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Assessing the risk of major adverse cardiac events (MACE) before initiating aerobic exercise is vital with direct access to physical therapy (PT). While there are various methods, PT lacks a standardized approach. This scoping review yielded 1,519 articles; 35 articles met established criteria. Five methods were identified: (1) risk factor assessment (2) questionnaires (3) calculators (4) physical examinations (5) exercise testing with electrocardiogram. Risk factor assessment yielded the most statistical information regarding MACE. Risk calculators provided a clearer assessment low, medium, or high-risk categories. PTs can use these tools to assess risk and identify patients that require further evaluation.
A 33-year-old male with a past medical history of a traumatic brain injury (TBI) secondary to a fall 8 years prior, attended the Campbell Community Wellness Clinic for physical therapy services. Upon evaluation, impairments in ankle mobility were hypothesized to impacted running speed and distance. Pre-intervention, the patient was able to run 0.4 miles at 4.14 mph. Interventions during an 8-week program consisted of therapeutic exercise, taping, and manual therapy to improve ankle range of motion. The patient’s time, distance and speed varied from week to week proving no correlation in interventions and running outcomes this patient.
