Document Detail

Resistance and balance training improves functional capacity in very old participants attending cardiac rehabilitation after coronary bypass surgery.
MedLine Citation:
PMID:  23176104     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG).
DESIGN: Randomized controlled trial.
SETTING: In-hospital CR.
PARTICIPANTS: Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days.
INTERVENTION: Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk).
MEASUREMENTS: Six-minute walk test, cardiopulmonary exercise testing, Timed-Up-and-Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health-related quality of life (HRQL).
RESULTS: There were significant improvements (P < .001) in all measured variables over the duration of CR. Improvements in functional capacity were significantly greater in the IG than the CG for 6-minute walk distance (6-MWD) (IG Δ 67.3 ± 49.0 m vs CG Δ 41.9 ± 51.7 m; P = .003), TUG time (IG Δ -2.4 ± 2.2 seconds vs CG Δ -1.2 ± 3.4 seconds; P = .005), and relative workload (IG Δ 0.19 ± 0.21 W/kg vs CG Δ 0.13 ± 0.11 W/kg; P = .03).
CONCLUSION: There were significant improvements in all measured variables in very old adults participating in CR soon after CABG. With additional functional exercise training, participants randomized to IG improved significantly more than those randomized to CG on 6-MWD, TUG time, and relative workload.
John C Busch; Dorothea Lillou; Godehard Wittig; Petra Bartsch; Detlev Willemsen; Neil Oldridge; Birna Bjarnason-Wehrens
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2012-11-23
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  60     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-12     Completed Date:  2013-02-14     Revised Date:  2013-04-23    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2270-6     Citation Subset:  IM    
Copyright Information:
© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.
Institute of Cardiology and Sports Medicine, German Sport University Cologne, Cologne, Germany.
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MeSH Terms
Aged, 80 and over
Coronary Artery Bypass / rehabilitation*
Exercise Therapy*
Health Status
Muscle Strength
Physical Fitness*
Postural Balance
Quality of Life
Resistance Training
Erratum In:
J Am Geriatr Soc. 2013 Mar;61(3):479

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