Τίτλος:
Group-based cardiac rehabilitation interventions. A challenge for
physical and rehabilitation medicine physicians: a randomized controlled
trial
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
BACKGROUND: In recent decades, many studies are focused on different
training modalities comparison in patients with cardiac diseases. High
intensity aerobic interval training (HIAIT) has been considered as an
alternative approach to moderate-intensity continuous training (MICT) in
rehabilitation of patients with chronic heart failure (CHF).
AIM: To highlight the superiority of the modified group-based HIAIT
intervention (m-Ullevaal) compared to the moderate-intensity continuous
training (MICT), also to encourage physical and rehabilitation medicine
(PRM) physicians to apply the m-Ullevaal intervention in routine cardiac
rehabilitation (CR) practice.
DESIGN:. single-blind, prospective randomized controlled trial.
SETTING: Medical Center of Rehabilitation and Sports Medicine, Plovdiv,
Bulgaria outpatients were enrolled.
LATIO N: One hundred and twenty subjects of both genders, mean age of
63.73 +/- 6.68 years, with stable CHF, NYHA classes II to IIIB, were
randomly assigned to m-Ullevaal group (N.=60) or to MICT (N.=60) group.
Both CR protocols were conducted throughout a 12-week period.
METHODS: Functional exercise capacity (FEC), assessed with six-minute
walk test, and peak oxygen uptake (VO2peak), left ventricular ejection
fraction (LVEF), m-Borg's perceived exertion scale (mBPES), and quality
of life (QoL) were outcome measures evaluated.
RESULTS: Significant improvement in FEC (P<0.001), LVEF (P<0.001), mBPES
and QoL (P<0.001), was observed 12 weeks after both CR interventions
(T2). However, the participants performed m-Ullevaal protocol achieved a
greater improvement compared to those performed MICT (P<0.001).
CONCLUSIONS: The m-Ullevaal protocol seems to be more beneficial and
more effective compared to MICT. PRM physicians can efficiently apply
the m-Ullevaal protocol in CHF patients rehabilitation.
CLINICAL REHABILITATIO N IMPACT : Group-based HIAIT interventions can be
widely applied by PRM physicians in CHF patients rehabilitation.
Συγγραφείς:
Papathanasiou, V, Jannis
Petrov, Ivo
Tokmakova, Maria P. and
Dimitrova, Donka D.
Spasov, Liubomir
Dzhafer, Nigyar S. and
Tsekoura, Dorothea
Dionyssiotis, Yannis
Ferreira, Arthur S. and
Lopes, Agnaldo J.
Rosulescu, Eugenia
Foti, Calogero
Περιοδικό:
European Journal of Physical and Rehabilitation Medicine
Εκδότης:
Edizioni Minerva Medica
Λέξεις-κλειδιά:
Exercise; Walk test; Rehabilitation
DOI:
10.23736/S1973-9087.20.06013-X
