A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Maiya, Arun G.
- Effect of Home Based Cardiac Rehabilitation on Quality of Life in Rural Indian Populations - A Controlled Trial
Authors
1 Department of Physiotherapy, Manipal University, Karnataka State, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 2, No 2 (2008), Pagination: 1-5Abstract
Objective: To study the effect of home based cardiac rehabilitation program on quality of life in low and moderate risk patients with Coronary artery disease in rural Indian populations
Design: Experimental control trial
Settings: This study was conducted at kasturba medical college hospital Manipal, India.
Interventions: 60 subjects recruited for the study after screening they were randomly allotted into experimental group and control group. Both the groups were evaluated by the cardiologist and baseline evaluation was recorded. Control groups were managed by physician with regular medical interventions and the experimental groups were given cardiac rehabilitation program which includes, risk factors modifications, and life style modification and structured home based aerobic exercise program three to five sessions per week for 12 weeks.
Measurements: SF-36 questionnaire was administered to assess the quality of life at baseline and after three months of rehabilitation program for both the groups.
Results: Significant improvement in the quality of life scores in all the domains of SF-36 questionnaire in the experimental group (p<.0001). But there was no significant improvement in the quality of life scores in any domains in the control group was noted.
Conclusions: Home based cardiac rehabilitation proved to be effective in improving quality of life in coronary artery disease patients which increased the availability and feasibility than institutional based cardiac rehabilitation which was out of reach for these patients.
Keywords
Home Based Cardiac Rehabilitation, Coronary Artery Disease, Quality of Life, Sf-36 QuestionnaireReferences
- Braunwald’s Heart Disease : A Text book of cardiovascular medicine. 7th Edition, Chapter 43. Comprehensive rehabilitation of patients with cardiovascular disease. Richard c. Pasternak. Page 1085-1086.
- Beniamini Y, Rubenstein JJ, Zaichkowsky LD, Crim MC: Effects of high-intensity strength training on quality-of-life parameters in cardiac rehabilitation patients. Am J Cardiol 1997, 80:841-846.
- Stahle A, Mattsson E, Ryden L, Unden A, Nordlander R. Improved physical fitness and quality of life following training of elderly patients after acute coronary events. A 1 year follow-up randomized controlled study. Eur Heart J 1999;20: 1475
- Niccolo Marchinonni.et.al: Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction. Circulation. May 6.2003:2201-2206.
- Erika S Froelicher: Physical activity and exercise in cardiovascular disease prevention and rehabilitation. Evidence based cardiology. 2002. Page 170-180.
- Joseph J. Carlson.: Program participation, exercise adherence, cardiovascular outcomes, and program cost of traditional versus modified cardiac rehabilitation. The Amer.journal of cardiology. Vol.86. july1,2000 page. 17-23.
- Andria M.et.al. Attendance and graduation patterns in a group model health maintenance organization. Alternative cardiac rehabilitation program. Journal of Cardiopulmonary rehab.2004:24:15-156.
- Natelia johnson et.al: Factors associated with referral to outpatients cardiac rehabilitation services. Journal of cardiopulmonary rehab. 2004:24:165-170
- Neil F. Gordon.et.al.: Effectiveness of three models for comprehensive cardiovascular disease risk reduction. Am. J. Cardiology 2002:89:1263-1268.
- Saltin B, Blomqvist G, Mitchell JH, et al: Response to exercise after bed rest and after training. Circulation 38:VIII-78,1968.
- Andrew G, Oldrige N, Parker J, Cunnhingham D, Rechnitzer P and Jones N et al: Reasons for dropout from exercise programs in post-coronary patients. Med Sci Sports Exerc 1981,13:164-168.
- Gori P, Pivotti F, Maase N, Zucconi V and Scardl lSL Compliance with cardiac rehabilitation in the elderly. Eur Hear J 1984,suppl E:109-111.
- Pell J, Pell A, Morrison c, Blatchford O and Dargie H: Retrospecive study of influence of deprivation on uptake of cardiac rehabilitation. BMJ 1996,313:267- 268.
- Jollifh JA, Roesk, Taylor RS, Thompson S, oldridge N, Ebrahim S: Exercise based rehabilitation for coronary heart disease. The Cochrane library.2007.June
- Luke S Acree, Jessica Longfors, Anette S Fjeldstad et.al: Physical activity is related to quality of life in older adults: Health and quality of life outcomes.2006:4:37.
- American college of sports medicine: ACSM’S guidelines for exercise testing and prescription 7th edition; 2005.
- Hambrecht R, wolf A, Gielen S. et.al: Effect of exercise as coronary endothelial function in patients with coronary heart disease: N Eng J Med :2000:342:454- 460.
- Meng – Yueh Chein,Mei – won Tsai, Yiz – Tai W: Evidence in practice: Physical therapy.Dec 2006;86,12:1703.
- Risk Factor Estimation for Coronary Heart Disease and its Correlation with Body Composition in Asymptomatic Individuals
Authors
1 MCOAHS, Manipal University, Manipal, IN
2 Physiotherapy, MCOAHS, Manipal University, Manipal, IN
3 Physiotherapy, MCOAHS, Manipal University, Manipal, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 3 (2009), Pagination: 9-11Abstract
No AbstractReferences
- Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report, Circulation 2002.
- Primary Prevention of Coronary Heart Disease: Guidance from Framingham, Circulation. 1998
- Prediction of Coronary Heart Disease Using Risk Factor Categories, Circulation. 1998
- Assessment of Cardiovascular Risk by Use of Multiple-Risk-Factor Assessment Equations: A Statement for Healthcare Professionals from the American Heart Association and the American College of Cardiology, Circulation 1999
- Comparison of the Associations of Body Mass Index, Percentage Body Fat, Waist Circumference and Waist/Hip Ratio with Hypertension and Other Cardiovascular Risk Factors, Turkish Journal of Endocrinology and Metabolism, 1999
- Primary Prevention of Cardiovascular Disease in nursing Practice: Focus on Children and Youth, Circulation 2007
- Influence of Graded Aerobic Exercise in Post-surgical Adult Acyanotic Congenital Heart Disease - A Prospective Randomized Clinical Trial
Authors
1 College of Physiotherapy, Cardiovascular and Thoracic Surgery, SVIMS, Tirupathi, IN
2 Head of the Department, Cardiovascular and Thoracic Surgery, SVIMS, Tirupathi, IN
3 Associate Dean, MAHE, Manipal, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 87-94Abstract
Exercise intolerance and Impaired quality of life is the long existing problem in Adult congenital heart disease individuals. Regular physical activities improves the physical capacity of an individual., influence on exercise tolerance and quality of life need to be studied. The aim of the study is to find out the influence of graded aerobic exercise on post surgical adult acyanotic congenital heart disases.
Materials and Methodology111 samples were randomly selected from a tertiary care centre SVIMS, Tirupathi, AP and allotted into control and study groups. The outcomes measures in the study were BMI (kg/ m2),Ejection fraction (%),Nitric oxide (mmol/L), VO2 peak (ml/ kg/min) and Quality of life (score).BMI was recorded using Quetelet index, Ejection fraction through echo, Nitric oxide analysis by Griess method , Bicycle ergometer to measure the ventilatory oxygen peak uptake (VO2 peak) and self assessed health related quality of life questionnaire SF-36 form to assess health related quality of life. The above values were recorded before surgery and 12 weeks after surgery. Graded aerobic exercises were implemented from the day 1 after surgery to 12 weeks to study group. Un graded aerobic exercises were implemented from the day 1 after surgery to 12 weeks to control group.
Results and Statistical AnalysisPower of the study is 90%. Paired t-test is used to compare mean values between pre and post tests of each parameter and t test is used to find out the mean percentage change in the parameters. The mean difference of pre and post intervention values of all outcomes between study and control group were found to be significant at p value<0.001
ConclusionImplementation of graded aerobic exercises in post surgical adult acyanotic congenital heart disease individuals has improved exercise tolerance and quality of life.