Document Detail


Comparison of hospital-supervised exercise versus home-based exercise in patients after orthotopic heart transplantation: effects on functional capacity, quality of life, and psychological symptoms.
MedLine Citation:
PMID:  17580194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In heart transplant patients it is common to observe a reduced exercise capacity and diminished quality of life. The objective of this study was to compare the effectiveness of a hospital-based exercise program versus that of a home-based exercise program on the functional capacity, quality of life, and psychological symptoms among heart transplant patients. METHODS: Thirty-eight heart transplant patients were randomly placed into two groups: a hospital-based exercise program (group 1, n = 15) or a home-based exercise program (group 2, n = 13). All patients performed flexibility, stretching, aerobic, strengthening, breathing, and relaxation exercise programs for 8 weeks. We performed estimates of functional capacity (maximal oxygen consumption-pVO2), quality of life (Short Form-36-SF36), and psychological symptoms (Beck Depression Inventory-BDI, the State-Trait Anxiety Inventory-STAI). RESULTS: In group 1, significant increases were observed in pVO2 and all SF36 subgroups, with the exception of vitality and social function subgroups (P < .05). Significant increases were not observed on the BDI or STAI (P > .05). Group 2 failed to show significant improvements in any variable, with the exception of the score on the bodily pain subgroup of the SF36 (P > .05). CONCLUSION: Based on our clinical results, we recommend a well-organized exercise program performed in a rehabilitation unit to improve postoperative exercise capacity and quality of life among heart transplant patients.
Authors:
H Karapolat; S Eyigör; M Zoghi; T Yagdi; S Nalbangil; B Durmaz
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Transplantation proceedings     Volume:  39     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-20     Completed Date:  2007-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1586-8     Citation Subset:  IM    
Affiliation:
Physical Medicine and Rehabilitation Department, Ege University Medical Faculty, Bornova, Izmir 35100, Turkey. haleuzum76@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety / epidemiology
Depression / epidemiology
Exercise
Exercise Therapy*
Female
Glucocorticoids / therapeutic use
Heart Transplantation / physiology,  psychology*,  rehabilitation*
Humans
Immunosuppressive Agents / therapeutic use
Inpatients*
Male
Middle Aged
Occupations
Outpatients
Oxygen Consumption
Quality of Life*
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Immunosuppressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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