Physical Therapist Clinical Practice Guideline for the Management of Individuals With Heart Failure

Phys Ther. 2020 Jan 23;100(1):14-43. doi: 10.1093/ptj/pzz127.

Abstract

The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular and Pulmonary Section of APTA, have commissioned the development of this clinical practice guideline to assist physical therapists in their clinical decision making when managing patients with heart failure. Physical therapists treat patients with varying degrees of impairments and limitations in activity and participation associated with heart failure pathology across the continuum of care. This document will guide physical therapist practice in the examination and treatment of patients with a known diagnosis of heart failure. The development of this clinical practice guideline followed a structured process and resulted in 9 key action statements to guide physical therapist practice. The level and quality of available evidence were graded based on specific criteria to determine the strength of each action statement. Clinical algorithms were developed to guide the physical therapist in appropriate clinical decision making. Physical therapists are encouraged to work collaboratively with other members of the health care team in implementing these action statements to improve the activity, participation, and quality of life in individuals with heart failure and reduce the incidence of heart failure-related re-admissions.

Publication types

  • Practice Guideline
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breathing Exercises / methods
  • Combined Modality Therapy / methods
  • Electric Stimulation Therapy / methods
  • Exercise
  • Heart Failure / classification
  • Heart Failure / diagnosis
  • Heart Failure / physiopathology
  • Heart Failure / rehabilitation*
  • High-Intensity Interval Training
  • Humans
  • Patient Education as Topic
  • Patient Readmission
  • Physical Therapists*
  • Physical Therapy Specialty* / organization & administration
  • Resistance Training
  • Risk Assessment
  • Ventricular Dysfunction, Left / physiopathology