PHYSIOTHERAPY

Question 1

Define cardiac rehabilitation.

Answer 1

the coordinated sum of activities required to influence favorably the underlying cause of cardiovascular disease, as well as to provide the best possible physical, mental and social conditions so that the patients may, by their own efforts, preserve or resume optimal functioning in their community and through improved health behavior, slow or reverse the progression of disease

OR

a structured set of services that enable people with coronary heart disease to have the best possible help (physical, psychological and social) to preserve or resume their optimal functioning in society

Question 2

Give 4 patient groups included in cardiac rehabilitation.

Answer 2

• MI
• angioplasty
• CABG
• stable/stabilised angina
• valve repair
• congenital repairs
• transplant
• heart failure
• arrhythmia

Question 3

Give 3 physiological benefits of cardiac rehabilitation.

Answer 3

• improvement in functional capacity
• improved CV efficiency
• reduction in atherogenic and thrombotic risk factors
• improvement in coronary blood flow, reduced myocardial ischaemia and severity of atherosclerosis
• reduction in risk of CV disease mortality

Question 4

Give 3 psychological benefits of cardiac rehabilitation.

Answer 4

• reduced anxiety and depression
• enhanced mood
• enhanced self-efficacy
• restoration of self-confidence
• decreased illness behavior
• increased social interaction
• resumption of chores/hobbies
• resumption of sexual activity
• return to work/vocation

Question 5

Give 5 barriers to exercise.

Answer 5

• bad weather
• too tired
• not in the mood
• don’t know how to
• can’t afford it
• fear
• no time

Question 6

Give two differences between activity and exercise.

Answer 6

ACTIVITY sporadic and inconsistent in intensity

EXERCISE purposeful and sustained

Question 7

What is the purpose of a warm-up?

Answer 7

to prepare the muscular, nervous, cardiac, respiratory and vascular systems for the main workout

Question 8

What is the FITT principle of exercise?

Answer 8

frequency
intensity
time
type

Question 9

What is the aim of the cool-down?

Answer 9

to reduce the heart rate and BP gradually

Question 10

What are the 3 indications for self-monitoring during exercise?

Answer 10

sing, talk, gasp

Question 11

Give 5 topics of education sessions in cardiac rehabilitation?

Answer 11

• congenital heart disease and risk factors
• healthy eating
• stress management
• medicines for the heart
• exercise
• relaxation
• CPR

Question 12

What are the main 3 components of cardiac rehab?

Answer 12

• exercise
• education
• emotional

Question 13

What are the 6 priorities of Heart Disease in Scotland?

Answer 13

• prevention of CV disease
• mental health for heart disease
• secondary and tertiary care cardiology
• heart disease management and rehabilitation
• heart failure
• arrhythmias

Question 14

How many phases/stages are there in traditional cardiac rehab, compared to the new approach?

Answer 14

TRADITIONAL: 4 phasses
MODERN: 6+1 stages (stage 0 to 6)

Question 15

What is the condition for cardiac rehab to be safe?

Answer 15

stable CV symptoms

Question 16

When was the Heart manual created?

Answer 16

1992

Question 17

Give 3 roles of the facilitator for Heart manual use.

Answer 17

• monitoring of clinical symptoms
• clarifying misconceptions
• provide ongoing education
• provide psychological assessment and support
• promote the return to normal activity
• facilitate lifestyle changes

Question 18

Define health anxiety.

Answer 18

misconceptions of normal bodily functions

Question 19

What type of stress is associated with heart disease?

Answer 19

major life event (catastrophic event)