For those individuals
who are recovering from a recent heart attack, or who have
under gone cardiac by pass surgery or angioplasty and have
been through phase I to phase II cardiac rehab in the hospital.
Phase III rehab does not require telemetry. A phase III
program has many parts, including supervised exercise and
a variety of measurements and assessments. In addition to
restoring your physical function, the focus of phase III
is on reducing your risk of future heart conditions. Your
progress will be monitored by several rehab staff members.
The frequency and duration of phase III rehab sessions per
week will vary depending upon the structure of your particular
program.
Phase III exercise program
Your exercise program will include stretching, aerobic exercise,
and strength training.
1. Approximate length: 8 to 12 weeks (6 to 8 weeks following
discharge)
2. Physical goals: Increasing aerobic capacity and overall
strength, self-monitoring of heart rate (HR) and rating
of perceived exertion (RPE), introduction to stretching
exercises
Flexibility exercises
Make stretching part of your warm-up and cooldown every
time you exercise. The benefits associated with an increase
of flexibility are numerous, and as part of your lifetime
physical maintenance program, stretching will help increase
the length of time that you can continue to be active. Enjoy
the feeling of relaxation as you stretch. As you perform
each exercise in a slow and controlled manner, focus on
your breathing and become more aware of your body's range
of motion and positioning. Continue to follow the recommended
guidelines carefully.
1. Frequency: At least 3 days per week
2. Intensity: Stretch to a position of mild discomfort.
3. Duration: 10 to 30 seconds for each stretch
4. Repetition: 3 to 5 for each stretch
5. Type: Control and hold without resistance, emphasis on
lower back and legs
Aerobic exercise
Phase III rehab includes a carefully monitored aerobic program
that involves one or more types of exercise. Choose an exercise
that you enjoy and, by using your understanding of target
heart rate (THR) and rating of perceived exertion (RPE),
record your exercise intensity. Gradually increase the intensity
as you feel comfortable.
It is important to know when you reach an
exercise intensity that causes angina and to exercise below
that threshold. Therefore, note your heart rate intensity
at any signs of chest discomfort or pain, and tell your
doctor. It is suggested that you use heart rate monitors
to accurately record your heart rate and exercise 10 to
15 beats per minute (bpm) below the known threshold. |