Krieger Joesi, McCann Nicholas, Bluhm Markaela, Zuhl Micah
School of Health Sciences, Central Michigan University, Mount Pleasant, MI 48859, USA.
Clin Pract. 2022 Mar 8;12(2):194-203. doi: 10.3390/clinpract12020023.
Little is known about exercise prescription practices in cardiac rehabilitation (CR). Therefore, the purpose of this study was to understand how initial exercise is prescribed and how exercise intensity is progressed among cardiac patients enrolled in United States CR programs.
A 22-question survey was sent out to US CR clinics.
Ninety-three clinics responded to the survey. RPE was the most commonly reported exercise intensity indicator used for prescribing exercise, followed by resting HR + 20-30 bpm. Exercise progression practices were also based on patient sustained RPE values.
Exercise prescription practice has become reliant on subjective indicators of exercise intensity. This may limit patient outcomes, such as improvement in functional measures.
关于心脏康复（CR）中的运动处方实践，人们了解甚少。因此，本研究的目的是了解美国心脏康复项目中，针对心脏病患者如何开出初始运动处方以及如何调整运动强度。
向美国的心脏康复诊所发送了一份包含22个问题的调查问卷。
93家诊所回复了该调查问卷。自感用力度（RPE）是最常被报告用于开具运动处方的运动强度指标，其次是静息心率+20 - 30次/分钟。运动强度调整实践也基于患者持续的自感用力度值。
运动处方实践已变得依赖于运动强度的主观指标。这可能会限制患者的治疗效果，比如功能指标的改善。
