information, attitudes toward obesity, beliefs regarding causes of obesity, and levels of empathy, with associations between variables examined. RESULTS: The cohort demonstrated average levels of fat phobia (3.5 ± SD 0.46), with 4% of respondents exhibiting high levels of anti-fat attitudes. Younger respondents had significantly higher levels of fat phobia than did older staff (p<0.001). Sex, empathy levels, and type of professional or clinical practice area did not correlate with attitudes. Fat phobia was predicted by respondent age and beliefs about causes of obesity, with 20% of variance in attitudes being accounted for. CONCLUSION: Rehabilitation health professionals demonstrate average levels of negative attitudes to obese individuals. Fat phobia is predicted by causal beliefs and the health professional's age. These findings may guide education of health professionals regarding the nature and causes of obesity, in order to improve patient outcomes. © 2014 Association of Schools of Allied Health Professions, Wash., DC. Source


Wise F.M.,Cardiac Rehabilitation Unit
Australian Family Physician | Year: 2010

Background: Cardiovascular disease is the leading cause of death in developed nations, and there is a clear link between cardiovascular disease and physical inactivity. Objective: This article describes the benefits of exercise for cardiac patients, details how exercise is prescribed in this group, and considers safety and contraindications to exercise in this group. Discussion: The benefits of exercise, both aerobic and resistance training, in patients with coronary heart disease are well documented. Both modalities are important components of cardiac rehabilitation and can contribute to secondary prevention of heart disease with corresponding improvements in patient survival. Source


Wise F.M.,Cardiac Rehabilitation Unit | Olver J.H.,Epworth Monash Rehabilitation Medicine Unit
Journal of Clinical Neuroscience | Year: 2013

A 66-year-old male, who was previously functionally independent, presented with cerebellar ataxia and cognitive impairment following hypereosinophilic syndrome (HES) complicated by multiple strokes. This patient highlights the importance of prompt diagnosis and treatment, and of referring patients with multiple HES-related strokes for multidisciplinary neurological rehabilitation. © 2013 Elsevier Ltd. All rights reserved. Source

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