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Background: Myocardial Infarction (MI) remains a predominant cause of global morbidity and mortality, with an estimated 22,200 individuals experiencing acute MI annually. Assessing and enhancing physical activity levels are crucial for improving Activities of Daily Living (ADLs) in this patient population. The International Physical Activity Questionnaire (IPAQ) serves as a tool to gauge patient engagement in physical activities.
Objective: This study aimed to evaluate the comparative effectiveness of supervised clinical cardiac rehabilitation and home-based exercise programs on the physical activity of patients with Myocardial Infarction stage IV.
Methods: In a randomized controlled trial conducted at Younas Hospital in Daska, 34 participants were recruited via convenience sampling and assigned to either Group A (supervised clinical rehab) or Group B (home-based exercise), using a simple randomization method involving opaque sealed envelopes. Over seven days, Group A engaged in a supervised aerobic exercise regimen, while Group B participated in a home-based aerobic program. Physical activity was quantified using the IPAQ questionnaire, with data analysis performed via SPSS version 27.
Results: The average age of participants was 60.99 ± 7.172 in Group A and 60.18 ± 5.09 in Group B. Results were statistically significant (p < 0.05), with Group A showing a more substantial increase in physical activity levels from a mean of 432.3 ± 130.93 (pre-treatment) to 3405.8 ± 371.60 (post-treatment), compared to Group B, which improved from a mean of 330.58 ± 73.96 (pre-treatment) to 2867.64 ± 902.24 (post-treatment).
Conclusion: The supervised clinical rehabilitation program demonstrated a more pronounced improvement in physical activity levels among MI-IV patients than the home-based exercise program. This suggests that structured, clinician-guided rehabilitation may be more effective for this patient demographic.
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