Coronary Artery Disease, Frail Elderly Syndrome, Heart Failure
Conditions
Keywords
Cardiac rehabilitation, Sit to Stand, Function
Brief summary
Patients with cardiac disease have been shown to have deficits in activities such as standing up from a chair. The Biodex Sit2Stand Trainer is a new device meant to improve sit to stand performance by providing a lifting force through the seat to help the individual stand. The amount of lift can be graded to help improve leg strength, endurance, and function over time. The device has the potential to be a form of training for those in cardiac rehabilitation who have limitations in standing from a chair.
Detailed description
Patients who are diagnosed with cardiovascular disease and enter cardiac rehabilitation present with limitations in activity and restrictions in their abilities to participate in society. Even after a standard course of cardiac rehabilitation, some individuals will still present with deficits. One area this is seen is the ability to stand up from a chair. A new device, the Biodex Sit2Stand Trainer, has been designed to help improve the standing movement in those with lower extremity weakness. The trainer provides a graded lift or push through the seat to help the participant reach a standing posture. This study will whether a six week training program using the trainer will lead to improvements in strength, function and quality of life for those individuals who have recently completed a cardiac rehabilitation program. This study is a pilot study to help determine the ideal dosage of training and identify any limitations in using the device with this population. Based on the results of this pilot work, a larger intervention study will be conducted to examine the effectiveness of the trainer in a cardiac rehabilitation program.
Interventions
BEHAVIORALExercise using the Biodex Sit2Stand Trainer
Week 1-2 - Focused on lower intensity, higher volume, comfortable/self-selected velocity Week 3-4 - Focus on higher intensity, lower volume, comfortable/self-selected velocity Week 5 - Focus on moderate intensity, moderate volume, transitioning to higher velocity Week 6 - Focus on moderate intensity, moderate volume, high velocity
Sponsors
St. Ambrose University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This cohort design study will examine the effects of a six week training program using the Biodex Sit2Stand Trainer.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
Individuals nearing the end of their cardiac rehabilitation program will be asked to participate. Inclusion criteria include the following: * Completion of a cardiac rehabilitation * Ability to walk 50 feet independently with or without an assistive device * Inability to stand from a standard chair five times without the use of their arms or unable to complete five sit to stands in less than 15 seconds. * No major cardiac arrhythmias during cardiac rehabilitation sessions. * Ability to attend 14 sessions over a 7-8 week period
Exclusion criteria
* Not meeting inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Short Physical Performance Battery | Week 0 and Week 7 | Lower extremity functional assessment tool which include gait speed, sit to stand ability and static balance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Isometric knee extension strength | Week 0 and Week 7 | Measured in 90 degrees of flexion with hand held dynamometer |
| Change in 10 meter gait speed | Week 0 and Week 7 | Self selected walking speed over 10 meters |
| Change in Six Minute Walk Test | Week 0 and Week 7 | Total distance ambulated during a 6 minute time period. |
| Change in HeartQoL | Week 0 and Week 7 | Quality of Life assessment tool |
| Change in MacNew | Week 0 and Week 7 | Quality of life assessment tool |
Outcome results
None listed