Exercise Prescription and Progression Practices among US Cardiac Rehabilitation Clinics

Joesi Krieger, Nicholas McCann, Markaela Bluhm, Micah Zuhl

Research output: Contribution to journalArticlepeer-review

Abstract

Background: 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. Methods: A 22-question survey was sent out to US CR clinics. Results: 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. Conclusions. Exercise prescription practice has become reliant on subjective indicators of exercise intensity. This may limit patient outcomes, such as improvement in functional measures.

Original languageEnglish
Pages (from-to)194-203
Number of pages10
JournalClinics and Practice
Volume12
Issue number2
DOIs
StatePublished - Apr 2022

Keywords

  • Cardiac rehabilitation
  • Cardiovascular disease
  • Exercise prescription
  • Rating of perceived exertion

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