Mahboubeh Najafabadi
A pilot study examining the safety and effectiveness of 8-weeks of early cardiac rehabilitation on physical function and psychological well-being in patients following aortic root replacement
Najafabadi, Mahboubeh; Niazi, Sepideh; Mortazavian, Soudabehsadat; Khah, Amir; Ingle, Lee
Authors
Abstract
AIM: To determine the effects of a structured, moderate-intensity, early cardiac rehabilitation (CR) program on physical function and psychological wellbeing in patients following aortic root replacement. MATERIALS AND METHODS: Patients were randomly assigned to either an 8-week (24 sessions) cardiac rehabilitation (CR) program, 4 to 6 weeks after aortic root replacement using the Bentall procedure, or to an age- and sex-matched control group undertaking no structured exercise. Physical function (via exercise treadmill test (ETT)) and psychological wellbeing (assessed via DASS-21 and SF36) were assessed before and following 8-weeks of CR. RESULTS: 30 patients (15 in the control (mean age: 37±10 years) and 15 in the intervention group (mean age: 38±11 years)) completed the 8-week CR programme and no adverse events were reported over the intervention period. In the CR group, all sub-components of the SF-36 and DASS-21 increased (all P < 0.05), showing an overall improvement in psychological wellbeing following the intervention. Distance walked on the ETT (improved significantly following 8-weeks of CR (490±167 m v 659±141 m; Λ improvement = 169 m; P < 0.05). There were no changes in physical function and psychological wellbeing in the controls (P > 0.05). A significant group-by-time interaction effect was evident for physical function and all sub-components of the SF-36 and DASS-21 (all P < 0.05) highlighting significant improvements in outcomes in the CR group compared to controls. CONCLUSIONS: This small sample, aerobic-based, moderate-intensity CR is safe and effective, and can be tolerated only 4-6 weeks after complex aortic root replacement surgery.
Citation
Najafabadi, M., Niazi, S., Mortazavian, S., Khah, A., & Ingle, L. (2022). A pilot study examining the safety and effectiveness of 8-weeks of early cardiac rehabilitation on physical function and psychological well-being in patients following aortic root replacement. Physiotherapy Practice and Research, 43(1), 37-43. https://doi.org/10.3233/PPR-210541
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 9, 2022 |
Online Publication Date | Mar 25, 2022 |
Publication Date | 2022 |
Deposit Date | Apr 19, 2022 |
Publicly Available Date | Apr 22, 2022 |
Journal | Physiotherapy Practice and Research |
Print ISSN | 2213-0683 |
Electronic ISSN | 2213-0691 |
Publisher | IOS Press |
Peer Reviewed | Peer Reviewed |
Volume | 43 |
Issue | 1 |
Pages | 37-43 |
DOI | https://doi.org/10.3233/PPR-210541 |
Keywords | Cardiac rehabilitation; Bentall procedure; Depression; Anxiety |
Public URL | https://hull-repository.worktribe.com/output/3979878 |
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©2022 The authors. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder.
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