Julie Adsett1, Norman Morris2, Suzanne Kuys3, Rita Hwang4, Robert Mullins5, Mohsina Khatun6, Jennifer Paratz7, Alison Mudge8. 1. Heart Failure Service, Royal Brisbane and Women's Hospital, Brisbane, Qld, Australia; Physiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Qld, Australia; School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia; Menzies Health Institute, Brisbane, Qld, Australia. Electronic address: Julie.adsett@health.qld.gov.au. 2. School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia; Menzies Health Institute, Brisbane, Qld, Australia. 3. School of Physiotherapy, Australian Catholic University, Brisbane, Qld, Australia. 4. Heart Recovery Service, Princess Alexandra Hospital, Brisbane, Qld, Australia. 5. School of Exercise and Nutritional Sciences, Queensland University of Technology, Brisbane, Qld, Australia. 6. School of Public Health, University of Queensland, Brisbane, Qld, Australia. 7. Physiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Qld, Australia; School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia; Menzies Health Institute, Brisbane, Qld, Australia; Burns, Trauma and Critical Care Research Centre, University of Queensland, Brisbane, Qld, Australia. 8. Department of Internal Medicine and Aged Care, Royal Brisbane and Women's Hospital, Brisbane, Qld, Australia.
Abstract
BACKGROUND: Providing flexible models and a variety of exercise options are fundamental to supporting long-term exercise participation for patients with heart failure (HF). The aim of this pilot study was to determine the feasibility and efficacy of aquatic exercise training during a maintenance phase for a clinical heart failure population. METHODS: In this 2 x 2 crossover design trial, individuals who had previously completed HF rehabilitation were randomised into either a land-based or aquatic training program once per week for six weeks, after which time they changed to the alternate exercise training protocol for an additional six weeks. Six-minute walk test (6MWT), grip strength, walk speed, and measures of balance were compared for the two training protocols. RESULTS:Fifty-one participants (43 males, mean age 69.2 yrs) contributed data for the analysis. Both groups maintained function during the follow-up period, however improvements in 6MWT were greater in the land-based training group (95% CI: 0.7, 22.5; p=0.038), by a mean difference of 10.8 metres. No significant difference was observed for other parameters when the two training protocols were compared. CONCLUSION: Attending an aquatic exercise program once per week is feasible for patients with stable HF and may provide a suitable option to maintain functional performance in select patients. Crown
RCT Entities:
BACKGROUND: Providing flexible models and a variety of exercise options are fundamental to supporting long-term exercise participation for patients with heart failure (HF). The aim of this pilot study was to determine the feasibility and efficacy of aquatic exercise training during a maintenance phase for a clinical heart failure population. METHODS: In this 2 x 2 crossover design trial, individuals who had previously completed HF rehabilitation were randomised into either a land-based or aquatic training program once per week for six weeks, after which time they changed to the alternate exercise training protocol for an additional six weeks. Six-minute walk test (6MWT), grip strength, walk speed, and measures of balance were compared for the two training protocols. RESULTS: Fifty-one participants (43 males, mean age 69.2 yrs) contributed data for the analysis. Both groups maintained function during the follow-up period, however improvements in 6MWT were greater in the land-based training group (95% CI: 0.7, 22.5; p=0.038), by a mean difference of 10.8 metres. No significant difference was observed for other parameters when the two training protocols were compared. CONCLUSION: Attending an aquatic exercise program once per week is feasible for patients with stable HF and may provide a suitable option to maintain functional performance in select patients. Crown
Authors: Incare Correa De Jesus; Francisco José de Menezes Junior; Paulo Cesar Barauce Bento; Astrid Wiens; Jorge Mota; Neiva Leite Journal: Braz J Phys Ther Date: 2019-04-20 Impact factor: 3.377
Authors: Maria Graça; José Alvarelhão; Rui Costa; Ricardo J Fernandes; Andrea Ribeiro; Daniel Daly; João Paulo Vilas-Boas Journal: Int J Environ Res Public Health Date: 2020-12-16 Impact factor: 3.390