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What Physiotherapy Has to Do with Cardiac Surgery

One may feel fatigued and sore after cardiac surgery; it is only natural. On the other hand, it seems altogether strange to think of embarking on a course of physiotherapy afterwards instead of just resting. Yet, that is just what is recommended.

Types of cardiac surgery include bypass surgeries, angioplasty, stents, heart valve replacements, and even heart transplants. Patients having all of these surgeries can benefit from physiotherapy. Patients who have other cardiac problems can use the help too; they include victims of heart attacks, heart failure, peripheral artery disease, chest pain, and cardiomyopathy.

Physiotherapy will usually begin within a couple of weeks of cardiac surgery, if not sooner. The first step is for nurses or doctors to administer a stress test to determine how much exercise one can handle. This involves walking on a treadmill or riding on a stationary bike while having one’s vital signs monitored.

When the data is gathered and analyzed, a program of physical therapy will be put into place. For safety’s sake, it is often the routine to bring cardiac surgery patients into the hospital or an outpatient clinic for their exercise at first.

Under the watchful eyes of nurses and physiotherapy personnel, cardiac surgery patients will be looked after as they perform their exercises. This way the professionals will be alerted if the cardiac surgery patient is having troublesome symptoms. The exercises done are cardiovascular exercises like walking on a treadmill or riding a stationary bike.

After the initial period of the monitored physiotherapy has passed, cardiac surgery patients will be sent to do their exercising at home. Before they go, though, they will have been taught warm-up and stretching exercises, and when to stop. Generally, they should exercise three to five times a week unless they are having problems.

Swimming is another form of exercise that is especially good for cardiac surgery patients. It is a cardiovascular exercise that is not hard on the joints, so it will often be kept up longer. The only thing to remember is that all wounds must be completely healed first.

Physiotherapy for cardiac surgery patients is often not carried out by physiotherapy staff. Nurses in hospitals and clinics who are trained to deal with these areas of rehabilitation for cardiac surgery will do the work. However, physiotherapists sometimes help, and the principles are the same.

The physiotherapist will instruct the patient about what activities are acceptable in the weeks and months after surgery. During the first six weeks, there will only be a few activities allowed, such as light housekeeping or going to movies, for example. From then until the third month, more activities will be added. You may be able to return to work, at least part-time, you may be able to drive. After this time, your physiotherapist will work with you to ease you back into all your old activities.

If a patient has cardiac surgery and then does nothing to regain strength, that patient will soon weaken. Physiotherapy offers a means to stay in shape, or get into shape. It lends more purpose to the cardiac surgery by making the patient much healthier than before the surgery ever took place.

Exercise Therapy For Chronic Fatigue Syndrome

Many doctors and specialists consider exercise as an important and effective treatment for chronic fatigue syndrome. People with chronic fatigue syndrome are trapped in a downward spiral. They suffer from extreme exhaustion and muscle pains, thus the need to have as much rest as possible. However, having too much rest leads to a sedentary lifestyle which has several detrimental effects to the body. Decreased physical activity leads to muscle wasting and loss of bone mass. But regular exercise can help stop that downward trend and replace it with more positive cycle.

Exercise has a number of benefits. Starting a regular exercise routine leads to increased performance and strengthened muscles. This, in turn results to a more optimistic outlook. Research has also revealed that exercise helps combat anxiety and depression. This may be the result of a combination of the release of endorphins (the body’s natural pain killers) and the sense of fulfillment at being able to improve the body’s functions. Exercise also helps strengthen the cardiovascular system.

Individuals with chronic fatigue syndrome should first consult their doctor to determine if they are fit and ready to perform strenuous physical activities such as exercise. To embark on an exercise program without ascertaining if the patient is ready for it can be very dangerous. A patient should first get the approval of his/her doctor before attempting any form of strenuous exercise.

They can then start with gentle exercise routines that will be slowly and gradually increased in intensity and frequency. A physical therapist can also be hired to develop an exercise program that is custom-fit for the patient and his particular condition.

Some good exercise routines for people with chronic fatigue syndrome include swimming, walking, aerobic exercises, rowing machine, and riding a stationary bike. Activities that worsen fatigue and the other symptoms of chronic fatigue syndrome should be avoided. These include weightlifting, playing basketball, etc. Meanwhile, stretching and other relaxation exercises such as yoga, tai chi, breathing exercises and more are helpful in stimulating lymph flow and producing a sense of well-being in the patient without overexertion.

For an exercise program to be effective, it should become a regular activity. Ideally, a person should exercise daily. When starting an exercise program, the duration and frequency can be as little as five minutes per day or even less. Every week, the duration can be increased by increments of several minutes. The patient can progress from five minutes to a full hour or more of exercise per day within a few months.

The patient must exercise caution at all times to prevent overexertion, which can lead to worsening of the symptoms of chronic fatigue. Overdoing exercise when the patient isn’t feeling well can lead to an overall performance decline. If the patient overexerts himself, this will inevitably result to several days of muscle pain, which necessitates rest. When this happens, the patient might relapse into that downward trend of non-activity and sedentary lifestyle.

Recent studies have revealed that people with chronic fatigue syndrome have a rather distorted perception of muscular activity. They might not be able to determine how much exercise they have already done or when it is time to stop and rest.

If the goal of exercise is to regain muscle strength, it is very important to get the advice and approval of a doctor or specialist before starting on an exercise program.