Key result
Additional resistance and balance training with telephone support during cardiac rehabilitation reduced hospital admissions (8% vs 25%, p=0.027) and increased physical activity, but did not significantly improve overall quality of life.
Why the study?
The study evaluated whether cardiac rehabilitation enhanced by resistance and balance training plus a telephone-support program improved quality of life, clinical course, and physical activity compared to usual care after valve surgery or intervention.
Does additional resistance and balance training and a telephone support program in exercise-based cardiac rehabilitation improve quality of life, clinical course, and physical activity in patients after valve surgery/intervention?
RCT (n=116)
randomized
No
Does additional resistance and balance training and a telephone support program in exercise-based cardiac rehabilitation improve quality of life, clinical course, and physical activity in patients after valve surgery/intervention?
Adding resistance/balance training and telephone support to cardiac rehabilitation after valve surgery increases physical activity and reduces clinical complications, though it does not significantly improve overall quality of life.
Supports adding resistance-balance training with telephone support to cardiac rehabilitation; extends evidence for multimodal programs reducing admissions.
Objectives To evaluate 20 days and 3 months follow-up effectiveness of cardiac rehabilitation (CR) enhanced by resistance/balance training and telephone-support program compared to usual CR care in improving quality of life, clinical course and physical activity behavior. Design Single-centre randomized controlled trial. Setting Inpatient CR clinic Subjects 116 (76.1 ± 6.7 years, 50% male) patients 14.5 ± 5.9 days after valve surgery/intervention were randomized to intervention group (IG, n = 60) or control group (CG, n = 56). Intervention Additional resistance/balance training (3 days/week) during phase-II CR and telephone-support program during 3-month follow-up. CG patients were provided with usual CR care. Main measures Short Form 36 Health Survey scales, European Quality of Life 5 Dimensions 3 Level Version QoL index, visual analog scale, clinical course, and physical activity behavior assessed with standardized questionnaires. Results IG reported statistically significant higher mental component score (48.5 ± 6.91 vs. 40.3 ± 11.21 at the baseline, 50.8 ± 9.76 vs. 42.6 ± 9.82 after 20 days, 49.4 ± 8.45 vs. 40.5 ± 8.9 after 12 weeks follow up), general health (48.6 ± 3.17 vs. 45.0 ± 2.95 at the baseline, 53.6 ± 3.02 vs. 43.8 ± 2.55 after 20 days, 53.2 ± 3.11 vs. 44.2 ± 3.07 after 12 weeks) and role limitations due to emotional problems (48.5 ± 15.2 vs. 27.7 ± 11.5 at the baseline, 72.7 ± 12.6 vs. 30.5 ± 11.2 after 20 days, 66.6 ± 14.2 vs. 36.1 ± 11.2 after 12 weeks) in all three assessments ( p < 0.05). CG patients had more documented hospital admissions (4 (8%) vs 10 (25%), p = 0.027), atrial fibrillation paroxysms (3 (6.0%) vs. 10 (35.0%), p = 0.011) and blood pressure swings (13 (26%) vs. 20 (50%), p = 0.019). IG patients chose more different physical activities (1.7 ± 0.7 vs. 1.25 ± 0.63, p = 0.002), spent more time being physical active every day (195.6 ± 78.6 vs. 157.29 ± 78.8, p = 0.002) Conclusions The addition of resistance/balance exercises and telephone-support program 12 weeks after to the CR could linked to higher physical activity levels and fewer clinical complications but did not lead to a significant improvement in quality of life.
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Tamulevičiūtė-Prascienė et al. (2021) conducted an RCT in post-valve surgery or intervention (n=116). Additional resistance/balance training and telephone-support program vs. Usual CR care was evaluated on Hospital admissions (p=0.027). Additional resistance and balance training with telephone support during cardiac rehabilitation reduced hospital admissions (8% vs 25%, p=0.027) and increased physical activity, but did not significantly improve overall quality of life.
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