After the COVID-19 pandemic, CLINIMEX innovated and is carrying out evaluations in Exercise Medicine and exercise programs with medical supervision - in face-to-face and/or remote formats (Telemedicine), offering personalized care with high levels of quality for clients of all ages, with the most varied conditions and clinical complexities and with the most different objectives.

 Exercise programs: 

- supervised exercise program (conventional - face-to-face) - SEP

- guided home exercise program - GHEP

- individualized exercise program guidance - IEPG

- collective and remote exercise sessions - CRES

- CLINIMEX-home - https://clinimex.com.br/blog_detail.asp?cod_blog=143

Always within the strictest ethical principles of good medical practice, our team is ready to keep your client physically active and optimize aerobic and non-aerobic physical fitness. To learn more, watch the videos below. As usual, from now on, we are at your entire disposal for any further clarification that may be of interest to you.

The Supervised Exercise Program (SEP)

How is the supervised exercise session?

The service is personalized and consists of 3 steps:

Initial Clinical Care – with a brief anamnesis with the exercise physician, weight measurements, blood pressure and heart rate (HR) at rest. Depending on the clinical condition, other measurements can be performed, such as arterial oxygen saturation, peak expiratory flow, electrocardiogram (1 derivation) and blood glucose measurement.

Next, the doctor prescribes the aerobic part of the session.

Aerobic part – Lasts about 30 minutes and can be done on one or more equipment – treadmill, leg or arm cycle, rowing or skierg. Still depending on the clinical condition, measurements of heart rate, blood pressure and arterial oxygen saturation may be obtained and the electrocardiogram may be monitored and/or recorded or an oxygen concentrator may be used.

Non-aerobic part – Lasts up to 30 minutes, consisting primarily of flexibility, muscle overload, balance and motor coordination exercises. Depending on the clinical case, manual inspiratory and isometric muscle training are also performed. These exercises are individually monitored by Physical Education and Physiotherapy professionals.

Inspiratory muscle training (IMT) is performed with PowerBreath equipment and is prescribed for patients who have poor diaphragmatic musculature, a history of prolonged orotracheal intubation or recent chest surgery, or chronic obstructive pulmonary disease.

Type I SEP – Clients who have a stable condition that requires less medical supervision. In principle, they do not need regular rest and exercise electrocardiograms and do not use an oxygen saturation meter or peak flow meter, limiting themselves to the regular use of a heart rate monitor – Polar – for better control of their intensity of exercise. For example: healthy and with mild or controlled arterial hypertension and/or mild to moderate obesity.

SEP Type – II and III – Clients who demand closer medical attention, including those who:

a) have overt coronary artery disease, significant valve disease, or other relevant heart disease,

b) have significant lung disease including the need for supplemental oxygen and constant use of pulse oximeters,

c) are severely obese,

d) have peripheral arterial disease and/or significant diabetes mellitus,

e) are of advanced age (over 80 years old) and

f) have any other clinical or physical condition that represents an increased risk for the practice of physical exercise.