Open Access
Subscription Access
Open Access
Subscription Access
Effect of Home Based Low Intensity Walking Programme on Quality of Life and Functional Capacity in Left Ventricular Failure Patients - a Randomized Control Trial
Subscribe/Renew Journal
A randomized control trial wherein 50 Left ventricular failure patients were included with ejection fraction15-40%. A home based exercise programme was designed on the basis of 6MWD for the training group and the control group carried out usual activities with no specified programme for 8 weeks. Outcome measures were 6MWD and QOL using LVD36 pre and post programme. In the training group, 6MWD increased from 329.6±120.63 mts to 394 ± 122.82mts (p<.001). This increase is highly statistically significant and indicates improvement in exercise performance. In control and training groups, LVD-36 score decreased (p=0.011 and <0.001) suggestive of improved quality of life. On comparison training group showed greater improvement in quality of life (p=0.001).
Keywords
Left Ventricular Failure, Exercise, Walking, QOL
Subscription
Login to verify subscription
User
Font Size
Information
- Kubo SH, Rector TS, Bank AJ, et al. Endotheliumdependent vasodilation is attenuated in patients with heart failure. Circulation. 1991; 84: 1589-159
- McMurray JJ, Ray SG, Abdullah I, et al. Plasma endothelin in chronic heart failure. Circulation. 1992; 85: 1374-1379
- Wilson JR, Martin JL, Schwartz D, et al. Exercise intolerance in patients with chronic heart failure: role of impaired nutritive flow to skeletal muscle. Circulation. 1984; 69: 1079-108
- Sullivan MJ, Green HJ, Cobb FR. Skeletal muscle biochemistry and histology in ambulatory patients with long-term heart failure. Circulation. 1990; 81: 518-527
- Drexler H, Riede U, Munzel T, et al. Alterations of skeletal muscle in chronic heart failure. Circulation. 1992; 85: 1751-1759
- Sullivan MJ, Knight JD, Higginbotham MB, et al. Relation between central and peripheral hemodynamics during exercise in patients with chronic heart failure: muscle blood flow is reduced with maintenance of arterial perfusion pressure. Circulation. 1989; 80: 769-781
- Wada O, Asanoi H, Miyagi K. Quantitative evaluation of blood flow distribution to exercising and resting skeletal muscles in patients with cardiac dysfunction using whole-body thallium-201 scintigraphy.
- Piepoli M, Clark AL, Volterrani M. Contribution of muscle afferent to the hemodynamic, autonomic, and ventilatory responses to exercise in patients with chronic heart failure: effects of physical training. Circulation. 1996; 93: 940-952.
- Iaria CT, Jalar UH, Kao FF. The peripheral neural mechanism of exercise hyperpnoea. J Physiol. 1959
- Rowell LB, O’Learly DS. Reflex control of the circulation during exercise: chemoreflexes and mechanoreflexes. J Appl Physiol. 1990; 69: 407- 418.
- McCloskey DI, Mitchell JH. Reflex cardiovascular and respiratory responses originating in exercising muscle. J Physiol. 1972; 224: 173-1862.
- Tyni-LenneR, Gordon A, et.al. Effects of muscle endurance training improves the muscle oxidative capacity,exercise tolerance and QOL, AJC1997; 80: 1025-1029.
- Hambrecht R, Niebauer J, Fiehn E, et al. Physical training in patients with stable chronic heart failure: effects on cardiorespiratory fitness and ultrastructural abnormalities of leg muscles.
- Physical training improves endothelial functioning in patients with chronic heart failure. Circulation. 1996; 93: 210-214.
- Hambrecht R, Gielen S, Linke A, et al. Effects of exercise training on left ventricular function and peripheral resistance in patients with chronic heart failure: a randomized trial. JAMA. 2000; 283:3095-3101.
- Mancini et al, Marco Guazzi,J.App.Phy.June 2004, Exercise training improves alveolar capillary membrane diffusing capacity.
- Coats AJ, Adamopoulos S, Radaelli A, et al. Controlled trial of physical training in chronic heart failure: exercise performance, hemodynamics, ventilation, and autonomic function. Circulation. 1992; 85: 2119-2131.
- Radaelli A, Coats AJ, Leuzzi S, et al. Physical training enhances sympathetic and parasympathetic control of heart rate and peripheral vessels in chronic heart failure. Clin Sci (Lond). 1996; 91: 92-94.
- Dubach P, Myers J, Dziekan G, et al. The effect of high intensity exercise training on central hemodynamic response to exercise in men with reduced left ventricular function. J Am Coll Cardiol. 1997; 29: 1591-1598.
- Belardinelli R, Georgiou D, Cianci G, et al. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functionalcapacity, quality of life, and clinical outcome. Circulation. 1999; 99: 1173-1182.
- Belardinelli R, Scocco V, Mazzanti M, et al. Effects of aerobic training in patients with moderate chronic heart failure. G Ital Cardiol. 1992; 22: 919-930.
- Kavanagh T, Myers MG, Baigrie RS, et al. Quality of life and cardiorespiratory function in chronic heart failure: effects of 12 months’ aerobic training. Heart. 1996; 76: 42-49.
- Delagardelle C, Feiereisen P, Autier P, et al. Strength/endurance training versus endurance training in congestive heart failure Med. Sci. Sports Exerc. 2002; 34: 1868-187
- Maiorana A, O’Driscoll G, Cheetham C, et al. Combined aerobic and resistance exercise training improves functional capacity and strenght in CHF J. Appl. Physiol. 2000; 88: 1565-1570.
- Maiorana A, O’Driscoll G, Dembo L, et al. Effect of aerobic and resistance exercise training on vascular function in heart failure Am. J. Physiol. Heart Circ. Physiol. 2000; 279: H1999-H2005
- Conraads VM, Beckers P, Bosmans J, et al. Combined endurance/resistance training reduces plasma TNF-alpha receptor levels in patients with chronic heart failure and coronary artery disease Eur Heart J 2002; 23: 1854-1860
- Pu CT, Johnson MT, Forman DE, et al. Randomized trial of progressive resistance training to counteract the myopathy of chronic heart failure J. Appl. Physiol. 2001; 90: 2341-2350
- Franklin BA, Bonzheim K, Gordon S, et al. Resistance training in cardiac rehabilitation J. Cardiopulm. Rehabil. 1991; 11: 99-107.
- Triesta corvera and colleagues, Am. Heart. Journal 2004; 147: 339-346.
Abstract Views: 299
PDF Views: 0