C Lan1, S Y Chen, J S Lai, M K Wong. 1. Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei. chinglan@tpts5.seed.net.tw
Abstract
PURPOSE: This study prospectively evaluated the training effect of a 1-yr Tai Chi Chuan (TCC) program for low-risk patients with coronary artery bypass surgery (CABS) after a postoperative outpatient (phase II) cardiac rehabilitation program. METHODS:Twenty patients with mean age of 56.5+/-7.4 yr completed this study. The TCCgroup included nine men who practiced classical Yang TCC with an exercise intensity of 48-57% heart rate range (HRR). The control group included 11 men whom were recommended to do a home-based self-adjusted exercise program with similar intensity of phase II cardiac rehabilitation. Graded exercise tests were performed before and after 1 yr of training for all subjects. RESULTS:Mean attendance of the TCC group was 3.8+/-1.5 times weekly in contrast to 1.7+/-1.1 times for the control group. During the follow-up examination, the TCC group increased 10.3% in VO2peak (from 26.2+/-4.4 to 28.9+/-5.0 mL x kg(-1) min(-1), P<0.01) and increased 11.9% in peak work rate (from 135+/-26 W to 151+/-28 W, P<0.01). However, the control group showed slight decrease in VO2peak from 26.0+/-3.9 to 25.6+/-4.6 mL x kg(-1) x min(-1) and in peak work rate from 131+/-23 W to 128+/-32 W. At the ventilatory threshold, the TCC group also showed significant increase in VO2 and work rate (P<0.05). The control group did not significantly change in these variables. CONCLUSIONS: The study demonstrated that a 1-yr TCC program for low-risk patients with CABS could favorably enhance cardiorespiratory function.
RCT Entities:
PURPOSE: This study prospectively evaluated the training effect of a 1-yr Tai Chi Chuan (TCC) program for low-risk patients with coronary artery bypass surgery (CABS) after a postoperative outpatient (phase II) cardiac rehabilitation program. METHODS: Twenty patients with mean age of 56.5+/-7.4 yr completed this study. The TCC group included nine men who practiced classical Yang TCC with an exercise intensity of 48-57% heart rate range (HRR). The control group included 11 men whom were recommended to do a home-based self-adjusted exercise program with similar intensity of phase II cardiac rehabilitation. Graded exercise tests were performed before and after 1 yr of training for all subjects. RESULTS: Mean attendance of the TCC group was 3.8+/-1.5 times weekly in contrast to 1.7+/-1.1 times for the control group. During the follow-up examination, the TCC group increased 10.3% in VO2peak (from 26.2+/-4.4 to 28.9+/-5.0 mL x kg(-1) min(-1), P<0.01) and increased 11.9% in peak work rate (from 135+/-26 W to 151+/-28 W, P<0.01). However, the control group showed slight decrease in VO2peak from 26.0+/-3.9 to 25.6+/-4.6 mL x kg(-1) x min(-1) and in peak work rate from 131+/-23 W to 128+/-32 W. At the ventilatory threshold, the TCC group also showed significant increase in VO2 and work rate (P<0.05). The control group did not significantly change in these variables. CONCLUSIONS: The study demonstrated that a 1-yr TCC program for low-risk patients with CABS could favorably enhance cardiorespiratory function.
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