Term
| Stage I (MET, ADL and mobility, exercise, recreation) |
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Definition
MET: 1.0 to 1.4
ADL and mobility:
sitting = self-feeding, wash hands and face, bed mobility
transfers
progressively increase sitting tolerance
exercise:
supine = A or AA exercise to all extremities (10-15x per extremity)
sitting = A or AA exercise only neck and LEs
include deep breathing exercises
recreation:
reading
radio
table games (noncompetitive)
light work |
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Term
| Stage II (MET, ADL and mobility, exercise, recreation) |
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Definition
MET: 1.4 to 2.0
ADL and mobility:
sitting = self-bathing, shaving, grooming, dressing in hospital
unlimited sitting
ambulation = at slow pace, in room, as tolerated
Exercise:
sitting = A exercise to all extremities (increasing repetitions per MD)
NO ISOMETRICS
Recreation:
sitting = crafts (painting, knitting, sewing, mosaics, embroidery)
NO ISOMETRICS |
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Term
| Stage III (MET, ADL and mobility, exercise, recreation) |
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Definition
MET: 2.0 to 3.0
ADL and mobility:
sitting = showing in warm water, homemaking tasks with brief standing periods to transfer light items, ironing
Exercise:
sitting = wheelchair mobility, limited distances
standing = A exercise to all extremities and trunk (increasing repetitions per MD); may include balance exercises, light mat activities without resistance
ambulation = begin progressive ambulation at 0% grade and comfortable pace
recreation:
sitting = card playing, crafts, piano, machine sewing, typing (per MD) |
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Term
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Definition
MET: 3.0 to 3.5
Exercise:
standing = continue all previous exercise, progressively increasing repetitions, speed of repetitions
may include additional exercises to increase workload up to 3.5 MET, balance, and mat activities with mild resistance
ambulation = unlimited on level surfaces in and/or outside (per MD) progressively increasing speed and/or duration for periods up to 15-20 minutes or until target heart rate is reached (per MD)
stairs = may begin slow stair climbing to patient's tolerance up to 2 flights
treadmill = 1 mph at 1% grade, progressing to 1.5 mph at 2% grade (per MD)
cycling = up to 5.0 mph without resistance |
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Term
| Stage IV (ADL and mobility, recreation) |
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Definition
ADL and mobility:
standing = total washing, dressing, shaving, grooming, showering in warm water; kitchen/homemaking activities while practicing energy conservation (light vacuuming, dusting, and sweeping, washing light clothes)
ambulation = unlimited distance walking at 0% grade, in and/or outside (per MD)
recreation: candlepin bowling, canoeing (slow rhythm, pace), golf putting, light gardening (weeding and planting), driving (per MD) |
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Term
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Definition
MET: 3.5 to 4.0
Exercise:
standing = continue exercises in stage IV progressively increasing repetitions and speed of repetitions
may add additional exercises to increase workload up to 4.0 MET
ambulation = as in stage IV, increasing speed up to 2.5 mph on level surfaces (per MD)
stairs = as in stage IV and progressively increasing patient's tolerance
treadmill = 1.5 mph at 2% grade, progressing to 1.5 mph at 4% grade up to 2.5 mph at 0% grade (per MD)
cycling = up to 8 mph without resistance (per MD)
may use up to 7 to 10 lb weight for upper and lower extremity exercises in sitting |
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Term
| Stage V (ADL and mobility, recreation) |
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Definition
ADL and mobility
standing = washing dishes, washing clothes, ironing, hanging light clothes, and making beds
Recreation:
swimming (slowly)
light carpetry
golfing (using power cart)
light home repairs |
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Term
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Definition
standing = continue exercises in stage IV progressively increasing repetitions and speed of repetitions
may add additional exercises to increase workload up to 4.0 MET
ambulation = as in stage V, increasing speed to 3.5 mph on level surfaces (per MD)
stairs = as in stage IV and progressively increasing patient's tolerance
treadmill = 1.5 mph at 5 to 6% grade progressing to 3.5 mph at 0% grade (per MD)
cycling: up to 10 mph without resistance
may use up to 10 to 15lb weight in UE and LE exercises in sitting |
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Term
| Stage VI (ADL and mobility, recreation) |
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Definition
ADL and mobility:
standing = showering in hot water, hanging and/or wringing clothes, mopping, stripping and making beds, raking
recreation:
swimming (no advanced strokes)
slow dancing
ice or roller skating (slowly)
volleyball
badminton
table tennis (noncompetitive)
light calisthenics |
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