scholarly journals Comparison between the 6-minute walking test (6MWT) and gait speed (GS) during outpatient cardiac rehabilitation

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
D Rossini ◽  
E Venturini ◽  
L Barni ◽  
O Dardi ◽  
E Bonaguidi ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Pearson Correlation ◽  
Statistical Significance ◽  
Rehabilitation Program ◽  
Outpatient Rehabilitation ◽  
Functional Evaluation ◽  
Paired Data ◽  
Funding Sources ◽  
Cardiac Syndrome ◽  
Student’S T

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): USL TOSCANA CENTRO USL TOSCANA NORD-OVEST Background 6MWT is the gold standard for the functional and prognostic evaluation of patients (P) undergoing cardiac rehabilitation (CR), documenting the increase in exercise capacity induced by CR intervention. However, 6MWT requires an adequate space of at least 30 meters and a non-negligible operator time. GS has been proposed as a test of rapid execution, that can be performed even in a small space. Due to the limited experiences, the aim of the present study was to validate GS in CR in comparison with 6MWT. Material and Methods 44 P (31 males and 13 females; age 68.2 ± 11.9 years) were enrolled consecutively in an outpatient rehabilitation program; 20 of them after cardiac surgery, 18 after acute cardiac syndrome and 6 with heart failure. After evaluating equilibrium and gait with the Tinetti scale (score ≥ 19), P performed 6MWT and GS at the beginning and at the end of the CR program. The speed at GS was calculated as the average of 3 tests. Data were expressed as mean ± SD. The results of 6MWT and GS at the initial and the final evaluation were compared with Student’s t-test for paired data (statistical significance at p <0.05). The Pearson correlation index (r) was calculated to evaluate the linearity relationship between distance traveled at 6MWT and velocity at GS; the  statistical significance was tested with ANOVA. The Statistical Package SPSS (version 24) was used for statistical analysis. Results the meters traveled at the initial and the final 6MWT were 434 ± 100 and 491 ± 96 respectively (p <0.001). The velocity in m/sec at the initial and the final GS was 1.68 ± 0.42 and 1.80 ± 0.44 respectively (p <0.001). The correlation between meters traveled and velocity is strong at baseline (r = 0.896) and after CR (r = 0.859), with p <0.001 in both cases. Conclusions certainly, aerobic capacity and resistance to exercise are better described by 6MWT. However, given the strong correlation between the distance traveled at 6MWT and the speed at GS, the latter test can be proposed as a tool for a rapid, precise and repeatable functional evaluation, even in clinical settings other than CR.

Scientific Substantiation of the Innovative Model of Catering for Cadet Corps Students

2020 ◽  
pp. 31-35
Author(s):  
Novikova ◽  
SP Romanenko ◽  
MA Lobkis
Keyword(s):  
Correlation Coefficient ◽  
School Environment ◽  
Developmental Disorders ◽  
Pearson Correlation ◽  
Statistical Significance ◽  
Regression Analyses ◽  
Healthy Nutrition ◽  
Innovative Model ◽  
Scientific Substantiation ◽  
Student’S T

Introduction: In the Russian Federation, much attention is traditionally paid to military education and training. A special place in its structure is occupied by the system of cadet classes and corps. A distinctive feature of the learning mode in such institutions is a combined effect of standard and specific factors of indoor school environment and intensive physical activity owing to sports, applied military and drill training. No evidence-based methods of establishing nutrient requirements of children in modern conditions of cadet corps have been developed so far, which predetermines the potential of transforming nutrition from a health-saving factor into a health risk factor. Our objective was to provide a scientific substantiation of the model of healthy nutrition for students of cadet-type educational establishments. Methods: The statistical significance of the correlation was evaluated using the Student’s t-test. Correlation and regression analyses were used to assess cause-and-effect relationships. The Pearson correlation coefficient (rxy) was used as an indicator of the strength of the relationship between quantitative indicators x and y, both having a normal distribution. Correlation coefficient (rxy) values were interpreted in accordance with the Chaddock scale. For the purpose of statistical modeling, the method of multiple linear regressions was used. Conclusions: We substantiated the innovative model of organizing healthy nutrition for students of cadet-type schools based on the correlation and regression analyses with determination of statistical significance of the studied characteristics. Its efficiency indicators include an increase in average functional capabilities of students by more than 10 % and a reduction in the probability of developmental disorders by more than 25 %.

scholarly journals The impact of the cardiac rehabilitation program in patients with mid-range heart failure (40-50%) in improving cardio respiratory predictors

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
HR Rodrigues ◽  
V Ferreira ◽  
L Alves ◽  
D Sousa ◽  
J Pinto ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Cardiopulmonary Exercise Testing ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
St Segment Elevation ◽  
Funding Sources ◽  
Metabolic Equivalent Of Task ◽  
The Impact

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Centro Hospitalar Universitário Lisboa Central Methods We studied 30 patients (P) with ejection fraction (EF) 40-50%, in a number of 198 P that participated in cardiac rehabilitation program (CRP). Of these P, 24 (80%) male and 6 (20%) female, 20 P were diagnosed myocardial infarction with ST-segment elevation, 2 P myocardial infarction non ST and 8 P with myocardial hypertrophy non ischemic. Of these P 30% were diabetics, 56% hypertension, 70% dyslipidemia, 36% smokers previous to CRP and body mass index 26,3 medium. All P were submitted to previous echocardiogram, cardiopulmonary exercise testing (CET) and a rehabilitation program minimum 4 sessions and maximum 52 sessions. At the end of the total sessions the echocardiogram and CET were repeated. Results Of the 30 P that participated in CRP only 20 completed the program, while the other 10 P dropped out because of social and economic problems. Of the P that completed the CRP, 70% got better on EF, 80% improved VE/VCO2 slope < 33 therefore are classified VC-II in ventilatory classification (VC), 5% VE/VCO2 slope > 40  VC-III classification, and 15% maintained the initial classification.  50% of the P increased at least one level metabolic equivalent of task (MET) from the first CET. Only 3 of the 20 patients came, once, to the hospital after the CRP with heart failure, and one died but did not fulfill the program. Conclusion Patients with mid-range heart failure submitted to a CRP can improve cardiorespiratory predictors, leading to a better quality of life. However, it is important to find solutions to minimize the causes that make patients to give up CRP.

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 The Usefulness of Backward Walking Training in Cardiac Rehabilitation

2020 ◽  
Vol 2 (5) ◽  
Author(s):  
Jan Szczegielniak ◽  
Iwona Kulik-Parobczy ◽  
Katarzyna Bogacz ◽  
Jacek Luniewski
Keyword(s):  
Standard Model ◽  
Cardiac Rehabilitation ◽  
Statistical Significance ◽  
Bypass Graft ◽  
Rehabilitation Program ◽  
Early Rehabilitation ◽  
Wilcoxon Test ◽  
Control Group ◽  
Backward Walking ◽  
Group I

Physical training is a basic component of cardiological rehabilitation programs. If applied systematically and with appropriately adjusted workload, it results in increase in cardiological patients’ effort tolerance. The objective of this work was to evaluate the usefulness of backward walking training for cardiac rehabilitation program. The research included 90 patients (44 females, 46 males, mean age 69.8 ± 2.1) after myocardial infarction, coronary artery bypass graft (CABG) and percutaneous transluminal coronary angioplasty (PTCA), treated in MSWiA Hospital in Glucholazy. All patients qualified for model D early rehabilitation. The patients were randomly divided into three groups. Group I was a control group with standard model D early rehabilitation. Group II had additional backward walking training once a day apart from standard model D early rehabilitation program. Group III had additional forward walking training once a day apart from standard model D early rehabilitation program. Both before and after training sessions, patients had blood pressure and heart rate measured. Before rehabilitation program and after it was completed, all patients were given a 6-minute-walk test in compliance with current standards. The results of initial and final tests were subjected to statistical analysis with the use of Shapiro-Wilk test, quartile analysis, Wilcoxon test and Krusak-Wallis test. The level of statistical significance was established at p < 0.05. The research showed significant increase in effort tolerance in cardiological patients within all three groups. Effort tolerance increase was significantly higher after a 10-day rehabilitation program in the group where backward walking training was applied in comparison with the other two groups. Backward walking training might be a valuable support for a complex physiotherapy for cardiological patients.Keywords: backward walking, cardiac rehabilitation, physiotherapy.

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.

Psychosocial Outcomes Among Women Referred to Different Cardiac Rehabilitation Program Models

2015 ◽  
Author(s):  
Liz Midence ◽  
Susan Holtzman ◽  
Donna E. Stewart ◽  
Adrienne Kovacs ◽  
Sherry L. Grace
Keyword(s):  
Cardiac Rehabilitation ◽  
Psychosocial Outcomes ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program
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