Key result
Adding multidisciplinary physical interventions to standard CR improves SPPB scores by ~2.2 points.
Why the study?
Safe and effective interventions to improve Short Physical Performance Battery (SPPB) in elderly patients with acute decompensated heart failure (ADHF), including those with preserved ejection fraction, remain unclear, as does whether standard cardiac rehabilitation alone sufficiently improves SPPB.
Does the addition of multidisciplinary physical interventions to standard cardiac rehabilitation improve physical performance in elderly patients with acute decompensated heart failure?
Comparison
Multidisciplinary physical interventions plus standard CR vs standard CR alone
Design
Randomized prospective study
Follow-up
During acute hospitalization
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Supports adding balance, resistance, and cycling training to standard cardiac rehabilitation in elderly ADHF; extends RCT evidence for multidisciplinary interventions improving physical performance.
RCT (n=75)
randomized
No
Does the addition of multidisciplinary physical interventions to standard cardiac rehabilitation improve physical performance in elderly patients with acute decompensated heart failure?
Mean Difference: 2.2
Absolute Event Rate: 3.7% vs 1.5%
p-value: p=<0.001
Adding balance training, resistance training, and cycling to standard cardiac rehabilitation safely and significantly improves physical performance in elderly patients hospitalized for acute decompensated heart failure.
A 2021 study conducted an RCT in acute decompensated heart failure (ADHF) (n=75). Balance training, resistance training, and cycling ergometer in addition to standard CR vs. Standard CR was evaluated on improvement in Short Physical Performance Battery (SPPB) after CR (MD 2.2, p=<0.001). Adding multidisciplinary physical interventions to standard cardiac rehabilitation significantly improved the Short Physical Performance Battery score (+3.7 vs +1.5; P<0.001).
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