scholarly journals Inpatient cardiac rehabilitation programs’ exercise therapy for patients undergoing cardiac surgery: National Korean Questionnaire Survey

2017 ◽  
Vol 13 (1) ◽  
pp. 76-83 ◽  
Author(s):  
Yong Gon Seo ◽  
Mi Ja Jang ◽  
Won Hah Park ◽  
Kyung Pyo Hong ◽  
Jidong Sung
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Exercise Therapy ◽  
Questionnaire Survey ◽  
Rehabilitation Programs

scholarly journals Efficacy of cardiac rehabilitation with motion assistance from wearable cyborg hybrid assistive limb in patients with chronic heart failure: a randomized controlled trial

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
H Watanabe ◽  
A Koike ◽  
H Kato ◽  
L Wu ◽  
K Hayashi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiac Rehabilitation ◽  
Exercise Therapy ◽  
Knee Extensor ◽  
Control Group ◽  
Cardiac Events ◽  
Rehabilitation Programs ◽  
Sit To Stand ◽  
Knee Extensor Strength

Abstract Background Recent Cochrane Systematic Review suggested that the participation in cardiac rehabilitation is associated with approximately 20% lower cardiovascular mortality and morbidity. Exercise therapy is the key component of cardiac rehabilitation programs. In recent years, innovative technologies have been introduced into the field of rehabilitation, and a typical example is the wearable cyborg Hybrid Assistive Limb (HAL). The wearable cyborg HAL provides motion assistance based on detection of bioelectrical signals on the skin surface when muscle forces are generated. The lumbar-type HAL is expected to expand the therapeutic options for severe cardiac patients who have difficulty in performing usual cardiac rehabilitation programs, such as bicycle pedaling or walking. Purpose We aim to compare the efficacy of exercise therapy performed with motion assistance from a lumbar-type HAL versus conventional training (sit-to-stand exercise without HAL) in patients with chronic heart failure. Methods This clinical trial is a randomized, non-blinded, and controlled study. Twenty-eight heart failure patients (73.1±13.8 years) who have difficulty in walking at the usual walking speed of healthy subjects were randomly assigned to 2 groups (HAL group or control group) with a 1:1 allocation ratio and performed sit-to stand exercise either with HAL or without HAL for 5 to 30 minutes once a day, and 6 to 10 days during the study period. The brain natriuretic peptide (BNP), isometric knee extensor strength, standing ability (30-seconds chair-stand test: CS-30), short physical performance battery (SPPB) and 6-minute walking distance (6MWD) were measured before and after the completion of cardiac rehabilitation. Cardiac events such as death, re-hospitalization, myocardial infarction and worsening of angina pectoris and heart failure during 1 year after discharge were evaluated. Results There was no significant difference in the number of days of exercise therapy between the two groups. BNP, SPPB and 6MWD were improved in both groups. In the HAL group, the isometric knee extensor strength (0.29±0.11 vs 0.35±0.11 kgf/kg, p=0.003) significantly improved and CS-30 (5.5±5.1 vs 8.2±5.3, p=0.054) tended to improve. However, in the control group, either the isometric knee extensor strength (0.35±0.11 vs 0.36±0.14 kgf/kg, p=0.424) or CS-30 (6.0±4.3 vs 9.2±6.2, p=0.075) did not significantly change. HAL group showed significantly more improvement in the isometric knee extensor strength than control group (p=0.045). Cardiac events occurred in 20% in the HAL group and 43% in the control group. Conclusion The improvement in isometric knee extensor strength with the assistance from lumbar-type HAL suggests that exercise therapy using this device may be useful in chronic heart failure patients with flail or sarcopenia, a strong poor prognostic factor in these patients. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): This work was supported in part by a grant-in-aid for Scientific Research from the Ministry of Education, Science, and Culture of Japan (JSPS KAKENHI grant number JP17K09485) and funded by the ImPACT Program of the Council for Science, Technology and Innovation (Cabinet Office, Government of Japan) (grant number 2017-PM05-03-01).

scholarly journals Cardiac Rehabilitation in Patients with Peripheral Artery Disease—A Literature Review in COVID-19 Era

2022 ◽  
Vol 11 (2) ◽  
pp. 416
Author(s):  
Razvan Anghel ◽  
Cristina Andreea Adam ◽  
Dragos Traian Marius Marcu ◽  
Ovidiu Mitu ◽  
Florin Mitu
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Peripheral Artery Disease ◽  
Exercise Therapy ◽  
Peripheral Artery ◽  
Rehabilitation Programs ◽  
Supervised Exercise ◽  
Effective Manner ◽  
Artery Disease

Cardiac rehabilitation (CR) is an integral part of the management of various cardiovascular disease such as coronary artery disease (CAD), peripheral artery disease (PAD), or chronic heart failure (CHF), with proven morbidity and mortality benefits. This article aims to review and summarize the scientific literature related to cardiac rehabilitation programs for patients with PAD and how they were adapted during the COVID-19 pandemic. The implementation of CR programs has been problematic since the COVID-19 pandemic due to social distancing and work-related restrictions. One of the main challenges for physicians and health systems alike has been the management of PAD patients. COVID-19 predisposes to coagulation disorders that can lead to severe thrombotic events. Home-based walking exercises are more accessible and easier to accept than supervised exercise programs. Cycling or other forms of exercise are more entertaining or challenging alternatives to exercise therapy. Besides treadmill exercises, upper- and lower-extremity ergometry also has great functional benefits, especially regarding walking endurance. Supervised exercise therapy has a positive impact on both functional capacity and also on the quality of life of such patients. The most effective manner to acquire this seems to be by combining revascularization therapy and supervised exercise. Rehabilitation programs proved to be a mandatory part of the integrative approach in these cases, increasing quality of life, and decreasing stress levels, depression, and anxiety.

REFERRAL TO OUT-PATIENT CARDIAC REHABILITATION PROGRAMS FOLLOWING CARDIAC SURGERY

1992 ◽  
Vol 12 (5) ◽  
pp. 347
Author(s):  
Deborah J. Aaron ◽  
Jacqueline K. Gardner ◽  
Jane A. Cauley ◽  
Linda K. Hall
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Programs

scholarly journals Readiness of cardiosurgical patients for digital rehabilitation programs

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
S Pomeshkina ◽  
T N Zvereva ◽  
E V Krupyanko ◽  
E E Pomeshkina ◽  
O L Barbarash
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Heart Valves ◽  
Artery Bypass ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Rehabilitation Programs ◽  
Funding Sources ◽  
Home Training

Abstract Introduction To date, the methods of remote rehabilitation using the mobile applications for smartphones are increasingly introduced for a particular category of cardiac patients worldwide. Such programs are of a particular relevance due to a higher accessibility for a patient which is provided by the flexibility of the patients' home training schedule and the possibility of constant communication with a cardiologist and rehabilitation therapist. Purpose To study the readiness of the patients to participate in the remote digital cardiac rehabilitation program. Methods 265 patients (180 (68%) men and 85 (32%) women) undergone a cardiac surgery and staying at the cardiac surgery department were examined. The mean age of the patients was 67±11.9 years. 157 (59%) patients undergone coronary artery bypass grafting (CABG), 73 (34%) patients – heart valves surgery, 13 (5%) patients – simultaneous CABG and heart valves surgery and 5 (2%) – hybrid CABG with carotid endarterectomy. Prior to the discharge from the first inpatient rehabilitation stage (10–12 days after cardiac surgery), all the patients underwent a survey. The survey was conducted using a designed questionnaire including 5 questions, the answers to which determined the patients' awareness of the necessity and the structure of postoperative remote rehabilitation using the digital technologies, as well as the willingness and the possibility to participate in these programs. Results Analyzing the results obtained from the survey it turned out that the majority of patients (258 (97%)) believe that they need cardiac rehabilitation. However, only 86 (32%) patients answered positively to the question about their readiness to participate in remote digital rehabilitation programs. When analyzing the reasons for such a low readiness of patients to participate in remote programs it turned out that 98 (37%) patients didn't have smartphones. 10 (4%) patients despite the presence of a smartphone, refused to participate referring to their inability to use considering themselves incapable of learning it. 71 (27%) patients simply refused claiming that they don't understand the necessity for remote cardiac rehabilitation. Conclusions Thus, only a small number of the patients (32%) are ready to participate in remote digital programs of cardiac rehabilitation. A considerable amount of the patients (37%) can't afford to participate in a remote rehabilitation program only due to the absence of the smartphone and 27% of the patients are not ready to participate in a remote cardiac rehabilitation program not understanding the importance of distance cardiac rehabilitation for them. Funding Acknowledgement Type of funding sources: None.

scholarly journals Elderly patient-centered rehabilitation after cardiac surgery

2016 ◽  
Vol 68 (1) ◽  
Author(s):  
Antonio Mazza ◽  
Federica Camera ◽  
Antonella Maestri ◽  
Francesco Longoni ◽  
Anna Patrignani ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Functional Status ◽  
The Elderly ◽  
Medium Term ◽  
Patient Centered ◽  
Rehabilitation Unit ◽  
Rehabilitation Programs ◽  
Post Surgery

The rate of over-70 year post-surgery patients referred to the Cardiac Rehabilitation Units is increasing. Strategies designed to encourage and facilitate participation in rehabilitation programs in the elderly should be developed. Aim of this paper is to present our elderly-centered program, specifically designed on patient’s needs and frailty, and its short- and medium-term results in 160 consecutive over-70 year patients, admitted in our Cardiac Rehabilitation Unit soon after cardiac surgery. The program was safe, well accepted by the patients, and effective in improving objective and subjective functional status.

scholarly journals Aerobic exercises are safe and effective in early rehabilitation following cardiac surgery

2020 ◽  
Vol 9 (3) ◽  
pp. 30-39
Author(s):  
I. N. Taran ◽  
S. A. Pomeshkina ◽  
Yu. A. Argunova ◽  
O. L. Barbarash
Keyword(s):  
Physical Activity ◽  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Early Mobilization ◽  
Early Rehabilitation ◽  
Optimal Time ◽  
Efficacy And Safety ◽  
Core Component ◽  
The Core ◽  
Rehabilitation Programs

This review summarizes the core principles of immediate and early rehabilitation with aerobic exercises of various intensity in patients following cardiac surgery.One of the main principles of cardiac rehabilitation is early mobilization of patients after cardiac surgery with the subsequent expansion of physical activity modes. The optimal time for commencing early rehabilitation and its intensity in patients who have undergone cardiac surgery remain controversial. In addition, cardiac rehabilitation programs for elderly patients and those with severe with comorbidities have not been studied yet. This review presents the results of the recent meta-analyzes and studies, focusing on the efficacy and safety of immediate and early aerobic exercise as a core component of rehabilitation in different cohorts of patients, who have undergone cardiac surgery.

scholarly journals Readiness of cardiosurgical patients for digital rehabilitation programs

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
S Pomeshkina ◽  
T N Zvereva ◽  
E V Krupyanko ◽  
E E Pomeshkina ◽  
O L Barbarash
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Heart Valves ◽  
Artery Bypass ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Rehabilitation Programs ◽  
Funding Sources ◽  
Home Training

Abstract Introduction To date, the methods of remote rehabilitation using the mobile applications for smartphones are increasingly introduced for a particular category of cardiac patients worldwide. Such programs are of a particular relevance due to a higher accessibility for a patient which is provided by the flexibility of the patients' home training schedule and the possibility of constant communication with a cardiologist and rehabilitation therapist. Purpose To study the readiness of the patients to participate in the remote digital cardiac rehabilitation program. Methods 265 patients (180 (68%) men and 85 (32%) women) undergone a cardiac surgery and staying at the cardiac surgery department were examined. The mean age of the patients was 67±11.9 years. 157 (59%) patients undergone coronary artery bypass grafting (CABG), 73 (34%) patients – heart valves surgery, 13 (5%) patients – simultaneous CABG and heart valves surgery and 5 (2%) – hybrid CABG with carotid endarterectomy. Prior to the discharge from the first inpatient rehabilitation stage (10–12 days after cardiac surgery), all the patients underwent a survey. The survey was conducted using a designed questionnaire including 5 questions, the answers to which determined the patients' awareness of the necessity and the structure of postoperative remote rehabilitation using the digital technologies, as well as the willingness and the possibility to participate in these programs. Results Analyzing the results obtained from the survey it turned out that the majority of patients (258 (97%)) believe that they need cardiac rehabilitation. However, only 86 (32%) patients answered positively to the question about their readiness to participate in remote digital rehabilitation programs. When analyzing the reasons for such a low readiness of patients to participate in remote programs it turned out that 98 (37%) patients didn't have smartphones. 10 (4%) patients despite the presence of a smartphone, refused to participate referring to their inability to use considering themselves incapable of learning it. 71 (27%) patients simply refused claiming that they don't understand the necessity for remote cardiac rehabilitation. Conclusions Thus, only a small number of the patients (32%) are ready to participate in remote digital programs of cardiac rehabilitation. A considerable amount of the patients (37%) can't afford to participate in a remote rehabilitation program only due to the absence of the smartphone and 27% of the patients are not ready to participate in a remote cardiac rehabilitation program not understanding the importance of distance cardiac rehabilitation for them. FUNDunding Acknowledgement Type of funding sources: None.

Hiring Practices of Exercise Physiologist in Cardiac Rehabilitation Programs among Mid-Atlantic States in the United States

2016 ◽  
Vol 5 (3) ◽  
pp. 32-36 ◽  
Author(s):  
Allison Hope Bowersock ◽  
William Alexander Breeding ◽  
Carmel Alexander Sheppard
Keyword(s):  
United States ◽  
Patient Education ◽  
Cardiac Rehabilitation ◽  
Science Curriculum ◽  
Exercise Physiology ◽  
Clinical Skill ◽  
The United States ◽  
Hiring Practices ◽  
Clinical Settings ◽  
Rehabilitation Programs

Purpose: The purpose of this survey was to identify factors that may be influencing the appreciation of exercise physiology as a discipline as demonstrated by hiring practices in regional clinical settings. Methods: A telephone survey was administered to 33 cardiac rehabilitation programs in 5 states in the Mid-Atlantic region of the United States (Kentucky, North Carolina, Tennessee, Virginia, and West Virginia). Results: The distribution of nurses and exercise physiologists (EPs) employed by the 33 facilities varied by state, but overall there were 86 nurses and 55 EPs working among the surveyed facilities. Of the 33 surveyed facilities, 12 (36%) reported a preference for hiring nurses over EPs; only 4 (12%) reported a preference for hiring EPs over nurses. The remaining facilities (n = 17; 52%) reported no preference (n = 12; 36%) or that the decision depends on a variety of factors (n = 5; 15%). Several common themes were identified from respondents. These included that, compared to nurses, EPs have greater expertise in exercise prescription and better understanding of safe exercise progression for patients. However, nurses were believed to possess greater assessment and clinical skill with an emphasis on emergency response preparedness and greater general patient education skills. Conclusion: Academic programs that prepare students for careers as EPs employed in clinical settings may benefit from additional coursework and internship site selection that focus on clinical assessment skills, emergency preparedness, and patient education to reinforce their work in an exercise science curriculum.

P2513Offer and participation in different European cardiac rehabilitation programs in the elderly after ACS or coronary revascularization. The EU-CaRE study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
C Pena-Gil ◽  
G Prada-Ramallal ◽  
V Gonzalez-Salvado ◽  
M Sestayo-Fernandez ◽  
O Lado-Baleato ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cardiac Rehabilitation ◽  
Smoking Status ◽  
Coronary Revascularization ◽  
Travel Distance ◽  
Living Alone ◽  
Coronary Syndrome ◽  
Rehabilitation Programs ◽  
Care Study ◽  
The Eu

Abstract Background Cardiac rehabilitation programs (CRP) are strongly recommended after acute coronary syndrome (ACS) or coronary revascularization (PCI or CABG), but actual offer and participation among elderly patients (age ≥65) have not been well characterised. Purpose To analyse current offer and participation rates in different European CRP in elderly patients. Methods Data from elderly patients recruited for CRP, after ACS, PCI or CABG, in centres from seven European countries participating in the EU-CaRE study (NTR5306), were analysed. Results 3471 patients were screened, of whom 80.9% (n=2806) were offered participation and 68.0% of these (n=1908) agreed to participate in a CRP. Outpatient CRP were offered to 73–92% of screened patients. Among reasons for not offering the program were contraindications and geographical conditions. Patients who were not offered were mainly older, with worse cardiovascular risk profile and comorbidities. In the multivariable analysis main variables related with offering in Copenhagen were age (OR=0.92, CI95% 0.87–0.98), gender (male, OR=2.42, CI95% 1.10–5.31) and previous CABG (OR=0.12, CI95% 0.04–0.36). In Bern, age (OR=0.89, CI95% 0.85–0.93), ACS (OR=1.85, CI95% 1.01–3.54) and smoking status (OR=0.47, CI95% 0.24–0.93). In Zwolle, age (OR=0.89, CI95% 0.91–0.97), CABG (OR=4.34, CI95% 1.37->10), smoking status (OR=0.23, CI95% 0.06–1.11), diabetes mellitus (OR=0.33, CI95% 0.13–0.91) and comorbidities (i.e. obstructive pulmonary disease). In Santiago, age (OR=0.83, CI95% 0.73–0.91), index event PCI (OR=14.21, CI95% 3.68->10) and rheumatoid arthritis. The ratio of participation among those who were offered the program varied from 46% to 94% (46% to 67% in outpatients' programs). Main reasons for not participating were patients considered that it was not useful (366, 10.5%), travel distance (205, 5.8%), transport difficulties (134, 3.8%) and exercises on own initiative (70, 2.0%). In a center-specific analysis we performed predictive models of participation. In Copenhagen (AUC=0.69) the main variables predicting participation were age (OR=0.99, CI95% 0.96–1.03), not living alone (OR=1.53, CI95% 0.96–2.42), CABG (OR=2.69, CI95% 1.51–4.80) and comorbidities. In Bern (AUC=0.81), age (OR=0.92, CI95% 0.89–0.95), ACS (OR=3.99, CI95% 2.56–6.20) and peripheral artery disease. In Zwolle (AUC=0.71), age (OR=0.94, CI95% 0.91–0.98), employment status (OR=0.28, CI95% 0.13–0.60), CABG (OR=3.62, CI95% 2.28–5.77) and previous ACS (OR=0.58, CI95% 0.35–0.95). In Santiago (AUC=0.85), age (OR=0.95, CI95% 0.90–0.99), rural habitat (OR=0.58, CI95% 0.32–1.04), valvulopathy (OR=0.33, CI95% 0.14–0.79) and the index intervention PCI. Conclusions Knowing reasons (travel distance, usefulness of the program understood by patient) and variables (age, living alone or in rural area) that determine if CRP is offered and whether or not patients participate will help redesign CRP to better adapt to actual needs of an elderly European population. Acknowledgement/Funding This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement number 634439

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