Article

Objective : To improve the quality of exercise-based cardiac rehabilitation (CR)
in patients with coronary heart disease (CHD) the CR guideline from the Dutch
Royal Society for Physiotherapists (KNGF) has been updated. This guideline can be
considered an addition to the 2011 Dutch Multidisciplinary CR guideline, as it
includes several novel topics. METHODS: A systematic literature search was
performed to formulate conclusions on the efficacy of exercise-based
interventions during all CR phases in patients with CHD. Evidence was graded
(1-4) according the Dutch evidence-based guideline development (EBRO) criteria.
In case of insufficient scientific evidence, recommendations were based on expert
opinion. This guideline comprised a structured approach including assessment,
treatment and evaluation. RESULTS: Recommendations for exercise-based CR were
formulated covering the following topics: preoperative physiotherapy,
mobilisation during the clinical phase, aerobic exercise, strength training, and
relaxation therapy during the outpatient rehabilitation phase, and adoption and
monitoring of a physically active lifestyle after outpatient rehabilitation.
CONCLUSIONS: There is strong evidence for the effectiveness of exercise-based CR
during all phases of CR. The implementation of this guideline in clinical
practice needs further evaluation as well as the maintenance of an active
lifestyle after supervised rehabilitation.

Langue : ANGLAIS

Tiré à part : OUI