Cardiac Resynchronization Therapy, Implantable Cardioverter Defibrillator, Pacemaker
Conditions
Brief summary
While research and clinical practice have demonstrated the objective benefits of pacemaker use on mortality, morbidity, and quality of life, some patients do not experience the expected level of improvement following device implantation. The purpose of this research was to determine the effects of device implantation on daily living activities, upper extremity functions, peripheral muscle strength, balance problems, fear of movement and quality of life.
Interventions
None listed
Sponsors
Erol Olcok Corum Training and Research Hospital
Hacettepe University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* At least 3 months have passed since pacemaker implantation and there are no complications in the last pacemaker control, * Being in NYHA class I-II-III, * Patients with no coordination problems, * Volunteering to participate in the research
Exclusion criteria
* Patients with a history of shoulder pathologies prior to pacemaker implantation that may restrict movement of the upper limb (conditions such as severe pain around the shoulder, edema or shoulder dislocation that may restrict upper limb movement), * Patients with a history of shoulder surgery (limitation in range of motion), * Patients who have had a cerebrovascular event resulting in mastectomy or arm involvement on the affected side, * Patients with decompensated heart failure, * Patients with a history of ICD inappropriate shock, * Those with acute myocardial infarction, * Patients with malignancy on active treatment, patients with collagen tissue disease receiving systemic steroids, * Chronic kidney disease patients on dialysis with unstable volume load
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of activities of daily living | 1 years | Performance Measure for Activities of Daily Living-8 for Patient with Mild Symptomatic Heart Failure- PMADL-8 / The total score ranges from 8-32, with a high score indicating a level of limitation in activities of daily living. |
| Evaluation of quality of life | 1 years | Short Form- 36 -SF-36 / Each sub-parameter is scored between 0 and 100. A high score indicates that the individual has a high quality of life. |
| Evaluation of upper extremity functional capacity | 1 years | 6 Minute Peg Board ve Ring Testi - 6PBRT |
| Evaluation of peripheral muscle strength | 1 years | Jamar Hydraulic Hand Dynamometer (Baseline Hydraulic Hand Dynamometer, Model: 12-0240, Fabrication Enterprises INC. White Plains, NY 10602 U.S.A.) |
| Evaluation of balance | 1 years | Time Up and Go Test - TUG |
| Evaluation of fear of movement | 1 years | Tampa Scale of Kinesiophobia for Heart- TSK- HEART / The person receives a total score between 17 and 68. A high score on the scale indicates a high level of kinesiophobia. |
| Evaluation of physical activity levels | 1 years | International Pyhsical Activity Questionnaire Short Form, IPAQ / It is calculated using the metabolic equivalent method (MET). There are three different categories. The first category is inactive (\<600 MET-minute/week), the second category is minimally active (600-300 MET-minute/week) and the last category is always active (\<3000 MET-minute/week). |
Countries
Turkey (Türkiye)
Outcome results
None listed