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Leslie, Rosalind. "Assessing efficacy of cardiac rehabilitation exercise therapy in heart failure patients." Thesis, University of Chester, 2015. http://hdl.handle.net/10034/613538.
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Background: Exercise-based cardiac rehabilitation (CR) is considered routine practice for patients following an acute cardiac event or surgical intervention. Although there is a seemingly strong evidence base supporting it for patients with chronic heart failure (CHF), provision in the UK remains poor for this patient group. In addition, data for CHF patients reported in key CR reviews and meta-analyses are not a true representation of the UKs CHF population. The transferability of current evidence into actual practice settings in the UK therefore remains incongruous. Rationale and aims: Study outcomes have typically included an increase in VO2 peak/ VO2 max, a decrease in natriuretic peptides, improved left ventricular function and improved health related quality of life (QoL). Access to facilities and equipment, such as cardiopulmonary exercise testing equipment is limited in the UK for the majority of CR services thus an alternative means of assessment and exercise prescription is required. The recommended alternative for testing CHF patients is the six-minute walk test (6MWT); this requires a given space and a full practice test, the latter which adds to valuable clinical and staff time available. Methods: The first set of studies of this thesis therefore investigated two adapted assessment procedures for use with CHF patients: i. the use of a shorter practice walk test of two minutes vs six minutes prior to a 6MWT and ii. the use of the space saving Chester step test with an adapted lower step height protocol to accommodate the anticipated lower fitness in CHF (4-inch vs 6-inch). Having determined a more practical and efficient means of assessing exercise capacity in CHF patients, this thesis then used the 6MWT to evaluate the efficacy of a typically recommended 12-week programme (for the UK) of exercise-based rehabilitation. It was the aim of this PhD to also combine the use of the Chester step test with cardiopulmonary measures as a corresponding physiological outcome in a sub-sample of participants; however due to resource problems, only validation of the low-step protocol was possible. In the main intervention study, the efficacy of a 12-week course of supervised moderate intensity exercise in CHF patients (ejection fraction <44%, NYHA class II to III) was then evaluated. For purposes of evaluating safety and recovery of any acute myocardial stress induced by exercise in CHF, a sub-group study was performed to evaluate the influence of an acute exercise session on two-day post-exercise levels of circulating NT-proBNP. Results: In this current suite of studies, participants were more representative of the UK CHF population than typically reported in the current evidence. Their profile involved a median age of 76 ± 16 years (mean: 67 years and range: 30 to 84 years). 98% of whom were prescribed beta-blockers, 66% were diagnosed with atrial fibrillation and 98% had two or more co-morbidities. Study 1 (Chapter 3a) verified the efficacy of a two-minute practice walk in comparison to the recommended six-minute practice walk prior to performing a baseline 6MWT in patients with CHF. Study 2 (Chapter 3b) demonstrated that a 4-inch Chester step test is a reliable assessment when space is an issue, but the criterion validity of the actual oxygen costs at each stage compared with those estimated in healthy populations were significantly lower than recommended estimations from healthy populations. Study 3 (Chapter 4) revealed individual variability in the acute response of NT-proBNP release to exercise that is worthy of further study. However the NT-proBNP data overall did not suggest a need for ‘rest days’ between exercise training sessions. The main intervention study (Study 4, Chapter 5) demonstrated a significant improvement in 6MWT performance responses, compared with control, where an increased walking distance of 25 m (p < .0001) was coupled with a reduction in heart-rate-walking speed index (T1 16.3 ± 7.3 vs T2 15.3 ± 8.7 beats per 10 walked; p < .0001). Perceptually, patients were walking faster for the same rating of perceived exertion (RPE 12 to 13). This improved aerobic functioning coincided with an improved NYHA class (T1 2.3 ± .5 vs T2 1.8 ± .6; p < .0001); however there was no change in resting NT-proBNP levels after 12 weeks. Patients in the “control group” who then went on to be offered the same 12-week intervention achieved similar outcomes, but delaying their commencement of an exercise programme by 12 weeks negatively impacted on participation uptake. Key findings and conclusions: These results have demonstrated that exercise training in CHF can lead to an improvement in both physical and perceived functioning (NYHA class). In light of some previous studies showing decreases in BNP following an exercise programme and others like this one showing no change, further questions are raised about the effect of different types and doses of activity being offered to CHF patients and the responsiveness to training of different types of patients (disease severity and demographics). The nature of the cross-over design of this study revealed that delayed commencement of exercise negatively affects participation uptake by patients, which supports current UK standards in aiming for early referral to CR.
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Doherty, Patrick Joseph. "Exercise prescription and cardiac rehabilitation programme design for high-risk patients." Thesis, University of Manchester, 2002. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.537966.
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Implantable cardioverter defibrillators are highly effective in the management of life threatening ventricular arrhythmias and implanted for secondary and primary prevention of sudden cardiac death. However, 40% of patients fail to adapt to implantation, developing phobic anxiety states, depression and a fear of arrhythmia and defibrillator therapy (shock) during physical activity. Antecedent behaviour associated with defibrillator therapy and physical activity contributes to a sedentary lifestyle and a concomitant reduction in functional capacity (FC), both of which are associated with an increase in all cause mortality and a greater morbidity. A specific cardiac rehabilitation (CR) programme was developed to address these needs. Method: An initial aspect of the study reviewed 2000 conventional clinical exercise tests (ET) to developed criteria for ET selection. Sixteen patients were randomly selected from 34 who agreed to attend CR and all consented to be included in the study. The mean age was 57.7 years (SD 10.3), mean defibrillator implant period was 20.4 months (SD 13.8) and the mean left ventricular ejection fraction was 38% (SD 17). FC was defined as the outcome from sub maximal exercise tests using an incremental walking treadmill protocol. ET termination was based on a target heart rate of appropriately 75% of age-adjusted maximum heart rate or within 10 beats of the defibrillator detection threshold or the patients desire to stop. The reliability of the new ET protocol was incorporated within the study design. Patients attended CR exercise sessions twice weekly for 12 weeks and performed mainly aerobic exercise using a circuit-training approach with four intensity levels. The prescription, monitoring and adjustment of exercise intensity were achieved by telemetry heart rate and 'rate of perceived exertion'. Heart rate monitors were worn for all exercise sessions. Once weekly home exercise and regular walking was encouraged between sessions. Educational sessions on diet, medication, psychology and the benefits of an active lifestyle were provided. The primary outcome measures were ET results and the Hospital Anxiety&Depression scale scores. Analysis of variance was utilised statistically. Results: All 16 patients completed pre-base and baseline ETs with a mean ET time (mm:ss) increase of 01:04 (SD 01:10), a 3rd ET with 8 patients found no significant increase in ET time. Thirteen patients completed the CR exercise programme and showed significant increases in the intensity of exercise performed without significantly increasing heart rate or blood pressure. A baseline comparison between compliant and non-compliant patients found that the non-compliant patients were younger with greater FC and less psychological distress. Eleven patients completed a further evaluation 12-weeks post CR; two were unable to attend due to exacerbation of co-morbidity. ET time (mm:ss) post CR showed a mean improvement of 01:02 (95% CI, 01:36 to 00:27 p= 0.002). Clinically significant anxiety and depression scores existed at baseline with mean anxiety scores of 13.4 (SD 3.6) reduced post CR to 8.1 (SD 3.6) (95% CI, 3.5 to 7.0, p=0.001). Mean depression scores of 10.0 (SD 3.4) reduced to 6.7 (SD 3.0) (95% CI, 2.0 to 4.4, p=0.002) post CR. Improvements in ET times and HADS scores were maintained at 12 week. No defibrillator therapy occurred during ETs or the exercise sessions. Conclusion: The new treadmill ET protocol was reliable after a formal pre-test and considered safe and effective due to no complications or defibrillator therapy. Exercise circuit training with heart rate and rate of perceived exertion monitoring was safe and lead to increased exercise capacity. Efficacy of cardiac rehabilitation was evident with improvement in functional capacity and psychosocial health and the outcomes were maintained at 12 weeks without the use of formal exercise. Generalisations beyond this pilot study are limited and a multi-centred control trial is needed to establish the external validity of the intervention effect.
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Nichols, Simon J. "The cardiorespiratory and vascular adaptations to a routine UK exercise based cardiac rehabilitation programme." Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:13749.
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Introduction: Recent data suggests that UK cardiac rehabilitation (CR) programmes do not substantially improve cardiorespiratory fitness (CRF) or patient survival. The exercise dose prescribed as part of a routine CR programme may be insufficient. The aims of the thesis were to (i) investigate whether a routine UK CR exercise training programme could improve peak oxygen consumption (VO₂peak) and, (ii) reduce carotid intima-media thickness (CIMT) progression in patients with coronary heart disease (CHD) and, (iii) determine whether higher exercise training doses prescribed to patients with CHD through a tele-monitoring system elicit superior VO₂peak improvements compared to routine CR alone. Study One: We recruited n=34 patients (85.3% male; age 62.1 ± 8.8 years; body mass index [BMI] 29.5 ± 4.5 Kg·m⁻²) who had recently been diagnosed with CHD. n=22 patients formed an exercise training group (TG) and undertook an eight week (16 session) low to moderate intensity (40-70% peak heart rate reserve), routine CR exercise training programme. n=12 patients declined routine CR and were assigned to a non- exercise control group (CG). Patients in the training group were followed up after completing their exercise training programme. Controls were followed up approximately 8 to 10 weeks after their initial visit (visit 2). Both groups were followed up 12 months later. VO₂peak change was determined in all patients via “gold standard” maximal cardiopulmonary exercise testing (CPET) using the modified Bruce treadmill protocol. C-IMT progression was also determined using B-mode ultrasound. In the UK, submaximal exercise tests such as cycle ergometry are typically used to assess CRF change following CR. Submaximal cycle ergometry (intensities up to 70% heart rate reserve) was used to estimate changes in CRF. Submaximal cycle ergometry showed a mean improvement of 1.64 METs (95% CI 1.20 to 2.09 METs; p<0.001). However, “gold standard” maximal CPET showed that this equated to no significant change in VO₂peak (Δ change: 0.12 ml·kg⁻¹·min-1; 95% CI -1.00 to 1.24 ml·kg⁻¹·min⁻¹). No VO₂peak improvement was detected in controls (Δ change: 0.15ml·kg⁻¹·min⁻¹; 95% CI -1.37 to 1.66 ml·kg⁻¹·min⁻¹; p=0.978). VO₂peak remained unchanged after 12 months amongst patients in the TG (Δ -0.94 ml·kg⁻¹·min⁻¹; range -6.09 to 2.10 ml·kg⁻¹·min⁻¹; p=0.846). Controls experienced C-IMT progression in the right lateral aspect of their common carotid artery (CCA) at the end of the eight week CR period (Δ change: 0.070 mm; range -0.060 to 0.200 mm; p=0.038). Patients in the TG experienced C-IMT reduction in the left lateral aspect of their CCA between CR programme completion and their 12 month follow-up (Δ change: 0.054 mm; range -0.160 to 0.020 mm; p=0.015). Study Two: We recruited n=50 healthy volunteers (60% male; age 26.2 ± 5.0 years; BMI 24.6 kg·m⁻² ) to examine the intra and inter-operator variability of automated c-IMT measurements when taken by novice operators. Two novice operators performed serial bilateral C-IMT ultrasound measurements using the CardioHealth Station (Panasonic Biomedical Sales Europe BV, Leicestershire, UK). Immediate inter-operator variability was determined by comparing operators’ initial measurements. Immediate retest variability was determined by comparing consecutive measurements (<10 minutes apart). Longer-term variability was determined by comparing operators’ initial measurements to a third set of measurements conducted one week later. Bland-Altman analysis and intraclass correlations were conducted. The limits of agreement (LoA) for immediate inter-operator variability were -0.063 to 0.056 mm (mean bias -0.003 mm). Operator 1’s immediate retest intra-operator LoA were -0.057 to 0.046 mm (mean bias was -0.005 mm). Operator 1’s intra-operator LoA at one week were -0.057 to 0.050 mm (mean bias -0.003 mm). Operator 2’s LoA were similar to those of operator 1. Novice operators produce acceptable short-term and one week inter- and intra-operator C-IMT measurement variability in healthy, young to middle aged adults using the Panasonic CardioHealth Station. Study Three: We recruited n=27 patients with a diagnosis of CHD (88.9% male; age 59.5 ± 10.0 years; BMI 29.6 ± 3.8 kg·m⁻²). VO₂peak change was quantified in n=10 patients receiving routine CR plus personalised exercise training based on maximal CPET data delivered via a bespoke tele-monitoring device. VO₂peak change was also determined in n=17 patients receiving routine CR only. CPET was performed using a 25W stepped cycle ergometry protocol. The combination of routine CR and a bespoke exercise training programme significantly increase VO₂peak (Δ change: 2.08 ml·kg⁻¹·min⁻¹; 95% CI 1.88 to 3.97 ml·kg⁻¹·min⁻¹; p=0.014) compared to routine CR alone (Δ change: -0.29 ml·kg⁻¹·min⁻¹; 95% CI -1.75 to 1.16 ml·kg⁻¹·min⁻¹; p=0.841). Conclusions: An eight week (16 session) low to moderate intensity (40-70% peak heart rate reserve) CR exercise training programme, typical of many programmes in the UK, does not improve direct measurements of VO₂peak on treadmill or cycle ergometer protocols. Current assessment methods utilising submaximal exercise testing may be overstating the effect of CR exercise interventions on CRF. Current UK recommendations for exercise training doses may also be inadequate. Data within study three indicates that a minimum of 13 sessions over a 12 week period may be required to improve VO₂peak. Limited evidence indicates that routine CR with structured exercise training may attenuate C-IMT progression compared with usual care control participants. This anti-atherosclerotic effect may be related to lower coronary risk factors and better adherence to other secondary prevention measures. Overall, higher exercise training doses and personalised exercise prescription derived from maximal CPET data appeared necessary for attaining significant CRF improvements in patients with CHD.
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Thow, Morag Kennedy. "A study of the recruitment patterns of women in cardiac rehabilitation and the evaluation of an exercise based cardiac rehabilitation programme in women post myocardial infarction." Thesis, Glasgow Caledonian University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369996.
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Byatt, Kay. "An exploration of the experience of individuals choosing yoga or exercise in a continuing cardiac rehabilitation programme." Thesis, Liverpool John Moores University, 2004. http://researchonline.ljmu.ac.uk/5769/.
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This study explores the contribution of yoga as a patient choice within a continuing cardiac rehabilitation (CR) programme by comparing a group of individuals who chose to undertake a yoga programme as part of their continuing CR with a group who chose to follow a gymnasium based exercise programme. The study aims were to describe the characteristics of individuals who chose yoga (n=25) or exercise (n=35) CR programmes and explore over one year their process of adaptation and change together with the perceived benefits from the interventions. The design of this study was that of an Exploratory Between Methods Triangulation. The methods utilised were self-reports using standardized instruments including Self Perception Profile (Messer & Harter 1986), Self Evaluation of Individual Quality of Life (O'Boyle et aI, 1993) and Perceived Stress (Cohen, 1983). Semi-structured interviews captured accounts from a purposeful sample of participants at commencement of the intervention and at the end of one year. The questionnaire data was triangulated with the data and narrative from the interviews to compare the experiences, processes and any benefits achieved by participants in both the exercise and yoga groups. The key findings from this study were that the majority of yoga group participants reported that they achieved mind/body benefits including enhanced self-awareness, reduction in stress and anxiety, greater calmness, positive feelings, flexibility and suppleness within the body. The exercise group participants reported benefits of enhanced physical fitness and feelings of general well being. However, this group noted a more limited number of self-changes, which tended to be less personal and related largely to the physical dimension of their experience on the exercise programme. The findings of this study have implications for the policy and practice surrounding the future development of Cardiac Rehabilitation Programmes in relation to the nature of interventions included within such programmes and their potential to support and empower lifestyle change.
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Liu, Xun. "Physiological and biochemical changes during cardiac rehabilitation." Thesis, University of Liverpool, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368005.
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Kreshel, Leigh Anne. "Increasing energy expenditure of cardiac rehabilitation patients." Electronic thesis, 2002. http://dspace.zsr.wfu.edu/jspui/handle/10339/175.
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Rocha, Kara L. "Exercise Prescription for Cardiac Rehabilitation| A Guide for Clinicians." Thesis, California State University, Long Beach, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10974777.
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Cardiac rehabilitation is a multifaceted intervention aimed to enhance health and wellness in patients with cardiovascular disease and chronic heart failure. Many books on cardiac rehabilitation primarily focus on pathology, risk stratification, and patient assessment while giving less attention to designing an exercise regimen. Exercise Prescription for Cardiac Rehabilitation: A Guide for Clinicians concentrates on developing exercise programs for individuals with chronic heart disease based on recommendations from current research to meet a patient’s personal goals. The purpose of this project is to present health care providers with comprehensive recommendations for treatment plans appropriate for each phase of recovery during rehabilitation. Through this guide, readers can better create individualized programs to help patients progress based on their skills, abilities, and physical capabilities. Physical activity will ultimately lead to short and long term benefits while increasing overall health and quality of life in patients with cardiovascular disease.
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Noorbhai, Mohammed Habib. "Factors associated with participation in a phase three cardiac rehabilitation programme." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/13921.
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Background Patients with cardiovascular diseases (CVDs) and non-communicable diseases (NCDs) benefit from participating in cardiac rehabilitation programmes (CRPs). The aim of this research project was to evaluate the factors associated with participation in a phase three CRP, the Prime Time programme (PTP). A secondary aim was to compare attendance and baseline measures between Prime Time (PT) and non-Prime Time (NPT) members at a commercial gym. Methodology The first chapter comprised of focus group discussions (n = 3) and key-informant interviews (n = 5 current members and n = 5 ex-members). Staff participants (n = 9) included the Biokineticists, programme managers and sales consultants who participated in key-informant interviews and provided their perceptions and experiences while working on the programme. Atlas.ti was used for the data analysis and a thematic coding framework was used to analyse the focus groups and interviews. The second chapter, which was a pilot study, employed a case-control research design to compare attendance and baseline data between PT (n = 11) and NPT (n = 40) members at a commercial gym. Three age-matched controls for every case were included in this pilot study. Descriptive statistics (means and standard deviations), one-way analysis of variance (used to determine if there were any significant differences between groups at baseline for continuous variables) and Chi-square analysis (used to determine if there were any significant differences between groups at baseline for categorical variables) were performed. The level of significance was set at p<0.05.
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Dreyer, Liezel Ann. "Current practices in cardiac rehabilitation : implications for scope of rehabilitation and assessment of functional capacity." Master's thesis, University of Cape Town, 2004. http://hdl.handle.net/11427/2750.
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Bell, Jennifer M. "A comparison of a multi-disciplinary home based cardiac rehabilitation programme with comprehensive conventional rehabilitation in post-myocardial infarction patients." Thesis, Imperial College London, 1998. http://hdl.handle.net/10044/1/8585.
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Cardoso, Fernando M. F. "Improving the assessment of exercise capacity and cardiorespiratory fitness in patients attending exercise-based cardiac rehabilitation." Thesis, University of Essex, 2016. http://repository.essex.ac.uk/18038/.
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The aim of this thesis is ‘’Improving the Assessment of Exercise Capacity and Cardiorespiratory Fitness in Patients Attending Exercise-Based Cardiac Rehabilitation’’. Cardiorespiratory capacity is an important predictor of morbidity and mortality in cardiac patients, due to the prognostic power, is an essential outcome to measure in cardiac patients in clinical practice. In cardiac rehabilitation programmes the assessment of cardiorespiratory capacity (by field tests or treadmill test) is an essential practice supported by U.K., European and U.S.A. guidelines, which gives support to patients risk evaluation and stratification, setting individual patients goals, exercise prescription, and evaluation of the same. Overall, the findings of this thesis, which were generate by meta-analysis, crosssectional studies and laboratory research, provide an nsight into the factors associated with patients’ initial performance, and oxygen cost in functional capacity tests. Together, this data may improve the application, interpretation and patient understanding of these test results. One aim of CR is to improve patients’ functional capacity; we provide a standard value for ΔFitness, and information on factors which clinicians may need to consider when setting patient goals and interpreting changes in functional capacity, or ΔFitness due to CR.
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Jones, Jason L. "Pedometer intervention to increase physical activity of patients entering a maintenance cardiac rehabilitation program." Muncie, IN : Ball State University, 2009. http://cardinalscholar.bsu.edu/654.
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Finn, Vincent. "The impact of a Cardiac Rehabilitation Programme (CRP) on the Quality of Life (QOL) of older cardiac patients." Thesis, University of Huddersfield, 2012. http://eprints.hud.ac.uk/id/eprint/13102/.
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The aims of this mixed methods research study were twofold: (1) To explore the impact(s) of a cardiac rehabilitation progrmme (CRP) on the quality of life (QOL) of older cardiac patients who experienced either a myocardial infarction (MI) and/or a coronary artery bypass graft (CABG) and/or a percutaneous coronary intervention (PCI), otherwise known as a coronary angioplasty; and (2), To construct a QOL conceptual model based on the quantitative and qualitative aspects of the patient‟s bio-psycho-social-spiritual aspects of QOL on a CRP. The research sought to answer four research questions devised around the physiological, psychological, and sociological domains of QOL. A mixed methods design was used, under the rubric of a critical realist theoretical approach. The physical domains of QOL focused on the cardiac patients specific physiological measurements using a pre-test-post-test design in order to develop a deeper understanding, of the structures, mechanisms, contexts and outcomes of the CRP. Qualitative components focused on the subjective domains of QOL taken from the eclectic perspectives of cardiac health care professionals and cardiac patients using semi-structured interviews to develop an in-depth understanding of the bio-psycho-social-spiritual and health impacts of the programme. Thirty-five cardiac patients (n = 35) formed a non-random purposive sample for the quantitative component of the study. Using the same type of sampling method for the qualitative component, ten cardiac health care professionals (n = 10) and seven cardiac patients (n = 7) were interviewed to determine the various impact(s) that the programme had on the patients different domains of QOL. The results, derived from dual perspectives, indicated that the CRP had strong positive impacts on the patient‟s QOL across the bio-psycho-social-spiritual domains of QOL. The newly created QOL conceptual model, entitled „The Ripple Impact Model (TRIM)‟of QOL for Older Patients with Coronary Heart Disease (CHD)‟ reflects the dynamic nature of an older cardiac patient‟s QOL on a CRP in view of how they define the concept globally from both medical and non-medical perspectives.
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Ghelfan-Eliyahu, Rotem. "The experience of a dance-movement rehabilitation programme for cardiac patients in Israel : action research in programme development." Thesis, Anglia Ruskin University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417178.
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Al, Zhrany Nayef Mohammed J. "Effects of oxidative stress, exercise and cardiac rehabilitation on telomerase in T-lymphocytes." Thesis, University of Newcastle upon Tyne, 2016. http://hdl.handle.net/10443/3493.
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Myocardial infarction (MI) remains the primary cause of death worldwide, despite significant medical advances. Lymphocytes play a key role in both the pathogenesis of atherosclerosis and also the healing process following MI. It has been found however, that decreased lymphocyte telomere length correlates with greater risk of MI and worse outcomes. Atherosclerosis is causally linked with MI and can be triggered by myeloid and lymphoid cells, which destabilise and rupture lipid-rich plaques on the arterial wall. Atherosclerosis is also linked with elevated oxidative stress, increasing the risk of cardiovascular disease. Experiments in-vitro have shown that even mild oxidative stress caused telomere shortening and inhibits cell proliferation. Oxidative stress in-vivo can be caused by physical inactivity, which can contribute to atherosclerosis. Telomere length can be maintained by regular physical activity. My results show that hyperoxia enhanced IFN-γ mRNA transcription in Tlymphocytes, whereas hypoxia significantly reduced inflammation. Oxidative stress suppressed a) in-vitro T-cell proliferation in a TERT-dependent way, b) telomerase activity and c) TERT expression in mTert-GFP+ mice by 5-fold (P < 0.01) compared to hypoxia. MAPK inhibition (MAPKi) down-regulated IFN-γ mRNA transcription and enhanced splenocyte proliferation equally under both hypoxia and hyperoxia. MAPKi enhanced telomerase activity under hyperoxia by day 10 in culture and significantly increased telomerase activity by day 14 compared to hypoxia. The effect of MAPKi seems to require the presence of TERT and interaction between cells. Voluntary wheel running led to increased telomerase activity in ApoE-/-mTert-GFP+ mice on a high fat diet (HFD) compared to the no exercise group. HFD enhanced both telomerase activity and B-cell numbers under exercise compared to the same mice on a normal diet (ND). In humans, regulatory T-cells were elevated in the acute stage of MI and decreased by 7-fold (P < 0.001) following cardiac rehabilitation. However, no significant effect was observed on telomerase activity.
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Miller, Jarad Steven. "Clinical Outcomes of Different Tempos of Music during Exercise in Cardiac Rehabilitation Patients." Thesis, North Dakota State University, 2014. https://hdl.handle.net/10365/27409.
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This study examined the effects of stimulating and sedative music on ratings of perceived exertion (RPE), heart rate (HR), blood pressure (BP), and feeling status during exercise in cardiac rehabilitation (CR) patients. Twenty-two male and female older adults age 64 ? 8.0 y currently enrolled in phase III CR completed the study. Repeated measures crossover designs guided data collection. The manipulated independent variable was music condition (sedative, stimulating, and non-music control). The dependent variables were RPE, BP, HR, and feeling status with each represented by four repeated measures ANOVAs over time via SAS 9.3. Data analysis indicated significant differences for all exercise related variables besides BP. While standardizing the exercise, we observed that sedative music is the best choice to manipulate for decreases in RPE (p=.0019), increases in feeling status (p=.0192), and decreases in HR (p<.0001). Stimulating music would only be the correct choice to observe increases in HR (p<.001).
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Jones, Nicole L. "Comparison of physical activity assessment methods among Phase III cardiac rehabilitation participants." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1339152.
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Physical inactivity is a significant health concern for individuals in the United States, and is especially an issue for those with a history of coronary artery disease. Increased physical activity is encouraged for those who are participants in Phase III cardiac rehabilitation to promote a healthy lifestyle after a cardiac event. The purpose of the study was to assess and characterize the physical activity levels of Phase III cardiac patients. Other objectives of this study were to compare various forms of physical activity assessment and compare the activity levels of the cardiac rehabilitation participants with other populations. Comparisons of three physical activity devices were analyzed as well as activity levels on rehab and non-rehab days. Those who participated in home exercise vs. those who did not do home exercise were compared as well as those who were retired vs. those who were employed. Subject inclusion criteria included Phase III cardiac patients who were 40-69 years of age and who attended rehab a minimum of two days per week. The subjects were required to wear a pedometer and accelerometer for at least 12 days and complete a questionnaire following the trial. The mean ± S. D. for age, height, weight and BMI of the subjects was 59.4±8.2 years, 69.1±3.1 inches, 200.9±41.8 lbs., and 29.4±4.8 kg/m2 respectively. The Lifecorder, ActiGraph and International Physical Activity Questionnaire (IPAQ) were used to measure physical activity levels of the Phase III cardiac patients. The IPAQ did not correlate well with the Lifecorder or ActiGraph in assessing physical activity in Phase III cardiac patients (R=0.251, P=0.226-ActiGraph and R=0.280, P=0.175-Lifecorder), however, the Lifecorder and the ActiGraph had a significant correlation coefficient with one another (R=0.83, P<0.001). Rehab vs. non-rehab day data as well as rehab session and non-rehab session physical activity levels were compared among the subjects. On a rehab day, subjects took 9,770±3132 steps/day, which was significantly higher than what they took on a non-rehab day, 5,404±2843 steps/day. Those who did not exercise at home accumulated on average 8,194±2912 steps/day on a rehab day, while on a non-rehab day they accumulated 3,475±1579 steps/day (P<0.001). Those who did exercise at home, took 10,883±2856 steps/day on a rehab day, while on a non rehab day they took 6,767±2768 steps/day (P<0.001). Those who were employed were more active than those who were retired. In conclusion, Phase III cardiac rehabilitation is an effective way to increase physical activity levels of those with a history of coronary artery disease. All participants in Phase III cardiac rehabilitation should be encouraged to come into the center-based facility at least 4-5 days per week or implement a home exercise program into their weekly regimen.School of Physical Education, Sport, and Exercise Science
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Cormack, Elinor. "An investigation into factors associated with compliance with the Heart Manual Cardiac Rehabilitation Programme." Thesis, University of Edinburgh, 2004. http://hdl.handle.net/1842/24484.
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Introduction: The present study explores whether there are identifiable differences between people who comply with a home-based cardiac rehabilitation self-help programme (The Heart Manual) and those who are found to be less compliant. Hypotheses: It was hypothesised that compliance would be associated with health locus of control, specifically, internal health locus of control, and or health value and chance health locus of control. Compliance was also expected to have an association with personal beliefs regarding illness related personal control and treatment control, illness coherence and illness consequence. Finally, compliance was hypothesised to be associated with depression, anxiety and intellectual ability. Results: Statistical analysis confirmed that there was a significant negative association between chance health locus of control and compliance, and a significant positive relationship between illness coherence and compliance. An association was also indicated between number of years of education and compliance, and level of education and compliance, however, this was complex and was strongest for predicting compliance levels of those who had spent a greater number of years being educated and those who had studied at university level. Conclusion: Individuals with high chance locus of control scores were found to be less compliant, while individuals with high illness coherence scores were found to be more compliant. Furthermore, subjects who had spent most years in education, and those who had attended university were also found to have enhanced adherence. Future Directions: Further research using a prospective design would be necessary to establish whether the two subscales of chance health locus of control and illness coherence will predict compliance.
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Stevenson, Troy G. "Physical activity habits of cardiac patients participating in a phase II rehabilitation program." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1366502.
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Purpose: The primary purpose of the study was to assess if physical activity (PA) habits change between the first and final week in a phase II cardiac rehabilitation (CR) population and to determine if the PA habits differ on CR days versus non-CR days. The secondary purpose of the study was to determine if there were differences between the two PA assessment methods. Methods: There were 41 male subjects and 16 female subjects that volunteered for the study; however only 25 male subjects (age: 64.7 ± 11.4 years, BMI: 28.8 ± 4.5 kg/m2) and 11 female subjects (age: 65.2 ± 13.3 years, BMI: 31.6 ± 4.0 kg/m2) were included in the data analyses after accounting for dropouts and subject's whose data did not meet validation criteria. Subjects were required to wear both of the activity devices (pedometer and accelerometer) during both the first and final week assessments. Steps/day, activity counts/day, inactive minutes/day, light minutes/day and walking minutes/day were assessed by the Actigraph Accelerometer. Results: There was no significant difference in step counts from 5,290 ± 1,561 steps/day during the first week assessment to 5,730 ± 1,447 steps/day during the final week assessment. However, significant differences were seen between rehabilitation and nonrehabilitation days step counts/day (6,503 ± 1,663 steps/day vs. 4,517 ± 1517 steps/day, respectively). Furthermore, there was a significant increase between the first and final weeks activity counts/day (144,185 ± 56,399 counts/day vs. 165,220 ± 51,892 counts/day respectively) and a significant increase between rehabilitation and non-rehabilitation days activity counts/day (175,692 ± 58,239 counts/day vs. 133,712 ± 46,139 counts/day respectively). Conclusions: The results of the study suggest that patients are performing significantly more activity on days they attend rehabilitation versus days they do not attend rehabilitation. Furthermore, activity counts/day increased between the first and final weeks of rehabilitation and were higher on CR days vs. non-CR days, which may be due to the progressive exercise prescription associated with Phase II CR. Therefore, it was concluded that Phase II CR successfully increases the intensity of PA on CR days and between the first and final week of CR.Key Words: Cardiac Rehabilitation, Coronary Artery Disease, Pedometer, Accelerometer.School of Physical Education, Sport, and Exercise Science
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Wittekind, Samuel. "A Novel Mechanism for Improved Exercise Performance in Pediatric Fontan Patients After Cardiac Rehabilitation." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1522419865157589.
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Hughes, Adrienne Rachel. "Effect of an exercise consultation on maintenance of physical activity after completion of phase III exercise-based cardiac rehabilitation." Thesis, University of Glasgow, 2003. http://theses.gla.ac.uk/2526/.
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Aims: The primary aim of this randomised-controlled trial was to evaluate the effect of an exercise consultation (experimental condition) compared with standard exercise information (control condition) on maintenance of physical activity six and 12 months following completion of a phase III hospital-based exercise programme. Secondary aims included assessing the effect of an exercise consultation compared with exercise information on physiological and psychological variables at six and 12 months. Conclusions: This study demonstrated that the exercise consultation was more effective than exercise information in maintaining self-reported physical activity for 12 months after completion of a phase III exercise programme. However, the change in CSA accelerometer readings over the 12-month study period did not parallel the significant decrease in self-reported physical activity observed in the control group. The exercise consultation was not effective in maintaining exercise capacity for 12 months after completion of phase III. Significant decreases in peak VO2 from baseline to 12 months were observed in both groups. In contrast, an improvement in the VO2 at the lactate threshold, which is an index of submaximal endurance capacity, was recorded in the experimental group compared to the control group from baseline to follow-up. Finally, the exercise consultation had no significant effect on processes of exercise behaviour change, lipid profile and psychological function. These variables were normal at baseline and were maintained over the study period in both groups. The results of this study demonstrate that the exercise consultation may be an effective intervention for maintaining physical activity after completion of phase III hospital-based exercise programmes. The exercise consultation is a minimal intervention that could be delivered by physiotherapists to patients at the end of phase III or by British Association of Cardiac Rehabilitation (BACR) trained exercise instructors to patients in phase IV.
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Ganie, Zakeera. "Factors influencing return to work after a cardiac incident and the development of a return to work intervention programme for individuals with cardiac diagnoses in the Western Cape, South Africa." University of the Western Cape, 2021. http://hdl.handle.net/11394/8087.
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Philosophiae Doctor - PhDCardiovascular disease is amongst the top three leading causes of mortality in South Africa and the world. The effects of cardiovascular disease can be seen in limitations of function within all spheres of life, including work function. Cardiac rehabilitation programmes have been documented to improve functional abilities, but little is known about the return to work rate after cardiac rehabilitation. Access to cardiac rehabilitation programmes in the Western Cape is limited. This study aimed to determine the return to work rates and influencing factors after cardiac rehabilitation as well as to design an intervention programme that is accessible and could facilitate return to work for individuals with cardiovascular disease.
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Roberts, Sherri. "Exercise leader interaction analysis of ACSM rehabilitative exercise specialist candidates." Thesis, Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/101462.
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Twenty subjects were audio and video taped during their exercise leadership examination. The tapes were used to code the interactions that occurred between the exercise leaders and the participants in the simulated cardiac rehabilitation exercise session using an interaction analysis system developed specifically for this physical activity setting group. The system identified interactions that could occur during the warm-up, stimulus, and cool-down phases of the session. The tapes were coded using the Datamyte 801 Observational Recorder. The phases of the sessions were coded individually. A frequency count was made as the interaction categories occurred. The frequencies were converted into rates of interaction (f•min⁻¹) for comparison. The mean rates of interaction were low for the phases and overall (warm-up= .38/min; stimulus= .59/min; cool-down= .29/min; total= .46/min). The individual subject's rates of interaction were all less than 1 interaction per minute (minimum= .28/min; maximum= .72/min). Related t-tests across category facets between phases showed the instruction and explanation facets in the warm-up phase differed significantly from the same facets in the stimulus phase. The compliance facet differed significantly in the stimulus phase from the compliance facet in the other two phases. The monitor facet in the stimulus phase differed significantly from the monitor facet in the cool-down phase. There was no significant differences across facets between the warm-up and cool-down phases. Higher rates of interaction occurred more frequently in the stimulus phase. The coding showed the differences in the interactions of the exercise leaders in the different phases in the simulated exercise session. The low rates of interaction suggest that the exercise leaders may have been reactive to the specific examination situation in which these data were collected.M.S.
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Lattanzio, Chastity N. "The effects of a 16-week home-based cardiac rehabilitation exercise program for older patients." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ42080.pdf.
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Partington, Patrick. "Change and continuity in the lives of cardiac patients : a study of exercise-based rehabilitation." Thesis, University of Southampton, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423565.
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Edström, Plüss Cathrine. "Effects of an expanded rehabilitation programme in patients with ischemic heart disease." Stockholm : Karolinska institutet, 2009. http://diss.kib.ki.se/2009/978-91-7409-707-8/.
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Pierson, Lee M. "Defining a set of patient attributes that predict exercise performance outcome following an exercise training program in a population of coronary artery disease patients." Thesis, This resource online, 1996. http://scholar.lib.vt.edu/theses/available/etd-11012008-063510/.
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Salameh, Ahlam. "Graded Exercise Stress Testing: Treadmill Protocols Comparison Of Peak Exercise Times In Cardiac Patients." Akron, OH : University of Akron, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=akron1249833172.
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Thesis (M.S.)--University of Akron, Dept. of Sport Science and Wellness Education-Physical Education, 2009."August, 2009." Title from electronic thesis title page (viewed 10/7/2009) Advisor, Ronald Otterstetter; Committee members, James Rosneck, Laura Richardson; Department Chair, Victor Pinheiro; Dean of the College, Mark D. Shermis; Dean of the Graduate School, George R. Newkome. Includes bibliographical references.
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Devi, R. "Evaluating the feasibility and effectiveness of a web based cardiac rehabilitation programme for those with angina in primary care." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/71ffe44a-6f6a-47e0-9dd1-572fe005bf2b/1.
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In the UK angina affects 2 million people (BHF, 2010b) and unfortunately secondary prevention interventions such as Cardiac Rehabilitation (CR) are not widely available for this population (NACR, 2011). This doctoral research project examined the effectiveness and feasibility of an alternative intervention for this population; CR delivered via the internet. The programme was interactive and comprised personalised goal setting orientated around exercise, diet, emotions, and smoking with support available through an online email link or synchronised chat room. A randomised controlled trial (RCT) and semi-structured interviews were used to evaluate the intervention. Primary care patients with angina were randomised to either an intervention group (n=48) or to a control group that did not receive any intervention other than treatment as usual (n=47). Outcome measures were taken at baseline, 6 week and 6 month follow ups. The primary outcome measure was daily steps (measured objectively using Sensewear Pro 3® accelerometer technology). Secondary outcome measures included daily energy expenditure (EE), daily duration of sedentary activity (DDSA), daily duration of moderate activity (DDMA), daily duration of vigorous activity (DDVA), weight, diastolic blood pressure (DBP), systolic blood pressure (SBP), body fat %, fat intake, fibre intake, anxiety, depression, self-efficacy, and health related quality of life (HRQOL). At the 6 week follow up the intervention group had greater improvements than the control group in daily steps, daily EE, DDSA, DDMA, weight, self-efficacy, emotional quality of life and frequency of angina symptoms. In addition, at the 6 month follow up there were significantly greater improvements in anxiety, and frequency of angina symptoms among the intervention group compared to the control group. Semi-structured interviews were also conducted with a subsample of intervention group participants at the 6 week follow up (n=16). Themes resulting from these interviews indicated a high level of programme acceptability and feasibility; ‘self reported improvements’ and ‘programme facilitators’. However, the theme labelled ‘programme barriers’ illustrated intervention related challenges which should be taken into account when delivering the programme. Overall the study demonstrated that a new web based CR programme was effective at improving lifestyle related cardiac risk factors for a primary care angina population in both the short-term (significantly improved daily steps, DDSA, DDMA, weight, self-efficacy, emotional QOL and frequency of angina) and medium-term (significantly improved anxiety, and frequency of angina). These findings on the whole suggest that the programme could be offered to a primary care angina population who are not routinely included within conventional CR. However, there is a need to consider the factors described to affect engagement of the programme; family and work commitments, bad weather, older age, receiving the programme late in angina diagnosis and levels of self-motivation.
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Fabiato, Francois Stephane. "Predicting physical fitness outcomes of exercise rehabilitation: An retrospective examination of program admission data from patient records in a hospital-based early outpatient cardiac rehabilitation program." Thesis, Virginia Tech, 1998. http://hdl.handle.net/10919/36880.
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Economic justification for rehabilitative services has resulted in the need for outcome based research which could quantify success or failure in individual patients and formulate baseline variables which could predict outcomes. The purpose of this study is to investigate the utilization of baseline clinical, exercise test, and psychosocial variables to predict clinically relevant changes in exercise tolerance of cardiac patients who participated in early outpatient cardiac rehabilitation. Clinical records were analyzed retrospectively to obtain clinical, psychosocial and exercise test data for 94 patients referred to an early outpatient cardiac rehabilitation program at a large urban hospital in the Southeast US. All patients participated in supervised exercise training 3d/wk for 2-3 months. A standardized training outcome score STO) was devised to evaluate training effect by tabulating changes in patients predicted VO2, body weight and exercising heart rates after 8-12 weeks of exercise based cardiac rehabilitation. STO = Predicted VO2 change + BW change- HR change. The Multi-Factorial Analysis was applied to derive coefficients in the STO formula so that the STO scores reflected the independent effects of BW, HR and Predicted V02 changes on training outcome. Patients were classified into one of three possible outcome categories based on STO scores, i.e. improvement, no change, or decline. Thresholds for classifying patients were the following; STO scores greater than or equal to 3 SEM above the mean = improved, (N= 40: 41%), STO scores less than or equal to 3 SEM below the mean = decline, (N=34: 35%), STO scores within 3 SEM= no change, (N=23: 24%). Multiple logistic regression was used to identify patient attributes predictive of improvement, decline, or no change from measures routinely collected at the point of admission to rehabilitation. The model for prediction of improvement correctly classified 70% of patients as those who improved vs. those who did not (sensitivity 70%, specificity 71%). This model generated the following variables as having predictive capabilities; recent CABG, emotional status, social status, calcium channel blocker, recent angioplasty, maximum diastolic BP, maximum systolic BP and resting systolic BP. The model for predicting those who declined vs. those who did not decline demonstrated higher correct classification rate of 74% and specificity (84%). This model generated the following variables as having predictive capabilities; social status, calcium channel blocker, orthopedic limitation, role function, QOL score and Digitalis. However, these models may include certain bias because the same observations to fit the model were also used to estimate the classification errors. Therefore, cross validation was performed utilizing the single point deletion method; this method yielded somewhat lower fraction correct classification rates (66%,69%) and sensitivity rates (56%,44%) for improvement vs. no improvement and decline vs. no decline groups respectively. Conclusion A combined set of baseline clinical, psychosocial and exercise measures can demonstrate moderate success in predicting training outcome based on STO scores in hospital outpatient cardiac rehabilitation. In contrast psychosocial data seem to account for more of the variance in prediction of decline than other types of baseline variables examined in this study. Baseline blood pressure responses both at rest and during exercise were the greatest predictors of improvement. However, cross validation of these models indicates that these results could be biased eliciting overly optimistic predictive capabilities, due to the analysis of fitted data. These models need to be validated in independent sample with patients in similar settings.Master of Science
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Harb, Nidal Mahmoud. "The Effect of Success Stories on Exercise Adherence to Newly Enrolled Cardiovascular Patients in Cardiac Rehabilitation Program." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1542377729977464.
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McGregor, Gordon. "The effect of cardiac rehabilitation exercise training on left ventricular remodelling in patients with recent myocardial infarction." Thesis, Cardiff Metropolitan University, 2013. http://hdl.handle.net/10369/5528.
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The present thesis examined the effect of cardiac rehabilitation (CR) exercise training on reverse left ventricular (LV) remodelling in a cohort of post-myocardial infarction (MI) patients with mildly abnormal LV ejection fraction (LVEF). Specifically, the thesis aimed to evaluate the effect of 10 weeks of exercise training on (1) the N-terminal fragment of the counter regulatory neurohormone brain natriuretic peptide (NT-pro-BNP), (2) LV structural and functional parameters through the use of conventional echocardiography, and (3) LV mechanics via the application of speckle tracking echocardiography (STE). Accordingly, a large cohort of patients completed a single longitudinal protocol to provide data for three separate experimental studies. A number of cardiovascular adaptations were observed following completion of 10 weeks of CR exercise training. Firstly, an improvement in exercise capacity was evident. Secondly, study one demonstrated that resting NT-pro-BNP was reduced and that the acute increase in NT-pro- BNP observed following bouts of maximal and submaximal exercise may be attenuated. Thirdly, in study two, LV volumetric adaptation was evidenced by reduced LV end diastolic volume (EDV) and end systolic volume (ESV). Furthermore, a positive correlation between reduced resting NT-pro-BNP and reduced EDV provided an indication of the relationship between NT-pro-BNP and reverse LV volumetric remodelling. Finally, the main finding of study three was related to LV functional adaptation, indicated by a reduction in LV twist and twist velocity. Collectively, findings from the three experimental studies presented in this thesis provide evidence of volumetric and functional reverse LV remodelling, further to 10 weeks of CR exercise training in post-MI patients. It is likely that these cardiac adaptations may contribute to the improved cardiovascular exercise capacity and reduced mortality commonly witnessed following CR exercise training in the post-MI population.
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Valentine, Cassandra E. "The relationship of proxy-efficacy and self-efficacy on the intention to continue cardiac rehabilitation." Virtual Press, 2008. http://liblink.bsu.edu/uhtbin/catkey/1399197.
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Cardiac rehabilitation is profoundly effective at improving physical activity and reducing morbidity and mortality of heart patients. Despite its effectiveness, it is highly underutilized. Research indicates proxy-efficacy and self efficacy positively correlate and predict exercise adherence after Phase II cardiac rehabilitation (Bray & Cowan, 2004; Bray, Brawley, & Millen, 2006). The purpose of the current study aims to investigate the relationship of Phase I patients' proxy-efficacy and self efficacy and their intention to enroll in Phase II cardiac rehabilitation. Thirty participants completed measurements of self-efficacy and proxy-efficacy, a demographic questionnaire, and asked to indicate intent to enroll. Results revealed proxy-efficacy does not predict intention to enroll into Phase II cardiac rehabilitation. Even though patients generally had high confidence in their cardiac rehabilitation specialists, proxy-efficacy was an insufficient predictor of intention to enroll in subsequent cardiac rehabilitation services. Moreover, results indicate proxy-efficacy and self efficacy for exercise are not related.School of Physical Education, Sport, and Exercise Science
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De, Klerk Danelle Ria. "An adapted rehabilitation programme for a cross section of South African chronic obstructive pulmonary disease patients." Thesis, Link to the online version, 2008. http://hdl.handle.net/10019/776.
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Leong, Yuk-yan Pauline, and 梁玉恩. "The effectiveness of exercise-based cardiac rehabilitation program for secondary prevention of coronary heart disease : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193828.
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Objective: To examine the effect of exercise-based cardiac rehabilitation program for secondary prevention of coronary heart disease on cardiac-related mortality, recurrent cardiovascular event and quality of life.
Methods: All studies published between 1990 and 2013 in PubMed, and from 1980 to 2013 in EMBASE, which evaluated the effectiveness of exercise-based cardiac rehabilitation program for coronary heart disease. Using the specific keywords “Cardiac rehabilitation”, “Coronary heart disease” OR “Ischemic heart disease” [MeSH], “Exercise” OR “Physical activities” AND “Quality of life” OR “Mortality” AND Cardiovascular events” were searched. A total of 7randomized controlled trials out of 5,051articles from PubMed and 117 articles from EMBASE were included in this systematic review. The primary outcome measures used in the included seven studies were HRQOL, restenosis, cardiac event, cardiac related mortality. Similar demographic and clinical characteristics of the subjects between the intervention and the control groups were recorded. The studies were from five countries. The average age of the subjects in the seven studies was 61years, the average half of them have history of myocardial infarction. Though there were discrepancies among the results generated in the included studies, the potential benefits of exercise-based cardiac rehabilitation could be seen.
Results: Compared with the non-exercise-based cardiac rehabilitation, patients allocated to the exercise-based cardiac rehabilitation program had greater improvement in HRQOL and reduction of cardiac events. The result of reducing restenosis was inconsistent. The cardiac related mortality is not significant difference between exercise-based and non-exercise-based cardiac rehabilitation.published_or_final_version
Public Health
Master
Master of Public Health
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Alotaibi, Jassas. "Individual and service level factors that determine fitness measurement and outcomes in patients enrolled in a cardiac rehabilitation programme." Thesis, University of York, 2018. http://etheses.whiterose.ac.uk/21232/.
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Aim: Despite the recommendations by professional associations and clinical guidelines to measure physical fitness pre- and post-cardiac rehabilitation (CR) programmes, less than one third of CR patients have undertaken such an assessment. The Incremental Shuttle Walk Test (ISWT) is the most common fitness measurement tests in the UK. The minimum clinically important difference (MCID) for this test in CR patients is an improvement of 70 metres. The main aims of this thesis were firstly, to examine the association between a patient undertaking a fitness test at baseline and completing their CR programme; secondly, to identify the predictors of the distance walked during the ISWT at baseline assessment; and thirdly, to identify the determinants of achieving the MCID for the ISWT. Method: A critical review of the literature was conducted and an online survey was sent to 303 CR centres across the UK. Data from three observational studies using National Audit of Cardiac Rehabilitation (NACR) relating to CR patients was analysed. Stepwise linear regression and logistic regressions were used. Result: Patients who undertook a fitness test were 1.48 times more likely to complete their CR programme. Age, gender and self-reported physical fitness were the predictors of the ISWT distance explaining 32% of the variance. Reference values for the ISWT baseline distance walked were produced. Fifteen determinants of achieving the MCID were identified. Conclusion: Assessing fitness at baseline is not only a means of providing data to assist exercise prescription but also one of the most significant determinants of CR completion. The reference values produced will aid clinicians to set patient goals, improve patient risk assessment, and provide feedback relating to their fitness. Being aware of the determinants of achieving the MCID is important in helping clinicians to tailor the CR programme for the benefit of patients.
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Hamilton, Dawn M. "The influence of exercise self-efficacy on compliance, functional ability, and quality of life in a cardiac rehabilitation population." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ54712.pdf.
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Anderson, Derek Ryan. "Health Beliefs, Will to Live, Hope, and Social Support in a Pedometer-Based Exercise Intervention among Cardiac Rehabilitation Patients." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1434901973.
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Adekunle, Ademola Olusegun. "Factors affecting the uptake of pulmonary rehabilitation and the effectiveness of a video based home exercise programme in patients with chronic obstructive pulmonary disease." Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17183.
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Introduction: The participation profile of patients with chronic obstructive pulmonary disease (COPD) in pulmonary rehabilitation (PR) and the effectiveness of a video-based home exercise programme (VBHEP) were investigated using various research methods. Methods: The content analysis of the Move-On-Up exercise video against NICE guidelines and published research was performed. The video was evaluated for its suitability for use in VBHEP through focus groups involving UK population of patients with COPD and respiratory clinicians. Using the data from the content analysis and the focus groups, questionnaire items were synthesised for a national survey of both patients and clinicians. A study examined the relationship between participation in outpatient PR and patient measures of depression (Brief Assessment Depression Card), social support (Duke Social Support Index), multidimensional health locus of control (MHLC) and COPD severity (Medical Research Council dyspnea score). A randomised control trial (RCT) evaluated the effect of combining VBHEP and conventional outpatient PR on walking ability and PR benefit maintenance. The intervention arm received VBHEP concurrently with outpatient PR, while the control arm received only outpatient PR. Outcome measures included: the endurance shuttle walk test (ESWT), quality of life (QoL) (St George's Respiratory Questionnaire- SGRQ), MHLC and a modified Follick's activity diary. Measures were taken before PR, at the fourth and eighth weeks of PR and at six months post-PR. Focus groups were conducted between six and 20 months post-PR to evaluate patients' experience of and adherence to the use of VBHEP. Results: Critical review of 46 RCTs aided evaluation of the video demonstrating that the video content was consistent with both NICE recommendations and published research. The six focus groups that were part of the initial evaluation of the video involved 14 patients and 14 clinicians. The national survey generated responses from 60 patients and 62 clinicians; between 79 and 100% of respondents in each domain of the questionnaire indicated that the video is suitable for use. Fifty-one patients completed the study investigating the profile of patients participating in PR. The results indicated that depression has a moderate and negative statistically significant association with the uptake of PR (p < 0.05). Fifty-seven patients participated in the RCT [mean age 66.51 years (SD 9.96), mean FEV1% predicted 54.51% (SD 10.47)]. The results indicated that the use of VBHEP with outpatient PR has no significant additive effect in improving or maintaining the benefits of walking ability following PR (p<0.05). Seven patients participated in the follow-up focus groups where findings suggested that patients were still participating in VBHEP up to 20 months after it was first prescribed, though the frequency of its use appeared to diminish after PR ended. Conclusion: The Move-On-Up exercise video is suitable for VBHEP in patients with COPD. Patients with COPD and depression are less likely to take up a referral to PR compared to those without depression. The use of VBHEP concurrently with PR has no additive effect in improving or maintaining benefits of walking ability following PR. Adverse social circumstances and disease severity reduce the duration of participation in VBHEP.
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Grünig, Ekkehard, Nicola Ehlken, Ardeschir Ghofrani, Gerd Staehler, F. Joachim Meyer, Jana Juenger, Christian F. Opitz, et al. "Effect of Exercise and Respiratory Training on Clinical Progression and Survival in Patients with Severe Chronic Pulmonary Hypertension." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-132537.
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Background: Even though specific agents for the treatment of patients with pulmonary hypertension (PH) are available, in PH patients, physical capacity and quality of life (QoL) are often restricted and survival is reduced. Objectives: This study prospectively investigated the long-term effects of respiratory and exercise training in patients with severe chronic PH regarding safety, time to clinical worsening and survival. Methods: Fifty-eight consecutive patients with severe PH on stable disease-targeted medication received exercise and respiratory training in hospital for 3 weeks and continued at home. They were prospectively followed for 24 ± 12 months. Primary endpoints were time to clinical worsening and survival. Adverse events and changes in the 6-min walking test, QoL, WHO functional class and gas exchange were secondary endpoints and were evaluated at baseline and at weeks 3 and 15. Results: All patients tolerated the exercise training well without severe adverse events. In week 15, 6-min walking test results were significantly improved compared to baseline (by 84 ± 49 m, p < 0.001), as well as QoL scores, WHO functional class (from 2.9 ± 0.5 to 2.6 ± 0.6, p < 0.01), peak oxygen consumption (from 12.5 ± 3.0 to 14.6 ± 3.9 ml/min/kg, p < 0.001), heart rate at rest (from 75 ± 12 to 61 ± 18 beats/min, p < 0.001) and maximal workload (from 65 ± 21 to 80 ± 25 W, p < 0.001). Survival at 1 and 2 years was 100 and 95%, respectively. Fifteen events occurred during the follow-up. Conclusion: This study indicates that exercise and respiratory training as add-on to medical treatment may improve exercise capacity and QoL, and that they have a good long-term safety in the described settingDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
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Salami, Ibrahim A. "THE EFFECTS OF LIFESTYLE EXERCISE ON HEALTH BELIEFS, SELF-EFFICACY, AND DEPRESSED MOOD IN THE YEAR FOLLOWING THE COMPLETION OF A CARDIAC REHABILITATION PROGRAM." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1301600428.
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Grünig, Ekkehard, Nicola Ehlken, Ardeschir Ghofrani, Gerd Staehler, F. Joachim Meyer, Jana Juenger, Christian F. Opitz, et al. "Effect of Exercise and Respiratory Training on Clinical Progression and Survival in Patients with Severe Chronic Pulmonary Hypertension." Karger, 2011. https://tud.qucosa.de/id/qucosa%3A27461.
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Background: Even though specific agents for the treatment of patients with pulmonary hypertension (PH) are available, in PH patients, physical capacity and quality of life (QoL) are often restricted and survival is reduced.
Objectives: This study prospectively investigated the long-term effects of respiratory and exercise training in patients with severe chronic PH regarding safety, time to clinical worsening and survival.
Methods: Fifty-eight consecutive patients with severe PH on stable disease-targeted medication received exercise and respiratory training in hospital for 3 weeks and continued at home. They were prospectively followed for 24 ± 12 months. Primary endpoints were time to clinical worsening and survival. Adverse events and changes in the 6-min walking test, QoL, WHO functional class and gas exchange were secondary endpoints and were evaluated at baseline and at weeks 3 and 15.
Results: All patients tolerated the exercise training well without severe adverse events. In week 15, 6-min walking test results were significantly improved compared to baseline (by 84 ± 49 m, p < 0.001), as well as QoL scores, WHO functional class (from 2.9 ± 0.5 to 2.6 ± 0.6, p < 0.01), peak oxygen consumption (from 12.5 ± 3.0 to 14.6 ± 3.9 ml/min/kg, p < 0.001), heart rate at rest (from 75 ± 12 to 61 ± 18 beats/min, p < 0.001) and maximal workload (from 65 ± 21 to 80 ± 25 W, p < 0.001). Survival at 1 and 2 years was 100 and 95%, respectively. Fifteen events occurred during the follow-up.
Conclusion: This study indicates that exercise and respiratory training as add-on to medical treatment may improve exercise capacity and QoL, and that they have a good long-term safety in the described setting.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
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Long, Meghan. "Comparison of High Intensity Interval Training Versus Moderate Intensity Continuous Training in a Phase II Cardiac Rehabilitation Program." Bowling Green State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1498769361795025.
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Christle, Jeffrey Wilcox [Verfasser], Martin [Akademischer Betreuer] [Gutachter] Halle, and Henning [Gutachter] Wackerhage. "Individualized combined exercise in patients with cardiac disease and low fitness. A comparison of individualized combined endurance-resistance exercise with a cardiac rehabilitation maintenance program on peak and submaximal exercise performance, risk status, health-related quality of life and physical activity levels in elderly patients with cardiac disease and low physical fitness: A randomized controlled trial / Jeffrey Wilcox Christle ; Gutachter: Martin Halle, Henning Wackerhage ; Betreuer: Martin Halle." München : Universitätsbibliothek der TU München, 2016. http://d-nb.info/1132773997/34.
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Caruso, Flávia Cristina Rossi. "Ajustes e adaptações do exercício físico resistido de baixa intensidade e longas séries nas variáveis autonômicas, ventilatórias, musculares e hemodinâmicas em idosos com doença arterial coronariana." Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/7722.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
The thesis consisted of three studies described below. The study I, entitled "Hemodynamic and metabolic response during aerobic and resistance dynamic exercise in different intensities: A cross-sectional study on implications of intensity on safety and symptoms in patients with coronary disease". Where the objective of this study was to evaluate the clinical and physiological responses during resistance exercise in loads of 30 and 60% of 1-RM on the leg press 45° and compare the responses with maximum aerobic exercise. The evaluation included aerobic test on cycle ergometer and resistance test in leg press 45°. Ventilation, hemodynamic and clinical measurements were performed. The results showed that 60% of resistance exercise and the dynamic test increased variables response studied in compared the load of 30% in resistance exercise. We conclude that high repetition of resistance exercise results in physiological changes at an intensity comparable to maximal aerobic exercise. Further, the study II, entitled "Resistance training improves heart rate variability and muscular performance: A randomized controlled trial in patients with coronary artery disease study" The objective was to investigate the effects of a high repetition program/low load resistance training (RT) (HR/LL-RT) in heart rate variability (HRV) in muscular strength and endurance in patients with CAD. Test were carried out in 1-RM test in leg press 45°, HRV was captured in the supine position before and after eight weeks of RT. The HR/LL-RT program consisted of an exercise using leg press 45°; (three sets, twenty repetitions, twice a week for eight weeks). The results showed that after eight weeks RT there was a significant increase in the values of the RMSSD, ApEn SD1 indices and only the TG (p<0.05). There was a significant decrease in Mean HR after RT for TG (p<0.05). Additionally, there was significant improvement in muscular strength and endurance only for the TG (p<0.05). We conclude that eight weeks of HR/LL-RT is a sufficient stimulus to change heart function, muscle strength and endurance in patients with CAD. Finally, the study III, entitled: ''What the impact of resistance training on hemodynamic, autonomic and metabolic variables in coronary artery disease patients? The randomized controlled trial of eight weeks''. Where the objective was to evaluate the hemodynamic, metabolic, and the HRV effects during maximum intensity tolerated in constant loads protocols during dynamic and resistance exercise before and after eight weeks of resistance training program of low intensity and high reps (RTLHr) in patients with CAD. The results showed increase in maximum and submaximal load (p<0.01) and attenuation of the hemodynamic performance in the higher load (p<0.01) and reduced lactate concentration compared for TG. During the cycle ergometer exercise, there was attenuation of hemodynamic performance and increased minute ventilation (p<0.01). Finally, the TRBAr produced greater parasympathetic contribution (RMSSD and SD1), after RT. We conclude that eight weeks of RTLHr may attenuate the hemodynamic stress, metabolic and autonomic during resistance exercise with cardiovascular and autonomic beneficial effects also in the dynamic exercise.
A tese constou de três estudos descritos a seguir. O estudo I, intitulado: “Respostas hemodinâmicas e metabólicas durante o exercício dinâmico aeróbio e resistido em diferentes intensidades: Um estudo transversal com implicações da intensidade na segurança e sintomas nos pacientes com doença coronariana”, cujo o objetivo foi avaliar as respostas clínicas e fisiológicas durante o exercício resistido nas cargas de 30 e 60% de 1-RM no leg press 45° e comparar as respostas durante o exercício aeróbio máximo. A avaliação incluiu teste aeróbio no cicloergômetro e teste resistido no leg press 45°. Foram realizadas medidas ventilatórias, hemodinâmicas e clínicas. Os resultados apresentaram que na carga de 60% do exercício resistido e no teste dinâmico aumentaram a resposta nas variáveis estudadas quando comparados a carga de 30% no exercício resistido. Concluímos que altas repetições de exercício resistido resulta em modificações fisiológicas a uma intensidade comparável ao exercício aeróbio máximo. Na sequência, o estudo II, intitulado: “Treinamento resistido melhora a variabilidade da frequência cardíaca e o desempenho muscular: um estudo randomizado e controlado em pacientes com doença arterial coronariana.” O objetivo foi investigar os efeitos de um programa de alta repetição/baixa carga de treinamento resistido (TR) (AR/BC-TR) na variabilidade da frequência cardíaca (VFC), na força e resistência muscular em pacientes com doença arterial coronariana (DAC). Foram realizados teste de 1-RM, teste descontínuo no leg press 45°; a VFC foi captada na posição supina antes e após oito semanas de TR. O programa AR/BC-TR consistiu de um exercício utilizando leg press 45°; (três séries de vinte repetições, duas vezes por semana durante oito semanas). Os resultados mostraram que, após oito semanas de TR, houve aumento significativo dos valores dos índices RMSSD, SD1 e ApEn apenas para o GT (p<0,05). Houve uma diminuição significativa na média de FC após TR para GT (p<0,05). Adicionalmente, houve melhora significativa na força e resistência muscular apenas para o GT (p<0,05). Concluímos que oito semanas de AR/BC-TR foram um estímulo suficiente para alterar a função cardíaca, bem como a força e resistência muscular em pacientes com DAC. Finalmente, o estudo III, intitulado: ''Qual o impacto do treinamento resistido nas variáveis, hemodinâmicas, autonômicas e metabólicas em pacientes com doença arterial coronariana? Um estudo randomizado e controlado de 8 semanas'', cujo objetivo foi verificar os efeitos hemodinâmicos, metabólicos e da VFC durante a intensidade máxima tolerada em protocolos de cargas constantes de resistência e dinâmico antes e após oito semanas de programa de treinamento resistido de baixa intensidade e altas repetições (TRBAr) em pacientes com DAC. Os resultados mostraram aumento da carga máxima e submáxima (p<0,01) e atenuação da performance hemodinâmica na maior carga atingida (p<0,01) e redução da concentração de lactato para o GT. Durante o exercício em cicloergômetro, houve atenuação da performance hemodinâmica e aumento da ventilação minuto (p<0,01). Finalmente, o TRBAr produziu maior contribuição parassimpática (RMSSD e SD1), após o TR. Concluímos que oito semanas de TRBAr pode atenuar o estresse hemodinâmico, metabólico e autonômico durante o exercício resistido, com efeitos benéficos cardiovasculares e autonômicos também no exercício dinâmico.
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Nayoan, Johana. "Self-regulation and quality of life after a heart attack : a cross-cultural study." Thesis, Bucks New University, 2010. http://bucks.collections.crest.ac.uk/10113/.
Full textAbstract:
Objective. Coronary heart disease has been on the rise in poorer countries and decreasing in developed countries over the last twenty years. However, the cardiac-related health-related quality of life (HRQOL) in poorer countries has not been studied. This study aimed to compare HRQOL following heart attack in a developing country in the East with that of a developed country in the West. Using the self-regulation of health and illness behaviour, the relationships between illness beliefs, coping cognitions and HRQOL are studied. Design. This study was a cross-sectional correlational survey and data were collected shortly before myocardial infarction patients were discharged from hospital. Methods. A sample of 243 individuals from the UK and Indonesia were recruited. Illness beliefs were assessed with the B-IPQ, along with coping cognitions (Brief-COPE) and health-related quality of life (MacNew questionnaire). Results. Illness beliefs and coping cognitions predicted HRQOL in the combined sample. Some aspects of socio-demographic and clinical variables were concurrently associated with HRQOL. Conclusion. The results demonstrate that people in the East have low illness beliefs and these are associated with worse HRQOL compared with those in the West. The findings suggest that there is an urgent need for smoking cessation campaigns in the East, while the West could benefit more from tailored-cardiac rehabilitation programme.
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Saraiva, Ana Lúcia Rodrigues. "Eficácia da reabilitação cardíaca após enfarte agudo do miocárdio." Bachelor's thesis, [s.n.], 2016. http://hdl.handle.net/10284/5377.
Full textAbstract:
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjectivo: Perceber a eficácia da reabilitação cardíaca, especificamente os exercícios terapêuticos em pacientes cardiopatas após enfarte agudo do miocárdio. Metodologia: Pesquisa computorizada nas bases de dados Pubmed/Medline e Ebsco para identificar estudos randomizados controlados que avaliaram os efeitos dos exercícios terapêuticos em pacientes após enfarte agudo do miocárdio. Resultados: Nesta revisão foram incluídos 8 artigos randomizados controlados, envolvendo 583 indivíduos com pontuação metodológica média de 6,75. Conclusão: Concluímos que se o paciente for capaz de realizar exercício e não houver quaisquer contraindicações para a reabilitação cardíaca, o mesmo deve ser encaminhado para um programa baseado em exercício, quer tenha sido ou não submetido a intervenção de revascularização. No que diz respeito a tipos de treino, o treino de alta intensidade é de facto uma boa eleição e produz resultados superiores ao treino aeróbico.
Objective: Understand the effectiveness of cardiac rehabilitation, specifically exercise therapy in cardiac patients after acute myocardial infarction Methods: Computerized search in the databases PubMed/Medline and Ebsco to identify randomized controlled trials that evaluated the effects of exercise therapy in patients after acute myocardial infarction. Results: In this review were included 8 randomized controlled items, involving 603 individuals with a mean methodological score of 6.75. Conclusion: We conclude that if the patient is able to perform exercise and there are any contraindications to cardiac rehabilitation, it should be referred to an exercise-based program, whether it has been or not undergone revascularization surgery. As regards the types of training, high-intensity workout is indeed a good choice and produces superior results to the aerobic workout.
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Lin, Zin-Rong. "Developing a model of quality of life for people with coronary heart disease." Thesis, Loughborough University, 2001. https://dspace.lboro.ac.uk/2134/12309.
Full textAbstract:
Quality of life (QOL) is an extremely important concept in the promotion of appropriate and successful health care programmes. However, there is a need for conceptual clarity to unravel the complexities of terminology in different medical conditions and the underlying factors that have a direct influence on the quality of life for people with coronary heart disease. The primary objective of this thesis is to propose a theoretical model which specifies the domains of QOL and the interrelationships among these domains. The objectives of the study are four-fold: (1) To examine whether a cardiac rehabilitation programme has a beneficial effect on cardiac heart disease patients; (2) To evaluate the primary components of generic health-related quality of life assessment tools for people with coronary heart disease; (3) To identify the main factors governing disease-specific health-related quality of life assessment tools amongst patients with coronary heart disease; (4) To examine a variety of conceptual models of QOL and to determine their relevance to cardiac patients. First, in order to provide conceptual clarity, a comprehensive review of QOL measures was undertaken. Second, data was collected on a cardiac rehabilitation programme in a county hospital using Short Form-36 (SF-36) and Quality of Life for Myocardial Infarction (QLMI) instruments. This data was analysed using a number of techniques including (l)meta-analysis; (2)discriminant analysis; (3)factor analysis and (4)structural equation modelling. Analysing the data in this way enabled the development and clarification of the specific domains of the quality of life model. Meta-analysis involved pooling the results of several studies, these were then analysed to provide a systematic, quantitative review of the data. The results found that the related studies did not have consistent outcomes to support the positive effects of a cardiac exercise rehabilitation programme on quality of life in coronary patients. Findings from the SF-36 indicate that older people with coronary heart disease gain more pain relief than their younger counterparts. After a cardiac exercise rehabilitation progranune, statistically significant improvements occurred in physical function, social function, role limitation/physical, energy/vitality, body pain, and change in health-related dimensions of quality of life. The first-order five domains model includes the symptom domain, the restriction domain, the confidence domain, the self-esteem domain and the emotion domain. This model represents an appropriate model of quality of life for people with coronary heart disease compared to the three-domain model and the four-domain model. In terms of the second-order QOL model, the five-domain model also has an adequate fit to the data. According to the result of structural equation modelling, three models, including the null model, the alternative model I and the alternative model n, did not fit the data perfectly. However, the construct of full latent variable model gradually increased the fit statistics from the null model to the alternative model I and from the null model to alternative model n. Therefore, it can be concluded that the paths and indicators of the three models need to be further adjusted in order to provide a more appropriate model. Nevertheless, this is a first trial to examine a full model of quality of life for people with coronary heart disease using the structural equation analyses. As such, this study provides a new approach to examining the difference between empirical studies and theoretical approaches.
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Serafim, Catarina. "Efeitos da reabilitação cardíaca após transplante de coração: uma revisão." Bachelor's thesis, [s.n.], 2017. http://hdl.handle.net/10284/6246.
Full textAbstract:
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: Compreender a efetividade da reabilitação pós-operatório em pacientes submetidos a cirurgia de transplante de coração. Metodologia: Pesquisa computorizada nas bases de dados Pubmed/Medline e PEDro para identificar estudos randomizados controlados que avaliaram os efeitos da reabilitação cardíaca com base em técnicas de fisioterapia em pacientes submetidos a cirurgia de transplante do coração. Resultados: Nesta revisão foram incluídos 8 artigos envolvendo 194 indivíduos, com classificação metodológica de 5.75 na escala de PEDro. Os artigos mencionados nesta revisão referem-se à realização de programas de reabilitação cardíaca sendo que 6 estudos foram realizados em meio hospitalar, um é a comparação entre o meio domiciliar e hospitalar e o último só em meio domiciliar. Conclusão: A reabilitação cardíaca representa um papel importante mostrando-se eficaz no aumento da força muscular, dos batimentos cardíacos, diminuição da pressão arterial sistólica e melhoria da função endotelial. Ajuda também na prevenção de doenças cardíacas futuras e principalmente ajuda na reinserção na vida diária do paciente após cirurgia.
Objective: To understand the effectiveness of postoperative rehabilitation in patients undergoing heart transplant surgery. Methodology: Computerized search in the Pubmed / Medline and PEDro databases to identify randomized controlled trials that evaluated the effects of cardiac rehabilitation based on physiotherapy techniques in patients undergoing heart transplant surgery. Results: In this review were included eight articles involving 194 individuals with a methodological classification of 5.75 on the PEDro scale. The articles mentioned in this review refer to the implementation of cardiac rehabilitation programs. 6 of these studies were performed in a hospital setting, one is the comparison between the home and hospital environment and the last one only in the home setting. Conclusion: Cardiac rehabilitation plays an important role in increasing muscle strength, heart rate, decreasing systolic blood pressure and improving endothelial function. It also helps in the prevention of future heart diseases and mainly helps in reinsertion into the daily life of the patient after surgery.
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