Cardiac Rehabilitation and Frailty Physical Training Program in Elderly Patients After Open Heart Surgery

Impact of Interactive Physical Therapy for Functional Capacity, Fear of Falls, Motivation and Quality of Life After Open Heart Surgery Due to Ischemic Heart Disease and Frailty in the Second Stage of Rehabilitation.

The aim of the research - to evaluate the impact of interactive physical therapy tools for functional capacity, fear of falls, motivation and quality of life after open heart surgery due to ischemic heart disease and frailty in the second stage of rehabilitation.

The clinical trial will be performed during patient rehabilitation. All examination of the patient will be performed before rehabilitation and at the end of rehabilitation. Total subjects will spend 20 days in rehabilitation. All subjects who will have frailty syndrome will be assigned to one of three groups: control, intervention group-1 or intervention group-2.

Inclusion Criteria:

• Patient's agreement to participate in the study,
• Age 65 years and older,
• Patients admitted to cardiac rehabilitation after open heart surgery,
• Patients with frailty (Edmonton frailty scale ≥4)
• 6-minute walk distance (6-MWD) ≥150 meters and walking without mobility aid.

Exclusion Criteria:

• Patient's disagreement to participate in the study
• Exercise-limiting comorbidities (primarily orthopedic and neurological conditions that would exclude individuals from participating in cardiac rehabilitation according to study protocol), cognitive, vision, linguistic deficits, chronic heart failure Class IV, anemia, wound healing disturbance or other various acute conditions that may limit active participation in physical therapy programs.