Physiotherapy and Rehabilitation Management in Adult LVAD Patients

Compostella, Leonida; Polastri, Massimiliano; Lamotte, Michel; Bellotto, Fabio; Antoine, Martine

doi:10.1007/978-3-319-43383-7_40

Cited by 6 publications

(3 citation statements)

References 101 publications

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“…Following ICU discharge, patients are usually subjected to motor recovery activities continuing respiratory therapy, as needed. In a more advanced phase of the postoperative timeframe, patients complete motor recovery and physical reconditioning, and starting self-administered exercise and becoming more socially active [5]. Significant complications of rehabilitative interest are primarily represented by stroke and respiratory failure [7].…”

Section: Postoperative Outcomes Following Rehabilitation In Patients With Left Ventricular Assist Devicesmentioning

confidence: 99%

“…Patients with LVAD can return to their daily activities after surgery [4]. Typically, postoperative rehabilitation in patients with LVAD can be divided into several steps from the acute phase to hospital discharge [5]. The physiotherapeutic treatment takes place at every stage during the postoperative recovery commencing in the intensive care unit (ICU), as soon as the patient is awake [6].…”

Section: Introductionmentioning

confidence: 99%

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Postoperative outcomes following rehabilitation in patients with left ventricular assist devices

Polastri¹,

Boschi²,

Brillanti

et al. 2020

Monaldi Arch Chest Dis

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Postoperative rehabilitation is a cornerstone of the recovery pathway following left ventricular assist device implantation (LVAD), and patients are expected to conduct an autonomous life thanks to improved technology and increased knowledge of mechanical circulatory support. The primary purpose of the present study was to quantify clinical changes related to rehabilitation, in patients with LVAD: functional capacity, disability, and quality of life were identified as reliable outcomes to detect such changes. The current study was a scoping review conducted searching three primary databases, namely PubMed, Scopus, and Cochrane Library, from their inception until January 2020. After the selection process was completed, 12 citations were included in the present study. Three hundred eight three patients were included in the current analysis. Functional capacity, disability, and quality of life were investigated in 157, 215, 18 patients, respectively. Significant differences were found before and after rehabilitation. The mean walked distance at 6-Minute Walk Test improved from 319±96 to 412.8±86.2 metres (p<0.001), the mean score of the Functional Independence Measure from 68.4±11.8 to 92.5±10.8 points (p<0.001), the mean score of the Short Form-36 physical component from 32.7±29.9 to 55.5±24.7 points (p=0.009) and the mental component from 55.8±19.8 to 75.4±21.4 points (p=0.002). Postoperative rehabilitation is effective at improving functional capacity, disability, and quality of life in patients with left ventricular assist device; all these three domains are particularly expressive of the entity of patients’ functional recovery.

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Section: Postoperative Outcomes Following Rehabilitation In Patients With Left Ventricular Assist Devicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postoperative outcomes following rehabilitation in patients with left ventricular assist devices

Polastri¹,

Boschi²,

Brillanti

et al. 2020

Monaldi Arch Chest Dis

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“…Of note, arrhythmias may appear during EM and ET: ventricular arrhythmias are frequent in VAD supported patients, 62 due to a variety of causes. 63,64 Sometimes, ventricular arrhythmias persist over time: arrhythmias do not seem to be a major concern in recipients, since they provide mostly only modest haemodynamic deterioration, but they should be carefully evaluated for, if sustained, they might cause device dysfunction, through a detrimental effect on the right ventricle, and they might 40,49,51,58,59,65 as summarised in Table 6. of blood pressure before and after exercise is useful, as an excessive rise in blood pressure may induce adverse events, including cerebral haemorrhage, stroke and pump thrombosis.…”

Section: When To Stop Exercisementioning

confidence: 99%

Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

Adamopoulos

Corrà

Laoutaris

et al. 2018

European J of Heart Fail

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Exercise training (ET) and secondary prevention measures in cardiovascular disease aim to stimulate early physical activity and to facilitate recovery and improve health behaviours. ET has also been proposed for heart failure patients with a ventricular assist device (VAD), to help recovery in the patient's functional capacity. However, the existing evidence in support of ET in these patients remains limited. After a review of current knowledge on the causes of the persistence of limitation in exercise capacity in VAD recipients, and concerning the benefit of ET in VAD patients, the Heart Failure Association of the European Society of Cardiology has developed the present document to provide practical advice on implementing ET. This includes appropriate screening to avoid complications and then starting with early mobilisation, ET prescription is individualised to meet the patient's needs. Finally, gaps in our knowledge are discussed.

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Heart failure syndrome and left ventricular assist devices: considering physiotherapeutic evaluation tools

Polastri¹,

Loforte²

2020

International Journal of Therapy and Rehabilitation

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Physiotherapy and Rehabilitation Management in Adult LVAD Patients

Cited by 6 publications

References 101 publications

Postoperative outcomes following rehabilitation in patients with left ventricular assist devices

Postoperative outcomes following rehabilitation in patients with left ventricular assist devices

Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

Heart failure syndrome and left ventricular assist devices: considering physiotherapeutic evaluation tools

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