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Volume 8
Journal of Novel Physiotherapies
ISSN: 2165-7025
Novel Physiotherapies 2018
March 19-20,, 2018
March 19-20, 2018 | Berlin, Germany
5
th
International Conference and Expo on
Novel Physio
therapies
Effectiveness of home-based cardiac rehabilitation programme using an individualised exercise
(physiotools-r)
Mohammed Takroni
Cardiopulmonary Rehab Specialist, King Faisal Spatiality Hospital and research Centre.
Background:
The Kingdom of Saudi Arabia (KSA) is facing a significant increase in the mortality rate from cardiovascular
diseases (CVDs) and the prevalence rate of coronary heart disease (CHD) which is the commonest cause of death from CVDS
in KSA. These epidemiological rates in the KSA are predicted to increase due to increased exposure to CVD risk factors. The
National Institute for Clinical Excellence (NICE) and the American association of cardiovascular and pulmonary rehabilitation
(AACVPR) reported that participation in Phase III cardiac rehabilitation (CR) programmes is associated with a reduction in
both morbidity and mortality rate of CHD for patients following Percutaneous Coronary intervention (PCI) or coronary artery
bypass surgery (CABG). Currently there is no phase III provision of CR for CHD patients in KSA.
Aim:
To evaluate the effectiveness of home-based cardiac rehabilitation (Home CR) programme using an individualized
exercise (Physiotools-R) compared to phase III Hospital-based cardiac rehabilitation (Hospital CR) programme and standard
care of Home instructions on exercise capacity, psychological, physiological, body composition and quality of life of CHD
patients post CABG surgery.
Methods:
Seventy-three eligible participants were recruited from the King Faisal Heart Institute (KFHI), Riyadh, Saudi Arabia.
All participants had previously been diagnosed with CHD and were 6-8 weeks post CABG surgery. Participants were randomly
assigned to one of three groups; Hospital CR group (n=25), Home CR group (n=24) and control group (n=24). Participants
in each group were measured at three stages: at baseline (stage one), post 8 weeks of cardiac rehabilitation intervention (stage
two), and then repeated again after 4 weeks of observation follow up (stage three). The incremental shuttle walk test (ISWT),
Metabolic equivalent tasks (METs), hospital anxiety and depression scale (HADS-A and HADS-D), the SF-36 questionnaire
in addition to body composition; body mass index (BMI) and waist hip ratio (WHR) were selected as the outcome measures
Intervention:
Hospital CR programmes of group based aerobic circuit training and a similar structured individualised exercise
programme using Physiotools-R were selected for both intervention groups for a total of 8 weeks 3 time/week, 2 hours per
session in addition to 4 weeks observation follow up. The control group followed standard care which comprised of Home
instruction about self-walking and post operation precautions.
Results:
The results showed that the ISWT distance clinically improved post 8 weeks of CR intervention in both intervention
groups compared to baseline. Hospital group increased by 71m, Home group by 66m p<0.001, but the control group statistically
improved by 3m p<0.001. However, post 4 weeks of observation follow up the ISWT distance of the hospital group decreased
by 26m, but continued to improve in the home group by 22m p<0.001. However, no significant change was reported in the
control group 2m, P>0.05. Similarly, all outcome measures: METs scores, HADS-A and HADS-D, the physical (PCS) and
mental (MCS) components of the SF-36 showed statistically significant improvement post CR intervention p<0.001, however,
this improvement was significantly decrease post follow up in Hospital group p<0.001, however, it continued to improve in
home group p<0.001. Though, there was no significant change in the control group p>0.05.
Conclusion:
The results of the present study demonstrate that home-based CR is as effective as hospital based CR programme
Mohammed Takroni, J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C1-023