HUR Medical Concepts 2018 | Page 53

Outcome measures In order to gather information on the baseline status registered, appropriate outcome measures should be and effectiveness of the rehabilitation process, each performed. These may include maximal strength, patient is evaluated individually. Patients with CAD stability, and questionnaires related to an individual’s can initiate exercise training within a week after an experience of pain and health-related quality of life. acute coronary syndrome, after clinical screening, provided the patient is clinically stable. The maximal isometric strength of big muscle groups can be evaluated by the HUR Performance Recorder It is recommended that CAD patients undergo for the assessment of side-to-side differences and to symptom-limited exercise testing before initiating an document changes in strength after the intervention. exercise program in cardiac rehabilitation to establish a baseline fitness level, determine maximal heart rate, The Performance and ascertain the safety of exercise by assessing Recorder can be directly symptoms that would contraindicate exercise training connected to all HUR or require a different therapeutic approach. exercise machines, which are equipped with the However, a clinical exercise test is not an absolute isometric testing sensor requirement and many programs do not require such attachment. testing in clinically stable patients. If facilities are lacking, it is recommended to use the 6 minute walking test to assess the patient’s baseline fitness level. When existing co-morbidities or other needs are 53