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J Jpn Phys Ther Assoc. 2005;8(1):21-8. doi: 10.1298/jjpta.8.21.

Physiological and health-related quality of life outcomes following cardiac rehabilitation after cardiac surgery.

Journal of the Japanese Physical Therapy Association = Rigaku ryoho

Yasuyuki Hirano, Kazuhiro Izawa, Satoshi Watanabe, Sumio Yamada, Koichiro Oka, Yusuke Kasahara, Kazuto Omiya

Affiliations

  1. Department of Rehabilitation Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama 241-0811, Japan.
  2. Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, Kawasaki 216-8511, Japan.
  3. Institute of Medical Sciences, University of Nagoya, Nagoya 461-8673, Japan.
  4. Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan.
  5. Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.

PMID: 25792940 PMCID: PMC4316505 DOI: 10.1298/jjpta.8.21

Abstract

We investigated the changes of an 8-week cardiac rehabilitation (CR) program on physiological outcomes and health-related quality of life (HRQL) in Japanese cardiac surgery patients. Subjects were 47 consecutive outpatients (32 men, 15 women; mean age 59.4 ± 12.6 years) recovering from cardiac surgery. Patients performed both aerobic exercise on a treadmill at anaerobic threshold intensity and moderate resistance training 2 days per week, 60 min per session, from 1 to 3 months after cardiac surgery. Differences in the eight SF-36 subscale scores and physiological outcomes within the patient group at 1 month and at 3 months after cardiac surgery were analyzed. Peak oxygen uptake, handgrip strength, and knee extension strength were used as physiological outcome measures. HRQL was assessed with the Japanese version Medical Outcome Study Short Form 36 (SF-36). Significant change in overall physiological outcome from 1 month to 3 months was observed. There was also significant change in seven of the eight SF-36 health status subscale scores (physical functioning, role-physical, bodily pain, general health, vitality, role-emotional, and mental health). However, with the exception of physical functioning and mental health scores, values did not reach those of the average healthy Japanese. In conclusion, we found that CR exercise training for Japanese cardiac surgery patients during the recovery phase changes not only physiological outcomes but also HRQL as assessed by the SF-36.

Keywords: cardiac rehabilitation; cardiac surgery; health-related quality of life

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