Where should exercise rehabilitation programmes be located?
The cardiac model is that patients recovering from myocardiac infarction have a 6 weeks, or more, formal exercise rehabilitation programme in hospital (Oldridge et al., 1998, Ades, Huang, and Weaver, 1992). They are then transferred via the national activity for health referral scheme to local municipal Gyms. In the gyms patients, or at this stage more appropriately referred to as clients, are provided with exercise programmes supervised by exercise professional who have been specifically trained to a level 4 grade, determined by the organisation Skills Active (Sector for Skills Council for UK based leisure and learning). Following the same hospital-initiated model for cancer rehabilitation would require considerable investment within hospitals in terms of money, space, time and extra physiotherapist. No doubt an in house rehabilitation scheme would be an advance for more complex or disabled patients and to get the ball rolling but may not be necessary for the majority who or undergoin
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