APTA Home Health - Home on the Go
High Intensity Interval Training for Patients With Chronic Disease (audio)
15 Oct 2025
Dr. Kaelee Brockway, PT, DPT, EdD, dives into the power of high-intensity interval training (HIIT) and how it can transform care for patients with complex chronic conditions like heart failure, COPD, diabetes, renal disease, and vascular insufficiency. She explains that HIIT goes far beyond improving mobility—it sparks changes at the cellular level, promotes left ventricular remodeling, and helps regulate blood glucose. Kaelee stresses the importance of building multi-system stability first and monitoring vitals throughout. She brings her points to life with real-world stories, including a patient who successfully weaned off supplemental oxygen and another who even cut down the time needed for dialysis treatment. Her big takeaway: in home health, we often underdose exercise. Pushing patients a little harder not only drives better outcomes, it boosts engagement—for both patients and clinicians.
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