Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Influence of Graded Aerobic Exercise in Post-surgical Adult Acyanotic Congenital Heart Disease - A Prospective Randomized Clinical Trial


Affiliations
1 College of Physiotherapy, Cardiovascular and Thoracic Surgery, SVIMS, Tirupathi, India
2 Head of the Department, Cardiovascular and Thoracic Surgery, SVIMS, Tirupathi, India
3 Associate Dean, MAHE, Manipal, India
     

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Exercise intolerance and Impaired quality of life is the long existing problem in Adult congenital heart disease individuals. Regular physical activities improves the physical capacity of an individual., influence on exercise tolerance and quality of life need to be studied. The aim of the study is to find out the influence of graded aerobic exercise on post surgical adult acyanotic congenital heart disases.

Materials and Methodology

111 samples were randomly selected from a tertiary care centre SVIMS, Tirupathi, AP and allotted into control and study groups. The outcomes measures in the study were BMI (kg/ m2),Ejection fraction (%),Nitric oxide (mmol/L), VO2 peak (ml/ kg/min) and Quality of life (score).BMI was recorded using Quetelet index, Ejection fraction through echo, Nitric oxide analysis by Griess method , Bicycle ergometer to measure the ventilatory oxygen peak uptake (VO2 peak) and self assessed health related quality of life questionnaire SF-36 form to assess health related quality of life. The above values were recorded before surgery and 12 weeks after surgery. Graded aerobic exercises were implemented from the day 1 after surgery to 12 weeks to study group. Un graded aerobic exercises were implemented from the day 1 after surgery to 12 weeks to control group.

Results and Statistical Analysis

Power of the study is 90%. Paired t-test is used to compare mean values between pre and post tests of each parameter and t test is used to find out the mean percentage change in the parameters. The mean difference of pre and post intervention values of all outcomes between study and control group were found to be significant at p value<0.001

Conclusion

Implementation of graded aerobic exercises in post surgical adult acyanotic congenital heart disease individuals has improved exercise tolerance and quality of life.


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  • Influence of Graded Aerobic Exercise in Post-surgical Adult Acyanotic Congenital Heart Disease - A Prospective Randomized Clinical Trial

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Authors

K. Madhavi
College of Physiotherapy, Cardiovascular and Thoracic Surgery, SVIMS, Tirupathi, India
Abhachandra
Head of the Department, Cardiovascular and Thoracic Surgery, SVIMS, Tirupathi, India
Arun G. Maiya
Associate Dean, MAHE, Manipal, India

Abstract


Exercise intolerance and Impaired quality of life is the long existing problem in Adult congenital heart disease individuals. Regular physical activities improves the physical capacity of an individual., influence on exercise tolerance and quality of life need to be studied. The aim of the study is to find out the influence of graded aerobic exercise on post surgical adult acyanotic congenital heart disases.

Materials and Methodology

111 samples were randomly selected from a tertiary care centre SVIMS, Tirupathi, AP and allotted into control and study groups. The outcomes measures in the study were BMI (kg/ m2),Ejection fraction (%),Nitric oxide (mmol/L), VO2 peak (ml/ kg/min) and Quality of life (score).BMI was recorded using Quetelet index, Ejection fraction through echo, Nitric oxide analysis by Griess method , Bicycle ergometer to measure the ventilatory oxygen peak uptake (VO2 peak) and self assessed health related quality of life questionnaire SF-36 form to assess health related quality of life. The above values were recorded before surgery and 12 weeks after surgery. Graded aerobic exercises were implemented from the day 1 after surgery to 12 weeks to study group. Un graded aerobic exercises were implemented from the day 1 after surgery to 12 weeks to control group.

Results and Statistical Analysis

Power of the study is 90%. Paired t-test is used to compare mean values between pre and post tests of each parameter and t test is used to find out the mean percentage change in the parameters. The mean difference of pre and post intervention values of all outcomes between study and control group were found to be significant at p value<0.001

Conclusion

Implementation of graded aerobic exercises in post surgical adult acyanotic congenital heart disease individuals has improved exercise tolerance and quality of life.