Skip to main content
SpringerLink
Log in

Hoofdstuk 8 Effecten van cardiale revalidatie op inspanningscapaciteit: invloeden van trainingsmodaliteiten

  • Chapter
Jaarboek fysiotherapie kinesitherapie 2006

  • 362 Accesses

Samenvatting

Cardiale revalidatie leidt tot een belangrijke toename van de belastbaarheid. Hierbij dient men onderscheid te maken tussen de maximale en de aërobe belastbaarheid. Dit is belangrijk omdat deze twee vormen van belastbaarheid allebei een toename in capaciteit kunnen geven. De toename van de belastbaarheid is vooral het gevolg van perifere musculaire adaptatie en in mindere mate van centrale cardiale adaptatie. Voorspellers voor een groot trainingseffect van cardiale revalidatie zijn een lage belastbaarheid, uitgesproken perifere musculaire deconditionering en een grote capaciteit tot herstel van de myocardiale doorbloeding. Het is nog niet duidelijk of de linker ventriculaire ejectiefractie, de cardiale output en de mate van myocardiale ischemie bij de start van de revalidatie invloed hebben op de trainingseffecten. Factoren zoals ras, leeftijd, geslacht en het nemen van bètablokkers hebben geen invloed op de trainingseffecten. Een hogere trainingsintensiteit heeft geen invloed op de maximale belastbaarheid, wel op de aërobe belastbaarheid. Over de invloeden van de duur van de trainingssessies is niets bekend. Een langer programmaduur geeft een sterkere toename van de belastbaarheid, evenals een hogere trainingsfrequentie. Of extra krachttraining positieve effecten heeft op de maximale belastbaarheid, moet nog aangetoond worden. Er zijn echter wel positieve effecten van krachttraining op de aërobe belastbaarheid.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatuur

  • Adachi H, Koike A, Obayashi T, et al. Does appropriate endurance exercise training improve cardiac function in patients with prior myocardial infarction? Eur Heart J 1996;17:1511-21.

    Google Scholar 

  • Ades PA, Waldmann ML, Poehlman ET, et al. Exercise conditioning in older coronary patients. Submaximal lactate response and endurance capacity. Circulation 1993;88(2):572-7.

    Google Scholar 

  • American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription, 5th edition. Baltimore: Williams & Wilkins, 1995.

    Google Scholar 

  • Belardinelli R, Georgiou D, Purcaro A. Low dose dobutamine echocardiography predicts improvement in functional capacity after exercise training in patients with ischemic cardiomyopathy: prognostic implication. J Am Coll Cardiol 1998;31(5):1027-34.

    Google Scholar 

  • Blumenthal JA, Rejeski WJ, Walsh-Riddle M, et al. Comparison of high- and low-intensity exercise training early after acute myocardial infarction. Am J Cardiol 1988;61:26-30.

    Google Scholar 

  • Braun KL, Parcels JA, Brooks CJ, et al. Comparison of patient outcomes among early and late admissions to cardiac rehabilitation. J Cardiopulm Rehabil 1989;9(2):72-9.

    Google Scholar 

  • Brosseau R, Juneau M, Sirard A, et al. Safety and feasibility of a self-monitored, home-based phase II exercise program for high risk patients after cardiac surgery. Can J Cardiol 1995;11(8):675-85.

    Google Scholar 

  • Brubaker PH, Warner JG Jr, Rejeski WJ, et al. Comparison of standard- and extended-length participation in cardiac rehabilitation on body composition, functional capacity, and blood lipids. Am J Cardiol 1996;78:769-73.

    Google Scholar 

  • Cannistra LB, O’Malley CJ, Balady GJ. Comparison of outcome of cardiac rehabilitation in black women and white women. Am J Cardiol 1995;75:890-3.

    Google Scholar 

  • Daub WD, Knapik GP, Black WR. Strength training early after myocardial infarction. J Cardiopulm Rehabil 1996;16(2):100-8.

    Google Scholar 

  • Dressendorfer RH, Franklin BA, Cameron JL, et al. Exercise training frequency in early post-infarction cardiac rehabilitation. Influence on aerobic conditioning. J Cardiopulm Rehabil 1995;15(4):269-76.

    Google Scholar 

  • Jensen BE, Fletcher BJ, Rupp JC, et al. Training level comparison study. Effect of high and low intensity training on ventilatory threshold in men with coronary artery disease. J Cardiopulm Rehabil 1996;16(4):227-32.

    Google Scholar 

  • Hambrecht R, Fiehn E, Weigl C, et al. Regular physical exercise corrects endothelial dysfunction and improves exercise capacity in patients with chronic heart failure. Circulation 1998;98(15):2709-15.

    Google Scholar 

  • Hambrecht R, Niebauer J, Fiehn E, et al. Physical training in patients with chronic heart failure: effects on cardiorespiratory fitness and ultrastructural abnormalities of leg muscles. J Am Coll Cardiol 1995;25(6):1239-49.

    Google Scholar 

  • Hansen D, Berger J, Dendale P, Meeusen R. Rehabilitation in cardiac patients: what do we know about training modalities? Sports Med 2005, in press.

    Google Scholar 

  • Hevey D, Brown A, Cahill A, et al. Four-week multidisciplinary cardiac rehabilitation produces similar improvements in exercise capacity and quality of life to a 10-week program. J Cardiopulm Rehabil 2003;23:17-21.

    Google Scholar 

  • Kavanagh T, Mertens DJ, Hamm LF, et al. Peak oxygen intake and cardiac mortality in women referred for cardiac rehabilitation. J Am Coll Cardiol 2003;42:2139-43.

    Google Scholar 

  • Klainman E, Fink G, Zafrir N, et al. Effect of controlled exercise training in coronary artery disease patients with and without left ventricular dysfunction assessed by cardiopulmonary indices. Cardiology 1997;88:595-600.

    Google Scholar 

  • Lan C, Chen SY, Hsu CJ, et al. Improvement of cardiorespiratory function after percutaneous coronary angioplasty or coronary artery bypass grafting. Am J Phys Med Rehabil 2002;81(5):336-41.

    Google Scholar 

  • Nieuwland W, Berkhuysen MA, Veldhuizen DJ van, et al. Differential effects of high-frequency versus low-frequency exercise training in rehabilitation of patients with coronary artery disease. J Am Coll Cardiol 2000;36(1):202-7.

    Google Scholar 

  • Oberman A, Fletcher GF, Lee J, et al. Efficacy of high-intensity exercise training on left ventricular ejection fraction in men with coronary artery disease (the training level comparison study). Am J Cardiol 1995;76:643-7.

    Google Scholar 

  • Pierson LM, Herbert WG, Norton HJ, et al. Effects of combined aerobic and resistance training versus aerobic training alone in cardiac rehabilitation. J Cardiopulm Rehabil 2001;21:101-10.

    Google Scholar 

  • Santa-Clara H, Fernhall B, Mendes M, Bettencourt Sardinha L. Effect of a 1 year combined aerobic- and weight-training exercise programme on aerobic capacity and ventilatory threshold in patients suffering from coronary artery disease. Eur J Appl Physiol 2002;87:568-75.

    Google Scholar 

  • Stewart KJ, McFarland LD, Weinhofer JJ, et al. Safety and efficacy of weight training soon after acute myocardial infarction. J Cardiopulm Rehabil 1998;18(1):37-44.

    Google Scholar 

  • Sturm B, Quittan M, Weisinger GF, et al. Moderate-intensity exercise training with elements of step aerobics in patients with severe chronic heart failure. Arch Phys Med Rehabil 1999;80:746-50.

    Google Scholar 

  • Swain DP, Franklin BA. Is there a threshold intensity for aerobic training in cardiac patients? Med Sci Sports Exerc 2002;34(7):1071-5.

    Google Scholar 

  • Takeyama J, Itoh H, Kato M, et al. Effects of physical training on the recovery of the autonomic nervous activity during exercise after coronary bypass grafting: effects of physical training after CABG. Jpn Circ J 2000;64:809-13.

    Google Scholar 

  • Tygesen H, Wettervik C, Wennerblom B. Intensive home-based exercise training in cardiac rehabilitation increases exercise capacity and heart rate variability. Int J Cardiol 2001;79:175-82.

    Google Scholar 

  • Vanhees L, Fagard R, Thijs L, Amery A. Prognostic value of training-induced change in peak exercise capacity in patients with myocardial infarcts and patients with coronary bypass surgery. Am J Cardiol 1995;76:1014-9.

    Google Scholar 

  • Williams MA, Maresh CM, Esterbrooks DJ, et al. Early exercise training in patients older than 65 years compared with that in younger patients after acute myocardial infarction or coronary bypass grafting. Am J Cardiol 1985;55:263-6.

    Google Scholar 

Download references

Authors
  1. Dominique Hansen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Paul Dendale
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Romain Meeusen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. afdeling Neurologie, Leids Universitair Medisch Centrum, Leiden, Netherlands

    J. Marinus (fysiotherapeut, bewegingswetenschapper, epidemioloog, senior-onderzoeker) (fysiotherapeut, bewegingswetenschapper, epidemioloog, senior-onderzoeker)

  2. afdelingen Revalidatie en Mondziekten kaakchirurgie, Universitair Medisch Centrum Groningen, Netherlands

    P. U. Dijkstra (fysiotherapeut, manueel therapeut, klinisch epidemioloog) (fysiotherapeut, manueel therapeut, klinisch epidemioloog)

  3. vakgroep Menselijke Fysiologie, faculteit Lichamelijke Opvoeding en Kinesitherapie, Vrije Universiteit Brussel, Belgium

    J. Nijs (docent en kinesitherapeut) (docent en kinesitherapeut)

  4. vakgroep Musculoskeletale Kinesitherapie, Departement Gezondheidszorg, Hogeschool Antwerpen, Belgium

    J. Nijs (docent en kinesitherapeut) (docent en kinesitherapeut)

  5. PijnKenniscentrum, afdeling Anesthesiologie, afdeling Fysiotherapie/Revalidatie, Universitair Medisch Centrum Groningen, Netherlands

    C. P. van Wilgen (fysiotherapeut, gezondheidspsycholoog, onderzoeker) (fysiotherapeut, gezondheidspsycholoog, onderzoeker)

Copyright information

© 2004 Bohn Stafleu van Loghum

About this chapter

Cite this chapter

Hansen, D., Dendale, P., Meeusen, R. (2004). Hoofdstuk 8 Effecten van cardiale revalidatie op inspanningscapaciteit: invloeden van trainingsmodaliteiten. In: Marinus, J., Dijkstra, P., Nijs, J., van Wilgen, C. (eds) Jaarboek fysiotherapie kinesitherapie 2006. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-9666-5_8

Download citation

  • DOI: https://doi.org/10.1007/978-90-313-9666-5_8

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-313-4544-1

  • Online ISBN: 978-90-313-9666-5

  • eBook Packages: Dutch language eBook collection

Publish with us

Policies and ethics

Search

Navigation