None listed
Conditions
Brief summary
We are conducting a pilot study to see how well a cardiac rehabilitation program helps patients recover after open heart surgery. We will use the Duke Activity Status Index (DASI) tool to measure how much the program improves your ability to perform daily activities. This study aims to gather early information to understand how cardiac rehabilitation might help patients get better after their surgery. We are also interested in learning about the recovery of patients who choose not to participate in a cardiac rehabilitation program. This will help us compare the outcomes of those who do and do not participate in the rehabilitation program.
Interventions
Participants will engage in aerobic and resistance exercises tailored to accommodate sternal precautions. Each session begins with warm-up checks and personalized training tailored to the individual's baseline condition. The conditioning phase includes prolonged aerobic activity and progressive resistance training.
Each session is approximately 60 minutes in duration.
The exercise sessions are conducted in groups, with a staffing ratio of one instructor to every five participants.
Exercise i
Participants will engage in aerobic and resistance exercises tailored to accommodate sternal precautions. Each session begins with warm-up checks and personalized training tailored to the individual's baseline condition. The conditioning phase includes prolonged aerobic activity and progressive resistance training. Each session is approximately 60 minutes in duration. The exercise sessions are conducted in groups, with a staffing ratio of one instructor to every five participants. Exercise intensity is individualized, beginning at low to moderate levels and progressing according to participant tolerance. The intensity is assessed using the Borg Category Scale, ranging from 'fairly light' (a perceived exertion level of about 13, 'somewhat hard') to 'hard' (15 on the Borg Scale) for those who can tolerate more vigorous activity. This assessment is complemented by monitoring heart rate responses and symptoms during exercise, conducted by exercise physiologists and physiotherapists specialized in cardiac rehabilitation. Adherence to the intervention is monitored through documented attendance at each session, recorded in the hospital's electronic medical records.
Sponsors
Western Norway University of Applied Sciences
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
Age and Health Status: Participants must be adults aged 70 and under who are scheduled for their first open cardiac surgery. Cognitive and Language Requirements: Participants must be cognitively capable of giving informed consent and fluent in English to understand study procedures and communicate effectively with the Coordinating Principal Investigator (CPI). Patients must plan to have their rehabilitation at Fiona Stanley Hospital (FSH).
Exclusion criteria
Exclusion criteria are patients <18 years old and having re-do operations,cardiac transplants patient or catheter-based interventions. Patients arriving at the hospital in circulatory arrest will be excluded, and all patients undergoing emergency operations will be excluded.
Outcome results
None listed