Transition to home
Once form and safety were established in a monitored setting, the training regimen was transitioned to the home. Activities were gradually increased to reach the goal duration of 60 minutes allocated between strength training 3 days/week, and IMT, aerobic, and coordination training 5 days/week. Each session began with warm up before focused aerobic, strength, coordination, and IMT training, followed by cool down and stretching that matches the routines established during hospital-based training. Exercise physiologists used weekly telephone calls to maintain relationship, answer questions, adjust goals and coach patients regarding their personally tailored regimens. Notably, exercise physiologists were well-suited to assess each patient’s capacities and to then determine and guide an optimal medical regimen in hospital- and home-based formats. This overlaps with skillsets that have been attributed exclusively to physical therapists (Nutritional counseling was arranged through a standard-of-care clinical assessment with a registered dietician who administered the standardized Subjective Global Assessment (SGA-7) (