We are located at:
Ground floor, Block B,
National Heart Institute,
Tel: 03- 2617 8339
Cardiothoracic and Cardiopulmonary Care
Cardiorespiratory endurance refers to the ability of the circulatory and respiratory systems to supply oxygen to skeletal muscles during sustained physical activity. Early mobilization and physical activity improves the respiratory system by increasing the amount of oxygen that is inhaled and distributed to body tissue.
Active/passive exercise are done through the whole range of motion of the joint to preserve flexibility and mobility of the joints on which they are performed. These exercises maintain existing joint and soft-tissue mobility, minimize effects of the formation of contractures & improves sensory feedback from the contracting muscles.
The ability to walk from one place to another independently with or without assistive device is the ultimate goal of the patient. To be able to move (especially walking), prevents cardio-pulmonary and musculoskeletal complications such as reduced cardiovascular endurance, muscular dystrophy, loss of coordination and stability as well as reverse anxiety and disease related stress.
Cardiac Rehabilitation program
Cardiac rehabilitation is a continuous process of care which begins in the hospital. This program designed specifically for your needs, includes exercise, lifestyle changes, education, and emotional support from a multidisciplinary team. It can help improve your health and enable you to live a more active and quality life. Cardiac rehab can also help you return to work safely and in a timely manner.
Cardiac Rehabilitation can be divided into 3 phases.
This is the period of time when patients are admitted in hospital for a cardiac event. With supervision from the physiotherapist, patients begin with non-strenuous activities, such as sitting up in bed, breathing exercise, range-of-motion exercises and self-care, such as shaving. The program then progresses to walking and low intensity exercises either in the wards or gymnasium.
This is done in an outpatient setting upon discharge from the hospital. The Cardiac Rehab Phase II program is a structured, medically supervised, outpatient program for patients with heart disease that incorporates regular exercise ( group and circuit training ) along with other services such as nutritional education, stress management, and smoking cessation. In IJN, our Cardiac Rehabilitation Program Phase II may start as early as 2-3 weeks post-surgery or cardiac event.
This phase is a long term maintenance program. At this point, you probably would have developed your own exercise routine at home or at a local gym. The challenge now is to maintain a regular exercise program for the rest of your life.
PAIN MANAGEMENT SERVICES
1) Transcutaneous Electrical Nerve Stimulation (TENS)
Induces pain relief for headaches, acute post-operative pain, arthritis, Phantom limb and low backache.
2) Hot pack
Suitable for soft tissue Injuries, muscles spasm, acute &superficial inflammatory conditions or for those contraindicated for electrical modalities.
3) Cryotherapy (Ice Pack)
For relieving or reduce pain, reduce spasticity, reduce muscle spasm, reduce swelling, promote repair and provide excitatory stimulus when muscles are inhibited
4) Light amplification by stimulated emission of radiation (LASER)
LASER is used as a pain relief modality in conditions such as painful shoulder, hip arthrosis, epicondylitis, carpel tunnel syndrome etc. LASER heals the tissue while providing a powerful and non-addictive form of pain management by blocking pain pathways in the nervous systems and brings immediate pain relief.
5) Ultra Sound Therapy
Ultrasound is a therapeutic modality used for the treatment of acute & chronic condition affecting ligaments, tendons and muscle tissue. It is also used to achieve muscle relaxation and pain reduction by improving blood perfusion and recovery of injured tissue.
SPECIAL TEST/ DIAGNOSTIC SERVICES
Six Minute Walk Test ( 6MWT )
Lung Function Test
Breath CO test
Body Composition Analysis / Body Impedance Analysis
Cardio Fitness Program
This is progression of the Cardiac Rehabilitation Program in the later stages following a cardiac event. It is also applicable to those with one or more risks factors of cardiovascular disease to improve cardiovascular fitness and take change of self- management strategies of life long behavioral changes.
A series of tests and medical screening will be carried out prior to a prescribed exercise program in a safe environment with top medical facilities.
The client will go through a strict risk stratification which will be reviewed by a doctor to determine suitability for the program.
Benefits of CFP
1 Stimulates production of red blood cells
2 Improves resistance to infection
3 Develops alertness, awareness & lessens reaction time
Between brain and body.
4 Decrease hazard of diabetes
5 Improve blood circulation in the legs.
6 Strengthens heart muscle – reduces high blood pressure and heart rate
7 Improves cardiovascular endurance and exercise tolerance.
1 Unstable or unresolved angina.
2 Fever and acute systemic illness.
3 Patient in severe pain.
4 Resting blood pressure: SBP> 180mmHg, DBP> 100mmHg
5 Significantly unexplained drop in blood pressure.
6 Tachycardia > 100bpm.
7 New or recurrent symptoms of breathlessness, palpitation, dizziness.
8 Significant lethargy.
For more information, please contact:
Tel: +603- 2617 8339
Fax: +603- 2600 6545
Patient education on Physical Activities Post Cardiac Event
Education on physical activities throughout the recovery process is essential to prevent and eliminate adverse lifestyles and behaviors and specific interventions such as smoking cessation, dietary modification and exercise are recommended to prevent recurrences and slow the progression of disabling complication.
Benefit of exercise: