Effects of a Home-Based Rehabilitation Exercise Program on Cardiorespiratory Performance in Community-Dwelling Adults Who Underwent Heart Surgery: Randomized Controlled Trial.

Q2 Medicine
Natsinee Sermsinsaithong, Kornanong Yuenyongchaiwat, Chusak Thanawattano, Chatchai Buekban, Chitima Kulchanarat, Sasipa Buranapuntalug, Khanistha Wattanananont, Opas Satdhabudha
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Abstract

Background: Patients undergoing heart surgery demonstrate impaired cardiorespiratory performance. Phase II cardiac rehabilitation (CR) in people undergoing open heart surgery (OHS) aims to reduce the adverse physical effects of cardiovascular diseases. Virtual reality (VR) exercise is now used in CR.

Objective: This study aimed to explore the effects of VR exercise on functional capacity, pulmonary function, and respiratory muscle strength in patients who underwent OHS and were in phase II CR.

Methods: Forty-nine patients who underwent elective OHS and were in phase II CR were randomized into a VR group (N=24) and a control group (N=25). The VR group completed 8 weeks of a home-based VR exercise program, including chest trunk mobilization and aerobic circuit training for 30 minutes, whereas the control group received an exercise brochure and information regarding the benefits of exercise. Intention-to-treat analysis was conducted, and 2-way mixed ANOVA was performed to compare between- and within-group differences in functional capacity and respiratory performance.

Results: After completing the 8-week program, the VR group showed significant improvement in functional capacity compared to the control group (66.29, SD 25.84 m; P=.01). Inspiratory muscle strength increased in both the VR and control groups compared to baseline (9.46, SD 2.85 and 9.64, SD 2.78 cm H2O, respectively). In addition, after the 8-week intervention, significant improvements were found in expiratory muscle strength (15.79, SD 4.65 cm H2O) and forced expiratory volume in 1 second as a percentage of predicted values (2.96%, SD 1.52%) in the VR group compared to the baseline session.

Conclusions: The home-based VR exercise program significantly improved functional capacity but not respiratory muscle or pulmonary function.

以家庭为基础的康复训练计划对接受心脏手术的社区居住成人心肺功能的影响:随机对照试验。
背景:接受心脏手术的患者表现为心肺功能受损。心脏直视手术(OHS)患者的二期心脏康复(CR)旨在减少心血管疾病对身体的不良影响。目的:探讨虚拟现实(VR)运动对OHS II期CR患者功能容量、肺功能和呼吸肌力量的影响。方法:49例选择性OHS II期CR患者随机分为VR组(N=24)和对照组(N=25)。VR组完成了为期8周的家庭VR锻炼计划,包括30分钟的胸躯干活动和有氧循环训练,而对照组则收到了锻炼手册和有关锻炼益处的信息。进行意向治疗分析,并采用双因素混合方差分析比较组内和组内功能容量和呼吸性能的差异。结果:在完成8周的计划后,VR组的功能能力较对照组有显著改善(66.29,SD 25.84 m;P = . 01)。与基线相比,VR组和对照组的吸气肌力量均有所增加(分别为9.46,SD 2.85和9.64,SD 2.78 cm H2O)。此外,干预8周后,与基线相比,VR组呼气肌力(15.79,SD 4.65 cm H2O)和1秒用力呼气量(占预测值的百分比)显著改善(2.96%,SD 1.52%)。结论:基于家庭的VR运动方案可显著改善功能能力,但不能改善呼吸肌或肺功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
31
审稿时长
12 weeks
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