Effects of Cardiac Rehabilitation Program on Vitals, Level of Daily Physical Activity Through Accelerometer in Patients of Post Myocardial Infarction
DOI:
https://doi.org/10.61919/jhrr.v3i2.46Keywords:
Activities Of Daily Living, Cardiac Rehabilitation, Home-Based Exercise, Myocardial Infarction, Physical ActivityAbstract
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.
Downloads
References
Barranco MC, Velasquez ABC, Supervia M, Riaño MOA, Smith JR. Cardiac Rehabilitation Program in Children with Congenital Heart Disease: Promising Results. Journal of cardiopulmonary rehabilitation and prevention. 2023;43(2):145-6.
Baldasseroni S, Silverii MV, Herbst A, Orso F, Di Bari M, Pratesi A, et al. Predictors of physical frailty improvement in older patients enrolled in a multidisciplinary cardiac rehabilitation program. Heart and vessels. 2023;38(8):1056-64.
Beatty AL, Beckie TM, Dodson J, Goldstein CM, Hughes JW, Kraus WE, et al. A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities. Circulation. 2023;147(3):254-66.
Eichner NZM, Zhu QM, Granados A, Berry NC, Saha SK. Factors that predict compliance in a virtual cardiac rehabilitation program. International journal of cardiology. 2023; 393:131364.
Emeriaud G, López-Fernández YM, Iyer NP, Bembea MM, Agulnik A, Barbaro RP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2023;24(2):143-68.
Dwiputra B, Santoso A, Purwowiyoto BS, Radi B, Ambari AM, Desandri DR, et al. Smartphone-Based Cardiac Rehabilitation Program Improves Functional Capacity in Coronary Heart Disease Patients: A Systematic Review and Meta-Analysis. Global heart. 2023;18(1):42.
Kollet DP, Marenco AB, Bellé NL, Barbosa E, Boll L, Eibel B, et al. Aerobic exercise, but not isometric handgrip exercise, improves endothelial function and arterial stiffness in patients with myocardial infarction undergoing coronary intervention: a randomized pilot study. BMC cardiovascular disorders. 2021;21(1):1-12.
Feng L, Li B, Xi Y, Cai M, Tian Z. Aerobic exercise, and resistance exercise alleviate skeletal muscle atrophy through IGF-1/IGF-1R-PI3K/Akt pathway in mice with myocardial infarction. American Journal of Physiology-Cell Physiology. 2022;322(2):C164-C76.
Farghaly A, Fitzsimons D, Bradley J, Sedhom M, Atef H. The Need for Breathing Training Techniques: The Elephant in the Heart Failure Cardiac Rehabilitation Room: A Randomized Controlled Trial. Int J Environ Res Public Health. 2022;19(22).
Khalid Z, Gul I, Siddiqi FA, Rathore FA. Cardiac Rehabilitation for Visceral Obesity: A Multidisciplinary Approach. JPMA The Journal of the Pakistan Medical Association. 2023;73(4):944-6.
Nadarajah R, Ludman P, Appelman Y, Brugaletta S, Budaj A, Bueno H, et al. Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry. European heart journal Quality of care & clinical outcomes. 2022;9(1):8-15.
Nusbickel AJ, Randall MH, Plasschaert JM, Brown MP, Anderson RD, Arnaoutakis GJ, et al. Cardiac Rehabilitation Referral After Transcatheter Aortic Valve Replacement. Critical pathways in cardiology. 2022;21(4):162-4.
Elsahoryi NA, Neville CE, Patterson CC, Linden GJ, Moitry M, Biasch K, et al. Association between overall fruit and vegetable intake, and fruit and vegetable sub-types and blood pressure: the PRIME study (Prospective Epidemiological Study of Myocardial Infarction). British Journal of Nutrition. 2021;125(5):557-67.
Mansilla-Chacón M, Gómez-Urquiza JL, Martos-Cabrera MB, Albendín-García L, Romero-Béjar JL, Canadas-De La Fuente GA, et al. Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis. Journal of Cardiovascular Development and Disease. 2021;8(12):166.
Coull A, Pugh G. Maintaining physical activity following myocardial infarction: a qualitative study. BMC cardiovascular disorders. 2021;21(1):1-9.
Schopfer DW, Whooley MA, Allsup K, Pabst M, Shen H, Tarasovsky G, et al. Effects of Home‐Based Cardiac Rehabilitation on Time to Enrollment and Functional Status in Patients With Ischemic Heart Disease. Journal of the American Heart Association. 2020;9(19):e016456.
Oz A, Tsoumas I, Lampropoulos K, Xanthos T, Karpettas N, Papadopoulos D. Cardiac Rehabilitation After TAVI -A Systematic Review and Meta-Analysis. Current problems in cardiology. 2023;48(3):101531.
Gardner AW, Montgomery PS, Wang M, Shen B. Minimal clinically important differences in daily physical activity outcomes following supervised and home-based exercise in peripheral artery disease. Vascular Medicine. 2022;27(2):142-9.
Sears CG, Poulsen AH, Eliot M, Howe CJ, James KA, Harrington JM, et al. Urine cadmium and acute myocardial infarction among never smokers in the Danish Diet, Cancer and Health cohort. Environment international. 2021; 150:106428.
Ballin M, Nordström P, Niklasson J, Nordström A. Associations of objectively measured physical activity and sedentary time with the risk of stroke, myocardial infarction, or all-cause mortality in 70-year-old men and women: a prospective cohort study. Sports Medicine. 2021;51(2):339-49.
Rossaint R, Afshari A, Bouillon B, Cerny V, Cimpoesu D, Curry N, et al. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Critical care (London, England). 2023;27(1):80.
Sibilitz KL, Tang LH, Berg SK, Thygesen LC, Risom SS, Rasmussen TB, et al. Long-term effects of cardiac rehabilitation after heart valve surgery - results from the randomised CopenHeart(VR) trial. Scandinavian cardiovascular journal: SCJ. 2022;56(1):247-55.
Sung J, Kim C, Han JY, Jee S, Lee JW, Lee JH, et al. Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result. BMC cardiovascular disorders. 2023;23(1):186.
Sykes AV, Sonners C, Schmickl CN, Raphelson J, Swiatkiewicz I, Roberts E, et al. The Impact of Underlying Obstructive Sleep Apnea Treatment on Exercise Capacity in Patients with Pulmonary Hypertension Undergoing a Cardiac Rehabilitation Program. Journal of cardiopulmonary rehabilitation and prevention. 2023;43(3):186-91.
Ács P, Veress R, Rocha P, Dóczi T, Raposa BL, Baumann P, et al. Criterion validity and reliability of the International Physical Activity Questionnaire–Hungarian short form against the RM42 accelerometer. BMC Public Health. 2021;21(1):1-10.
Roberts-Lewis SF, White CM, Ashworth M, Rose MR. The validity of the International Physical Activity Questionnaire (IPAQ) for adults with progressive muscle diseases. Disability and Rehabilitation. 2021:1-9.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rida Fatima, Wajeeha Zia, Iqra Yaseen, Hafiza Muriam Ghani, Amna Shahid
This work is licensed under a Creative Commons Attribution 4.0 International License.
