Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effect of Home Based Low Intensity Walking Programme on Quality of Life and Functional Capacity in Left Ventricular Failure Patients - a Randomized Control Trial


Affiliations
1 P.T School and Centre Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S. Medical College and KEM Hospital Parel, Mumbai, India
2 Department of cardiology Seth G.S. Medical College and KEM Hospital, Parel, Mumbai 400012, India
     

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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
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  • 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.


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  • Effect of Home Based Low Intensity Walking Programme on Quality of Life and Functional Capacity in Left Ventricular Failure Patients - a Randomized Control Trial

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Authors

Mariya Jiandani
P.T School and Centre Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S. Medical College and KEM Hospital Parel, Mumbai, India
Rajeshwari Reddy
Department of cardiology Seth G.S. Medical College and KEM Hospital, Parel, Mumbai 400012, India
Amita Mehta
P.T School and Centre Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S. Medical College and KEM Hospital Parel, Mumbai, India
Ashish Nabar
Department of cardiology Seth G.S. Medical College and KEM Hospital, Parel, Mumbai 400012, India

Abstract


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

References