Cardiac rehabilitation in Britain (1970).

Groden, Bernard M.; Semple, Thomas; Shaw, Gavin

doi:10.1136/hrt.33.5.756

Cited by 22 publications

(6 citation statements)

References 2 publications

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“…Box 1 highlights the feeling of Australian health professionals about the emergence of cardiac rehabilitation in the 1970s ( 26 ). At the same time a survey in Britain indicated that there were no specific cardiac rehabilitation facilities although 8% (nine hospitals) of respondents reported there was some form of exercise program but on further investigation this seemed focused on early mobilization and/or physiotherapy and exercise regimens during hospital stay ( 27 ). Overall, although 74% of respondent cardiologists were in favor of a service there was a strong focus on the need for “ individual instruction by the physician ” and the focus was on exercise although several noted the importance of “ psychotherapy ” and “ individual advice ” although funding was identified as a barrier ( 27 ).…”

Section: The Birth Of Cardiac Rehabilitation Alongside Acute Cardiac ...mentioning

confidence: 99%

Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future

Redfern

Gallagher

O’Neil

et al. 2022

Front. Cardiovasc. Med.

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Contemporary myocardial infarction (MI) care and management has evolved dramatically since the 1950’s; yet outpatient rehabilitation remains underutilized. Deepening our understanding of the origins and history of cardiac rehabilitation highlights a contemporary shift required for policy and practice related to secondary prevention of coronary disease in light of societal changes as well as medical, digital and surgical advancements. Contemporary “cardiac rehabilitation” began when bed rest and physical inactivity was recommended and commonplace for MI survivors. Today, most patients who survive an MI, undergo reperfusion therapy, a short inpatient stay and are discharged with minimal physical morbidity. Despite this, the majority of modern day programs continue to be structured in the same way they have been for the past 50 years and this model has become incongruent with the contemporary context, especially in the COVID-19 era. This review aims to describe the historical foundations of cardiac rehabilitation to inform solutions and meet the demands of contemporary MI management. Delivering health systems reform to address modernization is current healthcare challenge where a united and interdisciplinary effort is needed.

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Section: The Birth Of Cardiac Rehabilitation Alongside Acute Cardiac ...mentioning

confidence: 99%

Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future

Redfern

Gallagher

O’Neil

et al. 2022

Front. Cardiovasc. Med.

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“…Cardiac rehabilitation was not initiated by nurses in the UK. The earliest survey of cardiac rehabilitation in the UK shows that a very small number of physiotherapists were involved in early mobilization and a graduated increase in physical activity (Groden et al ., 1971). The nursing role did not develop until later; it increased significantly during and since the late 1980s due to the funding initiative by the British Heart Foundation (BHF).…”

Section: The Nursing Role In Cardiac Rehabilitation In the United Kinmentioning

confidence: 99%

Education and training towards competency for cardiac rehabilitation nurses in the United Kingdom

Stokes

2000

Journal of Clinical Nursing

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The development of cardiac rehabilitation in the UK, the evolution of the nursing role as a speciality, and the nursing role within the multidisciplinary team are briefly outlined. The potential impact of different professional backgrounds on the effectiveness of patient care is discussed, with particular reference to the differences between acute cardiac care and rehabilitation. Issues of professional competency are discussed, and core competencies for cardiac rehabilitation as specified by various professional associations are described. Current opportunities for preparation for practice in this field in the UK are outlined. Conclusions point towards the need for clearly specified competencies and an accredited programme of education and training to meet proposed standards for the management and rehabilitation of coronary heart disease (CHD) in the UK.

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“…The regimens used and results obtained have been reviewed by Kellerman (10), Raab (11) and Sanne (12). Except for the work of Groden (13) and Carson (14), there has been a remarkable absence of practical work in cardiac rehabilitation in Britain, although the joint working party on this subject set up by the Royal College of Physicians and British Cardiac Society may help to establish the recommendations of the World Health Organization (15).…”

Section: Introductionmentioning

confidence: 99%

British pilot study of exercise therapy. II. Patients with cardiovascular disease.

Nixon¹,

Carruthers²,

Taylor³

et al. 1976

Br J Sports Med

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Two groups of middle-aged men, one with and one without overt cardiovascular disease, were studied while they were taking part in a specially designed course of exercise therapy in a gymnasium. The "patients" group had at least two months pre-treatment to allow physical recovery and mental re-education before their initial very small test dose of exercise. Using short periods of progressive, mainly weight-loaded, isotonic exercises carefully regulated by control of pulse rate and avoidance of symptoms of over-exertion, both groups showed large increases in effort capacity and reductions in resting pulse rate, blood pressure and plasma lipid levels within two months. The safety of this particular form of exercise was shown in this high-risk population by the low drop-out rate and the absence of cardiovascular accidents in the gymnasium over a ten year period. It is suggested that, given suitable training of the staff and using the safeguards described, the presence of doctors and a cardiac resuscitation team is unnecessary in a gymnasium specializing in cardiac rehabilitation. This makes it possible for rehabilitation and physiotherapy departments throughout the country to carry out this effective and positive form of exercise therapy.

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Cardiac rehabilitation in Britain (1970).

Cited by 22 publications

References 2 publications

Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future

Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future

Education and training towards competency for cardiac rehabilitation nurses in the United Kingdom

British pilot study of exercise therapy. II. Patients with cardiovascular disease.

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