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Selected trials of the Senior Fitness Test as a measure of the functional ability of patients given early post-hospital rehabilitation following a coronary artery bypass grafting

100%

Pabisiak A., Adamczyk A.

Medical Rehabilitation

2014

vol. 18(2)

11-16

Wstęp: Spodziewanym efektem usprawniania po pomostowaniu aortalno-wieńcowym (CABG) jest odbudowanie sprawności funkcjonalnej chorych, jednak brak metody oceny czynnościowej określającej stan zarówno bezpośrednio po zabiegu jak i po zastosowanej rehabilitacji uniemożliwia dokładne oszacowanie uzyskanych korzyści. Celem niniejszej pracy była próba wykorzystania wybranych prób Senior Fitness Test do oceny sprawności funkcjonalnej pacjentów poddanych CABG po odbyciu wczesnego etapu rehabilitacji kardiologicznej w warunkach sanatoryjnych, jako miary efektów usprawniania. Projekt badawczy: Badanie przed-po Materiał i metody: Trzydziestu mężczyzn w wieku od 60 do 78 roku życia (średnia 68,6 ±6,2 lat) po CABG odbywających wczesną rehabilitację kardiologiczną w szpitalu uzdrowiskowym (turnus 21 dni) poddano dwuetapowym badaniom. Pierwsze badanie zostało przeprowadzone w pierwszych dniach pobytu (średnio 18 dni od operacji) a drugie (średnio 39 dni od operacji) w ostatnich dniach pobytu pacjentów w szpitalu uzdrowiskowym. W obu badaniach zastosowano wybrane próby Senior Fitness Test: siły dolnej części ciała, ocenę koordynacji złożonej i próbę 2-minutowego marszu w miejscu. Wyniki: Po 21 dniach obserwacji pacjenci istotnie poprawili wynik próby siły dolnej części ciała (p<0,001), próbę koordynacji złożonej (p<0,001) i próbę marszu 2-minutowego w miejscu (p<0,001). Dodatkowo zaobserwowano istotne obniżenie poziomu tętna, ciśnienia skurczowego i ciśnienia rozkurczowego przed i po marszu 2-minutowym w miejscu. Wnioski: Pacjenci po CABG po odbyciu terapii we wczesnym okresie poszpitalnym istotnie poprawili sprawność funkcjonalną, a zastosowanie wybranych prób Senior Fitness Test wskazuje na możliwość przeprowadzenia oceny sprawności funkcjonalnej w tej grupie chorych jako miary efektów terapii.

Introduction: The expected effect of rehabilitation after coronary artery bypass grafting (CABG) is the restoration of the patients’ functional fitness. However, the absence of a method for a functional assessment of the patients’ condition both immediately after the procedure and after rehabilitation makes it impossible to precisely evaluate patients’ improvement. The aim of the present study is an attempt to use selected items of the Senior Fitness Test to evaluate the functional fitness of patients who have undergone CABG after an early stage of cardiac rehabilitation in sanatorium conditions as a measure of the effects of rehabilitation.Research project: Before/after testingMaterial and methods: Thirty men aged 60 to 78 (mean age 68.6 ±6.2 years) undertaking early cardiac rehabilitation in a spa hospital (a 21-day stay) after CABG were subject to two-stage testing. The first set of tests was conducted at the beginning of their stay (on average 18 days after the surgery), and the second set was conducted during the last days of their stay at the spa hospital (on average 39 days after the surgery). In both sets of tests, the following items of the Senior Fitness Test were applied: the lower body strength test, the complex coordination test, and the 2-minute Step-in-Place test.Results: After 21 days of observation, the patients significantly improved their results in the lower body strength test (p<0.001), the complex coordination test (p<0.001) and the 2-minute Step-in-Place test (p<0.001). Additionally, a significant decrease in heart rate and systolic and diastolic blood pressure before and after the 2-minute Step-in-Place test was observed.Conclusions: Post-CABG patients, having undergone therapy at an early post-hospital stage, significantly improved their functional fitness. The application of the selected Fullerton Test items showed the possibility of using a functional fitness evaluation in this group of patients as a measure of the effects of the therapy.

The impact of ambulatory rehabilitation to change of the effort parameters after myocardial infarction in patients of different physical capacity

81%

Pabisiak A., Małek W., Lisowska M., Smoleński O.

Advances in Rehabilitation

2012

vol. 26

issue 2

37-41

Introduction: the aim of the study was an attempt to verify the impact of cardiac training on the effort parameters in patients of different physical capacity. Material and methods: the study included 61 ambulatory patients after hospital treatment due to acute myocardial infarction. Two different groups was separated on the base of the first treadmill test: a group of 28 patients of low tolerance (3.17 ± 0.67 MET) and a group of 33 persons of higher effort tolerance (7,21 ± 1,85 MET). For estimation of physical efficiency before and after completing 24 training sessions (8 weeks) treadmill test with perceiving fatigue in Borg scale, measurement of ejection fraction, NYHA classification of heart failure, CCS classification coronary heart disease and BMI were performed. The students t-test was used to analyze the data. Results: after training physical efficiency increased significantly 5,36 ± 2,48 MET vs. 7,48 ± 2,61 MET (p < 0.001) in all patients. Significant differences were observed in two groups: patients of low effort tolerance 3.17 ± 0.67 vs. 5,63 ± 1.83 (p < 0,001) and patients of higher effort tolerance 7,21 ± 1,85 vs. 9,06 ± 2,07 (p < 0.001). The value of the EF significantly increased only in the group of low tolerance 55,20% ± 10.04 vs. 57,70% ± 10,57 (p < 0.05). There were no significant changes in the level of fatigue at the top of treadmill, in the scale of the NYHA , CCS and BMI in both groups. Conclusions: Significant improvement of physical efficiency in both groups was observed, but ejection fraction was increased only in patients of low effort tolerance. Cardiac ambulatory rehabilitation should be recommended especially for patients of low effort tolerance after myocardial infarction.

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Selected trials of the Senior Fitness Test as a measure of the functional ability of patients given early post-hospital rehabilitation following a coronary artery bypass grafting

The impact of ambulatory rehabilitation to change of the effort parameters after myocardial infarction in patients of different physical capacity