Power walking based outpatient cardiac rehabilitation in patients with post‐coronary angioplasty: Randomized control trial

Abstract

Purpose The purpose of this trial was to compare the effectiveness of standardized outpatient cardiac rehabilitation combined with treadmill power walking versus standardized outpatient cardiac rehabilitation alone on health‐related quality of life (HQoL), functional exercise capacity (FEC), left ventricular ejection fraction (LVEF) and metabolic equivalent of tasks (METs) in patients who went post coronary angioplasty (CA). Further this study evaluated the association between average numbers of steps taken with above clinical outcomes. Methods In a pragmatic sequential randomized clinical trial, 24 patients were randomized into two groups (n = 12) and participated in a standardized outpatient cardiac rehabilitation program (SOCRP) with treadmill power walking as an intervention group and SOCRP alone in control group. Scores obtained before and after 4 weeks of intervention, that is, after 12 treatment sessions were assessed using a HQoL questionnaire and 6‐min walk test (6 MWT). Average number of steps taken throughout the 4 weeks, METs and LVEF values were obtained by pedometer, exercise stress testing and echocardiogram respectively. Results Significant improvements were found in intergroup and intragroup comparison after 4 weeks of cardiac rehabilitation (p < 0.05). Scores of 6 MWT and LVEF significantly improved in the intervention group (p < 0.003) compared to the control group (p < 0.032). HQoL components that is, global and physical, MET values and average number of steps were significantly higher in the intervention group compared to the control group (p < 0.001). Conclusion SOCRP with power walking was more effective in improving HQoL, FEC, LVEF, METs and average numbers of steps than SOCRP alone although both interventions were significant after 4 weeks in patients underwent CA and completed cardiac rehabilitation program. Positive significant associations were found between the average number of steps taken with scores of METs and scores of global and physical domains of HQoL.

Assessment of physical, psychological and social needs for patients after coronary angioplasty

“…The present study found that, less than one quarter of the studied patients' types of diabetes medication was insulin and more than two third of them didn't perform periodic blood glucose tests. This study agreed with Muthukrishnan, et al (2021), who revealed that one third of the studied patients' type of diabetes medication was insulin and one quarter of them didn't perform periodic blood glucose test. Contrariwise, this result was disagreed with Siddardha, et al, (2020), who found that, more than half of the patients after coronary angioplasty had diabetes, and more than half of them do not have regular blood sugar tests.…”

Effects of telecardiac rehabilitation on coronary heart disease: A PRISMA-compliant systematic review and meta-analysis

“…Currently, cardiac rehabilitation is performed in many countries worldwide, and various studies have demonstrated its effectiveness and safety. [4–6] However, several factors, such as lack of facilities, busy work life, transportation, lack of patient will, and lack of cardiac rehabilitation specialists, have prevented the implementation of the program. [7,8]…”

“…[3] Currently, cardiac rehabilitation is performed in many countries worldwide, and various studies have demonstrated its effectiveness and safety. [4][5][6] However, several factors, such as lack of facilities, busy work life, transportation, lack of patient will, and lack of cardiac rehabilitation specialists, have prevented the implementation of the program. [7,8] Some previous studies have reported that home-based cardiac rehabilitation programs can help overcome such obstacles for cardiac rehabilitation and have similar effects in lowering mortality, risk of mortality, risk of recurrent coronary events, and risk factors for coronary heart disease compared to center-based…”

Trials and tribulations of transparency related to inconsistencies between plan and conduct in peer‐reviewed physiotherapy publications: A methodology review

“…Of the 40 RCTs reviewed, 7 were available via open access. Most RCTs ( n = 34, 85.0%) were registered, 25 prospectively 43–67 and 9 retrospectively 68–76 . All RCT registrations were accessible for review.…”