
Phase I of cardiac rehabilitation: A new challenge for evidence based physiotherapy
Author(s) -
Rafael Michel de Macedo,
José Rocha Faria-Neto,
Costantino O. Costantini,
Dayane Casali,
Andrea Müller,
Costantino Costantini,
Katherine Athayde Teixeira de Carvalho,
Luiz Cesar Guarita–Souza
Publication year - 2011
Publication title -
world journal of cardiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8462
DOI - 10.4330/wjc.v3.i7.248
Subject(s) - medicine , rehabilitation , medical prescription , physical therapy , exercise prescription , physical medicine and rehabilitation , phase (matter) , periodization , focus (optics) , intensive care medicine , nursing , chemistry , physics , organic chemistry , archaeology , optics , history
Cardiac rehabilitation protocols applied during the in-hospital phase (phase I) are subjective and their results are contested when evaluated considering what should be the three basic principles of exercise prescription: specificity, overload and reversibility. In this review, we focus on the problems associated with the models of exercise prescription applied at this early stage in-hospital and adopted today, especially the lack of clinical studies demonstrating its effectiveness. Moreover, we present the concept of "periodization" as a useful tool in the search for better results.