Summary
The following types of training are supported in cardiological rehabilitation:
| Type | since
Version | training device type | Description |
|---|
| Ergometer |
load profile| Load Profile | 1.0 | Ergometer | Classic training profile with |
watt | load specifications. |
| Treadmill |
profiletreadmill| Treadmill | Classic training profile for treadmills with specifications for speed and |
incline controllen profile| controlled Profile | 4.0 | Ergometer | Training profile with HR setting for training with a fixed HR value on an ergometer. The load on the ergometer is automatically adjusted by the software to hold the HR. |
| HR |
controllen profile treadmillTreadmill | Training profile with HR setting for training with a fixed HR value on a treadmill. The software automatically adjusts the speed or the |
incline | inclination or both on the treadmill to hold the HR. You can choose whether the |
incline | inclination is fixed and the speed is adjusted automatically or whether the speed is fixed and the |
incline | inclination is adjusted automatically. |
free profile| Free defined Profile | 1.0 | Ergometer |
classic Classic training profile with |
watt load settings in any number of levels.
|
Beginning with version As start from custo diagnostic 5.1 |
, you can also specify relative load values to the previous level. |
two level profile pulse | HR profile for ergometers with two HR steps with different HR values and different lengths. These can be repeated as often as desired during the training phase. |
multilevel profile| Profile | 5.1 | Ergometer | Ergometer training profile with any number of HR levels. The data can be given both absolutely in HR and in various relative data. |
Relative load data
Motivation
Normally, load values are given in watts, km/h or HFHR, depending on the type of training profile. These data are always fixed values which cannot in all cases be used for all patients. Therefore the software allows to create many different training profiles and then to select them specifically for each patient. This method has the disadvantage that many training profiles have to be managed manually, but they are all structured in the same way and only differ in their absolute values in the training phase.
Profiles with relative data are a better alternative for such profilessituations. Normally, patients are subjected to a stress examination (classical stress-Stress Test ECG or spirroergometryCPET) before rehabilitation to determine their capabilities, or there are formulas with which age-dependent stress can be determined. In rehabilitation, for example, at ~ 70% ~70% of the maximum load, training is done in with a load-controlled training profile. Now the therapist has to select from the different training profiles the one whose absolute load best fits the 70% of the patient's maximum load. This is possible, but time-consuming, but can also be partially automated (automatic assignment of the standard profile). In order to simplify this process of selecting a suitable training profile for the patient, training profiles with relative data were introduced in version custo diagnostic 5.1.
Specification
Relative values are usually percentage values that refer to a patient-specific parameter. Thus, with only one training definition, a specific training for all patients can be applied. This saves effort in the training definition as well as in the later process the annoying selection from different, but essentially always the same training profiles. In the training definition, the following reference values can be selected, depending on whether you want to create a profile for load or pulse HR data.
| Reference value | Training type | Description |
|---|
| Watt / kg |
load profile| Load Profile | This is a common specification in training science. For example, it is defined that a patient should train 1 |
.| ,2 watts per 1 kg body weight. This value is the watt value that has to be trampled per kg body weight (relative to the weight). |
maximum Watt load profile| Load Profile | This is the maximum watt / kg value determined in the stress test ( |
stress spiroergometry| CPET), i.e. the maximum load related to the body weight under consideration of what the patient can achieve to the maximum. |
maxumum profile| Profile | This is the maximum achieved heart rate of the patient determined in the stress test ( |
stress- spiroergometry| CPET), or a value determined from various (adjustable) formulas. |
| HR |
reseerve profile| Profile | For training, the optimal HR can also be defined via the HR reserve (see Karvonen formula), |
where by definition HRreserve is := HRmax - HRrest.
The HR to be achieved is then HRrest + |
x % x% of HRReserve. The percentage of HRreserve is also called training intensity, which is usually around 60-70% in cardiological rehabilitation. |