Key result
Aerobic training significantly improved VO2 max (mean difference 4.99 ml/kg/min, p=0.018) compared to traditional physical therapy alone in patients with myocardial infarction and stroke.
Why the study?
The study was conducted to determine the effect of aerobic training on selected cardiopulmonary parameters in myocardial infarction patients with stroke during maintenance cardiac rehabilitation.
Does aerobic training combined with traditional physical therapy improve cardiopulmonary parameters in patients with chronic myocardial infarction and stroke?
RCT (n=40)
No
Does aerobic training combined with traditional physical therapy improve cardiopulmonary parameters in patients with chronic myocardial infarction and stroke?
Mean Difference: 4.99
Absolute Event Rate: 41.99% vs 37%
p-value: p=0.018
Aerobic training added to traditional physical therapy significantly improves cardiopulmonary exercise capacity and hemodynamic parameters in patients with chronic myocardial infarction and stroke.
Aerobic training may improve cardiopulmonary parameters in MI patients with stroke; hypothesis-generating and leaves open confirmation in larger RCTs.
Background: Patients in cardiac rehabilitation are typically advised to complete a period of maintenance phase. The purpose of this study was to determine if there was any difference in effect of aerobic training on selected cardiopulmonary parameters in myocardial infarction patients with stroke. Methodology: Forty patients of both sexes with age 40-50 years with chronic myocardial infarction patients with stroke after 6 months participated in the study. Patient’s were assigned for 4 weeks into two groups: group (A) received aerobic training and traditional physical therapy program and group (B) which received traditional physical therapy program. Patients were assessed pre and post treatment using through Stress exercise test unit (Modified Bruce protocol) and modified ashwarth scale. Results: This study revealed that there is significantly improved in resting heart rate (10.10%), maximum heart rate (4.67%), METs (64.95%), maximum systolic blood pressure (4.45%), maximum diastolic blood pressure (9.45%) and VO2 max (35.36%) variables in group (A) treated by aerobic training than those of traditional physical therapy program only. Conclusion: Aerobic training was a valuable method for management myocardial infarction patients with stroke.
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Zeezy S. Eraky (2020) conducted an RCT in Chronic myocardial infarction with stroke (n=40). Aerobic training and traditional physical therapy vs. Traditional physical therapy program was evaluated on VO2 Max (ml/kg/min) (Mean difference 4.99, p=0.018). Aerobic training significantly improved VO2 max (mean difference 4.99 ml/kg/min, p=0.018) compared to traditional physical therapy alone in patients with myocardial infarction and stroke.
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