Exercise Testing and Exercise Training in Coronary Heart Disease [antikvár]

FOREWORD The Rehabilitation Services Administration has a mission in coronary heart disease. More Americans are disabled by disorders of the heart than any other cause and, unfortunately, there is too little information available concerning the vocational rehabilitation needs of cardiac patients. Evaluation techniques are available in relatively few geographic areas for the assessment of patients with disorders of the heart to determine their ability to work, the characteristics of the work they may safely perform, or the prescription for physical training they need to work safely. Furthermore, the same problem prevails in our attempt to determine the appropriateness of the nonwork activities necessary to full community interaction. Evaluation techniques must become more readily available to those who are disabled by heart disease and to those who think they are disabled by these disorders. 1 shall encourage the State-Federal Vocational Rehabilitation Program to participate more actively in the development of such resources, and to make full use of them by referring clients of the program for evaluation services. Such evaluations are the starting point for the entire constellation of vocational re-habihtation services; they must be made more readily available to the public for those in need of such services. In addition, the research, demonstration, and training programs will give heart disease problems priorities appropriate to the seriousness of the social, situational, and vocational problems resulting from these disorders. It was not until 1969 that the public rehabilitation program in the United States began to classify coronary heart disease (CHD). In July of 1969, a report was issued by the Department of Health, Education, and Welfare Secretary's Task Force on Physical Activity and Health. This report acknowledged the fiscal limitations upon the American Heart Association and the American College of Cardiology which made unUkely their support of the comprehensive studies needed to assess the practical value of heart rehabiHtation programs, as well as the role rehabilitation centers could have in the development of such programs. Moreover, one of the options in the Task Force report was the creation of seminars to help define the problems of establishing a coronary heart disease prevention study, including the necessary rehabilitation of patients with cardiac unpairments.