Effect of home-based rehabilitation in frail older adults after cardiac surgery: a prospective feasibility study.

IF 2.3 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2026-06-04 DOI:10.2340/jrm.v58.45667

Ambre Komonski, Killian Jouanneau, Anne Sophie Boureau, Jeremie Huet

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引用次数: 0

Abstract

Introduction: Frail older adults undergoing cardiac surgery are vulnerable to postoperative complications and functional decline. Vivifrail is a structured, multicomponent exercise programme designed to enhance physical performance. This study evaluated its feasibility in the postoperative period.

Methods: A non-interventional, prospective, single-centre, study was conducted at Nantes University Hospital between March and December 2024. Patients aged ≥ 75 years, with a baseline Short Physical Performance Battery test (SPPB) score < 9 were included. SPPB, Timed Up and Go (TUG), and handgrip tests were performed at baseline (D0) and 6 weeks (W6). The primary outcome was to assess feasibility based on recruitment, retention rate, and physical performance at W6.

Results: Among 45 eligible patients, 38 accepted the programme; 29 returned for assessment at W6. Mean programme completion rate was 54%. All functional assessments improved meaningfully over time, but adherence did not significantly modify these trajectories. However, adherent participants showed lower frailty at W6.

Conclusion: Home-based rehabilitation using Vivifrail proved to be feasible for frail older adults during postoperative recovery. Clinically meaningful improvements were observed in physical performance during the first 6 weeks of the programme. Future research should confirm this trend and consider Vivifrail for patients who cannot access specialized rehabilitation centres.

查看原文本刊更多论文

老年人心脏手术后家庭康复的效果：一项前瞻性可行性研究。

导读：体弱多病的老年人接受心脏手术容易出现术后并发症和功能下降。vivi虚弱是一种结构化的、多成分的锻炼计划，旨在提高身体表现。本研究在术后评估其可行性。方法：2024年3月至12月在南特大学医院进行一项非介入性、前瞻性、单中心研究。年龄≥75岁，基线短体能电池测试（SPPB）评分结果：45例符合条件的患者中，38例接受了该方案；29人于W6交回评税。平均课程完成率为54%。随着时间的推移，所有的功能评估都有了有意义的改善，但依从性并没有显著改变这些轨迹。然而，坚持治疗的参与者在W6时表现出较低的虚弱。结论：以家庭为基础的康复使用vivi虚弱证明是可行的老年人术后康复。在该计划的前6周，观察到身体表现有临床意义的改善。未来的研究应证实这一趋势，并考虑为无法进入专门康复中心的患者提供vivi脆弱。

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

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.