The impact of additional resistance and balance training in exercise-based cardiac rehabilitation in older patients after valve surgery or intervention: randomized control trial

Tamulevičiūtė-Prascienė, Egle; Beigienė, Aurelija; Thompson, Mark; Balnė, Kristina; Kubilius, Raimondas; Bjarnason-Wehrens, Birna

doi:10.1186/s12877-020-01964-3

Cited by 23 publications

(29 citation statements)

References 39 publications

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“…8 Overseas studies have shown that cardiac rehabilitation can reduce the all-cause mortality rate after myocardial infarction by 8-37% and the cardiovascular mortality rate by 7%-38%, which is an important factor in determining treatment and the patient's quality of life. [9][10][11][12] A randomized controlled study in China confirmed the feasibility of cardiac rehabilitation through aerobic exercise in patients with coronary heart disease. 13 Hence, increasing attention has been paid to cardiac rehabilitation after coronary heart disease intervention.…”

Section: Introductionmentioning

confidence: 99%

Eight Trigrams Boxing Combined with Wenyang Huoxue Recipe Improves Cardiopulmonary Motor Function and the Quality of Life of Patients with Coronary Heart Disease

Hu¹,

Zhou²,

Weng³

2021

IJGM

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Section: Introductionmentioning

confidence: 99%

Eight Trigrams Boxing Combined with Wenyang Huoxue Recipe Improves Cardiopulmonary Motor Function and the Quality of Life of Patients with Coronary Heart Disease

Hu¹,

Zhou²,

Weng³

2021

IJGM

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“…23) Similarly, Tamulevičiūtė-Prascienė, et al examined the effect of resistance and balance training (3 days per week) in patients who underwent valve replacement surgery and found that this intervention improved functional and exercise capacity, physical performance, and muscular strength, and reduced physical frailty levels in the short and medium terms. 24) These study results may imply that functional exercise training, in addition to conventional aerobic exercise and machine resistance training, is important to overcome physical frailty in older patients with heart disease.…”

Section: Functional Exercise Trainingmentioning

confidence: 80%

Multidomain Frailty as a Therapeutic Target in Elderly Patients with Heart Failure

et al. 2022

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Heart failure and frailty share aging as a strong risk factor. The prevalence of frailty has been shown to be particularly high in elderly patients with heart failure. Moreover, it is important not to confine frailty to physical aspects. Rather, it should be considered to consist of multiple domains, including physical disability, psychiatric disorders, cognitive impairment, depression, and social disconnection. Development of interventions that can improve frailty domains are not well established, although observational studies have evaluated the association of various frailty domains and their prognostic impact. Some interventions, including resistance exercise, functional exercise, and respiratory muscle training have been demonstrated to hold potential for improving physical frailty. In terms of cognitive dysfunction, previous studies have demonstrated that exercise therapy is also effective for cognitive dysfunction. The social domain of frailty is one of the least investigated domains, particularly in patients with heart failure. However, heart failure is also strongly associated with physical frailty and cognitive impairment and has a poor prognosis in old patients. The prevalence of social frailty in elderly patients who need hospitalization due to heart failure is higher than previously thought. Very few studies have tested interventions targeting social frailty. Frailty and heart failure affect each other, and both are becoming increasingly important in society. In this article, we review the physical, cognitive, and social domains of frailty and the possible interventions to improve them in patients with heart failure.

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“…Results from a large cohort study show participation in ebCR to be associated with decreased 1-year cumulative hospitalization, and mortality risk, after valve surgery [ 90 ]. As a result of exercise training (mainly aerobic endurance training), improvements in physical performance, exercise capacity, mobility, and muscular strength have been reported [ 91 , 92 , 93 , 94 , 95 , 96 ].…”

Section: Results and Evidence-based Recommendations For Contents And Application Of Ebcrmentioning

confidence: 99%

Cardiac Rehabilitation in German Speaking Countries of Europe—Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH—Part 2

Schwaab

Bjarnason-Wehrens

Meng

et al. 2021

JCM

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Background: Scientific guidelines have been developed to update and harmonize exercise based cardiac rehabilitation (ebCR) in German speaking countries. Key recommendations for ebCR indications have recently been published in part 1 of this journal. The present part 2 updates the evidence with respect to contents and delivery of ebCR in clinical practice, focusing on exercise training (ET), psychological interventions (PI), patient education (PE). In addition, special patients’ groups and new developments, such as telemedical (Tele) or home-based ebCR, are discussed as well. Methods: Generation of evidence and search of literature have been described in part 1. Results: Well documented evidence confirms the prognostic significance of ET in patients with coronary artery disease. Positive clinical effects of ET are described in patients with congestive heart failure, heart valve surgery or intervention, adults with congenital heart disease, and peripheral arterial disease. Specific recommendations for risk stratification and adequate exercise prescription for continuous-, interval-, and strength training are given in detail. PI when added to ebCR did not show significant positive effects in general. There was a positive trend towards reduction in depressive symptoms for “distress management” and “lifestyle changes”. PE is able to increase patients’ knowledge and motivation, as well as behavior changes, regarding physical activity, dietary habits, and smoking cessation. The evidence for distinct ebCR programs in special patients’ groups is less clear. Studies on Tele-CR predominantly included low-risk patients. Hence, it is questionable, whether clinical results derived from studies in conventional ebCR may be transferred to Tele-CR. Conclusions: ET is the cornerstone of ebCR. Additional PI should be included, adjusted to the needs of the individual patient. PE is able to promote patients self-management, empowerment, and motivation. Diversity-sensitive structures should be established to interact with the needs of special patient groups and gender issues. Tele-CR should be further investigated as a valuable tool to implement ebCR more widely and effectively.

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The impact of additional resistance and balance training in exercise-based cardiac rehabilitation in older patients after valve surgery or intervention: randomized control trial

Cited by 23 publications

References 39 publications

Eight Trigrams Boxing Combined with Wenyang Huoxue Recipe Improves Cardiopulmonary Motor Function and the Quality of Life of Patients with Coronary Heart Disease

Eight Trigrams Boxing Combined with Wenyang Huoxue Recipe Improves Cardiopulmonary Motor Function and the Quality of Life of Patients with Coronary Heart Disease

Multidomain Frailty as a Therapeutic Target in Elderly Patients with Heart Failure

Cardiac Rehabilitation in German Speaking Countries of Europe—Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH—Part 2

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