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Early strength training using theraband exercises for phase-1 cardiac rehabilitation in a patient with a fractured femur: a case report

Abstract

The effectiveness of exercise-based cardiac rehabilitation (CR) following an acute coronary syndrome (ACS) is well established. However, ACS complicated by an orthopedic limitation, poses greater challenges to early mobilization. Thus, there is a need for an alternative rehabilitation approach to improving exercise capacity and in preventing and reducing associated complications during convalescence. This case report highlights the value and utility of using low level resistance exercises to the upper limb with theraband exercise during an inpatient or phase-1 CR program. A low intensity theraband regimen for the upper limb was administered basedon the number of repetitions performed to fatigue. The functional improvements observed and the ability of the patient to tolerate the therapy suggests a potential role for theraband exercises in phase-1 CR in ACS patients with selected orthopedic limitations.

References

  1. Madan K, Babu AS, Contractor A, Sawhney JP, Prabhakaran D, Gupta R. Cardiac rehabilitation in India. Progress Cardiovasc Dis 2014; 56:543–550.

    Article  Google Scholar 

  2. Fletcher GF, Ades PA, Kligfield P, Arena R, Balady GJ, Bittner VA, et al. American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation 2013; 128:873–934.

    Article  Google Scholar 

  3. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166:111–117.

    Article  Google Scholar 

  4. Nicklin J, Cramp F, Kirwan J, Greenwood R, Urban M, Hewlett S. Measuring fatigue in rheumatoid arthritis: a cross-sectional study to evaluate the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional questionnaire, visual analog scales, and numerical rating scales. Arthritis Care Res (Hoboken). 2010; 62 (11):1559–1568.

    Article  Google Scholar 

  5. American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for cardiac rehabilitation and secondary prevention programs. 4th ed. Champaign, IL: Human Kinetics 2004.

    Google Scholar 

  6. Piepoli MF, Corrà U, Benzer W, Bjarnason-Wehrens B, Dendale P, Gaita D, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil 2010; 17:1–17.

    Article  Google Scholar 

  7. Patterson RM, Stegink Jansen CW, Hogan HA, Nassif MD. Material properties of thera-band tubing. Phys Ther 2001; 81:1437–1445.

    Article  CAS  Google Scholar 

  8. Jakobsen MD, Sundstrup E, Andersen CH, Persson R, Zebis MK, Andersen LL. Effectiveness of hamstring knee rehabilitation exercise performed in training machine vs. elastic resistance: electromyography evaluation study. Am J Phys Med Rehabil. 2014; 93:320–327.

    PubMed  Google Scholar 

  9. Babu AS, Balthillaya GM, Navada R, Kurien A. Theraband® exercises with music for persons with haemophilia. Haemophilia. 2013; 19: e358–e359.

    Article  Google Scholar 

  10. Scherr J, Wolfarth B, Christle JW, Pressler A, Wagenpfeil S, Halle M. Associations between Borg’s rating of perceived exertion and physiological measures of exercise intensity. Eur J Appl Physiol 2013; 113:147–155.

    Article  Google Scholar 

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Correspondence to Rashida Y. Bookwala MPT.

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Bookwala, R.Y., Babu, A.S., Maiya, A.G. et al. Early strength training using theraband exercises for phase-1 cardiac rehabilitation in a patient with a fractured femur: a case report. Bull Fac Phys Ther 21, 94–96 (2016). https://doi.org/10.4103/1110-6611.196779

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