Sam Howell

Rehabilitation Reimagined
At Myo Rehabilitation, our mission is simple yet transformative: to deliver rehabilitation that is bespoke, purposeful, and designed not just for recovery, but for lifelong resilience.
Based in Bath, Myo Rehabilitation was created to fill a critical gap in cardiac aftercare. While traditional cardiac rehabilitation programmes provide valuable early-stage support, many patients are left needing more individualisation, greater clinical depth, stronger accountability, and clearer long-term direction. Myo Rehabilitation bridges that gap by offering medically informed, results-driven cardiac rehabilitation tailored to each individual’s physiology, lifestyle, and future risk profile.
My Own and My Only
At the heart of Myo Rehabilitation are two defining principles: My Own and My Only.
My Own – Bespoke, Patient-Focused Rehabilitation
No two cardiac patients are the same. The My Own concept ensures that every rehabilitation programme is:
• Individually assessed and clinically structured, using world-class exercise testing equipment at the University of Bath
• Tailored to personal medical history and cardiac risk factors
• Built around lifestyle demands, stress levels, and functional goals
• Adjusted in real time as capacity and confidence improve
Rather than placing patients into standardised group templates, Myo Rehabilitation designs structured, evidence-informed programmes that adapt to the individual and not the other way around.
My Only – Positioning Patients to Avoid Future Cardiac Events
Cardiac rehabilitation should not simply restore baseline function; it should create resilience against recurrence.
My Only reflects a preventative, forward-looking philosophy: positioning each patient so that their recent cardiac event becomes their only one. This requires:
• Targeted cardiovascular conditioning at appropriate intensities
• Structured strength training to improve metabolic health and vascular function
• Ongoing monitoring of blood pressure, heart rate, and recovery metrics
• Lifestyle intervention strategies
• Education that empowers informed, confident self-management
Rehabilitation is not treated as an end point but a strategic turning point.
Clinical Experience and Expertise
Myo Rehabilitation is founded on extensive experience working with cardiac populations across multiple stages of recovery, from early post-hospital discharge to long-term risk management. This includes:
• Post-myocardial infarction patients
• Individuals following CABG (coronary artery bypass grafting)
• Rehabilitation after PCI and stent placement
• Management of stable angina
• Support for those with heart failure
• Assistance for patients with hypertension, hyperlipidaemia, and metabolic syndrome
• Working with individuals presenting with complex comorbidities
This expertise extends far beyond simple exercise prescription. It involves a detailed understanding of cardiac physiology and the psychological impact of cardiac events.
Cardiac patients do not simply need “exercise.” They need:
• Safe, structured progression
• Appropriate intensity control
• Monitoring guided by clinical reasoning
• Confidence restoration
• A clear, evidence-based plan
Evidence-Based and Safety-Led Practice
Safety is non-negotiable.
Every programme is built upon:
• Comprehensive initial assessment
• Risk stratification
• Baseline functional capacity testing where appropriate
• Ongoing physiological monitoring
• Clearly defined progression criteria
Training intensity is prescribed using validated markers such as heart rate reserve calculations, RPE scales, blood pressure monitoring, and symptom-guided adjustments. Patients are educated to understand their cardiac responses — not fear them.
A Higher Standard of Individual Attention
Conventional cardiac rehabilitation programmes are often limited by time and group formats, leading to generic progression models and discharge after a set number of weeks.
Myo Rehabilitation offers depth over volume. Each patient receives:
• One-to-one attention
• Detailed review and feedback
• Continuous adaptation of programming
• A long-term strategy beyond the initial recovery phase
Restoring Confidence After a Cardiac Event
A cardiac event is both physiological and psychological. Many patients experience fear of exertion, hyper-awareness of heart sensations, anxiety about recurrence, and reduced self-trust.
Rehabilitation must address both body and mind. Through structured progression and education, patients learn:
• What elevated heart rate feels like in a safe environment
• How breathlessness can be normal and manageable
• How to distinguish exertion from warning signs
• How to rebuild trust in their body