Chart 1.
Cardiac Rehabilitation Program consists of Steps adapted to postoperative cardiac surgery for patients in hospital phase I
| STEP 1 - Calories = 2 METs |
| Patient lying |
| Diaphragmatic breathing exercises + ventilatory patterns |
| Active exercises of the extremities |
| Active assisted exercises - elbow and knees |
| Milking drains |
| STEP 2 - Calories 2 METs |
| Patient sitting |
| Diaphragmatic breathing exercises + ventilatory pattern |
| Exercises with ventilatory incentive + Flutter |
| Active exercises of the extremities |
| Active exercises of the lower limbs (quadriceps) |
| Milking drains |
| STEP 3 - Calories 3-4 METs |
| Patient standing |
| Active exercises of the elbow and ends |
| Active stretching of lower limbs (quadriceps, adductors, hamstrings and triceps) |
| Mark steps with knee |
| Ambulation: 35 meters |
| Exercises with ventilatory incentive |
| STEP 4 - Calories 3-4 METs |
| Patient standing |
| Passive stretching of active upper and lower limbs |
| Active exercises of the extremities |
| Active exercises of the lower limbs (flexion/extension and abduction/adduction) |
| Exercises with incentive spirometry |
| Ambulation: 60 meters |
| Walking downstairs training (1st floor) |
| STEP 5 Calories = 3-4 METs |
| Patient standing |
| Passive stretching and active upper and lower limb |
| Active exercises of the extremities |
| Active exercises of the lower limbs (flexion/extension and abduction/adduction) |
| Exercises with incentive spirometry |
| Ambulation: 100 meters |
| Walking downstairs training (1st floor) |
| STEP 6 Calories = 3-4 METs |
| Patient standing |
| Passive stretching of upper and lower limb active |
| Active exercises of the extremities |
| Active exercises of the lower limbs (flexion / extension and abduction / adduction) |
| Breathing exercises encouraged |
| Ambulation: 160 meters |
| Walking downstairs training (2 floors) |
| STEP 7 Calories = 3-4 METs |
| Patient standing |
| Passive stretching of upper and lower limb active |
| Active exercises of the extremities |
| Active exercises of the lower limbs (flexion / extension and abduction / adduction) |
| Exercises with incentive spirometry |
| Ambulation: 200 meters |
| Walking downstairs training (3 floors) |
Steps program adapted to patients in the postoperative period of cardiac surgery in phase I or hospital adapted from the Steps of Regenga program[9]