None listed
Conditions
Brief summary
The aim of the proposed research is to evaluate the effectiveness of phase II cardiac rehabilitation in patients after insertion of coronary bypass with reference to the lower limb venous system adaptation process after surgical intervention; the degree of impairment of blood flow in the designated area of the body, the hemodynamic response and force and muscle function of dorsal and plantar flexors of indicated limb. The research involves two different rehabilitation programs, ie. 3-week and 8-week rehabilitation treatment. That will be compared in this study.
Interventions
Patients will be qualified to Phase II cardiac rehabilitation in accordance with the standards of cardiac rehabilitation which is up to 4 weeks after CABG surgery on the basis of an exercise test using the modified Bruce protocol. Participants will be randomised to two groups. One group will take part in the early hospital rehabilitation (3 weeks - this is the overall duration of the program), while the second group will take part in ambulatory rehabilitation (8 weeks).
For the group of patient
Patients will be qualified to Phase II cardiac rehabilitation in accordance with the standards of cardiac rehabilitation which is up to 4 weeks after CABG surgery on the basis of an exercise test using the modified Bruce protocol. Participants will be randomised to two groups. One group will take part in the early hospital rehabilitation (3 weeks - this is the overall duration of the program), while the second group will take part in ambulatory rehabilitation (8 weeks). For the group of patients undergoing 3-week early hospital rehabilitation, rehabilitation sessions will be carried out five times a week. Cardiac rehabilitation is composed of: a) aerobic exercise on a stationary cycle ergometer 3-5day/week, 30 minutes b) resistance training - 3 days/week, 3 session, 6 different exercises, 15 repetitions at 70% HR, 25 minutes for session c) general development exercises (exercise to increase physical performance) - 5 days/week, 20 different exercises, the intensity selected in accordance with the result of exercise testing (exercises for the upper limbs, lower limbs, breathing exercises), 30 minutes. Physical activity will be carried out in the form of training on cycle ergometer each time to achieve the patient's submaximal heart rate (submaximal heart rate is 85% of maximum heart rate. Maximum heart is calculated using the formula: 220 - age). Exercises take place in a group carried by a physiotherapist.
Sponsors
Aleksandra Skomudek
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
50 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. eligible participants must have coronary heart disease and must have been scheduled to undergo CABG surgery 2. Participants written consent, 3. Age between 50-70 years, 4. Stable condition, without periods of exacerbations occurring during the 4 weeks from the surgery, before the start of the rehabilitation program, 5. Patients will be qualified to Phase II cardiac rehabilitation in accordance with the standards of cardiac rehabilitation which is up to 4 weeks after CABG surgery on the basis of an exercise test using the modified Bruce protocol 6. Not participating in rehabilitation programs within a year of the start of the study.
Exclusion criteria
1. Unstable angina, 2. Kidney failure, 3. Liver failure, 4. Inflammation, 5. Skin conditions in the assessment point, 6. Acute bronchitis, pneumonia, tuberculosis, 7. Asthma, 8. Uncontrolled high blood pressure (hypertension triggers and accelerates the formation of atherosclerotic in the coronary arteries as well as coronary bypasses, 9. Mental handicap preventing cooperation, 10. Orthopaedic and neurological conditions, which reduce the efficiency of the motor function and the ability of the patient to cooperate during the scheduled training, 11. Mental disorder preventing cooperation.
Outcome results
None listed