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Source:

Journal of Cardiopulmonary Rehabilitation & Prevention

October 2004, Volume 24 Number 5 , p 287 - 295

Authors

  • Veronique Pepin PhD
  • Jeffrey L. Alexander PhD
  • Wayne T. Phillips PhD

Abstract

Outline

  • INTRODUCTION

  • PHYSICAL FUNCTION ASSESSMENT

  • Self-report Measures

  • Proxy-report measures

  • Performance-based measures

  • Relationship Between Self-report and Performance-based Measures

  • PHYSICAL FUNCTION IN CR

  • Descriptive Studies

  • Clinical Trials

  • DISCUSSION

  • SUMMARY AND APPLICATION TO PRACTICE

  • REFERENCES



    Graphics

  • Table 1

  • Table 2

  • Table 3

  • Table 3

    INTRODUCTION

    Older patients (>= 65 years old) account for two thirds of all myocardial infarctions and for more than half of all revascularization procedures done in the United States. 1 The number of older patients with coronary heart disease (CHD) is expected to continue rising over the next several decades; thus, assessing the effectiveness of cardiac rehabilitation (CR) services for older coronary patients represents a serious public health issue. 1 The literature supporting the effectiveness of CR services for older patients is mounting, but still relatively limited when compared to what has been accumulated in younger patients. 2,3

    What seems clear is that CR is safe for coronary patients aged 65 years and older, 2,4 with no fatalities reported among participants involved in the elderly-specific studies completed to date. 2 In addition, the exercise component of CR programs appears to be effective at improving exercise tolerance in older patients. 2,4 In fact, when compared to younger coronary patients who participated in similar CR programs, older coronary female and male patients have demonstrated exercise trainability levels similar to those observed in their younger counterparts. 4

    Yet, several questions remain regarding the effectiveness of CR for older patients. Of these, ...

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