Document Detail


Hydrotherapy--a new approach to improve function in the older patient with chronic heart failure.
MedLine Citation:
PMID:  12921815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Hydrotherapy, i.e. exercise in warm water, as a rehabilitation program has been considered potentially dangerous in patients with chronic heart failure (CHF) due to the increased venous return caused by the hydrostatic pressure. However, hydrotherapy has advantages compared to conventional training. We studied the applicability of an exercise programme in a temperature-controlled swimming pool, with specific reference to exercise capacity, muscle function, quality of life and safety.
METHODS AND RESULTS: Twenty-five patients with CHF (NYHA II-III, age 72.1+/-6.1) were randomised into either 8 weeks of hydrotherapy (n=15), or into a control group (n=10). The training program was well tolerated with no adverse events. Patients in the hydrotherapy group improved their maximal exercise capacity (+6.5 vs.-5.9 W, P=0.001), isometric endurance in knee extension (+4 vs.-9 s, P=0.01) together with an improvement in the performance of heel-lift (+4 vs. -3 n.o., P=<0.01), shoulder abduction (+12 vs. -8 s, P=0.01) and shoulder flexion (+6 vs. +4, P=0.01) in comparison to patients in the control group.
CONCLUSION: Physical training in warm water was well tolerated and seems to improve exercise capacity as well as muscle function in small muscle groups in patients with CHF. This new approach broadens the variety of training regimes for older patients with CHF.
Authors:
Asa Cider; Maria Schaufelberger; Katharina Stibrant Sunnerhagen; Bert Andersson
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of heart failure     Volume:  5     ISSN:  1388-9842     ISO Abbreviation:  Eur. J. Heart Fail.     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-18     Completed Date:  2003-12-23     Revised Date:  2011-06-08    
Medline Journal Info:
Nlm Unique ID:  100887595     Medline TA:  Eur J Heart Fail     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  527-35     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Institution for Community Medicine, The Sahlgrenska Academy at Göteborg University, Sahlgrenska University Hospital, Goteborg, Sweden. asa.cider@fhs.gu.se
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Exercise Therapy*
Exercise Tolerance
Female
Hand Strength
Health Status Indicators
Heart Failure / rehabilitation*
Humans
Hydrotherapy*
Male
Quality of Life

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


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