Examination of Cardiac Rehabilitation Participants Referred to a Musculoskeletal Clinic

Khan, Mohammed; Neuhof, Aliza; Tsai, Sarina; Powell, Sara M.; Silaj, Ellen; MacNeill, Heather; Oh, Paul; Cott, Cheryl

doi:10.1097/hcr.0000000000000040

Cited by 3 publications

(6 citation statements)

References 13 publications

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“…Another reason our findings are important is because they reinforce previous reports that have found a high prevalence and accelerated increase of incidence ( 22 ) of comorbidities (two or more chronic health conditions) in individuals with cardiovascular disease (CVD), particularly with regards to the co-existence of musculoskeletal conditions ( 8 , 9 ). This may be secondary to shared risk factors for both MSLs and CVD, such as obesity and aging of the population ( 23 – 25 ).…”

Section: Discussionsupporting

confidence: 87%

“…While we did not find MSLs to be a barrier to CR enrollment, we did find that MSLs are associated with lower attendance at CR sessions. Furthermore, MSLs have been previously reported to occur during CR or may be exacerbated during CR ( 9 , 15 ), which might help explain why MSLs are associated with lower attendance at CR sessions. Close collaboration between CR and physical medicine and rehabilitation professionals appears to be warranted for patients with MSLs who participate in CR.…”

Section: Discussionmentioning

confidence: 99%

“…Musculoskeletal limitations (MSLs) are common in the general population and particularly prevalent in patients with coronary artery disease (8,9). They are a major source of disability, immobility and dependence (10)(11)(12)(13)), yet little is known about their potential impact on CR participation.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Musculoskeletal Limitations on Cardiac Rehabilitation Participation

Supervía

Medina‐Inojosa

Perez‐Terzic

et al. 2021

Front. Cardiovasc. Med.

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Background: To help clarify a potential barrier to cardiac rehabilitation (CR) participation we sought to examine the association between musculoskeletal limitations (MSLs) and CR enrollment and participation.Methods: Consecutive CR eligible individuals hospitalized for a cardiac event (myocardial infarction, percutaneous coronary intervention, and/or coronary artery bypass graft) between the months of November 2007 and May 2008, were asked to complete a mailed survey within 2 weeks after hospital discharge, assessing demographic factors, Patient Health Questionnaire (PHQ-9), participation in CR and MSLs through a validated MSLs screening tool. CR enrollment rates were compared between patients with and without MSLs.Results: Three hundred and twenty-one (37%) of patients contacted responded to our survey, including 228 males (71%), with a mean age 68 ± 10.8 years, of whom 98% were Caucasian. Eighty-two percent of responders reported a musculoskeletal disorder at the time of hospital discharge. Arthritis was the most frequent diagnosis (45%). Muscle or joint pain sufficient to limit the ability to do moderate exercise was reported in 52% of the respondents. Problems with balance affected 37%, of whom 45% reported a fall within the previous year. No significant difference in CR enrollment was observed in respondents with and without MSLs [OR = 0.98, 95% CI (0.88–1.09), p = 0.750]. Similar results were found when severity and number of MSLs were taken into account. However, we found that when compared to those without MSLs, the presence of MSLs was associated with lower CR participation (OR = 0.80, 95%, CI: 0.65–0.97, p = 0.0252).Conclusion: Despite a high prevalence of MSLs among CR-eligible patients, we found no association between MSLs and CR enrollment. However, patients with MSLs attended significantly fewer CR sessions as compared to patients without them. CR programs should consider providing additional support and interventions to patients with MSLs in order to optimize their adherence to prescribed CR sessions.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Impact of Musculoskeletal Limitations on Cardiac Rehabilitation Participation

Supervía

Medina‐Inojosa

Perez‐Terzic

et al. 2021

Front. Cardiovasc. Med.

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“…Caracterização da amostra. Os poucos estudos encontrados que avaliaram os distúrbios musculoesqueléticos em participantes de programas de RCPM, utilizaram em sua maioria escalas unidimensionais (avaliando a presença de dor e intensidade) e questionários inespecíficos associados a instrumentos semi-estruturados [8][9][10] . Carvalho et al 11 , desenvolveram o primeiro instrumento específico para participantes de RCPM denominado inventário de avaliação do sistema locomotor (IASL).…”

Section: Clarezaunclassified

“…A reabilitação cardiopulmonar e metabólica (RCPM), com ênfase no exercício físico, tem sido utilizada como tratamento eficaz para DCV 6 porém, se os indivíduos submetidos a esta modalidade de tratamento apresentarem sintomatologia álgica esses benefícios podem não ser alcançados. Alguns estudos avaliaram a prevalência da dor em pacientes com doenças cardiovasculares [7][8][9][10] , ou em participantes de programas de RCPM 11 , no entanto, a literatura é escassa em relação ao impacto da dor durante a prática do exercício físico 12,13 . A dor pode ser fator limitante tanto para atividades de vida diária como para prática de exercício físico 14,15 e deve ser vista como um fenômeno multidimensional que envolve aspectos fisiológicos, sensoriais, afetivos, cognitivos, comportamentais e socioculturais, sendo que, devido à variedade de domínios que compreende esta experiência, a sua mensuração se torna ampla e complexa 14,15 .…”

Section: Introductionunclassified

Questionário Para Avaliação Da Dor Musculoesquelética Em Praticantes De Exercício (Q-Adom)

Lima

Sties

Gonzáles

et al. 2016

Rev Bras Med Esporte

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Rev Bras Med Esporte -Vol. 22, N o 5 -Set/Out, 2016 RESUMOIntrodução: As doenças cardiovasculares têm sido associadas à presença de desordens musculoesqueléticas. A dor presente nessas comorbidades pode constituir fator limitante para prática de exercício. No entanto, não foram encontrados instrumentos que proporcionem mensuração mais criteriosa e com informações precisas, que possam ser facilmente utilizados na prática clínica. Neste sentido, torna-se relevante a construção e validação de um instrumento mais específico para obtenção de informações detalhadas sobre a presença e gravidade desses sintomas e sua interferência nos aspectos funcionais, custos e fatores psicossociais, em diferentes momentos, resultando em uma avaliação mais precisa. Com isso, profissionais da equipe multidisciplinar envolvidos nos programas de reabilitação cardiopulmonar e metabólica (RCPM) podem utilizá-lo na prática clínica e abrir mão de estratégias especificamente direcionadas a essas afecções. Objetivo: Construir e validar um instrumento para avaliação da dor musculoesquelética em repouso e durante o exercício em participantes de RCPM. Métodos: Foram realizados procedimentos teóricos, empíricos e analíticos. A análise de concordância entre avaliadores (juízes) foi verificada pelo teste W de Kendall, a consistência interna dos itens, por meio do alfa de Cronbach e a reprodutibilidade e estabilidade de medidas, por meio do teste e reteste (coeficiente de correlação intraclasse -CCI e coeficiente de Kappa). Resultados: A concordância entre avaliadores foi significativa (p = 0,001) e a consistência interna apresentou valores satisfatórios (alfa de Cronbach > 0,82). O teste-reteste sinalizou boa reprodutibilidade e estabilidade de medidas (CCI < 0,40 e Kappa < 0,60). Conclusão: O questionário para avaliação da dor musculoesquelética em praticantes de exercício (Q-ADOM) mostrou-se válido, reprodutível e confiável para ser utilizado na avaliação da dor musculoesquelética de participantes de RCPM. Descritores

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Quantifying the Occurrence of Shoulder Pain after Cardiac Surgery in a Cardiac Rehabilitation Population

Gordon

MacNeill

et al. 2020

Physiotherapy Canada

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Purpose: The aim of this study was to identify the occurrence of shoulder pain after cardiac surgery among cardiac rehabilitation participants (CRPs) and its interaction with cardiac rehabilitation (CR). Method: This was a cross-sectional questionnaire-based study of open-heart surgery patients conducted at the midpoint of a 6-month CR programme. We measured the proportion of patients experiencing shoulder pain, onset, location, impact on rehabilitation, and pain and disability using the Shoulder Pain and Disability Index. Results: Of 70 (76% men) CRPs, 47% (33) reported shoulder pain post-surgery, with most (91%; 29 of 32) remaining symptomatic at the time of questionnaire completion, 14.6 (SD 37.9) months post-surgery. Disability and pain scores were 4.2 (SD 2.8) and 5.7 (SD 2.5), respectively (maximum score 10). Of people with shoulder pain participating in resistance training (RT; 19), 8 (42%) reported it was beneficial for shoulder pain; 7 (37%), no effect or unknown; and 4 (21%), some aggravation. Modifications to RT by programme staff were reported by 47% (8) of participants. Of those with shoulder pain, 10 (31%) reported some benefit; 20 (63%), no effect or unknown; and 2 (6%), aggravation from aerobic training. Conclusions: Almost half of the CRPs who had undergone open-heart surgery reported moderately severe and disabling shoulder pain that persisted for at least 14.6 (SD 37.9) months. Almost half the RT participants were prescribed exercise modifications with few negative effects. Shoulder pain is a significant issue after surgery, and appropriate screening is recommended for safe CR participation.

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Examination of Cardiac Rehabilitation Participants Referred to a Musculoskeletal Clinic

Abstract: A musculoskeletal clinic within a cardiac rehabilitation program could allow for musculoskeletal conditions to be addressed in an effective manner and potentially minimize their negative impact on cardiac rehabilitation participation and outcomes.

Cited by 3 publications

References 13 publications

Impact of Musculoskeletal Limitations on Cardiac Rehabilitation Participation

Impact of Musculoskeletal Limitations on Cardiac Rehabilitation Participation

Questionário Para Avaliação Da Dor Musculoesquelética Em Praticantes De Exercício (Q-Adom)

Quantifying the Occurrence of Shoulder Pain after Cardiac Surgery in a Cardiac Rehabilitation Population

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