Skip to main content
SpringerLink
Log in
Book cover

Kompendium der Sportmedizin pp 353–365Cite as

II Aspekte der Trainingslehre für chronisch Kranke

  • Chapter

Zusammenfassung

Im Rahmen der Rehabilitation und Behandlung von Patienten mit unterschiedlichsten Erkrankungen wird körperliches Training als ein Teil einer umfassenden Therapie gesehen, die je nach Erkrankung mehr oder weniger hohe Bedeutung besitzt, aber auch durch Schulung und Beratung mit dem Ziel der Risikoreduzierung, der Änderung der Lebensgewohnheiten und von Verhaltensweisen ergänzt werden muss. Dies geschieht durch die Kombination von Angeboten, die darauf abzielen, den Patienten zu helfen, ihre funktionellen Fähigkeiten, im Speziellen ihre körperliche Leistungsfähigkeit und die Reduktion ihrer Symptome, mit Zielrichtung auf eine optimale Gesundheit hin zu verbessern. Im Rahmen dieser gesamten Betreuung von Patienten werden auch im körperlichen Training selbst unterschiedliche Inhalte und Methoden beschrieben. Dies wird z. B. deutlich in den Richtlinien, die die US Agency for Health Care Policy and Research (AHCPR) 1995 über kardiale Rehabilitation publizierte:

„Cardiac Rehabilitation services are an essential component of the contemporary management of patients with multiple presentations of coronary heart disease and with heart failure. Cardiac rehabilitation is a multifactorial process that includes exercise training, education and counseling regarding risk reduction and lifestyle changes, and use of behavioral interventions; these services should be integrated into the comprehensive care of cardiac patients“ (Wenger et al. 1999: vii).

This is a preview of subscription content, 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   29.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Adams K J, Barnard K L, Swank AM, Mann E, Kushnick M R, Denny DM (1999) Combined high-intensity strength and aerobic training in diverse phase 2 cardiac rehabilitation program. J Cardiopulmonary Rehabil 19: 209–215

    Article  CAS  Google Scholar 

  • American Association of Cardiovascular and Pulmonary Rehabilitation (1998) Guidelines for Pulmonary Rehabilitation Programs. Human Kinetics, Champaign I I

    Google Scholar 

  • American College of Sports Medicine (1998) Position stand on the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in adults. Med Sci Sports Exerc 30: 975–91

    Google Scholar 

  • American College of Sports Medicine (1997) ACSM’s Exercise Management for persons with chronic disease and disablities. Human Kinetics, Champaign I I

    Google Scholar 

  • American College Of Sports Medicine (2000) ACSM’s Guidelines for exercise testing and prescription. Lippincott Williams and Wilkins, Philadelphia, pp 165–193

    Google Scholar 

  • American Diabetes Association (2004) Physical activity/exercise and diabetes. Diabetes Care 27: S58 - S62

    Google Scholar 

  • Astrand PO (1992) Endurance Sports. In: Shephard RJ, Astrand PO (eds) Endurance in sport. Blackwell Scientific Publications, London (Volume II of the Encyclopaedia of Sports Medicine. An IOC Medical Commission Publication)

    Google Scholar 

  • Beniamini Y, Rubenstein JJ, Faigenbaum AD, Lichtenstein AH, Crim MC (1999) High intensity strength training of patients enrolled in an outpatient cardiac rehabilitation program. J Cardiopulm Rehabil 19: 8–17

    Article  PubMed  CAS  Google Scholar 

  • Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehab 2: 92–96

    CAS  Google Scholar 

  • Chilibeck P, Bell G, Farrar R,. Martin T (1998) Higher mitochondrial fatty acid oxidation following intermittent versus continuous endurance exercise training. Can J Physiol Pharmacol 76: 891–894

    CAS  Google Scholar 

  • Christodoulos AD, Volakis KA, Tokmakidis SP (2003) Neue Aspekte des Krafttrainings in der kardialen Rehabilitation. J Kardiol 10: 207–213

    Google Scholar 

  • Daub WD, Knapik GP, Black WR (1996) Strength training early after myocardial infarction. J Cardiopulm Rehab 16: 100–108

    Article  CAS  Google Scholar 

  • Ehrman JK, Gordon PM, Visich PS, Keteyian SJ (2003) Clinical exercise physiology. Human Kinetics, Champaign Il

    Google Scholar 

  • Featherstone JF, Holly RG, Amsterdam EA (1993) Physiologic response to weight lifting in coronary artery disease. Am J Cardiol 71: 287–92

    Article  PubMed  CAS  Google Scholar 

  • Gettman LR, Pollock ML (1981) Circuit weight training: a critical review of ist physiological benefits. The Physican and Sportsmedicine 9: 44–60

    Google Scholar 

  • Gordon NF (1999) Assessment for exercise training: contraindications, risk stratification, and safety issues. In: Wenger NK, Smith LK, Froelicher ES, McCall Comoss P (eds) Cardiac rehabilitation. A Guide to Practice in the 21st Century. Marcel Dekker, Inc. New York, p 67–74

    Google Scholar 

  • Haennel RG, Quinney HA, Kappagoda CT (1991) Effects of hydraulic circuit training following coronary artery bypass surgery. Med Sci Sports Exerc 23: 158–65

    PubMed  CAS  Google Scholar 

  • Hofmann P, von Duvillard SP, Seibert FJ, Pokan R, Wonisch M, LeMura LM, Schwaberger G (2001) %HRmax target heart rate is dependent on heart rate performance curve deflection. Med Sci Sports Exerc 33: 1726–1731

    Google Scholar 

  • Lehmann M, Samek L (1990) Recreational swimming in coronary heart disease patients and healthy control subjects in relation to left heart function. Clin Cardiol 13: 547–554

    Article  PubMed  CAS  Google Scholar 

  • Meyer K, M Lehmann, Sünder G, Keul J, Weidemann H (1990a) Interval versus continuous exercise training after coronary bypass surgery: a comparison or training induced acute reactions with respect to the effectiveness of the exercise methods. Clin Cardiol 13: 851–861

    Article  PubMed  CAS  Google Scholar 

  • Meyer K, Lehmann M, Sünder G, Keul J, Weidemann H (1990b) Akute kardiovaskuläre und metabolische Veränderungen während Intervall-und Dauertraining bei ausgewählten Patienten nach aortokononarer Bypassoperation. Z Kardiol 79: 689–696

    PubMed  CAS  Google Scholar 

  • Meyer K, Lehmann M, Sünder G, Keul J, Weidemann H (1990c) Effekte eines Intervall-versusDauertrainings auf Leistungssteigerung, Herz-Kreislauf, Stoffwechsel und Katecholamine bei ausgewählten Patienten nach aortokoronarer Bypassoperation. Z Kardiol 79: 698–706

    Google Scholar 

  • Meyer K, Samek L, Schwaibold M, et al. (1996) Physical responses to different modes of interval exercise in patients with chronic heart failure-application in exercise training. Eur Heart J 17: 1040–1047

    Article  PubMed  CAS  Google Scholar 

  • Meyer K, Samek L, Schwaibold M, et al. (1997) Interval training in patients with severe chronic heart failure: analysis and recommendations for exercise procedures. Med Sci Sport Exerc 29: 306–312

    Article  CAS  Google Scholar 

  • Meyer K, Steiner R, Lastayo P, Lippuner K, Allemann Y, Eberli F, Schmid JP, Saner H, Hoppeler H (2003) Eccentric exercise in coronary patients: central hemodynamic and metabolic responses. Med Sci Sports Exerc 35: 1076–1082

    Article  PubMed  Google Scholar 

  • Meyer K (2001) Exercise training in heart failure: Recommendations based on current research. Med Sci Sport Exerc 33: 525–531

    Article  CAS  Google Scholar 

  • Näveri H, Leinonen H, Kiilavuori K, Härkönen M (1997) Skeletal muscle lactate accumulation and creatine phosphate depletion during heavy exercise in congestive heart failure. Cause of limited exercise capacity? Eur Heart J 18: 1937–1945

    Article  PubMed  Google Scholar 

  • Sharkey BJ, Graetzer DG (1993) Specifity of exercise, training and testing. In: Durstine L, King AL, Painter PL, Roitman GL, Zwiren LD. ACSMs resource manual for guidelines for exercise testing and prescription. Lea and Febiger, Champaign II: p 82–92

    Google Scholar 

  • Steiner R, Meyer K, Lippuner K, Schmid JP, Saner H, Hoppeler H (2003) Eccentric endurance training in subjects with coronary artery disease: a novel exercise paradigm in cardiac rehabilitation? Eur J Appl Physiol 27: (in press)

    Google Scholar 

  • Squires RW (1999) Components of Exercise Training. In: Wenger NK, Smith LK, Froelicher ES, McCall Comoss P (eds) Cardiac rehabilitation. A Guide to Practice in the 21st Century. Marcel Dekker, Inc. New York, p 75–93

    Google Scholar 

  • Verrill DE, Ribisl PM (1996) Restitive exercise training in cardiac rehabilitation: an update. Sports Med 21: 347–83

    Article  PubMed  CAS  Google Scholar 

  • von Duvillard SP, Hofmann P, Wonisch M, Fruhwald FM, Smekal G, Rohrer A, LeMura LM, Pokan R (2001) Accuracy of %HRmax is dependent on HR-performance curve deflection in cardiac patients. Med Sci Sports Exerc 33: S27

    Google Scholar 

  • Weidemann H, Meyer K (1991) Lehrbuch der Bewegungstherapie mit Herzkranken. Steinkopff Verlag, Darmstadt

    Google Scholar 

  • Wenger NK, Smith LK, Froelicher ES, McCall Comoss P (1999) Cardiac rehabilitation. A Guide to Practice in the 21st Century. Marcel Dekker, Inc. New York

    Google Scholar 

  • Wonisch M, Hofmann P, Fruhwald FM, Kraxner W, Hödl R, Pokan R, Klein W (2003) Influence of beta-blocker use on percentage of target heart rate exercise prescription. Eur J Cardiovascular Prevention Rehab 10: 296–301

    Article  Google Scholar 

  • Working Group on Cardiac Rehabilitation & Exercise Physiology and Working Group on Heart Failure of the European Society of Cardiology (2001) Recommendations for exercise training in chronic heart failure patients. Eur Heart J 22: 125–135

    Google Scholar 

Download references

Authors
  1. Peter Hofmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Manfred Wonisch
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Peter Schmid
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Iris Floimayr
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Karin Lettner
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Rochus Pokan
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für Sportmedizin, Wien, Österreich

    Rochus Pokan

  2. Univ. Klinik für Kinder und Jugendheilkunde, Salzburg, Österreich

    Holger Förster

  3. Institut für Sportwissenschaften, Graz, Österreich

    Peter Hofmann

  4. Institut für Sport- und Kreislaufmedizin, Innsbruck, Österreich

    Helmut Hörtnagl

  5. Institut für Sportmedizin, Salzburg, Österreich

    Eveline Ledl-Kurkowski

  6. Medizinische Universitätsklinik Graz, Graz, Österreich

    Manfred Wonisch

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Wien

About this chapter

Cite this chapter

Hofmann, P., Wonisch, M., Schmid, P., Floimayr, I., Lettner, K., Pokan, R. (2004). II Aspekte der Trainingslehre für chronisch Kranke. In: Pokan, R., Förster, H., Hofmann, P., Hörtnagl, H., Ledl-Kurkowski, E., Wonisch, M. (eds) Kompendium der Sportmedizin. Springer, Vienna. https://doi.org/10.1007/978-3-7091-3781-9_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-3781-9_22

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-21253-0

  • Online ISBN: 978-3-7091-3781-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation