Myositis Track
ViP MyoCardio
Duration
24 weeks · Aerobic Foundation, HIIT Introduction, Optimization
Structure
Overlay alongside ViP Protocol
Delivery
Virtual
About this protocol
ViP MyoCardio is the cardiovascular companion to the ViP Protocol, addressing the aerobic deconditioning and elevated cardiometabolic risk that the core programme doesn't cover. It pairs a graduated daily step program (2,000 → 10,000 steps over 24 weeks) with walking-based HIIT using heart-rate monitoring, across three phases: Aerobic Foundation, HIIT Introduction, and Optimization. Adapted from the Bartlett (2018) walking-HIIT model in inflammatory arthritis and the Andreasson (2025) HIIT-in-IIM randomized controlled trial.
Clinical authors
- Angelo Papachristos, PT, ACPAC
- Dr. Ophir Vinik, MD
Evidence base
ViP MyoCardio is derived from systematic review and randomized controlled trial evidence in IIM with cardiovascular deconditioning. Protocol parameters — phase structure, load progression, and outcome measures — align with EULAR, ACR, and ASAS exercise-therapy recommendations. Outcome tracking favours open-access PROMIS instruments where validated equivalents exist.
View the evidence library →Outcome measures
- 1.6-km Walk Test (VO₂ estimation)
- Peak HR + RPE (Borg, every session)
- Daily step count (weekly average)
- CK monitoring (per ViP stopping criteria)
- All ViP Protocol measures (overlay)
PROMIS short forms are free, NIH-developed measures used in place of paid legacy instruments.
What's included
- Virtual assessment with a certified exercise therapist
- Personalised programme plan
- Live-virtual group or individual sessions
- Asynchronous guided home programme
- Regular ePRO check-ins with adaptive progression
- Care coordinator support
- Programme completion report
Interested in this protocol?
Speak to us about adding ViP MyoCardio to your PSP or benefits plan.
Request a pilotFor patients