scholarly journals Ability to work in anaerobic condition is associated with physical performance on the six-minute walk test in older patients receiving cardiac rehabilitation

2015 ◽  
Vol 47 (5) ◽  
pp. 472-477 ◽  
Author(s):  
G Pasquini ◽  
F Vannetti ◽  
R Molino-Lova
Keyword(s):  
Cardiac Rehabilitation ◽  
Physical Performance ◽  
Anaerobic Condition ◽  
Older Patients ◽  
Walk Test ◽  
Ability To Work ◽  
Six Minute Walk Test ◽  
Minute Walk

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

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Egle Tamulevičiūtė-Prascienė ◽  
Aurelija Beigienė ◽  
Mark James Thompson ◽  
Kristina Balnė ◽  
Raimondas Kubilius ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Physical Performance ◽  
Older Patients ◽  
Balance Training ◽  
Valve Surgery ◽  
Walk Test ◽  
Physical Frailty ◽  
Additional Resistance ◽  
The Impact

Abstract Background To evaluate the short- and mid-term effect of a specially tailored resistance and balance training provided in addition to usual cardiac rehabilitation (CR) care program in older patients after valve surgery/intervention. Methods Single-center (inpatient CR clinic in Lithuania) randomized controlled trial. Two hundred fifty-two patients were assessed for eligibility on the first day of admittance to CR early after (14.5 ± 5.9 days) valve surgery/intervention between January 2018 and November 2019. Participants were coded centrally in accordance with randomization 1:1 using a computerized list. Control group (CG) patients were provided with usual care phase-II-CR inpatient multidisciplinary CR program, while intervention group (IG) patients received additional resistance and balance training (3 d/wk). Patients participated in a 3-month follow-up. Main outcome measures were functional capacity (6 min walk test (6MWT, meters), cardiopulmonary exercise testing), physical performance (Short Physical Performance Battery (SPPB, score) and 5-m walk test (5MWT, meters/second)), strength (one repetition maximum test for leg press), physical frailty (SPPB, 5MWT). Results One hundred sixteen patients (76.1 ± 6.7 years, 50% male) who fulfilled the study inclusion criteria were randomized to IG (n = 60) or CG (n = 56) and participated in CR (18.6 ± 2.7 days). As a result, 6MWT (IG 247 ± 94.1 vs. 348 ± 100.1, CG 232 ± 102.8 vs. 333 ± 120.7), SPPB (IG 8.31 ± 2.21 vs. 9.51 ± 2.24, CG 7.95 ± 2.01 vs. 9.08 ± 2.35), 5MWT (IG 0.847 ± 0.31 vs. 0.965 ± 0.3, CG 0.765 ± 0.24 vs 0.879 ± 0.29) all other outcome variables and physical frailty level improved significantly (p < 0.05) in both groups with no significant difference between groups. Improvements were sustained over the 3-month follow-up for 6MWT (IG 348 ± 113 vs. CG 332 ± 147.4), SPPB (IG 10.37 ± 1.59 vs CG 9.44 ± 2.34), 5MWT (IG 1.086 ± 0. 307 vs CG 1.123 ± 0.539) and other variables. Improvement in physical frailty level was significantly more pronounced in IG (p < 0.05) after the 3-month follow-up. Conclusion Exercise-based CR improves functional and exercise capacity, physical performance, and muscular strength, and reduces physical frailty levels in patients after valve surgery/intervention in the short and medium terms. SPPB score and 5MWT were useful for physical frailty assessment, screening and evaluation of outcomes in a CR setting. Additional benefit from the resistance and balance training could not be confirmed. Trial registration NCT04234087, retrospectively registered 21 January 2020.

Abstract 17469: Comparing the Effect of CRT Implantation on Quality of Life in Older Patients Compared With Younger Patients: Systematic Review and Meta-Analysis

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Praveen Ponnamreddy ◽  
Saeed Juggan ◽  
Lauren Gilstrap
Keyword(s):  
Quality Of Life ◽  
Older Patients ◽  
Meta Analysis ◽  
Nyha Class ◽  
Age Group ◽  
Walk Test ◽  
Younger Patients ◽  
Six Minute Walk Test ◽  
Minute Walk

Background: CRT had been accepted as standard of care for patients with HFrEF who qualify for the therapy. The pivotal CRT trials enrolled patients significantly younger than the typical HFrEF patients seen in the community. Benefits of CRT in older HFrEF patients is largely unknown. We sought to evaluate the change in quality of life in older patients undergoing CRT in comparison to younger patients. Hypothesis: CRT implantation is associated with comparable improvements in quality of life in younger patients (age <70) and older patients (age 70 and above). Methods: PubMed, The Cochrane Library, Scopus, and Web of Science were queried for comparative effectiveness studies of CRT in older HFrEF patients. We gathered data for Quality of life measurements including improvement in NYHA class, MLHFQ, Six minute walk test. MLHFQ, Six minute walk test data was analyzed qualitatively as data was insufficient to impute Standard deviation for mean change. Changes in NYHA class was analyzed quantitatively. Random effects meta-analysis of improvement in NYHA class and relative risk (RR) is reported along with estimates of heterogeneity Results: Seven studies [n=2494 for younger group and n=1035 for older group] were included in changes in NYHA class meta-analysis. Older age group patients had similar improvement in NYHA class compared to younger age group patients. Relative risk 0.99 with 95%CI 0.93-1.06 (figure). Five studies reported Baseline and follow up MLHFQ scores for both the groups. All the five studies reported improvements in MLHFQ in both the groups. Three studies reported change in six minute walk test in meters before and after CRT implantation. All the studies reported improvement in six minute walk test both in younger and older group. Conclusions: People older than 70 years of age with heart failure with reduced ejection fraction who qualify for CRT derive similar benefits with improvement in quality of life compared to patients aged less than 70 years of age.

Six-Minute Walk Test Distances in Fast-Track and Traditional Cardiac Rehabilitation

2015 ◽  
Vol 35 (6) ◽  
pp. 417-422 ◽  
Author(s):  
R. Nicole Bellet ◽  
Rebecca L. Francis ◽  
Lewis Adams ◽  
Norman R. Morris
Keyword(s):  
Cardiac Rehabilitation ◽  
Fast Track ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals Comparison of Six-minute Walk Test VO2peak Prediction Equations in Cardiac Rehabilitation Patients

2018 ◽  
Vol 50 (5S) ◽  
pp. 359
Author(s):  
Lucas K. Shrum ◽  
Jason D. Wagganer ◽  
William M. Miller ◽  
Majid M. Syed-Abdul ◽  
Dhwani S. Soni ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Walk Test ◽  
Prediction Equations ◽  
Six Minute Walk Test ◽  
Minute Walk

Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

2018 ◽  
Vol 43 (03) ◽  
pp. 162-172
Author(s):  
Ulrike Haß ◽  
Susann Schwejda-Güttes ◽  
Katharina Kuhn ◽  
Anja Markant
Keyword(s):  
Physical Performance ◽  
Barthel Index ◽  
Performance Test ◽  
Peak Torque ◽  
Knee Extension ◽  
Walk Test ◽  
Physical Performance Test ◽  
Timed Up And Go ◽  
Six Minute Walk Test ◽  
Minute Walk

Zusammenfassung Hintergrund Eine ausreichende Muskelkraft und -funktion stellt eine Grundvoraussetzung für die Teilhabe am alltäglichen Leben und der damit verbundenen Autonomie des Patienten dar. Der diagnostische und prognostische Einsatz funktioneller Parameter zur Einschätzung von Muskelkraft und -funktion gewinnt zunehmend an Bedeutung. Hinsichtlich des Nutzens dieser Parameter als Endpunkte in klinischen Ernährungsstudien besteht allerdings noch Klärungsbedarf. Material und Methoden Es wurde eine umfangreiche Literaturrecherche zur Extraktion und Evaluierung etablierter funktioneller Parameter in der medizinischen Literaturdatenbank Pubmed ausgeführt. Die folgenden, häufig in Ernährungsstudien angewendeten, 8 Parameter wurden detailliert aufgearbeitet und miteinander verglichen: Handgreifkraft, knee extension peak torque, Six-Minute-Walk Test (6MWT), Timed-Up-and-Go (TUG), Short Physical Performance Battery (SPPB), Physical Performance Test (PPT), Akzelerometrie und Barthel-Index. Ergebnisse und Schlussfolgerung Die Anwendung der funktionellen Parameter hat sich insbesondere in geriatrischen Ernährungsstudien bewährt. Hier zeigten sich neben der Handgreifkraft, dem SPPB und TUG auch das knee extension peak torque, der 6MWT sowie der Barthel-Index als geeignete funktionelle Endpunkte. Lediglich der PPT zeigte keine nennenswerten Vorteile gegenüber den in dieser Arbeit evaluierten funktionellen Parametern. Außerhalb der geriatrischen Population könnte die Akzelerometrie in der Onkologie als funktioneller Endpunkt in klinischen Ernährungsstudien herangezogen werden. Innerhalb der Intensivmedizin stellt die Nutzung funktioneller Parameter hinsichtlich der erforderlichen willkürlichen Muskelkraft derzeit noch eine Herausforderung dar.

Sleep-disordered Breathing in Cardiac Rehabilitation: Prevalence, Predictors, and Influence on the Six-Minute Walk Test

2016 ◽  
Vol 25 (6) ◽  
pp. 584-591 ◽  
Author(s):  
Germaine Loo ◽  
Ai-Ping Chua ◽  
Hung-Yong Tay ◽  
Ruth Poh ◽  
Bee-Choo Tai ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Sleep Disordered Breathing ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk ◽  
Disordered Breathing
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