Applying combination of Waon therapy and exercise therapy for chronic heart failure in clinical practice

<p>With the ongoing aging of the population, the prevalence of heart failure continues to in-crease. Despite advances in pharmacological therapies and the development of novel treat-ment modalities, substantial improvement in patient prognosis remains elusive. Exercise therapy and Waon therapy have been demonstrated to be safe, non-invasive interventions with proven efficacy in the management of chronic heart failure. However, the optimal ap-proach to combining these two therapies has yet to be elucidated. Over the years, we have explored how best to integrate Waon therapy and exercise therapy in patients with chronic heart failure. In relatively stable cases, both treatments can be used together. However, in unstable cases, safety considerations allow for Waon therapy first, stabilizing the patient’s condition before initiating exercise therapy, which can safely and effectively achieve results. However, in unstable conditions, prioritizing safety by initiating Waon therapy to stabilize the patient before introducing exercise therapy has proven to be an effective and safe ap-proach. Furthermore, with the recent trend toward a super-aging society, the number of patients with multiple disorders, such as renal dysfunction, cerebrovascular disease, and or-thopedic disease, is increasing. These patients often cannot undergo active exercise therapy and are limited to bedside rehabilitation, thereby missing out on the full benefits of exercise interventions. Waon therapy, however, can be safely applied even in such cases. When com-bined with bedside rehabilitation, it may offer enhanced therapeutic effects. In this paper, we will explore how our combined Waon therapy and exercise therapy approach for chron-ic heart failure can be applied clinically.</p>