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The aim of this study is to evaluate functional and physical capacity, health-related quality of life and associations with frailty in older patients after ischemic heart disease and interventional treatment with an individualized physical training program in the second phase of cardiac rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | No Intervention | Cardiac rehabilitation physical training program included: respiratory muscle training (7 days/week, for 15 minutes) and aerobic exercises on cycle ergometers (6 days/week, for 10-30 minutes, 30-50% watts or 30-50% HRmax). | |
| Intervention group 1 | Experimental | Combinated physical training program: Respiratory exercises, aerobic training will be the same as in the control group. Additional exercises: balance training and strength exercises with weights, elastic resistance rubbers. |
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| Intervention group 2 | Experimental | Combinated physical training program: Respiratory exercises, aerobic training will be the same as in the control group. Additional exercises: balance training with static and dynamic balance training device Biodex Balance System TM SD and strength exercises with HUR strength training machines. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Additional balance and resistance training - 1 | Other | Additional exercise program with balance and resistance training three times per week. The balance training included exercises to improve static as well as dynamic balance ability, for 15-20 minutes. The resistance training included exercises with weights (0,5, 1 or 2 kg), elastic resistance rubbers, intensity 30-50% 1-RM, 10 repetitions with 3 sets and 3 minute rest between sets. |
| Measure | Description | Time Frame |
|---|---|---|
| Frailty level by Edmonton frail scale score | Frailty measured by The Edmonton frail scale score - 0-3 - fit, 4-5 - vulnerable, 6-7 - mild frailty, 8-9 - moderate frailty,10-17 - severe frailty. | baseline |
| Change from baseline functional capacity by six minutes walking test (6MWT) | 6MWT measured by meters | baseline, 3 weeks |
| Change from baseline cardiopulmonary exercise capacity by maximal load (maxWatt) | Maximal load measured with spiroergometry by maximal watts | baseline, 3 weeks |
| Change from baseline cardiopulmonary exercise capacity by maximal oxygen consumption (peakVO2) | PeakVO2 measured with spiroergometry by millilitres of oxygen per kilogram of body mass per minute | baseline, 3 weeks |
| Change from baseline quality of life by MacNew questionnaire | The MacNew Heart Disease HRQL questionnaire consists of 27 items which fall into three domains (a 13-item physical limitations domain scale, a 14-item emotional function domain scale, and a 13-item social function domain scale). There are 5 items that inquire about symptoms: angina/chest pain, shortness of breath, fatigue, dizziness, and aching legs. The time frame for the MacNew is the previous two weeks. | baseline, 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline physical performance by Short Physical Performance Battery (SPPB) | The short physical performance battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests.The scores range from 0 (worst performance) to 12 (best performance). | baseline, 3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aurelija Beigienė, MD | Contact | +37065875579 | aurelija.beigiene@kaunoklinikos.lt |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| LUHS hospital Kaunas Clinics Rehabilitation hospital of Kulautuva | Recruiting | Kulautuva | Kaunas County | Lithuania |
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| Additional balance and resistance training - 2 | Other | Additional exercise program with balance and resistance training three times per week. The balance training included exercises with static and dynamic balance training device Biodex Balance System TM SD, for 15-20 minutes. Exercises are performed with the following programs: Postural stability training, Limits of stability training, Weight shift training, Maze control training, Random control training, Percent weight-bearing training. The resistance training included exercises with HUR strength training machines, intensity 30-50% 1-RM, 10 repetitions with 3 sets and 3 minute rest between sets. Strength training was performed with the following exercises: Leg press, leg extension, leg abduction, leg adduction. |
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| Change from baseline muscular strength by one repetition maximum test (1RM) |
1RM test for leg extension measured by kilograms |
| baseline, 3 weeks |
| ID | Term |
|---|---|
| D000073496 | Frailty |
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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