C
Walter I. Berman Cardiovascular Prevention and
Cardiac Rehabilitation Center
KEEP YOUR MOVE IN THE TUBE ™
A laser focus on research and innovation in fiscal
year 2017 reinforced the reputation of the cardiac
rehabilitation team at Baylor Jack and Jane Hamilton
Heart and Vascular Hospital’s Walter I. Berman
Cardiovascular Prevention and Cardiac Rehabilitation
Center as a local, national and global leader in the field.
As word of the success of Keep Your Move In The Tube,
a Baylor Hamilton Heart and Vascular Hospital Cardiac
Rehab invention spread, rehabilitation programs from
across the United States and around the world, including
Shanghai, China, and Manila, The Philippines, sent
delegations to Dallas to observe the program and learn
the theory and techniques behind it. Keep Your Move
in The Tube has turned the traditional cardiac rehab
approach for sternotomy patients on its head.
Interest in the program from other cardiac centers
increased dramatically in 2016. The Baylor Hamilton
Heart and Vascular Hospital Cardiac Rehab team
received inquiries from New York, Ohio, Texas,
Maryland, Arizona, Washington, Florida, Alabama,
Canada, and Israel in addition to China and The
Philippines. Several have pursued approval within their
facilities to implement Keep Your Move In The Tube.
Adams explains that as more cardiac centers transition to
the new program, sharing outcomes data will continue
to be important because it will enable the program’s
designers to tweak and improve the approach based on
actual in-the-field results.
CARDIAC REHAB STATS
FY17
64
“Rather than apply arbitrary load and time restrictions
such as lifting a specified weight for up to 12 weeks, Keep
Your Move In The Tube applies standard kinesiology
principles that teach patients how to perform load-
bearing movements in a way that avoid excessive stress
to the sternum,” says Jenny Adams, PhD, senior research
associate at Baylor Hamilton Heart and Vascular Hospital.
“The approach is based on the ergonomics that shorten
the length of the outstretched arm (lever arm reduction),
it enables patients to perform previously contraindicated
movements. We allow patients to resume their normal
load-bearing activities at their own pace, within pain-free
limits, as long as they stay “in the tube.” Adams says Keep
Your Move In The Tube has enabled sternotomy patients
to regain their strength faster, often eliminating the costly
and time-consuming step of going to skilled nursing,
enabling them to immediately begin cardiac rehabilitation.
Total referrals
2,308
Attended Baylor Dallas Cardiac
Rehab (72% men, 26% women) 534
Percutaneous Coronary Intervention 180
Myocardial Infarction
Coronary Artery Bypass Grafting
79
101
Transplant 39
Valve Surgery 79
Heart Failure 24
Left Ventricular Assist Device 13
Transcatheter Aortic Valve Replacement 19
Attended Leap for Life ®
291
“The goal of the rehab program is to take patients with cardiovascular disease, and help them
return to as fulfilling a life as possible. The staff are enthusiastic at returning all of our patients
to their highest functional capacity, through education, exercise, and the use of advanced
technology. Numerous publications attest to their ability to get patients back to their prior
functional status, including work, exercise, and even (in some case) sky diving.”
Jeffrey M. Schussler, MD, FACC, FSCAI, FSCCT, FACP
Medical Director, Cardiac Rehabilitation – Baylor Hamilton Heart and Vascular Hospital