Key result
Musculoskeletal limitations are linked to ~20% lower cardiac rehab attendance despite similar enrollment.
Why the study?
To help clarify a potential barrier to cardiac rehabilitation participation by examining the association between musculoskeletal limitations and cardiac rehabilitation enrollment and participation.
Does the presence of musculoskeletal limitations reduce cardiac rehabilitation enrollment and participation in patients hospitalized for a cardiac event?
Observational (n=321)
No
Does the presence of musculoskeletal limitations reduce cardiac rehabilitation enrollment and participation in patients hospitalized for a cardiac event?
Musculoskeletal limitations are highly prevalent among cardiac rehabilitation-eligible patients and are associated with lower session attendance, highlighting the need for tailored support to optimize adherence.
Background: To help clarify a potential barrier to cardiac rehabilitation (CR) participation we sought to examine the association between musculoskeletal limitations (MSLs) and CR enrollment and participation. Methods: Consecutive CR eligible individuals hospitalized for a cardiac event (myocardial infarction, percutaneous coronary intervention, and/or coronary artery bypass graft) between the months of November 2007 and May 2008, were asked to complete a mailed survey within 2 weeks after hospital discharge, assessing demographic factors, Patient Health Questionnaire (PHQ-9), participation in CR and MSLs through a validated MSLs screening tool. CR enrollment rates were compared between patients with and without MSLs. Results: Three hundred and twenty-one (37%) of patients contacted responded to our survey, including 228 males (71%), with a mean age 68 ± 10.8 years, of whom 98% were Caucasian. Eighty-two percent of responders reported a musculoskeletal disorder at the time of hospital discharge. Arthritis was the most frequent diagnosis (45%). Muscle or joint pain sufficient to limit the ability to do moderate exercise was reported in 52% of the respondents. Problems with balance affected 37%, of whom 45% reported a fall within the previous year. No significant difference in CR enrollment was observed in respondents with and without MSLs [OR = 0.98, 95% CI (0.88–1.09), p = 0.750]. Similar results were found when severity and number of MSLs were taken into account. However, we found that when compared to those without MSLs, the presence of MSLs was associated with lower CR participation (OR = 0.80, 95%, CI: 0.65–0.97, p = 0.0252). Conclusion: Despite a high prevalence of MSLs among CR-eligible patients, we found no association between MSLs and CR enrollment. However, patients with MSLs attended significantly fewer CR sessions as compared to patients without them. CR programs should consider providing additional support and interventions to patients with MSLs in order to optimize their adherence to prescribed CR sessions.
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Supervía et al. (2021) conducted an observational in Cardiac event (MI, PCI, CABG) eligible for cardiac rehabilitation (n=321). Musculoskeletal limitations (MSLs) vs. No musculoskeletal limitations was evaluated on Cardiac rehabilitation enrollment (OR 0.98, 95% CI 0.88-1.09, p=0.750). The presence of musculoskeletal limitations in patients eligible for cardiac rehabilitation was not associated with lower enrollment (OR 0.98) but was associated with significantly lower session attendance (OR 0.80).
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