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Wiki Log

Chronological record of all wiki actions. Append-only. Format: ## [YYYY-MM-DD] action | subject Actions: ingest, update, query, lint, create, archive, delete When this file exceeds 500 entries, rotate: rename to log-YYYY.md, start fresh.

2026-05-23 create | Wiki initialized

  • Domain: exercise (low-impact strength, yoga, stretching, cardiac recovery, over-50 male)
  • Structure created with SCHEMA.md, index.md, log.md
  • Raw source ingestion: 10 articles added to raw/

2026-05-23 ingest | 10 source articles

  • raw/AHA_ACC_AACVPR_2024_Core_Components.md
  • raw/cardiac-recovery-fitness-protocol-deep-research.md
  • raw/Clinical_Review_of_Cardiac_Rehabilitation_Phases.md
  • raw/Exercise_Progression_and_GXT_Standards.md
  • raw/Low_Impact_and_Functional_Fitness_Over_50.md
  • raw/Optimizing_Exercise_Volume_for_Secondary_Prevention.md
  • raw/Physiology_and_Risks_of_the_Valsalva_Maneuver.md
  • raw/Resistance_Training_Entry_Timelines_and_Precautions.md
  • raw/Resistance_Training_Guidelines_and_Hemodynamics.md
  • raw/Yoga_for_Heart_Health_Safety_and_Contraindications.md

2026-05-23 create | Concepts: Static Stretching + Dynamic Flexibility

  • docs/concepts/static-stretching.md
  • docs/concepts/dynamic-flexibility.md

2026-05-23 lint | SCHEMA.md fixes

  • Defined full tag taxonomy (13 tags across domain/clinical/population categories)
  • Fixed contractions -> contradictions typo in Update Policy

2026-05-23 update | index.md sync

  • Updated page count: 2 -> 14
  • Added dynamic-flexibility to Concepts section
  • Set last updated date

2026-05-23 create | Cardiac Rehabilitation Phases (concept)

  • docs/concepts/cardiac-rehabilitation-phases.md
  • Sources: 3 source files (Clinical_Review, cardiac-recovery-deep-research, AHA 2024)
  • Content: Phase I-IV framework, intake assessment, ITP requirements

2026-05-23 create | Valsalva Maneuver (concept)

  • docs/concepts/valsalva-maneuver.md
  • Sources: 2 source files (Physiology_and_Risks, cardiac-recovery-deep-research)
  • Content: 4-phase hemodynamic model, contraindication list, correct breathing protocol

2026-05-23 create | Yoga for Cardiac Recovery (concept)

  • docs/concepts/yoga-for-cardiac-recovery.md
  • Sources: 2 source files (Yoga_Safety, cardiac-recovery-deep-research)
  • Content: 5 contraindication categories, 5 safe alternatives, Pranayama warnings

2026-05-23 create | Low-Impact Cardio Modalities (concept)

  • docs/concepts/low-impact-cardio-modalities.md
  • Sources: 2 source files (Low_Impact_Fitness, cardiac-recovery-deep-research)
  • Content: 5 modalities (rowing, swimming, walking, cycling, bands), sample weekly schedule

2026-05-23 create | Aerobic Exercise Prescription (concept)

  • docs/concepts/aerobic-exercise-prescription.md
  • Sources: 2 source files (Exercise_Progression_GXT, cardiac-recovery-deep-research)
  • Content: Karvonen formula, Borg RPE scale, duration-first progression rule

2026-05-23 create | Exercise Volume for Secondary Prevention (concept)

  • docs/concepts/exercise-volume-secondary-prevention.md
  • Sources: 2 source files (Volume_Secondary_Prevention, AHA 2024)
  • Content: 4 volume tiers (1000/1500/2200 kcal/wk), MET-minute formula, mortality correlation

2026-05-23 create | Resistance Training Entry Timeline (concept)

  • docs/concepts/resistance-training-entry-timeline.md
  • Sources: 3 source files (RT_Entry_Timelines, AHA 2024, cardiac-recovery-deep-research)
  • Content: MI/PCI/CABG timelines, sternal precautions, pacemaker/ICD precautions

2026-05-23 create | Entity: Rowing

  • docs/entities/rowing.md
  • Sources: Low_Impact_Fitness, cardiac-recovery-deep-research

2026-05-23 create | Entity: Recumbent Cycling

  • docs/entities/recumbent-cycling.md
  • Sources: Low_Impact_Fitness, cardiac-recovery-deep-research

2026-05-23 create | Entity: Yoga

  • docs/entities/yoga.md
  • Sources: Yoga_Safety, cardiac-recovery-deep-research

2026-05-23 create | Entity: Tai Chi

  • docs/entities/tai-chi.md
  • Sources: Clinical_Review, cardiac-recovery-deep-research, Low_Impact_Fitness
  • Converted concept page links from concepts/other → ../other (was double-nested)
  • Converted entity page links from entities/other → ../concepts/other or ../entities/other
  • Removed self-referential link from valsalva-maneuver.md

2026-05-24 create | Risk Stratification (concept) + .gitignore

  • docs/concepts/risk-stratification.md - AACVPR risk classification algorithm
  • .gitignore created (site/, pycache, etc.)

2026-05-24 create | Comparison: Tai Chi vs Yoga for Cardiac Recovery

  • docs/comparisons/tai-chi-vs-yoga.md
  • Head-to-head analysis across 12 dimensions with clinical prescription guidance

2026-05-24 ingest | Synthesized Resistance Training Guidelines & Hemodynamics

  • Added prescription guidelines table and hemodynamic safety section to resistance-training-entry-timeline.md
  • Key finding: high-rep sets produce higher BP spikes than heavy-load sets — fatigue management > load management

2026-05-24 create | Comparison: Rowing vs Recumbent Cycling

  • docs/comparisons/rowing-vs-recumbent-cycling.md
  • 12-dimension comparison with Phase-based sequencing strategy

2026-05-24 create | Query: Beta-Blockers and Exercise Prescription

  • docs/queries/beta-blockers-exercise-prescription.md
  • Full clinical guide: HR targets, RPE reliance, modality preferences, safety monitoring

2026-05-24 create | Entity: Swimming

  • docs/entities/swimming.md
  • Water walking (Phase II) through lap swimming (Phase IV); stroke considerations, hydrostatic benefits

2026-06-09 create | Entity: Calisthenics

  • docs/entities/calisthenics.md
  • Bodyweight resistance training for cardiac rehab: leverage-based progression, Phase II–IV dosage, hemodynamic safety, sternal precaution modifications, over-50 functional benefits
  • Sources: Resistance_Training_Guidelines_and_Hemodynamics, Resistance_Training_Entry_Timelines, AHA/ACC/AACVPR 2024 Core Components, cardiac-recovery-deep-research
  • Updated: SCHEMA.md (tag taxonomy), mkdocs.yml (nav), index.md (page count 20 → 21, entities 5 → 6)

2026-06-09 create | Concept: Mobility Positions

  • docs/concepts/mobility-positions.md
  • Active joint control through end-range positions: deep squat hold, 90-90 hip rotation, half-kneeling hip flexor, thoracic extension, thread-the-needle, cat-cow, 90-90 breathing
  • Distinction from static stretching and dynamic flexibility defined in context of over-50 cardiac recovery; Phase II–IV integration table; safety considerations for cardiac patients
  • Sources: Low_Impact_Functional_Fitness_Over_50, cardiac-recovery-deep-research
  • Updated: SCHEMA.md (mobility added to exercise-type tags), mkdocs.yml (nav), index.md (page count 21 → 22, concepts 10 → 11)

2026-06-25 create | 7 new entity pages

  • docs/entities/bar-hang.md — Bar hang for grip strength, spinal decompression, shoulder mobility; longevity biomarker; Phase II–IV
  • docs/entities/japanese-interval-walking.md — Japanese interval walking (Nose & Masuki, 2007); 3-min fast/3-min slow protocol; 15–20% VO₂max improvements; Mayo Clinic Proceedings study; Phase II–IV
  • docs/entities/asian-squat.md — Deep squat resting/mobility position; functional independence predictor; hip, knee, ankle flexibility; Phase II–IV
  • docs/entities/worlds-greatest-stretch.md — Dynamic full-body mobility movement; lunge + rotation + hamstring stretch; warm-up protocol; Phase II–IV
  • docs/entities/zone-2-cardio.md — Zone 2 cardio; below lactate threshold aerobic endurance; contested "optimal" claim; phased progression from Phase II foundation to hybrid programming; references 2025 Storoschuk review
  • docs/entities/plyometrics.md — Age-adapted plyometric training; stretch-shortening cycle; fall prevention via rapid force production; Van Roie et al. 2020 RCT; Phase III–IV
  • docs/entities/loaded-carries.md — Farmer's walk, suitcase carry, overhead carry; concurrent grip/core/cardio training; cardiovascular benefit matching aerobic exercise; Phase III–IV
  • Updated: mkdocs.yml (nav), index.md (page count 22 → 29, entities 6 → 13), SCHEMA.md (no changes needed)

2026-06-25 update | Mobility Positions concept expanded with 9 new positions

  • docs/concepts/mobility-positions.md — Added 9 new mobility positions:
  • Big Toe Extension (foot/ankle) — first MTP dorsiflexion for walking mechanics; 60–70° required for gait
  • Sitting on Knees / Vajrasana (kneeling) — kneeling posture for knee flexion, postural control, breathwork; Naragatti 2023 study on BP/HR reduction
  • Nerve Glides (neural mobilization) — sciatic/median/ulnar nerve flossing; low-intensity enough for Phase I–II; safety contraindication for acute radiculopathy
  • Couch Stretch (hip flexor) — deepest hip flexor stretch; sitting posture reversal; patient-controlled intensity
  • Cossack Squat (groin/adductors) — frontal plane mobility; fall risk reduction; adductor eccentric training
  • Stick Overhead Rotations (shoulder CARs) — full circumduction mapping; thoracic extension; shoulder capsular health
  • Deep Squat — already present, cross-referenced with Asian Squat and Cossack Squat entries
  • Hip Flexors — already present as half-kneeling hip flexor, expanded with couch stretch as progression
  • 90/90 Position — already present as 90-90 hip rotation, referenced in shoulder CARs section
  • Updated: "Why Mobility Matters for Cardiac Recovery" table (added groin/adductors, ankle/big toe, peripheral nerves)
  • Updated: Integration table (Phase II–IV now include the new positions)
  • Updated: Related Concepts (cross-links to japanese-interval-walking, bar-hang, loaded-carries, plyometrics, worlds-greatest-stretch, asian-squat, dynamic-flexibility, static-stretching, valsalva-maneuver, aerobic-rx, CR phases)
  • Updated: index.md (mobility positions entry now shows 16 positions across categories)

2026-06-25 create | Isometric Holds concept

  • docs/concepts/isometric-holds.md — Five isometric holds for cardiac rehabilitation:
  • Hollow Body Hold: supine core activation; anterior chain; Phase II–IV
  • Bear Crawl Hold (Bear Plank): full-body isometric; anti-rotation core, shoulder stability; low-back friendly alternative to standard plank
  • Horse Stance (Ma Bu): martial arts wide-stance isometric; quad/glute endurance; hip capsule mobility; progressive depth
  • Wall Push: lowest-demand upper body isometric; inclined angle controlled; sternal-precaution compatible; Phase II–IV
  • Wall Sit (Wall Squat): most studied isometric for BP reduction; quad endurance; functional independence (chair rise, stairs); chronic BP-lowering adaptation
  • Hemodynamic safety section: Valsalva avoidance, BP monitoring, contraindications, chronic adaptation paradox (acute BP rise vs. chronic BP reduction)
  • Phase II–IV integration table; sample isometric circuit (Phase III–IV)
  • Sources: cardiac-recovery-deep-research, Low_Impact_Functional_Fitness_Over_50, Resistance_Training_Guidelines_and_Hemodynamics
  • Updated: mkdocs.yml (nav), index.md (page count 29 → 30, concepts 11 → 12)