Progression of Exercise Training in Early Outpatient Cardiac Rehabilitation AN OFFICIAL STATEMENT FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION
Progression of Exercise Training in Early Outpatient Cardiac Rehabilitation AN OFFICIAL STATEMENT FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION
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DOI：
10.1097/hcr.0000000000000337
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发表时间：
2018-05-01
影响因子：
3.8
通讯作者：
Williams, Mark A.
中科院分区：
文献类型：
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作者：
Squires, Ray W.;Kaminsky, Leonard A.;Williams, Mark A.
有氧和阻力运动训练是早期门诊心脏康复（CR）的基石，为患者提供了令人印象深刻的好处。一些专业组织的指导文件提供了心血管疾病患者运动处方的组成部分，包括频率（每周多少次）；强度（运动的强度）；时间（运动训练课的时间）；类型（运动训练的方式）；体积（运动的总量或剂量）；和进展（增加运动剂量的速度）。对于CR保健专业人员来说，运动处方中讨论最少、最不受重视、最具挑战性的部分是运动剂量的递进率。观察到这一现象的一个原因是参与CR的患者的异质性，运动处方的所有组成部分都应该针对每个患者制定。本声明概述了CR患者的运动处方原则，特别强调了进展速度。给出了一般的进展建议，并提供了病人的例子来说明运动训练进展的原则
Aerobic and resistance exercise training is a cornerstone of early outpatient cardiac rehabilitation (CR) and provides impressive benefits for patients. The components of the exercise prescription for patients with cardiovascular diseases are provided in guideline documents from several professional organizations and include frequency (how many sessions per week); intensity (how hard to exercise); time (duration of the exercise training session); type (modalities of exercise training); volume (the total amount or dose of exercise); and progression (the rate of increasing the dose of exercise). The least discussed, least appreciated, and most challenging component of the exercise prescription for CR health care professionals is the rate of progression of the dose of exercise. One reason for this observation is the heterogeneity of patients who participate in CR. All components of the exercise prescription should be developed specifically for each individual patient. This statement provides an overview of the principles of exercise prescription for patients in CR with special emphasis on the rate of progression. General recommendations for progression are given and patient case examples are provided to illustrate the principles of progression in exercise training