Cardiac Conditioning

Cardiac Conditioning

Globally, the prevalence of coronary heart disease and heart failure is increasing, with cardiac conditioning showing evidence of health benefits. Unfortunately, the participation in rehabilitation after a cardiac event has been shown to be less than 50%. In Kitsap County there is a need for having convenient locations spread across our geographical region that provide these services. This is the reason Kitsap Physical Therapy and Sports Clinics started this program in 2007. We as a collective group of clinicians have a special interest in helping you regain your function, endurance, and energy levels after such events, and with 6 convenient locations providing this service, we are easily accessible anywhere in the county.

The Cardiac Conditioning program at Kitsap Physical therapy provides a physical therapy evaluation, exercise prescription, cardiac risk factor assessment with determination of key modifiable risk factors, education, and counseling. Our belief system is that of long-term success and therefore we have (two) locations that will provide means and instruction in continuation of care after your cardiac conditioning program is complete.

The program includes:

    A) Evaluation by a physical therapist – our assessment assists to determine baseline cardiovascular conditioning, musculoskeletal impairments that may hinder safe aerobic exercise, and risk factors that warrant education and counseling.

    B) Supervision – Our sessions are always one on one with a licensed physical therapist or physical therapist assistant with special interest and knowledge in cardiac conditioning.

    C) Exercise Prescription – Your physical therapist will determine the most appropriate mode of aerobic exercise, intensity of
    exercise, and duration of exercise. Your session will include monitoring of appropriate vitals (heart rate, Oxygen saturation, blood pressure, respiratory rate, and signs and symptoms). We will educate you on self-monitoring and understanding to insure you have the knowledge for life long wellness after your cardiac conditioning is completed.

    D) Progression – It is our goal to progress not only your aerobic fitness level but your knowledge of exercise, your safety and
    comfort in fitness, and your knowledge of associated risk factors.

    E) Frequency – It is recommended that aerobic exercise be completed most days of the week by the American Heart Association. The Cardiac conditioning program starts 3 days per week with a transition of skilled care and one on one supervised sessions, adjusted if necessary based on your comfort level, your response to exercise, and your growing knowledge and independence.

    F) Education Training – You will be provided with a Heart Manual that will address exercise, nutrition, stress management, smoking cessation, pharmacology, and your current cardiovascular risk assessment. We will review these based on your evaluation.

    G) Long Term Outcomes – It is ultimately the goal of our cardiac conditioning program to establish a life long plan of exercise. This is a key component to reduced mortality and decreased risk of reoccurrence. We can provide transition options at both our Silverdale and Kingston locations, with our remaining clinics being able to provide guidance on community-based options.

    The results –

    Clinical evidence, Cochrane review literature, and outcomes monitored globally do show a significant improvement in:

      A) Reduced mortality rate after a cardiac event
      B) An absolute reduction in future risk of additional cardiac events
      C) Improved wellbeing and quality of life
      D) A reduction in the need for future hospitalizations


    Richard P. McDowell, PT, MPT, MEd, OCS, GCS


    Robert Sprague, PT, MPT, Cert MDT


    Jeff Day, PT


    David Damon, PT, DPT, OCS, ATC


    Scott Richards, PT, SCS, MSPT


    John Carlson, PT


    Links for additional information:

    www.Heart.org

    www.MayoClinic.org

    www.GoRedForWoman.org

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Bainbridge Island Clinic
945 Hildebrand Ln NE #220
Bainbridge Island, WA 98110
(206) 842-6288
(206) 842-6292
Bremerton Clinic
2500 Cherry Ave #203
Bremerton, WA 98310
(360) 792-1015
(360) 792-0964
Kingston Clinic
26001 Barber Cut Off Rd NE #C-1
Kingston, WA 98346
(360) 297-7050
(360) 297-7502
Port Orchard Clinic
1880 Pottery Ave #100
Port Orchard, WA 98366
(360) 895-9090
(360) 895-9089
Poulsbo - NKMC Clinic
20730 Bond Rd NE #150
Poulsbo, WA 98370
(360) 779-3764
(360) 779-9740
Poulsbo - Village Clinic
19319 7th Ave NE #108
Poulsbo, WA 98370
(360) 779-3777
(360) 779-3797
Silverdale Clinic
2400 NW Myhre Rd #102
Silverdale, WA 98383
(360) 613-1834
(360) 613-2716
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